The response of the mental health network of the Salamanca area to the COVID-19 pandemic: The role of the telemedicine.

Roncero, Carlos; García-Ullán, Llanyra; Iglesia-Larrad, Javier I. de la; Martín, Carmen; Andrés, Pilar; Ojeda, Ana; González-Parra, David; Pérez, Javier; Fombellida, Clara; Álvarez-Navares, Ana; Benito, J.A.; Dutil, Virginia; Lorenzo, C.; Montejo, Ángel L.

doi:10.1016/j.psychres.2020.113252

Cited by 66 publications

(101 citation statements)

References 38 publications

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“…The Detoxification and Dual Disorder Inpatient Unit (DDDIU), located in Salamanca, which is a designated in Castile and Leon, was closed in the beginning of the confinement, in order to give up space to the COVID Rooms for the University Healthcare Complex of Salamanca (7). Likewise, the dispensing of methadone in Zamora's Healthcare Complex was suspended for the same reason.…”

Section: Resultsmentioning

confidence: 99%

“…COVID-19 infection among DAACYL professionals is not very high, even being a population at risk. The high risk of acquiring the infection has been described in mental health professionals (2,5,7). The practice of telemedicine and not resorting to the units can explain this situation.…”

Section: Discussionmentioning

confidence: 99%

“…This infection can produce mental disorders in the general population (6,7) and in the psychiatric community (6)(7)(8)(9), including patients with addictions (10). This last patients, in addition to the risks related to mental health patients who, very frequently, smoke tobacco (9), many of them have respiratory problems due to the consumption of opiates, cannabis or other substances through the intrapulmonary route (10).…”

Section: Introductionmentioning

confidence: 99%

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The Impact of COVID-19 Pandemic on the Castile and Leon Addiction Treatment Network: A Real-Word Experience

et al. 2020

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Background: Patients suffering from addiction are a vulnerable group in the midst of COVID-19, so their healthcare is considered essential. In this paper, the measures and responses of the Drug Addiction Assistance Network of Castile and Leon (DAACYL) in Spain during the first 6 weeks of the COVID-19 pandemic are explained. The aim is that this experience could be useful in places where this problem will continue and could help future interventions.Methods: A telephone survey was carried out as the main methodology, to collect information for the subsequent organization and repercussion on professionals and patients. This was carried out by the heads of the 18 DAACYL units. Among the interventions applied, the following stand out: implantation of telemedicine techniques, restriction of daily methadone dispensing, suspension of urine controls and initiation of care programs for the homeless.Results: As a result of these interventions, the professionals observed that patients are less demanding and mostly stable, with a low percentage of relapses. An increase in the consumption of alcohol and benzodiazepines have been reported as more common among people who relapse. Furthermore, the prevalence of COVID-19 infection in the sample is minimal; therefore, different hypotheses should be considered as an explanation (infra-diagnosis, immune system used to aggression, possible anti-inflammatory effect of some psychotropic drugs and a greater perception of danger against infection than the general population).Conclusions: The rapid adaptation and successful implementation of DAACYL have had satisfactory results. On the other hand, the prevention of the possible increase in the development of behavioral addictions and the use of homemade drugs should be considered.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact of COVID-19 Pandemic on the Castile and Leon Addiction Treatment Network: A Real-Word Experience

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“…In this context, the Psychiatry Service in the (USHC) according to the contingency plan applied during the week of March the 16th 2020 ( Roncero et al, 2020 ), initiated a program of primary care for the HP accepter in this center. This program is conceived with the aim of identifying mental disorders, problems related to substance abuse and intervening when necessary if psychopathological alterations or withdrawal symptoms were detected (due to the interruption or reduction of substance use during the lockdown period).…”

Section: Methodsmentioning

confidence: 99%

COVID pandemic as an opportunity for improving mental health treatments of the homeless people

Martin

Andrés

Bullón

et al. 2020

Int J Soc Psychiatry

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Background: Homeless population has been severely affected by the COVID-19 pandemic. Their living conditions, comorbidity with different pathologies and a greater frequency of mental disorders, make this population vulnerable. Method: We implemented a program of serial visits in a hostel for confined homeless of the city council social services, for the monitoring and treatment of mental disorders and substance abuse problems. Accompanied by serial phone and email contacts. Results: A highly significant percentage (63%) had mental disorders or substance abuse, requiring pharmacological intervention, and 37% began follow-up in resources of the Mental Health and Addiction network of the Psychiatric Service at the end of the program. Hospital emergency service visits were drastically reduced. None of them were infected with COVID-19. An individualized Social plan was drawn up in order to reintegrate them with support in the community. Conclusions: The Results have been really positive, meeting all the objectives and opening up developing new programs in the future, in the pandemic outbreak and out of it.

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“…Therefore, in response to the COVID-19 epidemic, psychological problems are an important issue. To address the mental health need of the patients with COVID-19, multiple measures such as telemedicine guidelines, mental health helpline, and strengthened mental health program has been implemented by several countries in the world (21)(22)(23)(24). Recently-published studies on the psychological impact of COVID-19 are mainly focused on the general population and healthcare workers, who were worried about the risks of infection, resulting in psychological distress (25)(26)(27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Mental Health Problems and Its Associated Factors Among Recovered COVID-19 Patients During the Pandemic: A Single-Center Study

2021

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Introduction: The coronavirus disease 2019 (COVID-19), is profoundly affecting the mental health status. Although the burden of mental health problems has been reported in the general population and health care workers, little is known about the prevalence of mental health disorders among recovered COVID-19 patients and their associated factors.Methods: A cross-sectional telephonic-study of recovered COVID-19 patients with and without a history of hospitalization was conducted from April 20 to June 20, 2020, in Tehran, Iran. We assessed the anxiety symptoms, depression, and post-traumatic stress disorder (PTSD) among participants, using the Patient Health Questionnaire (PHQ-4) and PTSD checklist for DSM-5 (PCL-5). Logistic regression analyses were used to explore the risk factors associated with mental health problems.Results: A total of 602 individuals with a mean age of 53.2 years (SD: 14.7), completed the study. The rates of mental health symptoms among the respondents were 5.8% (95% CI: 4.2–7.8%) for anxiety, 5.0% (95% CI: 3.5–7.0%) for depression, and 3.8% (95% CI: 2.3–5.3%) for PTSD disorders. Moreover, being younger than 50 years and female gender was significantly associated with a higher probability of reporting anxiety (p < 0.01), and depression (p < 0.001 for being younger than 50 years, p < 0.02 for female gender).Conclusions: The current study indicated that patients with COVID-19 presented features of anxiety, depression, and PTSD. These results may help implement appropriate mental health intervention policies for those at risk and minimize the mental health consequences of the COVID-19.

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The response of the mental health network of the Salamanca area to the COVID-19 pandemic: The role of the telemedicine.

Cited by 66 publications

References 38 publications

The Impact of COVID-19 Pandemic on the Castile and Leon Addiction Treatment Network: A Real-Word Experience

The Impact of COVID-19 Pandemic on the Castile and Leon Addiction Treatment Network: A Real-Word Experience

COVID pandemic as an opportunity for improving mental health treatments of the homeless people

Prevalence of Mental Health Problems and Its Associated Factors Among Recovered COVID-19 Patients During the Pandemic: A Single-Center Study

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