Design and Implementation of a Regional Inpatient Psychiatry Unit for Patients who are Positive for Asymptomatic SARS-CoV-2.
Asymptomatic Infections
Betacoronavirus
COVID-19
Coronavirus Infections
/ complications
Hospital Design and Construction
/ methods
Hospital Units
Hospitalization
Humans
Infection Control
/ methods
Involuntary Commitment
Mental Disorders
/ complications
Pandemics
Personal Protective Equipment
Personnel Staffing and Scheduling
/ organization & administration
Pneumonia, Viral
/ complications
Psychiatric Department, Hospital
Psychotherapy, Group
/ methods
Recreation
SARS-CoV-2
Ventilation
/ methods
Visitors to Patients
consultation-liaison psychiatry
infection control
infectious disease
mental health
respiratory disorder
Journal
Psychosomatics
ISSN: 1545-7206
Titre abrégé: Psychosomatics
Pays: England
ID NLM: 0376506
Informations de publication
Date de publication:
Historique:
received:
01
06
2020
revised:
19
06
2020
accepted:
22
06
2020
pubmed:
18
8
2020
medline:
27
11
2020
entrez:
18
8
2020
Statut:
ppublish
Résumé
Patients with psychiatric illnesses are particularly vulnerable to highly contagious, droplet-spread organisms such as SARS-CoV-2. Patients with mental illnesses may not be able to consistently follow up behavioral prescriptions to avoid contagion, and they are frequently found in settings with close contact and inadequate infection control, such as group homes, homeless shelters, residential rehabilitation centers, and correctional facilities. Furthermore, inpatient psychiatry settings are generally designed as communal spaces, with heavy emphasis on group and milieu therapies. As such, inpatient psychiatry services are vulnerable to rampant spread of contagion. With this in mind, the authors outline the decision process and ultimate design and implementation of a regional inpatient psychiatry unit for patients infected with asymptomatic SARS-CoV-2 and share key points for consideration in implementing future units elsewhere. A major takeaway point of the analysis is the particular expertise of trained experts in psychosomatic medicine for treating patients infected with SARS-CoV-2.
Sections du résumé
BACKGROUND
Patients with psychiatric illnesses are particularly vulnerable to highly contagious, droplet-spread organisms such as SARS-CoV-2. Patients with mental illnesses may not be able to consistently follow up behavioral prescriptions to avoid contagion, and they are frequently found in settings with close contact and inadequate infection control, such as group homes, homeless shelters, residential rehabilitation centers, and correctional facilities. Furthermore, inpatient psychiatry settings are generally designed as communal spaces, with heavy emphasis on group and milieu therapies. As such, inpatient psychiatry services are vulnerable to rampant spread of contagion.
OBJECTIVE
With this in mind, the authors outline the decision process and ultimate design and implementation of a regional inpatient psychiatry unit for patients infected with asymptomatic SARS-CoV-2 and share key points for consideration in implementing future units elsewhere.
CONCLUSION
A major takeaway point of the analysis is the particular expertise of trained experts in psychosomatic medicine for treating patients infected with SARS-CoV-2.
Identifiants
pubmed: 32800571
pii: S0033-3182(20)30204-8
doi: 10.1016/j.psym.2020.06.018
pmc: PMC7330562
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
662-671Informations de copyright
Copyright © 2020 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved.
Références
Nature. 2020 May;581(7809):465-469
pubmed: 32235945
J Clin Psychiatry. 2020 Mar 31;81(3):
pubmed: 32237301
Psychiatr Serv. 2020 Jun 1;71(6):624-626
pubmed: 32321388
Lancet Psychiatry. 2020 Jun;7(6):476-477
pubmed: 32407671