The impact of Covid-19 pandemic on community-oriented mental health services: The experience of Friuli Venezia Giulia region, Italy.
Community system
Covid-19
Individual data
Mental health services
Operative indications
Psychiatric hospitalization
Journal
Health policy and technology
ISSN: 2211-8837
Titre abrégé: Health Policy Technol
Pays: Netherlands
ID NLM: 101597449
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
pubmed:
2
2
2021
medline:
2
2
2021
entrez:
1
2
2021
Statut:
ppublish
Résumé
to assess the changes in prevalence, incidence and hospitalisation rates during the first four months of 2020, compared to the same period of 2019, in Friuli Venezia Giulia Mental Health Departments (MHDs); to analyse the features of MHDs patients tested for Sars-Cov-2, and to monitor whether MHDs applied and adhered to regional recommendations. Observational study using MHDs' administrative data and individual data on suspected and positive cases of Sars-Cov-2. Adherence to recommentations was assessed using 21 indicators. Changes in rates were calculated by Poisson regression analysis, while the Fisher exact test was used for assessing differences between suspected and positive cases. The decrease in voluntary admission rates on 100,000 inhabitants in hospital services was significantly larger from January to April 2020, compared to the same period of 2019 ( Outpatient services continued to work normally during the emergency, while hospital services decreased their activities. A low number of positive cases was found among MHDs' users, which might be linked to a rapid reconversion of services, with an extensive use of home visits and telepsychiatry. These preliminary data should be interpreted with caution, due to the small size and the limited period of observation.
Identifiants
pubmed: 33520636
doi: 10.1016/j.hlpt.2020.12.002
pii: S2211-8837(20)30147-7
pmc: PMC7833105
doi:
Types de publication
Journal Article
Langues
eng
Pagination
143-150Informations de copyright
© 2021 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All rights reserved.
Références
Depress Anxiety. 2011 Mar;28(3):210-7
pubmed: 21394854
Community Ment Health J. 2021 Apr;57(3):405-415
pubmed: 32562033
Int J Environ Res Public Health. 2020 Jul 13;17(14):
pubmed: 32668599
World Psychiatry. 2020 Jun;19(2):129-130
pubmed: 32394569
BJPsych Open. 2020 Jul 22;6(5):e87
pubmed: 32696734
Lancet Psychiatry. 2020 May;7(5):385-387
pubmed: 32353266
Eur J Clin Pharmacol. 2017 Jul;73(7):883-890
pubmed: 28342066
J Med Internet Res. 2020 Sep 17;22(9):e19149
pubmed: 32687477
JAMA Netw Open. 2019 Aug 2;2(8):e199910
pubmed: 31441939
Int J Psychiatry Clin Pract. 2020 Dec 21;:1-5
pubmed: 33346685
Encephale. 2020 Jun;46(3):193-201
pubmed: 32370982
Psychiatry Res. 2020 Jun;288:112980
pubmed: 32315881
Epidemiol Psychiatr Sci. 2018 Aug;27(4):336-345
pubmed: 29506591
Acta Psychiatr Scand. 2008 Nov;118(5):382-8
pubmed: 18754835
JAMA Psychiatry. 2020 Sep 1;77(9):974-976
pubmed: 32352480
J Nerv Ment Dis. 2014 Jun;202(6):440-5
pubmed: 24840089
Psychiatry Clin Neurosci. 2020 Oct;74(10):557-559
pubmed: 32609417
Int J Psychiatry Clin Pract. 2019 Nov;23(4):265-272
pubmed: 31094244
JAMA Psychiatry. 2015 Apr;72(4):334-41
pubmed: 25671328
Epidemiol Psychiatr Sci. 2020 Mar 31;29:e116
pubmed: 32228737
Soc Psychiatry Psychiatr Epidemiol. 2021 Jan;56(1):13-24
pubmed: 32804258
Soc Psychiatry Psychiatr Epidemiol. 2021 Jan;56(1):25-37
pubmed: 32857218
Soc Psychiatry Psychiatr Epidemiol. 2020 Aug;55(8):965-968
pubmed: 32472197
J Trauma Stress. 2005 Oct;18(5):497-505
pubmed: 16281248
Eur Arch Psychiatry Clin Neurosci. 2020 Jun 9;:
pubmed: 32519205
Health Policy Technol. 2020 Dec;9(4):578-586
pubmed: 32874862
J Psychosom Res. 2015 Nov;79(5):372-7
pubmed: 26526311
Ir J Psychol Med. 2020 Dec;37(4):283-290
pubmed: 32368994
Lancet. 2020 Mar 14;395(10227):912-920
pubmed: 32112714