Child and Adolescent Mental Health during the COVID-19 Pandemic: Challenges of Psychiatric Outpatient Clinics.
COVID-19
child and adolescence psychiatry
child and adolescents
mental health
outpatient clinic
Journal
Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525
Informations de publication
Date de publication:
06 Mar 2023
06 Mar 2023
Historique:
received:
08
01
2023
revised:
25
02
2023
accepted:
03
03
2023
entrez:
11
3
2023
pubmed:
12
3
2023
medline:
12
3
2023
Statut:
epublish
Résumé
Worldwide national surveys show a rising mental health burden among children and adolescents (C&A) during COVID-19. The objective of the current study is to verify the expected rise in visits to psychiatric outpatient clinics of C&A, especially of new patients. a cross-sectional study focusing on visits as recorded in electronic medical records of eight heterogeneous C&A psychiatric outpatient clinics. The assessment was based on visits held from March to December of 2019 (before the pandemic) in comparison to visits held in 2020 (during the pandemic). The number of visits was similar for both periods. However, in 2020, 17% of the visits used telepsychiatry (N = 9885). Excluding telepsychiatry reveals a monthly decrease in traditional in-person activities between 2020 and 2019 (691.6 ± 370.8 in 2020 vs. 809.1 ± 422.8 in 2019, mean difference = -117.5, t (69) = -4.07, The activity of C&A psychiatric outpatient clinics did not rise but was guarded due to the use of telepsychiatry. The decline in visits of new patients was explained by the lack of use of telepsychiatry for these patients. This calls for expanding the use of telepsychiatry, especially for new patients.
Sections du résumé
BACKGROUND
BACKGROUND
Worldwide national surveys show a rising mental health burden among children and adolescents (C&A) during COVID-19. The objective of the current study is to verify the expected rise in visits to psychiatric outpatient clinics of C&A, especially of new patients.
METHODS
METHODS
a cross-sectional study focusing on visits as recorded in electronic medical records of eight heterogeneous C&A psychiatric outpatient clinics. The assessment was based on visits held from March to December of 2019 (before the pandemic) in comparison to visits held in 2020 (during the pandemic).
RESULTS
RESULTS
The number of visits was similar for both periods. However, in 2020, 17% of the visits used telepsychiatry (N = 9885). Excluding telepsychiatry reveals a monthly decrease in traditional in-person activities between 2020 and 2019 (691.6 ± 370.8 in 2020 vs. 809.1 ± 422.8 in 2019, mean difference = -117.5, t (69) = -4.07,
CONCLUSIONS
CONCLUSIONS
The activity of C&A psychiatric outpatient clinics did not rise but was guarded due to the use of telepsychiatry. The decline in visits of new patients was explained by the lack of use of telepsychiatry for these patients. This calls for expanding the use of telepsychiatry, especially for new patients.
Identifiants
pubmed: 36900770
pii: healthcare11050765
doi: 10.3390/healthcare11050765
pmc: PMC10000553
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : The Israel national institute for health policy research
ID : 5652020
Références
Indian J Psychiatry. 2020 Sep;62(Suppl 3):S391-S394
pubmed: 33227045
Indian J Pediatr. 2020 Jul;87(7):532-536
pubmed: 32472347
Pediatrics. 2020 Oct;146(4):
pubmed: 32709738
World J Psychiatry. 2016 Jun 22;6(2):269-82
pubmed: 27354970
Mayo Clin Proc. 2019 Dec;94(12):2510-2523
pubmed: 31806104
J Anal Psychol. 2017 Jun;62(3):372-394
pubmed: 28504335
J Pediatr. 2020 Jun;221:264-266.e1
pubmed: 32248989
J Adolesc Health. 2020 Aug;67(2):179-185
pubmed: 32487491
Lancet Child Adolesc Health. 2020 May;4(5):347-349
pubmed: 32224303
Eur Child Adolesc Psychiatry. 2020 Jun;29(6):749-758
pubmed: 32363492
J Racial Ethn Health Disparities. 2022 Apr;9(2):581-588
pubmed: 33686623
Child Adolesc Psychiatry Ment Health. 2020 May 12;14:20
pubmed: 32419840
J Am Acad Child Adolesc Psychiatry. 2022 Feb;61(2):277-290.e2
pubmed: 34119633
Pediatrics. 2021 Apr;147(4):
pubmed: 33361360
JAMA Netw Open. 2021 Apr 1;4(4):e218533
pubmed: 33929525
Indian J Psychol Med. 2020 Oct 4;42(5 Suppl):46S-52S
pubmed: 33354063
Eur Child Adolesc Psychiatry. 2022 Jun;31(6):879-889
pubmed: 33492480
Telemed J E Health. 2017 Oct;23(10):779-804
pubmed: 28930496
Child Youth Serv Rev. 2020 Oct;117:105277
pubmed: 32834275
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Mar 2;106:110171
pubmed: 33186638
J Am Acad Child Adolesc Psychiatry. 2017 Oct;56(10):875-893
pubmed: 28942810
Clin Child Psychol Psychiatry. 2022 Jul;27(3):824-835
pubmed: 35465735
J Am Acad Child Adolesc Psychiatry. 2023 Feb 6;:
pubmed: 36764609
Asian J Psychiatr. 2020 Jun;51:102256
pubmed: 32586624
J Affect Disord. 2020 Oct 1;275:112-118
pubmed: 32658812
Int J Environ Res Public Health. 2022 Aug 10;19(16):
pubmed: 36011509
Internet Interv. 2018 Jan 16;12:150-164
pubmed: 30135779
Front Psychol. 2021 Jul 22;12:705699
pubmed: 34367030
Int J Environ Res Public Health. 2022 Jul 22;19(15):
pubmed: 35897293
JAMA Pediatr. 2020 Sep 1;174(9):898-900
pubmed: 32329784
Ir J Psychol Med. 2020 Dec;37(4):250-255
pubmed: 32434596
Int J Environ Res Public Health. 2021 Mar 26;18(7):
pubmed: 33810225
Pediatrics. 2020 Oct;146(4):
pubmed: 32764151
BMJ Open. 2021 Jan 12;11(1):e042871
pubmed: 33436472
Front Pediatr. 2022 Feb 10;10:759066
pubmed: 35223688
BMC Psychiatry. 2022 Dec 27;22(1):828
pubmed: 36575441
J Trop Pediatr. 2021 Jan 29;67(1):
pubmed: 33367907
Pak J Med Sci. 2020 May;36(COVID19-S4):S67-S72
pubmed: 32582317
Br J Psychiatry. 2022 Feb 18;:1-5
pubmed: 35177131
J Telemed Telecare. 2022 Jul;28(6):445-451
pubmed: 32686556
JAMA Pediatr. 2022 Apr 01;176(4):e216298
pubmed: 35129604