Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program.
Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry pr...
| Publicado en: | Community Mental Health Journal Vol. 57; no. 1; pp. 10 - 18 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Springer Nature
2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=148163689&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148163689 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: 2021 vid: 57 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 148163689 10.1007/s10597-020-00710-8 ppf: 10 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 616KB tig: atl: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program. aug: au: Guan, Iline Kirwan, Nicole Beder, Michaela Levy, Matthew Law, Samuel affil: Department of Psychiatry, University of Toronto, Toronto, Canada Clinical Nurse Specialist, and Administrative Lead, Community Psychiatry Program, St. Michael's Hospital, Toronto, Canada Department of Psychiatry, St. Michael's Hospital, University of Toronto, Toronto, Canada Li Ka Shing Knowledge Institute, St. Michael's Hospital Cardinal Carter Wing #17029, 30 Bond Street, M5B 1W8, Toronto, ON, Canada su: Mental illness treatment Prevention of communicable diseases Diffusion of innovations Emergency management Health promotion Health services accessibility Leadership Psychotherapy patients Psychosocial factors Occupational adaptation COVID-19 pandemic Prevention of infectious disease transmission Reflection (Philosophy) Psychological resilience Psychoeducation COVID-19 sug: subj: Mental illness treatment Prevention of communicable diseases Diffusion of innovations Emergency management Health promotion Health services accessibility Leadership Psychotherapy patients Psychosocial factors Occupational adaptation COVID-19 pandemic Emergency and Other Relief Services Other federal protective services Other provincial protective services Other municipal protective services Other Justice, Public Order, and Safety Activities Prevention of infectious disease transmission Reflection (Philosophy) Psychological resilience Psychoeducation COVID-19 keyword: Assertive community treatment team Disaster preparedness Pandemic preparedness Severe mental illness Assertive community treatment team Disaster preparedness Pandemic preparedness Severe mental illness ab: Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry program, based on three key principles. In (i) Defining and maintaining essential services while limiting risk of contagion, we discuss such strategies and ways to assess risks, implement infection control, and other creative solutions. In (ii) Promoting health and mitigating physical and mental health impacts, we reflect on prioritizing vulnerable patients, dealing with loss of community resources, adapting group programs, and providing psychoeducation, among others. In (iii) Promoting staff resilience and wellness, we describe building on strength of the staff early, addressing staff morale and avoiding moral injury, and valuing responsive leadership. We also identify limitations and potential further improvements, mindful that COVID-19 and similar crises are likely recurring realities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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