Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries
Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries
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DOI：
10.1080/09515070.2020.1785846
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发表时间：
2020-07-17
影响因子：
3
通讯作者：
Grigoryan, Karina
中科院分区：
文献类型：
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作者：
Jurcik, Tomas;Jarvis, G. Eric;Grigoryan, Karina
COVID-19 大流行极大地改变了世界大多数人口的生活。人们被鼓励实施政府强制执行的社会疏远行为，并经历了失业或通常工作环境的改变。在精神卫生领域，心理学家和精神病学家被迫在不影响安全的情况下改变患者的标准护理。本文记录了作者（加拿大、俄罗斯、澳大利亚和日本这四个国家的心理健康专业人员）在 COVID-19 大流行期间的经历，并就如何调整临床、培训和研究实践以应对封锁情况提供了建议。临床医生通过学习新技能和更新知识库来调整他们通常的最佳实践。心理健康临床医生注意到，这种流行病导致一些患者的症状发生变化。大多数临床医生转向提供远程心理健康服务，例如远程进行评估和治疗。那些继续亲自看病人的人使用了个人防护装备，这对临床医患关系产生了各种影响。大规模隔离带来的困境需要仔细审视，因为它们对众多健康和社会心理变量的影响似乎是深远的。
The COVID-19 pandemic significantly changed the lives of a majority of the world's population. People have been encouraged to implement social distancing behaviors enforced by governments, and have experienced loss of employment or changes to their usual working environment. In the mental health sector, psychologists and psychiatrists have been forced to alter the standard care of patients without compromising safety. This article documents the experiences of the authors - mental health professionals in four countries, Canada, Russia, Australia and Japan - at the time of the COVID-19 pandemic, and offers recommendations on how clinical, training, and research practices may need to be adjusted to deal with lockdown situations. Clinicians adapted their usual best practices by learning new skills and updating their knowledge base. Mental health clinicians noticed that the pandemic led to symptomatic changes in some of their patients. Most clinicians moved towards providing telemental health services, such as conducting assessments and treatments remotely. Those who continued seeing patients in person employed personal protective equipment with various impacts on the clinician-patient relationship. The dilemmas of mass quarantines need to be carefully examined, as their effects on numerous health and psychosocial variables appear to be far-reaching.