Referral patterns for specialist child and adolescent mental health services in the Republic of Ireland during the COVID-19 pandemic compared with 2019 and 2018.
Referral patterns for specialist child and adolescent mental health services in the Republic of Ireland during the COVID-19 pandemic compared with 2019 and 2018.
复制标题
与2019年和2018年相比，爱尔兰共和国的专业儿童和青少年心理健康服务的推荐模式。
DOI：
10.1192/bjo.2021.48
复制
发表时间：
2021-05-03
期刊：
影响因子：
5.4
通讯作者：
Migone M
中科院分区：
文献类型：
--
作者：
McNicholas F;Kelleher I;Hedderman E;Lynch F;Healy E;Thornton T;Barry E;Kelly L;McDonald J;Holmes K;Kavanagh G;Migone M
世界各国正在经历2019年冠状病毒病(新冠肺炎)大流行的第三波。政府强加的限制性措施仍在继续，对身心健康的影响尚不确定。比较2020、2019年和2018年11个月(1-11月)儿童和青少年心理健康服务(CAMHS)的转诊情况，并研究不同阶段的新冠肺炎限制可能对转诊率产生的任何影响。审查了每月CAMHS卫生服务执行数据，涵盖了260 560人，或爱尔兰所有青年(0-18岁年龄组)的12.7%。报告中列出了紧急和常规转介的总数、提供的预约、缺席率和出院结果。与前几年相比，2020年的转介人数大幅下降(χ2=10.3，D.F.=2，P=0.006)。2020年的推荐量从3月到5月下降了11%，从6月到8月下降了10.3%。从9月份开始，常规转诊和紧急转诊都比往年(2018/2019年)增加了50%，其中2020年11月的增幅最高(180%)。9月份以来诊所活动也有所增加，与前几年相比，提供的门诊预约次数增加了一倍(χ2=5171.72，D.F.=3，P<；0.001)和更低的缺勤率(χ2=868.35，D.F.=3，P<；0.001)。2020年，在经历了最初的下降之后，转诊到CAMHS的人数从9月份开始持续增加。如此史无前例的转诊增加给本已资源不足、资金不足的服务带来了进一步的压力，新冠肺炎发布后等待名单可能会增加。据设想，一旦大流行结束，资源将更加有限，CAMHS将迫切需要额外的围栏资金。
Countries worldwide are experiencing a third wave of the coronavirus disease 2019 (COVID-19) pandemic. Government-imposed restrictive measures continue with undetermined effects on physical and mental health. To compare child and adolescent mental health services (CAMHS) referrals over 11 months (January–November) in 2020, 2019 and 2018 and examine any impact the different phases of the COVID-19 restrictions might have on referral rates. Monthly CAMHS Health Service Executive data were examined, covering a catchment population of 260 560 or 12.7% of all youth (age group 0–18 years) in Ireland. The total number of urgent and routine referrals, appointments offered, rates of non-attendances and discharge outcome are presented. There was a significant drop in referrals in 2020, compared with prior years (χ2 = 10.3, d.f. = 2, P = 0.006). Referrals in 2020 dropped from March to May by 11% and from June to August by 10.3%. From September, both routine and urgent referrals increased by 50% compared with previous years (2018/2019), with the highest increase in November 2020 (180%). Clinic activity also increased from September, with double the number of out-patient appointments offered, compared with previous years (χ2 = 5171.72, d.f. = 3, P < 0.001) and lower (6.6%) rates of non-attendance (χ2 = 868.35, d.f. = 3, P < 0.001). In 2020, following an initial decline, referrals to CAMHS increased consistently from September. Such unprecedented increase in referrals places further strain on services that are already underresourced and underfunded, with the likelihood of increased waiting lists post COVID-19. It is envisaged that once the pandemic is over, resources will be even more constrained, and CAMHS will be urgently in need of additional ring-fenced funding.
登录
查看更多内容
DOI：
10.1037/tra0000866
发表时间：
2020-08
期刊：
Psychological trauma : theory, research, practice and policy
影响因子：
--
作者：
Kofman YB;Garfin DR
通讯作者：
Garfin DR
影响因子：
168.9
作者：
Hawton, Keith;Saunders, Kate E. A.;O'Connor, Rory C.
通讯作者：
O'Connor, Rory C.
DOI：
10.15585/mmwr.mm6945a3
发表时间：
2020-11-13
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Leeb RT;Bitsko RH;Radhakrishnan L;Martinez P;Njai R;Holland KM
通讯作者：
Holland KM
影响因子：
5.4
作者：
Robertson M;Duffy F;Newman E;Prieto Bravo C;Ates HH;Sharpe H
通讯作者：
Sharpe H
DOI：
10.3390/ijerph17186719
发表时间：
2020-09-15
影响因子：
--
作者：
McDonnell T;Nicholson E;Conlon C;Barrett M;Cummins F;Hensey C;McAuliffe E
通讯作者：
McAuliffe E