Exploring Access to Mental Health and Primary Care Services for People With Severe Mental Illness During the COVID-19 Restrictions.
Exploring Access to Mental Health and Primary Care Services for People With Severe Mental Illness During the COVID-19 Restrictions.
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DOI：
10.3389/fpsyt.2021.799885
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发表时间：
2021
影响因子：
4.7
通讯作者：
Peckham E
中科院分区：
文献类型：
--
作者：
Newbronner E;Spanakis P;Wadman R;Crosland S;Heron P;Johnston G;Walker L;Gilbody S;Peckham E
探索：严重精神疾病患者对大流行期间获得的支持的满意程度;了解在获得精神卫生和初级保健服务时遇到的任何困难;考虑减轻这些困难的方法;并评估对未来精神卫生服务支持的感知需求。代表性样本来自于2016年4月至2020年3月期间招募的SMI患者的大型跨诊断临床队列。在限制开始后几个月，对样本进行了重新调查。定量资料采用描述性频数统计进行分析。自由文本的反应进行了主题分析。共有367人参与了调查。三分之二的人接受心理健康服务的支持，其余的人接受初级保健或自我管理的支持。四分之一的人认为他们在来年需要更多的心理健康支持。一半人在大流行期间需要使用社区精神卫生服务，大多数人能够得到支持。少数人报告说，他们的心理健康状况恶化，但他们要么没有得到他们想要的支持，要么没有寻求帮助。最大的服务变化是减少了面对面的预约，增加了电话和视频通话支持的使用。接受心理健康服务的人中有近一半的人认为这种改变是可以接受的，甚至更喜欢这种改变。然而，可接受性受到几个因素的影响，参与者更有可能报告说，当亲自见到他们时，他们已经得到了他们所需要的所有支持。虽然大多数参与者对他们获得的心理健康支持感到满意，但少数人不满意。这一点，再加上对未来心理健康支持需求的调查结果，对大流行后的服务需求有影响。远程护理带来了好处，但也有可能增加获得服务方面的不平等。
To explore: how satisfied people with severe mental illness (SMI) are with the support received during the pandemic; understand any difficulties encountered when accessing both mental health and primary care services; consider ways to mitigate these difficulties; and assess the perceived need for future support from mental health services. A representative sample was drawn from a large transdiagnostic clinical cohort of people with SMI, which was recruited between April 2016 and March 2020. The sample was re-surveyed a few months after the beginning of the restrictions. Descriptive frequency statistics were used to analyze the quantitative data. The free text responses were analyzed thematically. 367 participants responded to the survey. Two thirds were receiving support from mental health services with the rest supported in primary care or self-managing. A quarter thought they would need more mental health support in the coming year. Half had needed to used community mental health services during the pandemic and the majority had been able to get support. A minority reported that their mental health had deteriorated but they had either not got the supported they wanted or had not sought help. The biggest service change was the reduction in face-to-face appointments and increasing use of phone and video call support. Nearly half of those using mental health services found this change acceptable or even preferred it. However, acceptability was influenced by several factors, and participants were more likely to report that they had received all the support they needed, when seen in person. Although most participants were satisfied with the mental health support they had received, a minority were not. This, couple with findings on future need for mental health support has implications for post pandemic demand on services. Remote care has brought benefits but also risks that it could increase inequalities in access to services.
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影响因子：
2.9
作者：
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通讯作者：
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影响因子：
4.4
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NIHR Mental Health Policy Research Unit Covid coproduction research group
影响因子：
3.7
作者：
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通讯作者：
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影响因子：
25.8
作者：
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通讯作者：
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影响因子：
3.7
作者：
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通讯作者：
Stewart R