Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses
Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses
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DOI：
10.1007/s00127-020-01924-7
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发表时间：
2020-08-17
影响因子：
4.4
通讯作者：
Simpson, Alan
中科院分区：
文献类型：
--
作者：
Rains, Luke Sheridan;Johnson, Sonia;Simpson, Alan
2019冠状病毒病大流行对精神健康状况和精神卫生保健有许多潜在影响，包括感染的直接后果、感染控制措施的影响和随后的社会变化。我们的目标是绘制大流行病对已有心理健康状况的人及其使用的服务的早期影响，并确定为管理这些问题而采取的个人和服务水平策略。我们检索了2020年4月30日之前发表的公共领域的相关材料，包括科学和专业期刊上的论文，发表的第一人称账户，媒体文章以及政府，慈善机构和专业协会的出版物。检索语言为英语、法语、德语、意大利语、西班牙语和中文普通话。通过快速定性框架综合方法检索和总结相关内容。结果我们找到了来自28个国家的872个合格来源。大多数记录的观察和经验，而不是报告的研究数据。我们发现许多报告显示症状恶化，孤独和社会孤立的影响，缺乏获得服务和资源的机会，但有时也有复原力，有效的自我管理和同伴支持。当前的服务挑战涉及控制感染，特别是在住院和住院环境中，以及建立远程工作，特别是在社区中。我们总结了迅速实施的适应和创新的报告，但也有紧迫的道德挑战和对未来的关注。结论我们的分析捕捉了多个国家在COVID-19疫情早期公开报道的持份者观点和经验。我们确定潜在的服务规划和研究的重点。
Purpose The COVID-19 pandemic has many potential impacts on people with mental health conditions and on mental health care, including direct consequences of infection, effects of infection control measures and subsequent societal changes. We aimed to map early impacts of the pandemic on people with pre-existing mental health conditions and services they use, and to identify individual and service-level strategies adopted to manage these. Methods We searched for relevant material in the public domain published before 30 April 2020, including papers in scientific and professional journals, published first person accounts, media articles, and publications by governments, charities and professional associations. Search languages were English, French, German, Italian, Spanish, and Mandarin Chinese. Relevant content was retrieved and summarised via a rapid qualitative framework synthesis approach. Results We found 872 eligible sources from 28 countries. Most documented observations and experiences rather than reporting research data. We found many reports of deteriorations in symptoms, and of impacts of loneliness and social isolation and of lack of access to services and resources, but sometimes also of resilience, effective self-management and peer support. Immediate service challenges related to controlling infection, especially in inpatient and residential settings, and establishing remote working, especially in the community. We summarise reports of swiftly implemented adaptations and innovations, but also of pressing ethical challenges and concerns for the future. Conclusion Our analysis captures the range of stakeholder perspectives and experiences publicly reported in the early stages of the COVID-19 pandemic in several countries. We identify potential foci for service planning and research.