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Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19

The USA is in the midst of the COVID-19 pandemic. We assess the impact of COVID-19 on psychiatric symptoms in healthcare workers, those with psychiatric comorbidities, and the general population. We highlight the challenges ahead and discuss the increased relevance of telepsychiatry. We analyzed all...

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Detalles Bibliográficos
Autores principales: Gautam, Mohan, Thakrar, Anjali, Akinyemi, Esther, Mahr, Greg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287405/
https://www.ncbi.nlm.nih.gov/pubmed/32838140
http://dx.doi.org/10.1007/s42399-020-00348-3
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author Gautam, Mohan
Thakrar, Anjali
Akinyemi, Esther
Mahr, Greg
author_facet Gautam, Mohan
Thakrar, Anjali
Akinyemi, Esther
Mahr, Greg
author_sort Gautam, Mohan
collection PubMed
description The USA is in the midst of the COVID-19 pandemic. We assess the impact of COVID-19 on psychiatric symptoms in healthcare workers, those with psychiatric comorbidities, and the general population. We highlight the challenges ahead and discuss the increased relevance of telepsychiatry. We analyzed all available literature available as of March 25, 2020, on PubMed, Ovid Medline, and PsychInfo. We utilized the MeSH term “covid AND (psychiatry OR mental health)” and included all articles. Duplicates were removed resulting in 32 articles, of which 19 are cited. Four additional references are included to examine suicide data. During the review process, an additional 7 articles were identified which are also included. Frontline healthcare workers are currently experiencing increased psychiatric symptoms and this is more severe in females and nurses. Non-frontline healthcare workers, as well as the general population, are experiencing vicarious traumatization. People with psychiatric comorbidities, and the general population, face increased psychiatric symptom burden. Migrant workers, the elderly, children, and the homeless may be disproportionately impacted. Suicide rates may be impacted. The COVID-19 pandemic has resulted in a severe disruption to the delivery of mental healthcare. Psychiatric facilities are facing unprecedented disruptions in care provision as they struggle to manage an infected population with comorbid psychiatric symptoms. Telepsychiatry is a flawed but reasonable solution to increase the availability of mental healthcare during COVID-19.
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spelling pubmed-72874052020-06-11 Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19 Gautam, Mohan Thakrar, Anjali Akinyemi, Esther Mahr, Greg SN Compr Clin Med Covid-19 The USA is in the midst of the COVID-19 pandemic. We assess the impact of COVID-19 on psychiatric symptoms in healthcare workers, those with psychiatric comorbidities, and the general population. We highlight the challenges ahead and discuss the increased relevance of telepsychiatry. We analyzed all available literature available as of March 25, 2020, on PubMed, Ovid Medline, and PsychInfo. We utilized the MeSH term “covid AND (psychiatry OR mental health)” and included all articles. Duplicates were removed resulting in 32 articles, of which 19 are cited. Four additional references are included to examine suicide data. During the review process, an additional 7 articles were identified which are also included. Frontline healthcare workers are currently experiencing increased psychiatric symptoms and this is more severe in females and nurses. Non-frontline healthcare workers, as well as the general population, are experiencing vicarious traumatization. People with psychiatric comorbidities, and the general population, face increased psychiatric symptom burden. Migrant workers, the elderly, children, and the homeless may be disproportionately impacted. Suicide rates may be impacted. The COVID-19 pandemic has resulted in a severe disruption to the delivery of mental healthcare. Psychiatric facilities are facing unprecedented disruptions in care provision as they struggle to manage an infected population with comorbid psychiatric symptoms. Telepsychiatry is a flawed but reasonable solution to increase the availability of mental healthcare during COVID-19. Springer International Publishing 2020-06-11 2020 /pmc/articles/PMC7287405/ /pubmed/32838140 http://dx.doi.org/10.1007/s42399-020-00348-3 Text en © Springer Nature Switzerland AG 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Covid-19
Gautam, Mohan
Thakrar, Anjali
Akinyemi, Esther
Mahr, Greg
Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19
title Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19
title_full Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19
title_fullStr Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19
title_full_unstemmed Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19
title_short Current and Future Challenges in the Delivery of Mental Healthcare during COVID-19
title_sort current and future challenges in the delivery of mental healthcare during covid-19
topic Covid-19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287405/
https://www.ncbi.nlm.nih.gov/pubmed/32838140
http://dx.doi.org/10.1007/s42399-020-00348-3
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