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How mental health care should change as a consequence of the COVID-19 pandemic

The unpredictability and uncertainty of the COVID-19 pandemic; the associated lockdowns, physical distancing, and other containment strategies; and the resulting economic breakdown could increase the risk of mental health problems and exacerbate health inequalities. Preliminary findings suggest adve...

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Autores principales: Moreno, Carmen, Wykes, Til, Galderisi, Silvana, Nordentoft, Merete, Crossley, Nicolas, Jones, Nev, Cannon, Mary, Correll, Christoph U, Byrne, Louise, Carr, Sarah, Chen, Eric Y H, Gorwood, Philip, Johnson, Sonia, Kärkkäinen, Hilkka, Krystal, John H, Lee, Jimmy, Lieberman, Jeffrey, López-Jaramillo, Carlos, Männikkö, Miia, Phillips, Michael R, Uchida, Hiroyuki, Vieta, Eduard, Vita, Antonio, Arango, Celso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365642/
https://www.ncbi.nlm.nih.gov/pubmed/32682460
http://dx.doi.org/10.1016/S2215-0366(20)30307-2
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author Moreno, Carmen
Wykes, Til
Galderisi, Silvana
Nordentoft, Merete
Crossley, Nicolas
Jones, Nev
Cannon, Mary
Correll, Christoph U
Byrne, Louise
Carr, Sarah
Chen, Eric Y H
Gorwood, Philip
Johnson, Sonia
Kärkkäinen, Hilkka
Krystal, John H
Lee, Jimmy
Lieberman, Jeffrey
López-Jaramillo, Carlos
Männikkö, Miia
Phillips, Michael R
Uchida, Hiroyuki
Vieta, Eduard
Vita, Antonio
Arango, Celso
author_facet Moreno, Carmen
Wykes, Til
Galderisi, Silvana
Nordentoft, Merete
Crossley, Nicolas
Jones, Nev
Cannon, Mary
Correll, Christoph U
Byrne, Louise
Carr, Sarah
Chen, Eric Y H
Gorwood, Philip
Johnson, Sonia
Kärkkäinen, Hilkka
Krystal, John H
Lee, Jimmy
Lieberman, Jeffrey
López-Jaramillo, Carlos
Männikkö, Miia
Phillips, Michael R
Uchida, Hiroyuki
Vieta, Eduard
Vita, Antonio
Arango, Celso
author_sort Moreno, Carmen
collection PubMed
description The unpredictability and uncertainty of the COVID-19 pandemic; the associated lockdowns, physical distancing, and other containment strategies; and the resulting economic breakdown could increase the risk of mental health problems and exacerbate health inequalities. Preliminary findings suggest adverse mental health effects in previously healthy people and especially in people with pre-existing mental health disorders. Despite the heterogeneity of worldwide health systems, efforts have been made to adapt the delivery of mental health care to the demands of COVID-19. Mental health concerns have been addressed via the public mental health response and by adapting mental health services, mostly focusing on infection control, modifying access to diagnosis and treatment, ensuring continuity of care for mental health service users, and paying attention to new cases of mental ill health and populations at high risk of mental health problems. Sustainable adaptations of delivery systems for mental health care should be developed by experts, clinicians, and service users, and should be specifically designed to mitigate disparities in health-care provision. Thorough and continuous assessment of health and service-use outcomes in mental health clinical practice will be crucial for defining which practices should be further developed and which discontinued. For this Position Paper, an international group of clinicians, mental health experts, and users of mental health services has come together to reflect on the challenges for mental health that COVID-19 poses. The interconnectedness of the world made society vulnerable to this infection, but it also provides the infrastructure to address previous system failings by disseminating good practices that can result in sustained, efficient, and equitable delivery of mental health-care delivery. Thus, the COVID-19 pandemic could be an opportunity to improve mental health services.
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spelling pubmed-73656422020-07-17 How mental health care should change as a consequence of the COVID-19 pandemic Moreno, Carmen Wykes, Til Galderisi, Silvana Nordentoft, Merete Crossley, Nicolas Jones, Nev Cannon, Mary Correll, Christoph U Byrne, Louise Carr, Sarah Chen, Eric Y H Gorwood, Philip Johnson, Sonia Kärkkäinen, Hilkka Krystal, John H Lee, Jimmy Lieberman, Jeffrey López-Jaramillo, Carlos Männikkö, Miia Phillips, Michael R Uchida, Hiroyuki Vieta, Eduard Vita, Antonio Arango, Celso Lancet Psychiatry Position Paper The unpredictability and uncertainty of the COVID-19 pandemic; the associated lockdowns, physical distancing, and other containment strategies; and the resulting economic breakdown could increase the risk of mental health problems and exacerbate health inequalities. Preliminary findings suggest adverse mental health effects in previously healthy people and especially in people with pre-existing mental health disorders. Despite the heterogeneity of worldwide health systems, efforts have been made to adapt the delivery of mental health care to the demands of COVID-19. Mental health concerns have been addressed via the public mental health response and by adapting mental health services, mostly focusing on infection control, modifying access to diagnosis and treatment, ensuring continuity of care for mental health service users, and paying attention to new cases of mental ill health and populations at high risk of mental health problems. Sustainable adaptations of delivery systems for mental health care should be developed by experts, clinicians, and service users, and should be specifically designed to mitigate disparities in health-care provision. Thorough and continuous assessment of health and service-use outcomes in mental health clinical practice will be crucial for defining which practices should be further developed and which discontinued. For this Position Paper, an international group of clinicians, mental health experts, and users of mental health services has come together to reflect on the challenges for mental health that COVID-19 poses. The interconnectedness of the world made society vulnerable to this infection, but it also provides the infrastructure to address previous system failings by disseminating good practices that can result in sustained, efficient, and equitable delivery of mental health-care delivery. Thus, the COVID-19 pandemic could be an opportunity to improve mental health services. Elsevier Ltd. 2020-09 2020-07-16 /pmc/articles/PMC7365642/ /pubmed/32682460 http://dx.doi.org/10.1016/S2215-0366(20)30307-2 Text en © 2020 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Position Paper
Moreno, Carmen
Wykes, Til
Galderisi, Silvana
Nordentoft, Merete
Crossley, Nicolas
Jones, Nev
Cannon, Mary
Correll, Christoph U
Byrne, Louise
Carr, Sarah
Chen, Eric Y H
Gorwood, Philip
Johnson, Sonia
Kärkkäinen, Hilkka
Krystal, John H
Lee, Jimmy
Lieberman, Jeffrey
López-Jaramillo, Carlos
Männikkö, Miia
Phillips, Michael R
Uchida, Hiroyuki
Vieta, Eduard
Vita, Antonio
Arango, Celso
How mental health care should change as a consequence of the COVID-19 pandemic
title How mental health care should change as a consequence of the COVID-19 pandemic
title_full How mental health care should change as a consequence of the COVID-19 pandemic
title_fullStr How mental health care should change as a consequence of the COVID-19 pandemic
title_full_unstemmed How mental health care should change as a consequence of the COVID-19 pandemic
title_short How mental health care should change as a consequence of the COVID-19 pandemic
title_sort how mental health care should change as a consequence of the covid-19 pandemic
topic Position Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365642/
https://www.ncbi.nlm.nih.gov/pubmed/32682460
http://dx.doi.org/10.1016/S2215-0366(20)30307-2
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