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The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada

The World Health Organization characterized COVID-19 (coronavirus disease 2019) as a pandemic on March 11, 2020 (WHO). Within a couple of days, all Canadian provinces announced the implementation of social distancing measures. We evaluated the immediate effect of COVID-19 on psychiatric emergency an...

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Autores principales: Kim, Helena K., Carvalho, Andre F., Gratzer, David, Wong, Albert H. C., Gutzin, Shayla, Husain, M. Ishrat, Mulsant, Benoit H., Stergiopoulos, Vicky, Daskalakis, Zafiris J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102788/
https://www.ncbi.nlm.nih.gov/pubmed/33967842
http://dx.doi.org/10.3389/fpsyt.2021.563906
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author Kim, Helena K.
Carvalho, Andre F.
Gratzer, David
Wong, Albert H. C.
Gutzin, Shayla
Husain, M. Ishrat
Mulsant, Benoit H.
Stergiopoulos, Vicky
Daskalakis, Zafiris J.
author_facet Kim, Helena K.
Carvalho, Andre F.
Gratzer, David
Wong, Albert H. C.
Gutzin, Shayla
Husain, M. Ishrat
Mulsant, Benoit H.
Stergiopoulos, Vicky
Daskalakis, Zafiris J.
author_sort Kim, Helena K.
collection PubMed
description The World Health Organization characterized COVID-19 (coronavirus disease 2019) as a pandemic on March 11, 2020 (WHO). Within a couple of days, all Canadian provinces announced the implementation of social distancing measures. We evaluated the immediate effect of COVID-19 on psychiatric emergency and inpatient services in Canada's largest psychiatric hospital in the first month of the pandemic. We extracted data from the electronic medical records of the Center for Addiction and Mental Health in Toronto, Canada. We compared emergency department visits, inpatient occupancy rates, and length of stay in March 2019 and March 2020, and during the first and second half of March 2020. There was a decrease in the number of emergency department visits and inpatient occupancy rates in March 2020 compared to March 2019. There was also a significant decrease in the number of emergency department visits and inpatient occupancy rates in the second half of March 2020 compared to the first half. Our findings suggest that the pandemic was followed by a rapid decrease in the usage of psychiatric emergency and inpatient services in a large mental health hospital. Future studies will need to assess whether this decrease will be followed by a return to baseline or an increase in need for these services.
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spelling pubmed-81027882021-05-08 The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada Kim, Helena K. Carvalho, Andre F. Gratzer, David Wong, Albert H. C. Gutzin, Shayla Husain, M. Ishrat Mulsant, Benoit H. Stergiopoulos, Vicky Daskalakis, Zafiris J. Front Psychiatry Psychiatry The World Health Organization characterized COVID-19 (coronavirus disease 2019) as a pandemic on March 11, 2020 (WHO). Within a couple of days, all Canadian provinces announced the implementation of social distancing measures. We evaluated the immediate effect of COVID-19 on psychiatric emergency and inpatient services in Canada's largest psychiatric hospital in the first month of the pandemic. We extracted data from the electronic medical records of the Center for Addiction and Mental Health in Toronto, Canada. We compared emergency department visits, inpatient occupancy rates, and length of stay in March 2019 and March 2020, and during the first and second half of March 2020. There was a decrease in the number of emergency department visits and inpatient occupancy rates in March 2020 compared to March 2019. There was also a significant decrease in the number of emergency department visits and inpatient occupancy rates in the second half of March 2020 compared to the first half. Our findings suggest that the pandemic was followed by a rapid decrease in the usage of psychiatric emergency and inpatient services in a large mental health hospital. Future studies will need to assess whether this decrease will be followed by a return to baseline or an increase in need for these services. Frontiers Media S.A. 2021-04-23 /pmc/articles/PMC8102788/ /pubmed/33967842 http://dx.doi.org/10.3389/fpsyt.2021.563906 Text en Copyright © 2021 Kim, Carvalho, Gratzer, Wong, Gutzin, Husain, Mulsant, Stergiopoulos and Daskalakis. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Kim, Helena K.
Carvalho, Andre F.
Gratzer, David
Wong, Albert H. C.
Gutzin, Shayla
Husain, M. Ishrat
Mulsant, Benoit H.
Stergiopoulos, Vicky
Daskalakis, Zafiris J.
The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada
title The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada
title_full The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada
title_fullStr The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada
title_full_unstemmed The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada
title_short The Impact of COVID-19 on Psychiatric Emergency and Inpatient Services in the First Month of the Pandemic in a Large Urban Mental Health Hospital in Ontario, Canada
title_sort impact of covid-19 on psychiatric emergency and inpatient services in the first month of the pandemic in a large urban mental health hospital in ontario, canada
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102788/
https://www.ncbi.nlm.nih.gov/pubmed/33967842
http://dx.doi.org/10.3389/fpsyt.2021.563906
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