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Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19

OBJECTIVE: Mental health services have been clearly affected by the pandemic and its restrictions. In our day hospital units users attended on fewer days, group therapy was drastically reduced, the number of users in groups was limited and individual and group teletherapy was initiated. This study e...

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Autores principales: Estrada-Zambrano, Núria, Martinez-Ferreira, Catarina, Reyes-Figueroa, Julio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790863/
https://www.ncbi.nlm.nih.gov/pubmed/36590102
http://dx.doi.org/10.1016/j.rcp.2022.12.001
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author Estrada-Zambrano, Núria
Martinez-Ferreira, Catarina
Reyes-Figueroa, Julio
author_facet Estrada-Zambrano, Núria
Martinez-Ferreira, Catarina
Reyes-Figueroa, Julio
author_sort Estrada-Zambrano, Núria
collection PubMed
description OBJECTIVE: Mental health services have been clearly affected by the pandemic and its restrictions. In our day hospital units users attended on fewer days, group therapy was drastically reduced, the number of users in groups was limited and individual and group teletherapy was initiated. This study evaluates the impact of these changes on clinical and functional outcomes. METHODS: This is a descriptive study prospectively comparing two cohorts of users: those admitted and discharged from our day hospitals before or during the pandemic. All users received a multidisciplinary assessment at admission and discharge including clinician and user-rated scales on psychopathology, daily living skills, quality of life and caregiver burdens. Improvement in both groups was compared. RESULTS: Both cohorts were homogenous at admission. Length of admission was not different for the two groups, but users admitted during the pandemic attended the day hospital on significantly fewer days. Improvement observed in most scales was equivalent in both groups, suggesting a similar evolution of both cohorts. CONCLUSIONS: Despite the reduction in assistance days and group therapeutic interventions no major changes were found in the outcomes of both groups. This study shows that careful adaptations and availability, even in critical situations, can result in equally effective treatments. Further research is essential to determine which of these adaptations should be maintained beyond the pandemic.
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spelling pubmed-97908632022-12-27 Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19 Estrada-Zambrano, Núria Martinez-Ferreira, Catarina Reyes-Figueroa, Julio Rev Colomb Psiquiatr Original Article OBJECTIVE: Mental health services have been clearly affected by the pandemic and its restrictions. In our day hospital units users attended on fewer days, group therapy was drastically reduced, the number of users in groups was limited and individual and group teletherapy was initiated. This study evaluates the impact of these changes on clinical and functional outcomes. METHODS: This is a descriptive study prospectively comparing two cohorts of users: those admitted and discharged from our day hospitals before or during the pandemic. All users received a multidisciplinary assessment at admission and discharge including clinician and user-rated scales on psychopathology, daily living skills, quality of life and caregiver burdens. Improvement in both groups was compared. RESULTS: Both cohorts were homogenous at admission. Length of admission was not different for the two groups, but users admitted during the pandemic attended the day hospital on significantly fewer days. Improvement observed in most scales was equivalent in both groups, suggesting a similar evolution of both cohorts. CONCLUSIONS: Despite the reduction in assistance days and group therapeutic interventions no major changes were found in the outcomes of both groups. This study shows that careful adaptations and availability, even in critical situations, can result in equally effective treatments. Further research is essential to determine which of these adaptations should be maintained beyond the pandemic. Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. 2022-12-26 /pmc/articles/PMC9790863/ /pubmed/36590102 http://dx.doi.org/10.1016/j.rcp.2022.12.001 Text en © 2022 Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. 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 Original Article
Estrada-Zambrano, Núria
Martinez-Ferreira, Catarina
Reyes-Figueroa, Julio
Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19
title Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19
title_full Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19
title_fullStr Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19
title_full_unstemmed Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19
title_short Clinical and Functional Outcomes in Day Hospitals in Times of COVID-19
title_sort clinical and functional outcomes in day hospitals in times of covid-19
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790863/
https://www.ncbi.nlm.nih.gov/pubmed/36590102
http://dx.doi.org/10.1016/j.rcp.2022.12.001
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