scholarly journals Establishing a COVID-positive mental health ward: an Australian-first case study

2021 ◽  
pp. 103985622110450
Author(s):  
Sandra Keppich-Arnold ◽  
Liza Hopkins
Keyword(s):  
Mental Health ◽  
Infectious Disease ◽  
Health Care ◽  
Disease Outbreaks ◽  
Physical Space ◽  
Positive Mental Health ◽  
Service Development ◽  
Medical Patients ◽  
First Case

Objective: Managing mental health patients during the COVID-19 pandemic has been a global challenge. Current workforce arrangements tend to separate those skilled in caring for highly infectious medical patients from those whose specialism is in managing co-morbid mental health, substance misuse and/or behaviours of concern, including potential non-compliance with community or health care directives. This paper reports an innovative service development through the emergency establishment of a temporary COVID-positive mental health ward in response to a local outbreak in Melbourne. Method: A case study of service reorientation is presented, examining barriers and enablers to effective care of co-morbid mental illness, addiction and COVID-19. Results: Establishing a skilled multidisciplinary workforce across mental health and infectious disease is the most important consideration in optimising care. Other issues included suitable physical space, security arrangements and inter-disciplinary communication. Conclusions: The paper holds insights for managing mental health care during potential future infectious disease outbreaks across the country.

scholarly journals Factors affecting mental health of health care workers during coronavirus disease outbreaks: a rapid systematic review

2020 ◽  
Author(s):  
Niels De Brier ◽  
Stijn Stroobants ◽  
Philippe Vandekerckhove ◽  
Emmy De Buck
Keyword(s):  
Mental Health ◽  
Infectious Disease ◽  
Health Care ◽  
Protective Factors ◽  
Health Care Workers ◽  
Disease Outbreaks ◽  
Risk Of Bias ◽  
Sense Of Control ◽  
Infectious Disease Outbreaks ◽  
Care Workers

Introduction: The novel Coronavirus Disease (COVID-19) outbreak currently puts health care workers at high risk of both infection and mental health problems. Considering their pivotal role in tackling this pandemic crisis, providing adequate mental health care for health care workers is imperative. This study aimed to identify the risk and protective factors for mental health outcomes in health care workers during coronavirus epidemics.Methods: A rapid systematic review was performed in three databases and current COVID-19 resources (search date March 24, 2020). Following study selection, study characteristics and effect measures were tabulated, and data were synthesized by using vote counting based on direction of effect. Risk of bias of each study was assessed and the certainty of evidence was appraised according to the GRADE methodology.Results: Out of 2605 references, 28 observational studies were selected and the identified risk and protective factors were categorized in ten thematic categories. The level of disease exposure, being quarantined as health care worker, and health fear were significantly associated with worse mental health outcomes. There was evidence that clear communication and support from the organization, social support and personal sense of control and coping ability are effective protective factors. No specific mental health interventions for assisting health care workers in mental distress during infectious disease outbreaks were identified. The evidence was of very low certainty, because of risk of bias and imprecise results.Conclusion: Safeguarding mental health of health care workers during infectious disease outbreaks should not be treated as a separate mental health intervention strategy, but requires a protective approach. This study therefore suggests that embedding mental health support in a safe and efficient working environment which promotes collegial social support and personal sense of control can help to maximize resilience of health care workers during the COVID-19 global health crisis.

Transitioning Concussion Care to Mental Health Care: A Case Study of an Elite Athlete

2021 ◽  
Vol 5 (1) ◽  
pp. 135-144
Author(s):  
Natalie S. Sherry ◽  
Abigail Feder ◽  
Raymond Pan ◽  
Shawn R. Eagle ◽  
Anthony P. Kontos
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Biopsychosocial Model ◽  
Elite Athlete ◽  
Clinical Presentation ◽  
Health Changes ◽  
Memory Problems ◽  
Treatment Focus

Athletes with recent concussion experience a constellation of physical (e.g., headache, nausea), cognitive (e.g., memory problems, difficulty concentrating), sleep, and emotional (e.g., anxiety, depressed mood) symptoms after injury. Mental health changes may also be a product of typical maturation in adolescents/young adults, making mood disruption difficult to disentangle from concussion sequelae. In this case study, we present the case of a high-achieving 18-year-old female rower whose concussion clinical trajectory exhibits this type of difficulty. Specifically, we provide a detailed chronological summary of the athlete’s visits with a multidisciplinary concussion team. We highlight in this case study (a) an individualized, biopsychosocial model of concussion care and (b) subtle aspects of her clinical presentation that led the clinical team to transition her treatment focus from concussion specific to formal mental health care.

scholarly journals Mental health services for infectious disease outbreaks including COVID-19: a rapid systematic review

2020 ◽  
Vol 50 (15) ◽  
pp. 2498-2513
Author(s):  
Jing-Li Yue ◽  
Wei Yan ◽  
Yan-Kun Sun ◽  
Kai Yuan ◽  
Si-Zhen Su ◽  
...  
Keyword(s):  
Mental Health ◽  
Infectious Disease ◽  
Disease Outbreaks ◽  
Mental Illnesses ◽  
Stepped Care ◽  
Research Database ◽  
The Public ◽  
Infectious Disease Outbreaks ◽  
Culturally Adapted ◽  
The Impact

AbstractThe upsurge in the number of people affected by the COVID-19 is likely to lead to increased rates of emotional trauma and mental illnesses. This article systematically reviewed the available data on the benefits of interventions to reduce adverse mental health sequelae of infectious disease outbreaks, and to offer guidance for mental health service responses to infectious disease pandemic. PubMed, Web of Science, Embase, PsycINFO, WHO Global Research Database on infectious disease, and the preprint server medRxiv were searched. Of 4278 reports identified, 32 were included in this review. Most articles of psychological interventions were implemented to address the impact of COVID-19 pandemic, followed by Ebola, SARS, and MERS for multiple vulnerable populations. Increasing mental health literacy of the public is vital to prevent the mental health crisis under the COVID-19 pandemic. Group-based cognitive behavioral therapy, psychological first aid, community-based psychosocial arts program, and other culturally adapted interventions were reported as being effective against the mental health impacts of COVID-19, Ebola, and SARS. Culturally-adapted, cost-effective, and accessible strategies integrated into the public health emergency response and established medical systems at the local and national levels are likely to be an effective option to enhance mental health response capacity for the current and for future infectious disease outbreaks. Tele-mental healthcare services were key central components of stepped care for both infectious disease outbreak management and routine support; however, the usefulness and limitations of remote health delivery should also be recognized.

scholarly journals Implementation of a Mental Health Care Package for Children in Areas of Armed Conflict: A Case Study from Burundi, Indonesia, Nepal, Sri Lanka, and Sudan

PLoS Medicine ◽  
2013 ◽  
Vol 10 (1) ◽  
pp. e1001371 ◽  
Author(s):  
Mark J. D. Jordans ◽  
Wietse A. Tol ◽  
Dessy Susanty ◽  
Prudence Ntamatumba ◽  
Nagendra P. Luitel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Sri Lanka ◽  
Mental Health Care ◽  
Armed Conflict ◽  
Care Package
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