The Impact of COVID-19 on Psychiatric Acuity in a Community Psychiatric Hospital.

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY
Journal of Nervous and Mental Disease Pub Date : 2023-12-01 Epub Date: 2023-11-11 DOI:10.1097/NMD.0000000000001735
Yassir Mahgoub, Lauren N Forrest, Joy Luther, Nirmal Singh, Jason Kibler, Jason Noel, David Zug, Alison Swigart, Elisabeth Kunkel
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引用次数: 0

Abstract

Abstract: The COVID-19 pandemic has had extensive impacts on mental health care delivery. Anecdotal observations of inpatient care teams at Pennsylvania Psychiatric Institute suggested increased patient acuity during the pandemic. The authors found no consensus definition for measuring psychiatric acuity in the literature. We performed an interrupted time series analysis to identify whether COVID-19 was associated with changes in several hospital parameters that might reflect our patients' access to psychiatric services and acuity. We found increases in inpatient parameters for length of stay, rates of involuntary admissions, and the incidence of restraints, seclusion, and 1:1 observation orders. Observing these increasing trends can inform mitigation efforts to improve the quality of mental health care treatment and care delivery. We suggest the use of these metrics for objective measurements of psychiatric acuity.

新型冠状病毒肺炎对社区精神病院精神敏锐度的影响
摘要:2019冠状病毒病大流行对精神卫生保健服务产生了广泛影响。宾夕法尼亚精神病学研究所住院护理团队的轶事观察表明,大流行期间患者的敏锐度有所提高。作者在文献中没有找到衡量精神敏锐度的一致定义。我们进行了中断时间序列分析,以确定COVID-19是否与可能反映患者获得精神科服务和敏锐度的几个医院参数的变化有关。我们发现住院时间、非自愿入院率、约束、隔离和1:1观察令的发生率增加。观察这些日益增长的趋势可以为缓解工作提供信息,以提高精神卫生保健治疗和护理提供的质量。我们建议使用这些指标来客观测量精神敏锐度。
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来源期刊
CiteScore
2.90
自引率
5.30%
发文量
233
审稿时长
3-8 weeks
期刊介绍: The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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