THE ROLE OF EMERGENCY PSYCHIATRY SOCIAL WORK IN A VIRTUAL CLINIC DURING THE COVID-19 PANDEMIC

Ethan Stepho, Marta Heinrich-Williams, Lori Dunne, Holly Raymond, U. Parthasarathi
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Abstract

The Psychiatry Emergency Services (PES) virtual clinic is an innovative clinical program that was established to enhance access to psychiatric crisis follow-up care during COVID-19. The clinic provides psychiatric follow-up via scheduled phone calls or videoconference for patients that have been seen by the PES team. The social worker has an important role on the PES virtual clinic team: they initiate initial assessments, collaboratively develop follow-up plans, and facilitate community care. The clinic meets the provincial agenda to reduce Emergency Department (ED) visits, ED/PES wait times, ED/PES overcrowding, and inappropriate admissions, while addressing both psychiatric needs and social determinants of health in an acute care setting. Throughout our survey of relevant literature, we found little research to inform the implementation of virtual care in Canadian healthcare emergency services (Hensel et al., 2020; Serhal et al., 2017). More specifically, there is a void in research regarding a collaborative psychiatric and social work care model in the context of a global pandemic. Further robust studies are needed and encouraged that use emergency psychiatric settings as critical prevention sites of mental health crises.
COVID-19大流行期间急诊精神病学社会工作在虚拟诊所中的作用
精神病学急诊服务(PES)虚拟诊所是一项创新的临床项目,旨在提高COVID-19期间精神病学危机后续护理的可及性。诊所通过预定的电话或视频会议为PES团队看过的患者提供精神病学随访。社会工作者在PES虚拟诊所团队中发挥着重要作用:他们发起初步评估,合作制定后续计划,并促进社区护理。该诊所符合省议程,减少急诊科(ED)就诊、急诊科/PES等待时间、急诊科/PES过度拥挤和不适当的入院,同时解决精神科需求和急症护理环境中健康的社会决定因素。在我们对相关文献的调查中,我们发现很少有研究为加拿大医疗急救服务中虚拟护理的实施提供信息(Hensel等人,2020;Serhal et al., 2017)。更具体地说,在全球大流行的背景下,关于协作精神病学和社会工作护理模式的研究是空白的。需要并鼓励进一步强有力的研究,将紧急精神病院作为心理健康危机的关键预防场所。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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