区域无症状SARS-CoV-2阳性患者住院精神科病房的设计与实施

IF 3.4 Q2 Medicine
Andrew F. Angelino M.D. , Constantine G. Lyketsos M.D. , M. Shafeeq Ahmed M.D. , James B. Potash M.D. , Bernadette A. Cullen M.B., B.Ch., B.A.O.
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引用次数: 1

摘要

精神疾病患者特别容易感染高度传染性的飞沫传播生物,如SARS-CoV-2。精神疾病患者可能无法始终如一地遵循行为处方以避免传染,并且他们经常在密切接触和感染控制不足的环境中被发现,例如集体之家、无家可归者收容所、住宅康复中心和惩教设施。此外,住院精神病学设置通常被设计为公共空间,重点强调群体和环境治疗。因此,住院精神病学服务很容易受到传染病猖獗传播的影响。基于此,作者概述了无症状SARS-CoV-2患者区域住院精神病学单位的决策过程和最终设计与实施,并分享未来在其他地方实施单位时应考虑的要点。结论经培训的心身医学专家在治疗SARS-CoV-2患者方面具有特殊的专业知识,是本分析的主要收获点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Design and Implementation of a Regional Inpatient Psychiatry Unit for Patients who are Positive for Asymptomatic SARS-CoV-2

Design and Implementation of a Regional Inpatient Psychiatry Unit for Patients who are Positive for Asymptomatic SARS-CoV-2

Design and Implementation of a Regional Inpatient Psychiatry Unit for Patients who are Positive for Asymptomatic SARS-CoV-2

Background

Patients with psychiatric illnesses are particularly vulnerable to highly contagious, droplet-spread organisms such as SARS-CoV-2. Patients with mental illnesses may not be able to consistently follow up behavioral prescriptions to avoid contagion, and they are frequently found in settings with close contact and inadequate infection control, such as group homes, homeless shelters, residential rehabilitation centers, and correctional facilities. Furthermore, inpatient psychiatry settings are generally designed as communal spaces, with heavy emphasis on group and milieu therapies. As such, inpatient psychiatry services are vulnerable to rampant spread of contagion.

Objective

With this in mind, the authors outline the decision process and ultimate design and implementation of a regional inpatient psychiatry unit for patients infected with asymptomatic SARS-CoV-2 and share key points for consideration in implementing future units elsewhere.

Conclusion

A major takeaway point of the analysis is the particular expertise of trained experts in psychosomatic medicine for treating patients infected with SARS-CoV-2.

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来源期刊
Psychosomatics
Psychosomatics 医学-精神病学
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The mission of Psychosomatics is to be the leading psychiatry journal focused on the care of patients with comorbid medical and psychiatric illnesses. The scope of Psychosomatics includes original research, review articles and clinical reports that address psychiatric aspects of medical illnesses and their management. Areas of particular interest include: the effect of co-morbid psychiatric conditions on the management of medical illness; the psychiatric management of patients with comorbid medical illness; educational content for physicians and others specializing in consultation-liaison (C-L) psychiatry; and, the provision of psychiatric services to medical populations, including integrated care.
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