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Current and Future Challenges in the Delivery of Mental Healthcare during
COVID-19
#MMPMID32838140
Gautam M
; Thakrar A
; Akinyemi E
; Mahr G
SN Compr Clin Med
2020[]; 2
(7
): 865-870
PMID32838140
show ga
The USA is in the midst of the COVID-19 pandemic. We assess the impact of
COVID-19 on psychiatric symptoms in healthcare workers, those with psychiatric
comorbidities, and the general population. We highlight the challenges ahead and
discuss the increased relevance of telepsychiatry. We analyzed all available
literature available as of March 25, 2020, on PubMed, Ovid Medline, and
PsychInfo. We utilized the MeSH term "covid AND (psychiatry OR mental health)"
and included all articles. Duplicates were removed resulting in 32 articles, of
which 19 are cited. Four additional references are included to examine suicide
data. During the review process, an additional 7 articles were identified which
are also included. Frontline healthcare workers are currently experiencing
increased psychiatric symptoms and this is more severe in females and nurses.
Non-frontline healthcare workers, as well as the general population, are
experiencing vicarious traumatization. People with psychiatric comorbidities, and
the general population, face increased psychiatric symptom burden. Migrant
workers, the elderly, children, and the homeless may be disproportionately
impacted. Suicide rates may be impacted. The COVID-19 pandemic has resulted in a
severe disruption to the delivery of mental healthcare. Psychiatric facilities
are facing unprecedented disruptions in care provision as they struggle to manage
an infected population with comorbid psychiatric symptoms. Telepsychiatry is a
flawed but reasonable solution to increase the availability of mental healthcare
during COVID-19.
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