Children’s psychiatric hospital during the COVID-19 pandemic. Organizational and clinical problems and anti-epidemic measures: first results
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Bebchuk MA, Basova AYa, Bezmenov PV. [Children’s psychiatric hospital during the COVID-19 pandemic. Organizational and clinical problems and anti-epidemic measures: first results]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2020;(4):15-23. Russian
This article discusses the main clinical and epidemiological features of the children’s psychiatric hospital during the COVID-19 pandemic studied on the example of Scientific-practical Children’s and Adolescents Mental Health Center named after G. Sukhareva, Moscow Department of Health Care. Our aim with this paper was to analyze the anti-epidemic measures aimed at preventing the spread of a new coronavirus infection in a children’s psychiatric hospital. We also investigated the characteristics of mentally ill children who were treated during the epidemic. We outline major challenges for children with psychiatric disorders and their families and mental health professionals during the COVID-19 outbreak, and also discuss how to manage these challenges. Particular attention is paid to the organization and working methods of the clinical observation department, which was set up to provide psychiatric care to children suffering from mental disorders with suspected or confirmed diagnosis of COVID-19. We have carried out the comparative study and identified the peculiarities of hospitalization in a children’s psychiatric hospital at the height of the epidemic (April-May 2020) and during the same period of the previous year (April-May 2019).
Keywords COVID-19; SARS-CoV2; new coronavirus infection; pandemic; child psychiatry; child psychiatric inpatient facility; health workers
1. WHO Coronavirus Disease (COVID-19) Dashboard [Electronic resource]. URL: https://covid19.who.int (17.06.2020). 2. Metodicheskie rekomendaczii Minzdrava Rossii “Osobennosti klinicheskikh proyavlenij i lecheniya zabolevaniya, vy`zvannogo novoj koronavirusnoj infekcziej (COVID-19) u detej”. Versiya 1 (24.04.2020) [Electronic resource]. Russian. URL: https://static-3.rosminzdrav.ru/system/attachments/attaches/000/050/100/original/24042020_child_COVID-19_1_Final.pdf (30.04.2020). 3. Castagnoli R, Votto M, Licari A, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Children and Adolescents: A Systematic Review [published online ahead of print, 2020 Apr 22]. JAMA Pediatr. 2020 [Electronic resource]. URL: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2765169 (30.04.2020). 4. Mehta NS, Mytton OT, Mullins EWS, et al. SARS-CoV-2 (COVID-19): What do we know about children? A systematic review [published online ahead of print, 2020 May 11]. Clin Infect Dis. 2020 [Electronic resource]. URL: https://www.repository.cam.ac.uk/handle/1810/305628 (22.05.2020). 5. Morand A, Fabre A, Minodier P, et al. COVID-19 virus and children: What do we know? Arch Pediatr. 2020;27(3):117–8. DOI: 10.1016/j.arcped.2020.03.001 6. Sinha IP, Harwood R, Semple MG, et al. COVID-19 infection in children. Lancet Respir Med. 2020;8(5):446–7. DOI: 10.1016/S2213-2600(20)30152-1 7. Zimmermann P, Curtis N. Coronavirus Infections in Children Including COVID-19: An Overview of the Epidemiology, Clinical Features, Diagnosis, Treatment and Prevention Options in Children. Pediatr Infect Dis J. 2020;3(5):355–68. DOI: 10.1097/INF.0000000000002660 8. Mosolov SN. [Problems of mental health in the situation of COVID-19 pandemic]. Zh Nevrol Psikhiatr Im SS Korsakova. 2020;120(5):7–15. Russian. DOI: 10.17116/jnevro20201200517 9. Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. COVID-19 Pandemia and Public and Global Mental Health from the Perspective of Global Health Securit. Psychiatr Danub. 2020;32(1):6–14. DOI: 10.24869/psyd.2020.6 10. Kelly B. Coronavirus disease: Challenges for psychiatry. The British Journal of Psychiatry. 2020;217(1):352–3. DOI: 10.1192/bjp.2020.86 11. Mendelevich BD, Kuklina AM. K voprosu o rasprostranyonnosti somaticheskoj patologii sredi paczientov, stradayushhikh psikhicheskimi rasstrojstvami. Kazanskij mediczinskij zhurnal. 2012;(3). Russian. URL: https://cyberleninka.ru/article/n/k-voprosu-o-rasprostranyonnosti-somaticheskoy-patologii-sredi-patsientov-stradayuschih-psihicheskimi-rasstroystvami (22.05.2020). 12. Rodgers M, Dalton J, Harden M, et al. Integrated care to address the physical health needs of people with severe mental illness: a mapping review of the recent evidence on barriers, facilitators and evaluations. Int J Integr Care. 2018;18:9. DOI: 10.5334/ijic.2605 13. Sartorius N. Comorbidity of mental and physical diseases: a main challenge for medicine of the 21st century. Shanghai Arch Psychiatry. 2013;25:68–9. DOI: 10.1016/j.eurpsy.2017.01.079 14. Seminog OO, Goldacre MJ. Risk of pneumonia and pneumococcal disease in people with severe mental illness: English record linkage studies. Thorax. 2013;68:171–6. DOI: 10.1136/thoraxjnl-2012-202480 15. Zubova EYu. Tuberkulez legkikh v psikhiatricheskikh staczionarakh. Vestnik rossijskikh universitetov. Matematika. 2012;(1). Russian. URL: https://cyberleninka.ru/article/n/tuberkulez-legkih-v-psihiatricheskih-statsionarah (22.05.2020). 16. Dong L, Bouey J. Public Mental Health Crisis during COVID-19 Pandemic, China. Emerg Infect Dis. 2020;26(7):1616–8. DOI: 10.3201/eid2607.200407 17. Xiang YT, Zhao YJ, Liu ZH, et al. The COVID-19 outbreak and psychiatric hospitals in China: managing challenges through mental health service reform. Int J Biol Sci. 2020;16(10):1741–4. DOI: 10.7150/ijbs.45072 18. Kim MJ. “It was a medical disaster”: The psychiatric ward that saw 100 patients diagnosed with new coronavirus. Independent [published online March 1, 2020] [Electronic resource]. URL: https://www.independent.co.uk/news/world/asia/coronavirussouth-korea-outbreak-hospital-patients-lockdown-a9367486.html (22.05.2020). 19. Garriga M, Agasi I, Fedida E, et al. The role of mental health home hospitalization care during the COVID-19 pandemic. Acta Psychiatr Scand. 2020;141(5):479–80. DOI: 10.1111/acps.13173 20. Starace F, Ferrara M. COVID-19 disease emergency operational instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry. Epidemiol Psychiatr Sci. 2020;29:e116. DOI: 10.1017/S2045796020000372 21. Bojdani E, Rajagopalan A, Chen A, et al. COVID-19 Pandemic: Impact on psychiatric care in the United States. Psychiatry research. 2020;289:113069. Advance online publication. https://doi.org/10.1016/j.psychres.2020.113069. 22. Rogers JP, Chesney E, Oliver D, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry. 2020;7(7):611–27. DOI: 10.1016/S2215-0366(20)30203-0 23. Li YC, Bai WZ, Hirano N, et al. Coronavirus infection of rat dorsal root ganglia: ultrastructural characterization of viral replication, transfer, and the early response of satellite cells. Virus Res. 2012;163:628–35. DOI: 10.1016/j.virusres.2011.12.021 24. Xu J, Zhong S, Liu J. Detection of severe acute respiratory syndrome coronavirus in the brain: potential role of the chemokine mig in pathogenesis. Clin Infect Dis. 2005;41:1089–96. DOI: 10.1086/444461 25. Lu R, Zhao X, Li J. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020;395:565–74. DOI: 10.1016/S0140-6736(20)30251-8 26. Meinhardt J, et al. Olfactory transmucosal SARS-CoV-2 invasion as port of Central Nervous System entry in COVID-19 patients. bioRxiv. 2020 [Electronic resource]. URL: https://www.biorxiv.org/content/10.1101/2020.06.04.135012v1 (11.06.2020). 27. Profilaktika, diagnostika i lechenie novoj koronavirusnoj infekczii (COVID-19): Vremenny`e metodicheskie rekomendaczii. Versiya 7 ot 03.06.2020 [Electronic resource]. Russian. URL: http://edu.rosminzdrav.ru/index.php?id=250 (11.06.2020). 28. Bohlken J, Schömig F, Lemke MR, et al. COVID-19-Pandemie: Belastungen des medizinischen Personals [COVID-19 Pandemic: Stress Experience of Healthcare Workers – A Short Current Review]. Psychiatr Prax. 2020;47(4):190–7. DOI: 10.1055/a-1159-5551 29. Li W, Yang Y, Liu ZH, et al. Progression of Mental Health Services during the COVID-19 Outbreak in China. Int J Biol Sci. 2020;16(10):1732–8. DOI: 10.7150/ijbs.45120 30. Sun D, Yang D, Li Y, et al. Psychological impact of 2019 novel coronavirus (2019-nCoV) outbreak in health workers in China. Epidemiol Infect. 2020;148:e96. DOI: 10.1017/S0950268820001090
DOI: http://dx.doi.org/10.24411/1560-957X-2020-10402
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