Department of Psychiatry, Yale School of Medicine, and Yale New Haven Psychiatric Hospital, New Haven, Connecticut.
Psychiatr Serv. 2020 Jun 1;71(6):624-626. doi: 10.1176/appi.ps.202000166. Epub 2020 Apr 23.
This Open Forum focuses on specific challenges, contingency planning considerations, and downstream impacts of COVID-19 on inpatient psychiatric care. COVID-19 is a novel coronavirus that has been declared a pandemic. Challenges for inpatient psychiatry include risky close contact among staff and patients, space constraints, and structural barriers in care delivery. Nuanced considerations of five contingency planning strategies in response to COVID-19 are described, including COVID-19-specific precautions, visitor restrictions, physician workforce considerations, operational adjustments, and group therapy changes. Organized leadership and clear communication are identified as early priorities in pandemic response to minimize misinformation and address immediate challenges.
本论坛专刊重点讨论了 COVID-19 对住院精神病学护理的具体挑战、应急规划考虑因素和下游影响。COVID-19 是一种新型冠状病毒，已被宣布为大流行。住院精神病学面临的挑战包括工作人员和患者之间存在风险的密切接触、空间限制以及护理提供方面的结构性障碍。文中描述了针对 COVID-19 采取的五种应急规划策略的细致考虑，包括 COVID-19 特定预防措施、访客限制、医师劳动力考虑因素、运营调整和团体治疗改变。有组织的领导和明确的沟通被确定为大流行应对的早期优先事项，以尽量减少错误信息并解决当前挑战。
