Psychiatric Hospital "Sveti Ivan", Jankomir 11, 10090 Zagreb, Croatia,
Psychiatr Danub. 2020 Autumn-Winter;32(3-4):478-481. doi: 10.24869/psyd.2020.478.
In this paper we would like to reveal some of the many challenges during the time of the twofold simultaneous trauma; the COVID-19 pandemic and the devastating earthquake in Zagreb. We described the functioning mode of two Day Hospitals for Early Intervention and Psychotic Disorders at Psychiatric Hospital "Sveti Ivan" during the outbreak of the COVID-19 pandemic. We tried to find ways to ensure the necessary continuation of treatment and to provide continuity in times of uncertainty. The vulnerable group of people treated for mental illnesses faced exceptional psychological demands and was in need for care in these moments. Telemedicine, more specifically telepsychiatry, through online therapy and telephone communication made it possible for people treated for psychotic disorders not to feel isolated and rejected. Health care professionals, in a state of distress themselves, should understand, support, be able to reduce anxiety, and provide stability and constancy. The psychotherapeutic approach and the capacity for mentalization allowed us to turn challenges into opportunities. Rapid changes without delay extended our scope of practice in these extraordinarily difficult times.
在本文中，我们想揭示在双重同时创伤期间的一些挑战，新冠疫情和萨格勒布毁灭性地震。我们描述了精神病院“Sveti Ivan”的两个早期干预和精神病日间医院在新冠疫情爆发期间的运作模式。我们试图找到确保必要的治疗继续和在不确定时期提供连续性的方法。接受精神疾病治疗的弱势群体面临特殊的心理需求，在这些时刻需要关怀。远程医疗，更具体地说是远程精神病学，通过在线治疗和电话交流，使精神病患者不会感到孤立和排斥。医疗保健专业人员自己也处于困境中，他们应该理解、支持、减轻焦虑，并提供稳定和恒常性。心理治疗方法和心理化能力使我们能够将挑战转化为机遇。在这些极其困难的时期，快速、毫不拖延的变化扩展了我们的实践范围。
