Raphael Jessica, Winter Rachel, Berry Katherine
Research and Innovation, Greater Manchester Mental Health NHS Foundation Trust, UK; and Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences, University of Manchester, UK.
Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences, University of Manchester, UK.
BJPsych Open. 2021 Feb 26;7(2):e62. doi: 10.1192/bjo.2021.20.
During the global COVID-19 pandemic, there has been guidance concerning adaptations that physical healthcare services can implement to aid containment, but there is relatively little guidance for how mental healthcare services should adapt service provision to better support staff and patients, and minimise contagion spread.
This systematic review explores service adaptations in mental health services during the COVID-19 pandemic and other contagions.
The Allied and Complementary Medicine database (AMED), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Medline, PsycINFO and Web of Science were systematically searched for published studies from database inception to April 2020. Data were extracted focusing on changes to mental health services during contagion outbreaks. Data were analysed with thematic analysis.
Nineteen papers were included: six correspondence/point-of-view papers, five research papers, five reflection papers, two healthcare guideline documents and one government document. Analysis highlighted four main areas for mental health services to consider during contagion outbreaks: infection control measures to minimise contagion spread, including procedural and practical solutions across different mental health settings; service delivery, including service changes, operational planning and continuity of care; staff well-being (psychological and practical support); and information and communication.
Mental health services need to consider infection control measures and implement service changes to support continuity of care, and patient and staff well-being. Services also need to ensure they are communicating important information in a clear and accessible manner with their staff and patients, regarding service delivery, contagion symptoms, government guidelines and well-being.
在全球新冠疫情期间，已有关于实体医疗服务可实施的调整措施以协助疫情控制的指导意见，但对于精神卫生服务应如何调整服务提供方式以更好地支持工作人员和患者，并尽量减少传染传播，相关指导意见相对较少。
本系统评价探讨了新冠疫情及其他传染病期间精神卫生服务的服务调整情况。
系统检索了联合与补充医学数据库（AMED）、护理及联合健康文献累积索引（CINAHL）、EMBASE、Medline、PsycINFO和科学引文索引数据库，以查找从数据库创建至2020年4月发表的研究。提取的数据聚焦于传染病暴发期间精神卫生服务的变化。采用主题分析法对数据进行分析。
纳入了19篇论文：6篇通信/观点论文、5篇研究论文、5篇反思论文、2篇医疗保健指南文件和1篇政府文件。分析突出了传染病暴发期间精神卫生服务需考虑的四个主要方面：感染控制措施以尽量减少传染传播，包括不同精神卫生环境下的程序和实际解决方案；服务提供，包括服务变更、运营规划和护理连续性；工作人员福祉（心理和实际支持）；以及信息与沟通。
精神卫生服务需要考虑感染控制措施并实施服务变更，以支持护理连续性以及患者和工作人员的福祉。服务机构还需要确保以清晰易懂的方式与工作人员和患者就服务提供、传染症状、政府指南和福祉等方面沟通重要信息。
