Emergency Medical Service, Cellule D'urgences Medico-Psychologiques, Hôpital Edouard Herriot, Lyon, France.
Regional Centre for Psychotraumatic Disorders, Hôpital Edouard Herriot, Lyon, France.
Int J Soc Psychiatry. 2022 May;68(3):477-480. doi: 10.1177/0020764021997492. Epub 2021 Mar 4.
France has been impacted by the COVID-19 pandemic. Anxiety, depression, burn out and the high proportion of post-traumatic stress disorder proved to be the most expected troubles caused by this pandemic and the confinement. Medico-psychological emergency units (CUMP) have been solicited at the very early stage of the pandemic because CUMP units are very well known by the French government and systematically associated to emergency plans.
In this article we describe the process which has been developed to cope with the psychological needs in the general population. At a first level, platforms of volunteers specialised into listening were available. Then those platforms could directly mobilise the CUMP in case of psychiatric disorders. It ran over the whole first wave and it has been reactivated because of the second confinement in France.
During the first wave, approximately 1% of all the calls made on the national Covid number required to be redirected to the listening platforms. Of this group, 4% were related to reactive pathology or a psychiatric decompensating that required adapted and specialised care.
The high rates of psychological distress detected in the general population in recent scientific literature seem discrepant with our findings of relatively low reorientation towards the CUMP. Nevertheless, our study highlights that the response of the CUMP network in France during the first wave was supportive. The second wave displays its adaptability to the public health policies.
法国受到了 COVID-19 大流行的影响。焦虑、抑郁、倦怠以及相当比例的创伤后应激障碍被证明是这场大流行和禁闭带来的最令人担忧的问题。医疗心理急救单位（CUMP）在大流行的早期阶段就被征召，因为 CUMP 单位为法国政府所熟知，并系统地与应急计划相关联。
在本文中，我们描述了为满足普通人群的心理需求而开发的流程。在第一级，提供了专门用于倾听的志愿者平台。然后，如果出现精神障碍，可以直接调动 CUMP。该流程贯穿整个第一波疫情，并因法国的第二次封锁而重新启动。
在第一波疫情期间，大约 1%的拨打国家新冠热线的电话需要转接到倾听平台。在这一组中，有 4%与反应性病理学或需要适应和专业护理的精神障碍失代偿有关。
最近的科学文献中检测到普通人群中存在较高的心理困扰率，这与我们发现的相对较低的 CUMP 再定位率不一致。然而，我们的研究强调，法国 CUMP 网络在第一波疫情中的反应是支持性的。第二波疫情显示了其对公共卫生政策的适应性。
