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Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program.适应和创新以尽量减少严重精神疾病患者在 COVID-19 期间的服务中断:来自一个积极社区精神病学项目的观点和反思。
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新冠肺炎疫情期间刚出狱的严重精神疾病患者的心理健康和服务影响。

Mental Health and Service Impacts During COVID-19 for Individuals with Serious Mental Illnesses Recently Released from Prison and Jail.

机构信息

Silver School of Social Work, New York University, 1 Washington Square North, New York, NY, 10003, USA.

Department of Psychiatry, Northeast Ohio Medical University, 4209 State Route 44, Rootstown, OH, 44272, USA.

出版信息

J Behav Health Serv Res. 2021 Oct;48(4):610-616. doi: 10.1007/s11414-021-09759-z. Epub 2021 May 13.

DOI:10.1007/s11414-021-09759-z
PMID:33987798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8118368/
Abstract

Individuals recently released from jail or prison with serious mental illnesses may be vulnerable to the coronavirus pandemic. This study aims to understand how they experienced the pandemic during initial stay-at-home orders in New York City. Structured surveys and in-depth semi-structured interviews examined the impact of the pandemic on participants. Survey responses are presented as percentages. Thematic analysis was used to code and analyze in-depth interviews. All participants (N = 5) knew about the coronavirus pandemic, and most took steps to minimize risk. Participants experienced changes to their services, including suspensions of some supportive services. They also reported an increase in psychiatric symptoms but utilized a variety of coping mechanisms in response. Community reintegration was essentially on hold as supportive services were suspended. Comprehensive reentry services may need to be adapted during the pandemic to address the multiple needs of individuals and to facilitate community reintegration.

摘要

刚从监狱释放、患有严重精神疾病的个体可能容易受到冠状病毒大流行的影响。本研究旨在了解他们在纽约市最初居家令期间如何经历大流行。结构化调查和深入的半结构化访谈研究了大流行对参与者的影响。调查结果以百分比表示。主题分析用于对深入访谈进行编码和分析。所有参与者(N=5)都了解冠状病毒大流行,大多数人采取措施将风险降至最低。参与者经历了服务的变化,包括一些支持性服务的暂停。他们还报告说精神病症状有所增加,但采取了多种应对机制。由于支持性服务暂停,社区重新融入实际上处于搁置状态。在大流行期间,可能需要调整全面的重新融入服务,以满足个人的多种需求并促进社区重新融入。