EA 75-05 Éducation, Éthique, Santé (EES), Faculté de Médecine, Université François-Rabelais, 37020 Tours, France.
CIC 1415, U 1253 iBrain, Institut National de la Santé et de la Recherche Médicale (INSERM), Centre d'Investigation Clinique, Centre Hospitalier Régional Universitaire (CHRU), 37000 Tours, France.
Int J Environ Res Public Health. 2021 Jul 29;18(15):8034. doi: 10.3390/ijerph18158034.
(1) Background: While in many countries, the psychiatric and mental health sectors had been in crisis for years, the onset of a novel coronavirus pandemic impacted their structures, organizations, and professionals worldwide. (2) Methods: To document the early impacts of the COVID-19 health crisis on psychiatry and mental health sectors, a systematic review of the international literature published in 2020 was conducted in PubMed (MEDLINE), Cairn.info, and SantéPsy (Ascodocpsy) databases. (3) Results: After applying inclusion and exclusion criteria, 72 articles from scientific journals were selected, including papers documenting the early impact of the COVID-19 pandemic on the organization of psychiatric care delivery, work processes in psychiatry and mental health units, and personal experiences of mental health professionals. This review identified the contributions aimed at preventing the onset of mental disorders in the early stages of the health crisis. It lists the organizational changes that have been implemented in the first place to ensure continuity of psychiatric care while reducing the risk of SARS-CoV-2 transmission. It questions the evolution of the rights and duties of mental health professionals in the first months of the pandemic. (4) Discussion and conclusions: Although this literature review exclusively documented the early impacts of the COVID-19 health crisis, it is of significant interest, as it pictures the unprecedent situation in which psychiatry and mental health care professionals found themselves in the first stages of the pandemic. This work is a preliminary step of a study to be conducted with mental health professionals on an international scale-the Psy-GIPO2C project-based on more than 15 group interviews, 30 individual interviews, and 2000 questionnaires. The final aim of this study is to formulate concrete recommendations for decision-makers to improve work in psychiatry and mental health.
(1) 背景：在许多国家，精神科和心理健康部门多年来一直处于危机之中，而新型冠状病毒大流行的爆发对全球的结构、组织和专业人员产生了影响。(2) 方法：为了记录 COVID-19 健康危机对精神科和心理健康部门的早期影响，对 2020 年在 PubMed（医学文献在线数据库）、Cairn.info 和 SantéPsy（Ascodocpsy）数据库中发表的国际文献进行了系统回顾。(3) 结果：在应用纳入和排除标准后，从科学期刊中选择了 72 篇文章，包括记录 COVID-19 大流行对精神科护理提供组织、精神科和心理健康单位工作流程以及心理健康专业人员个人经历的早期影响的论文。本次综述确定了旨在预防健康危机早期阶段精神障碍发生的各项措施。它列出了首先实施的组织变革，以确保在降低 SARS-CoV-2 传播风险的同时继续提供精神科护理。它还质疑了精神卫生专业人员在大流行的头几个月中权利和义务的演变。(4) 讨论和结论：尽管本文献综述仅记录了 COVID-19 健康危机的早期影响，但它具有重要意义，因为它描绘了精神科和心理健康护理专业人员在大流行的最初阶段所面临的前所未有的情况。这项工作是与精神卫生专业人员在国际范围内开展的 Psy-GIPO2C 项目的初步步骤，该项目基于超过 15 次小组访谈、30 次个人访谈和 2000 份问卷。该研究的最终目标是为决策者制定具体建议，以改善精神科和心理健康方面的工作。
