van Loosbroek W Z, de Wit M A S, Fassaert T, Zoeteman J, Fresen T H, Buwalda V J A
Tijdschr Psychiatr. 2023;65(4):228-233.
At the start of the COVID-19 pandemic, there were fears that a higher proportion of patients with a psychiatric disorder would find themselves in crisis due to the threat of COVID-19 and the impact of the restrictions. If the emergency mental health department would become blocked this could work through to emergency rooms (ER). Acute psychiatry is also assessed at the ER due to lack of space in the emergency mental health department, this is called ‘overflow’. There already was the fear that the virus would flood the hospitals with SARS-CoV-2 infected patients. The emergency mental health department and hospitals agreed that the psychiatric assessments and admissions would take place at the mental health departments as much as possible.
To describe and evaluate the use of measures taken and set up facilities in Amsterdam-Amstelland to minimize psychiatric assessments in the emergency room during the COVID-19 pandemic. Secondly, to present how psychiatric assessments and admissions were conducted safely if there was suspicion or infection with SARS-CoV-2.
Use of acute psychiatric crisis monitor, the minutes of regional acute care counsel and literature.
People with a psychiatric crisis were rarely suspected to be infected with SARS-CoV-2. There was always
sufficient capacity in COVID-19 wards in the mental health department. During the lockdown, we managed to
minimize overflow from the mental health emergency department to emergency rooms. Conclusion During the COVID-19 pandemic effective collaboration between healthcare partners was achieved in Amsterdam-Amstelland, so that psychiatric assessments and admissions with (suspected) COVID-19 could be conducted safely. Interventions to relieve the emergency room from overflow during lockdown were effective.
在新冠疫情初期，人们担心精神疾病患者中会有更高比例的人因新冠疫情的威胁和限制措施的影响而陷入危机。如果紧急心理健康部门陷入瘫痪，这可能会波及到急诊室。由于紧急心理健康部门空间不足，急性精神病学评估也在急诊室进行，这被称为“溢出”。人们早就担心病毒会使医院充斥着感染新冠病毒的患者。紧急心理健康部门和医院达成一致，尽可能在心理健康部门进行精神病学评估和收治。
描述并评估阿姆斯特丹 - 阿姆斯特兰德采取的措施及设立的设施的使用情况，以尽量减少新冠疫情期间急诊室的精神病学评估。其次，介绍在怀疑或感染新冠病毒的情况下如何安全地进行精神病学评估和收治。
使用急性精神病危机监测器、地区急性护理顾问会议记录及文献。
患有精神病危机的人很少被怀疑感染新冠病毒。心理健康部门的新冠病房始终有足够的容量。在封锁期间，我们成功减少了心理健康急诊科向急诊室的溢出情况。结论在新冠疫情期间，阿姆斯特丹 - 阿姆斯特兰德的医疗合作伙伴之间实现了有效的协作，从而能够安全地进行（疑似）新冠患者的精神病学评估和收治。封锁期间减轻急诊室溢出情况的干预措施是有效的。
