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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Ensuring mental health care during the SARS-CoV-2 epidemic in France: a narrative review</title>
<author><name sortKey="Chevance, A" sort="Chevance, A" uniqKey="Chevance A" first="A" last="Chevance">A. Chevance</name>
<affiliation><nlm:aff id="aff0005">Université de Paris, CRESS, INSERM, INRA, F-75004 Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gourion, D" sort="Gourion, D" uniqKey="Gourion D" first="D" last="Gourion">D. Gourion</name>
<affiliation><nlm:aff id="aff0010">Psychiatre libéral, Paris, HEC Paris (Jouy-en-Josas), France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hoertel, N" sort="Hoertel, N" uniqKey="Hoertel N" first="N" last="Hoertel">N. Hoertel</name>
<affiliation><nlm:aff id="aff0015">Centre ressource régional de psychiatrie du sujet âgé (CRRPSA), Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, DMU psychiatrie et addictologie, AP-HP, Centre-Université de Paris, France, Inserm U1266, Institut de psychiatrie et neurosciences de Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Llorca, P M" sort="Llorca, P M" uniqKey="Llorca P" first="P-M" last="Llorca">P-M Llorca</name>
<affiliation><nlm:aff id="aff0020">CHU Clermont-Ferrand, Clermont-Ferrand, France, Université Clermont Auvergne, Clermont-Ferrand, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Thomas, P" sort="Thomas, P" uniqKey="Thomas P" first="P" last="Thomas">P. Thomas</name>
<affiliation><nlm:aff id="aff0025">CHU Lille, Lille, France, Université de Lille, CNRS UMR 9193, laboratoire de sciences cognitives et sciences affectives (SCALab-PsyCHIC), Lille, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bocher, R" sort="Bocher, R" uniqKey="Bocher R" first="R" last="Bocher">R. Bocher</name>
<affiliation><nlm:aff id="aff0030">CHU de Nantes, Nantes, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moro, M R" sort="Moro, M R" uniqKey="Moro M" first="M-R" last="Moro">M-R Moro</name>
<affiliation><nlm:aff id="aff0035">Université de Paris, Présidente du Collège National des Universitaires de Psychiatrie (CNUP), Inserm, CESP, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Laprevote, V" sort="Laprevote, V" uniqKey="Laprevote V" first="V" last="Laprévote">V. Laprévote</name>
<affiliation><nlm:aff id="aff0040">Pôle hospitalo-universitaire de psychiatrie d'adultes et d’addictologie du Grand-Nancy, Centre Psychothérapique de Nancy, Laxou, France, Faculté de Médecine, Université de Lorraine, Nancy, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Benyamina, A" sort="Benyamina, A" uniqKey="Benyamina A" first="A" last="Benyamina">A. Benyamina</name>
<affiliation><nlm:aff id="aff0045">APHP, Hôpital Paul Brousse, Département de Psychiatrie et d’Addictologie, F-94800, Villejuif, France, Unité Psychiatrie-Comorbidités-Addictions-Unité de Recherche, PSYCOMADD Université Paris Sud - AP-HP, Université Paris Saclay, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fossati, P" sort="Fossati, P" uniqKey="Fossati P" first="P" last="Fossati">P. Fossati</name>
<affiliation><nlm:aff id="aff0050">Service de psychiatrie adultes, APHP, Sorbonne université, Groupe Hospitalier pitié Salpêtrière, ICM, Inserm U1127, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Masson, M" sort="Masson, M" uniqKey="Masson M" first="M" last="Masson">M. Masson</name>
<affiliation><nlm:aff id="aff0055">Nightingale Hospitals-Paris, Clinique du Château de Garches, France, SHU, GHU Psychiatrie et neurosciences, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leaune, E" sort="Leaune, E" uniqKey="Leaune E" first="E" last="Leaune">E. Leaune</name>
<affiliation><nlm:aff id="aff0060">Centre Hospitalier Le Vinatier, Bron, France; Université Lyon, Lyon, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leboyer, M" sort="Leboyer, M" uniqKey="Leboyer M" first="M" last="Leboyer">M. Leboyer</name>
<affiliation><nlm:aff id="aff0065">AP-HP, Université Paris Est Créteil, Inserm, Fondation FondaMental, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaillard, R" sort="Gaillard, R" uniqKey="Gaillard R" first="R" last="Gaillard">R. Gaillard</name>
<affiliation><nlm:aff id="aff0070">Université de Paris, GHU Psychiatrie et neurosciences, Paris, France, Président de la sous-section 49-03 du Conseil National des Universités (CNU), France</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">32312567</idno>
<idno type="pmc">7174154</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174154</idno>
<idno type="RBID">PMC:7174154</idno>
<idno type="doi">10.1016/j.encep.2020.04.005</idno>
<date when="2020">2020</date>
<idno type="wicri:Area/Pmc/Corpus">000654</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000654</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Ensuring mental health care during the SARS-CoV-2 epidemic in France: a narrative review</title>
<author><name sortKey="Chevance, A" sort="Chevance, A" uniqKey="Chevance A" first="A" last="Chevance">A. Chevance</name>
<affiliation><nlm:aff id="aff0005">Université de Paris, CRESS, INSERM, INRA, F-75004 Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gourion, D" sort="Gourion, D" uniqKey="Gourion D" first="D" last="Gourion">D. Gourion</name>
<affiliation><nlm:aff id="aff0010">Psychiatre libéral, Paris, HEC Paris (Jouy-en-Josas), France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hoertel, N" sort="Hoertel, N" uniqKey="Hoertel N" first="N" last="Hoertel">N. Hoertel</name>
<affiliation><nlm:aff id="aff0015">Centre ressource régional de psychiatrie du sujet âgé (CRRPSA), Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, DMU psychiatrie et addictologie, AP-HP, Centre-Université de Paris, France, Inserm U1266, Institut de psychiatrie et neurosciences de Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Llorca, P M" sort="Llorca, P M" uniqKey="Llorca P" first="P-M" last="Llorca">P-M Llorca</name>
<affiliation><nlm:aff id="aff0020">CHU Clermont-Ferrand, Clermont-Ferrand, France, Université Clermont Auvergne, Clermont-Ferrand, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Thomas, P" sort="Thomas, P" uniqKey="Thomas P" first="P" last="Thomas">P. Thomas</name>
<affiliation><nlm:aff id="aff0025">CHU Lille, Lille, France, Université de Lille, CNRS UMR 9193, laboratoire de sciences cognitives et sciences affectives (SCALab-PsyCHIC), Lille, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bocher, R" sort="Bocher, R" uniqKey="Bocher R" first="R" last="Bocher">R. Bocher</name>
<affiliation><nlm:aff id="aff0030">CHU de Nantes, Nantes, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Moro, M R" sort="Moro, M R" uniqKey="Moro M" first="M-R" last="Moro">M-R Moro</name>
<affiliation><nlm:aff id="aff0035">Université de Paris, Présidente du Collège National des Universitaires de Psychiatrie (CNUP), Inserm, CESP, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Laprevote, V" sort="Laprevote, V" uniqKey="Laprevote V" first="V" last="Laprévote">V. Laprévote</name>
<affiliation><nlm:aff id="aff0040">Pôle hospitalo-universitaire de psychiatrie d'adultes et d’addictologie du Grand-Nancy, Centre Psychothérapique de Nancy, Laxou, France, Faculté de Médecine, Université de Lorraine, Nancy, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Benyamina, A" sort="Benyamina, A" uniqKey="Benyamina A" first="A" last="Benyamina">A. Benyamina</name>
<affiliation><nlm:aff id="aff0045">APHP, Hôpital Paul Brousse, Département de Psychiatrie et d’Addictologie, F-94800, Villejuif, France, Unité Psychiatrie-Comorbidités-Addictions-Unité de Recherche, PSYCOMADD Université Paris Sud - AP-HP, Université Paris Saclay, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fossati, P" sort="Fossati, P" uniqKey="Fossati P" first="P" last="Fossati">P. Fossati</name>
<affiliation><nlm:aff id="aff0050">Service de psychiatrie adultes, APHP, Sorbonne université, Groupe Hospitalier pitié Salpêtrière, ICM, Inserm U1127, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Masson, M" sort="Masson, M" uniqKey="Masson M" first="M" last="Masson">M. Masson</name>
<affiliation><nlm:aff id="aff0055">Nightingale Hospitals-Paris, Clinique du Château de Garches, France, SHU, GHU Psychiatrie et neurosciences, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leaune, E" sort="Leaune, E" uniqKey="Leaune E" first="E" last="Leaune">E. Leaune</name>
<affiliation><nlm:aff id="aff0060">Centre Hospitalier Le Vinatier, Bron, France; Université Lyon, Lyon, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Leboyer, M" sort="Leboyer, M" uniqKey="Leboyer M" first="M" last="Leboyer">M. Leboyer</name>
<affiliation><nlm:aff id="aff0065">AP-HP, Université Paris Est Créteil, Inserm, Fondation FondaMental, Paris, France</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gaillard, R" sort="Gaillard, R" uniqKey="Gaillard R" first="R" last="Gaillard">R. Gaillard</name>
<affiliation><nlm:aff id="aff0070">Université de Paris, GHU Psychiatrie et neurosciences, Paris, France, Président de la sous-section 49-03 du Conseil National des Universités (CNU), France</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">L'Encephale</title>
<idno type="ISSN">0013-7006</idno>
<idno type="eISSN">0013-7006</idno>
<imprint><date when="2020">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Objective: The lack of resources and coordination to face the coronavirus epidemic raises concerns for the health of patients with mental disorders in a country where we still have memories of the dramatic experience of famine in psychiatric hospitals during the Second World War. This article aims to propose guidance to ensure mental health care during the SARS-CoV epidemic in France.</p>
<p>Methods: The authors performed a narrative review identifying relevant results in the scientific and medical literature and in local initiatives in France.</p>
<p>Results: We identified four types of major vulnerabilities among patients with mental disorders during this pandemic: 1) medical comorbidities that are more frequently found among patients with mental disorders (cardiovascular and pulmonary pathologies, diabetes, obesity, etc.) which are risk factors for severe covid-19 infection; 2) age (the elderly form the population most vulnerable to the coronavirus); 3) cognitive and behavioural disorders, which can hamper compliance with confinement and hygiene measures and finally and 4) psychosocial vulnerability as a result of stigmatization and/or socio-economic difficulties. Furthermore, the mental health healthcare system is more vulnerable than other healthcare systems. Current government plans are poorly suited to psychiatric establishments in a context of major shortages of organizational, material and human resources. In addition, a certain number of structural aspects make the psychiatric institution particularly vulnerable: many beds have been closed, wards have high densities of patients, mental health community facilities are closed, and medical teams are understaffed and poorly trained to face infectious diseases. There are also major issues when referring patients with acute mental disorders to intensive care units. To maintain the continuity of psychiatric care in this pandemic situation, several directions can be considered, in particular with the creation of "COVID+ units". These units are under the dual supervision of a psychiatrist and an internist / infectious disease specialist; all new entrants are placed in quarantine for 14 days; the nursing staff receives specific training, daily medical check-ups and close psychological support. Family visits are prohibited and replaced by videoconference. At the end of hospitalization, in particular for the population of patients in compulsory ambulatory care situations, specific case-management are organized with the possibility of home visits, in order to support patients when they get back home and to help them cope with the experience of confinement, which is liable to induce recurrences of mental disorders. The total or partial closure of community mental health facilities is particularly disturbing for patients, but a regular follow-up is possible with telemedicine and should include the monitoring of suicide risk and psycho-education strategies; developing support platforms could also be very helpful in this context. Private practice psychiatrists also have a crucial role of information towards their patients on confinement and barrier measures, and also on measures to prevent the psychological risks inherent in confinement: maintenance of regular sleep r, physical exercise, social interactions, stress management and coping strategies, prevention of addictions, etc. They should also be trained to prevent, detect and treat early warning symptoms of post-traumatic stress disorder, because their prevalence was high in the regions of China most affected by the pandemic.</p>
<p>Discussion: French mental healthcare is now facing a great and urgent need for reorganization and must also prepare in the coming days and weeks to face an epidemic of emotional disorders due to the confinement of the general population.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Encephale</journal-id>
<journal-id journal-id-type="iso-abbrev">Encephale</journal-id>
<journal-title-group><journal-title>L'Encephale</journal-title>
</journal-title-group>
<issn pub-type="ppub">0013-7006</issn>
<issn pub-type="epub">0013-7006</issn>
<publisher><publisher-name>L'Encéphale, Paris.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">32312567</article-id>
<article-id pub-id-type="pmc">7174154</article-id>
<article-id pub-id-type="publisher-id">S0013-7006(20)30073-7</article-id>
<article-id pub-id-type="doi">10.1016/j.encep.2020.04.005</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Ensuring mental health care during the SARS-CoV-2 epidemic in France: a narrative review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Chevance</surname>
<given-names>A</given-names>
</name>
<email>astrid.chevance@gmail.com</email>
<xref rid="aff0005" ref-type="aff">1</xref>
<xref rid="cor0005" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author" id="aut0010"><name><surname>Gourion</surname>
<given-names>D</given-names>
</name>
<xref rid="aff0010" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author" id="aut0015"><name><surname>Hoertel</surname>
<given-names>N</given-names>
</name>
<xref rid="aff0015" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author" id="aut0020"><name><surname>Llorca</surname>
<given-names>P-M</given-names>
</name>
<xref rid="aff0020" ref-type="aff">4</xref>
</contrib>
<contrib contrib-type="author" id="aut0025"><name><surname>Thomas</surname>
<given-names>P</given-names>
</name>
<xref rid="aff0025" ref-type="aff">5</xref>
</contrib>
<contrib contrib-type="author" id="aut0030"><name><surname>Bocher</surname>
<given-names>R</given-names>
</name>
<xref rid="aff0030" ref-type="aff">6</xref>
</contrib>
<contrib contrib-type="author" id="aut0035"><name><surname>Moro</surname>
<given-names>M-R</given-names>
</name>
<xref rid="aff0035" ref-type="aff">7</xref>
</contrib>
<contrib contrib-type="author" id="aut0040"><name><surname>Laprévote</surname>
<given-names>V</given-names>
</name>
<xref rid="aff0040" ref-type="aff">8</xref>
</contrib>
<contrib contrib-type="author" id="aut0045"><name><surname>Benyamina</surname>
<given-names>A</given-names>
</name>
<xref rid="aff0045" ref-type="aff">9</xref>
</contrib>
<contrib contrib-type="author" id="aut0050"><name><surname>Fossati</surname>
<given-names>P</given-names>
</name>
<xref rid="aff0050" ref-type="aff">10</xref>
</contrib>
<contrib contrib-type="author" id="aut0055"><name><surname>Masson</surname>
<given-names>M</given-names>
</name>
<xref rid="aff0055" ref-type="aff">11</xref>
</contrib>
<contrib contrib-type="author" id="aut0060"><name><surname>Leaune</surname>
<given-names>E</given-names>
</name>
<xref rid="aff0060" ref-type="aff">12</xref>
</contrib>
<contrib contrib-type="author" id="aut0065"><name><surname>Leboyer</surname>
<given-names>M</given-names>
</name>
<xref rid="aff0065" ref-type="aff">13</xref>
<xref rid="fn0005" ref-type="fn">#</xref>
</contrib>
<contrib contrib-type="author" id="aut0070"><name><surname>Gaillard</surname>
<given-names>R</given-names>
</name>
<xref rid="aff0070" ref-type="aff">14</xref>
<xref rid="fn0005" ref-type="fn">#</xref>
</contrib>
<aff id="aff0005"><label>1</label>
Université de Paris, CRESS, INSERM, INRA, F-75004 Paris, France</aff>
<aff id="aff0010"><label>2</label>
Psychiatre libéral, Paris, HEC Paris (Jouy-en-Josas), France</aff>
<aff id="aff0015"><label>3</label>
Centre ressource régional de psychiatrie du sujet âgé (CRRPSA), Service de psychiatrie et d'addictologie de l'adulte et du sujet âgé, DMU psychiatrie et addictologie, AP-HP, Centre-Université de Paris, France, Inserm U1266, Institut de psychiatrie et neurosciences de Paris, France</aff>
<aff id="aff0020"><label>4</label>
CHU Clermont-Ferrand, Clermont-Ferrand, France, Université Clermont Auvergne, Clermont-Ferrand, France</aff>
<aff id="aff0025"><label>5</label>
CHU Lille, Lille, France, Université de Lille, CNRS UMR 9193, laboratoire de sciences cognitives et sciences affectives (SCALab-PsyCHIC), Lille, France</aff>
<aff id="aff0030"><label>6</label>
CHU de Nantes, Nantes, France</aff>
<aff id="aff0035"><label>7</label>
Université de Paris, Présidente du Collège National des Universitaires de Psychiatrie (CNUP), Inserm, CESP, Paris, France</aff>
<aff id="aff0040"><label>8</label>
Pôle hospitalo-universitaire de psychiatrie d'adultes et d’addictologie du Grand-Nancy, Centre Psychothérapique de Nancy, Laxou, France, Faculté de Médecine, Université de Lorraine, Nancy, France</aff>
<aff id="aff0045"><label>9</label>
APHP, Hôpital Paul Brousse, Département de Psychiatrie et d’Addictologie, F-94800, Villejuif, France, Unité Psychiatrie-Comorbidités-Addictions-Unité de Recherche, PSYCOMADD Université Paris Sud - AP-HP, Université Paris Saclay, France</aff>
<aff id="aff0050"><label>10</label>
Service de psychiatrie adultes, APHP, Sorbonne université, Groupe Hospitalier pitié Salpêtrière, ICM, Inserm U1127, Paris, France</aff>
<aff id="aff0055"><label>11</label>
Nightingale Hospitals-Paris, Clinique du Château de Garches, France, SHU, GHU Psychiatrie et neurosciences, Paris, France</aff>
<aff id="aff0060"><label>12</label>
Centre Hospitalier Le Vinatier, Bron, France; Université Lyon, Lyon, France</aff>
<aff id="aff0065"><label>13</label>
AP-HP, Université Paris Est Créteil, Inserm, Fondation FondaMental, Paris, France</aff>
<aff id="aff0070"><label>14</label>
Université de Paris, GHU Psychiatrie et neurosciences, Paris, France, Président de la sous-section 49-03 du Conseil National des Universités (CNU), France</aff>
</contrib-group>
<author-notes><corresp id="cor0005"><label>⁎</label>
Auteur correspondant: Université de Paris, CRESS, INSERM, INRA, F-75004 Paris, France <email>astrid.chevance@gmail.com</email>
</corresp>
<fn id="fn0005"><label>#</label>
<p id="npar0005">The authors contributed equally to this article</p>
</fn>
</author-notes>
<pub-date pub-type="pmc-release"><day>22</day>
<month>4</month>
<year>2020</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>22</day>
<month>4</month>
<year>2020</year>
</pub-date>
<history><date date-type="received"><day>13</day>
<month>4</month>
<year>2020</year>
</date>
<date date-type="accepted"><day>14</day>
<month>4</month>
<year>2020</year>
</date>
</history>
<permissions><copyright-statement>© 2020 L'Encéphale, Paris.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>L'Encéphale, Paris</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0005"><p>Objective: The lack of resources and coordination to face the coronavirus epidemic raises concerns for the health of patients with mental disorders in a country where we still have memories of the dramatic experience of famine in psychiatric hospitals during the Second World War. This article aims to propose guidance to ensure mental health care during the SARS-CoV epidemic in France.</p>
<p>Methods: The authors performed a narrative review identifying relevant results in the scientific and medical literature and in local initiatives in France.</p>
<p>Results: We identified four types of major vulnerabilities among patients with mental disorders during this pandemic: 1) medical comorbidities that are more frequently found among patients with mental disorders (cardiovascular and pulmonary pathologies, diabetes, obesity, etc.) which are risk factors for severe covid-19 infection; 2) age (the elderly form the population most vulnerable to the coronavirus); 3) cognitive and behavioural disorders, which can hamper compliance with confinement and hygiene measures and finally and 4) psychosocial vulnerability as a result of stigmatization and/or socio-economic difficulties. Furthermore, the mental health healthcare system is more vulnerable than other healthcare systems. Current government plans are poorly suited to psychiatric establishments in a context of major shortages of organizational, material and human resources. In addition, a certain number of structural aspects make the psychiatric institution particularly vulnerable: many beds have been closed, wards have high densities of patients, mental health community facilities are closed, and medical teams are understaffed and poorly trained to face infectious diseases. There are also major issues when referring patients with acute mental disorders to intensive care units. To maintain the continuity of psychiatric care in this pandemic situation, several directions can be considered, in particular with the creation of "COVID+ units". These units are under the dual supervision of a psychiatrist and an internist / infectious disease specialist; all new entrants are placed in quarantine for 14 days; the nursing staff receives specific training, daily medical check-ups and close psychological support. Family visits are prohibited and replaced by videoconference. At the end of hospitalization, in particular for the population of patients in compulsory ambulatory care situations, specific case-management are organized with the possibility of home visits, in order to support patients when they get back home and to help them cope with the experience of confinement, which is liable to induce recurrences of mental disorders. The total or partial closure of community mental health facilities is particularly disturbing for patients, but a regular follow-up is possible with telemedicine and should include the monitoring of suicide risk and psycho-education strategies; developing support platforms could also be very helpful in this context. Private practice psychiatrists also have a crucial role of information towards their patients on confinement and barrier measures, and also on measures to prevent the psychological risks inherent in confinement: maintenance of regular sleep r, physical exercise, social interactions, stress management and coping strategies, prevention of addictions, etc. They should also be trained to prevent, detect and treat early warning symptoms of post-traumatic stress disorder, because their prevalence was high in the regions of China most affected by the pandemic.</p>
<p>Discussion: French mental healthcare is now facing a great and urgent need for reorganization and must also prepare in the coming days and weeks to face an epidemic of emotional disorders due to the confinement of the general population.</p>
</abstract>
<kwd-group id="kwd0005"><title>Keywords</title>
<kwd>Coronavirus</kwd>
<kwd>Covid-19</kwd>
<kwd>SARS-CoV-2</kwd>
<kwd>Epidemic</kwd>
<kwd>Pandemic</kwd>
<kwd>Psychiatry</kwd>
<kwd>France</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/StressCovidV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000654 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 000654 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= StressCovidV1 |flux= Pmc |étape= Corpus |type= RBID |clé= |texte= }}
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