[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].
Identifieur interne : 001052 ( Main/Corpus ); précédent : 001051; suivant : 001053[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].
Auteurs : R. Bocher ; C. Jansen ; P. Gayet ; P. Gorwood ; V. LaprévoteSource :
- L'Encephale [ 0013-7006 ] ; 2020.
English descriptors
- KwdEn :
- Ambulatory Care (organization & administration), Bed Conversion (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (MeSH), France (epidemiology), Health Personnel (psychology), Health Services Accessibility (MeSH), Hospital Restructuring (MeSH), Hospitals, Psychiatric (organization & administration), Humans (MeSH), Mental Disorders (epidemiology), Mental Disorders (therapy), Mental Health Services (organization & administration), Mental Health Services (statistics & numerical data), Mental Health Services (supply & distribution), Occupational Health (MeSH), Pandemics (MeSH), Patients' Rooms (MeSH), Pneumonia, Viral (MeSH), Psychotherapy (organization & administration), Psychotherapy (statistics & numerical data), Social Change (MeSH), Stress, Psychological (etiology), Stress, Psychological (therapy), Telemedicine (MeSH).
- MESH :
- geographic , epidemiology : France.
- epidemiology : Mental Disorders.
- etiology : Stress, Psychological.
- organization & administration : Ambulatory Care, Hospitals, Psychiatric, Mental Health Services, Psychotherapy.
- psychology : Health Personnel.
- statistics & numerical data : Mental Health Services, Psychotherapy.
- supply & distribution : Mental Health Services.
- therapy : Mental Disorders, Stress, Psychological.
- Bed Conversion, Betacoronavirus, Coronavirus Infections, Health Services Accessibility, Hospital Restructuring, Humans, Occupational Health, Pandemics, Patients' Rooms, Pneumonia, Viral, Social Change, Telemedicine.
Abstract
OBJECTIVES
The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic.
METHOD
This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature.
RESULTS
Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations.
DISCUSSION
COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care.
DOI: 10.1016/j.encep.2020.05.004
PubMed: 32471705
PubMed Central: PMC7250556
Links to Exploration step
pubmed:32471705Le document en format XML
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Jansen</name><affiliation><nlm:affiliation>Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France.</nlm:affiliation></affiliation></author><author><name sortKey="Gayet, P" sort="Gayet, P" uniqKey="Gayet P" first="P" last="Gayet">P. Gayet</name><affiliation><nlm:affiliation>Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France.</nlm:affiliation></affiliation></author><author><name sortKey="Gorwood, P" sort="Gorwood, P" uniqKey="Gorwood P" first="P" last="Gorwood">P. Gorwood</name><affiliation><nlm:affiliation>GHU Paris psychiatrie et neurosciences, CMME, hôpital Sainte-Anne, 75014 Paris, France; Université de Paris, institute of psychiatry and neuroscience of Paris (IPNP), Inserm U1266, 75014 Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Laprevote, V" sort="Laprevote, V" uniqKey="Laprevote V" first="V" last="Laprévote">V. Laprévote</name><affiliation><nlm:affiliation>Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France; Pôle de psychiatrie, fédération de médecine translationnelle de Strasbourg, institut national de la santé et de la recherche médicale U1114, université de Strasbourg, centre hospitalier régional universitaire de Strasbourg, Strasbourg, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32471705</idno><idno type="pmid">32471705</idno><idno type="doi">10.1016/j.encep.2020.05.004</idno><idno type="pmc">PMC7250556</idno><idno type="wicri:Area/Main/Corpus">001052</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001052</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].</title><author><name sortKey="Bocher, R" sort="Bocher, R" uniqKey="Bocher R" first="R" last="Bocher">R. Bocher</name><affiliation><nlm:affiliation>Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France. Electronic address: rachel.bocher@chu-nantes.fr.</nlm:affiliation></affiliation></author><author><name sortKey="Jansen, C" sort="Jansen, C" uniqKey="Jansen C" first="C" last="Jansen">C. Jansen</name><affiliation><nlm:affiliation>Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France.</nlm:affiliation></affiliation></author><author><name sortKey="Gayet, P" sort="Gayet, P" uniqKey="Gayet P" first="P" last="Gayet">P. Gayet</name><affiliation><nlm:affiliation>Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France.</nlm:affiliation></affiliation></author><author><name sortKey="Gorwood, P" sort="Gorwood, P" uniqKey="Gorwood P" first="P" last="Gorwood">P. Gorwood</name><affiliation><nlm:affiliation>GHU Paris psychiatrie et neurosciences, CMME, hôpital Sainte-Anne, 75014 Paris, France; Université de Paris, institute of psychiatry and neuroscience of Paris (IPNP), Inserm U1266, 75014 Paris, France.</nlm:affiliation></affiliation></author><author><name sortKey="Laprevote, V" sort="Laprevote, V" uniqKey="Laprevote V" first="V" last="Laprévote">V. Laprévote</name><affiliation><nlm:affiliation>Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France; Pôle de psychiatrie, fédération de médecine translationnelle de Strasbourg, institut national de la santé et de la recherche médicale U1114, université de Strasbourg, centre hospitalier régional universitaire de Strasbourg, Strasbourg, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">L'Encephale</title><idno type="ISSN">0013-7006</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ambulatory Care (organization & administration)</term><term>Bed Conversion (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>France (epidemiology)</term><term>Health Personnel (psychology)</term><term>Health Services Accessibility (MeSH)</term><term>Hospital Restructuring (MeSH)</term><term>Hospitals, Psychiatric (organization & administration)</term><term>Humans (MeSH)</term><term>Mental Disorders (epidemiology)</term><term>Mental Disorders (therapy)</term><term>Mental Health Services (organization & administration)</term><term>Mental Health Services (statistics & numerical data)</term><term>Mental Health Services (supply & distribution)</term><term>Occupational Health (MeSH)</term><term>Pandemics (MeSH)</term><term>Patients' Rooms (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>Psychotherapy (organization & administration)</term><term>Psychotherapy (statistics & numerical data)</term><term>Social Change (MeSH)</term><term>Stress, Psychological (etiology)</term><term>Stress, Psychological (therapy)</term><term>Telemedicine (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mental Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Ambulatory Care</term><term>Hospitals, Psychiatric</term><term>Mental Health Services</term><term>Psychotherapy</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Mental Health Services</term><term>Psychotherapy</term></keywords><keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Mental Health Services</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Mental Disorders</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Bed Conversion</term><term>Betacoronavirus</term><term>Coronavirus Infections</term><term>Health Services Accessibility</term><term>Hospital Restructuring</term><term>Humans</term><term>Occupational Health</term><term>Pandemics</term><term>Patients' Rooms</term><term>Pneumonia, Viral</term><term>Social Change</term><term>Telemedicine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32471705</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>13</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0013-7006</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>3S</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>L'Encephale</Title><ISOAbbreviation>Encephale</ISOAbbreviation></Journal><ArticleTitle>[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].</ArticleTitle><Pagination><MedlinePgn>S81-S84</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0013-7006(20)30089-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.encep.2020.05.004</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care.</AbstractText><CopyrightInformation>Copyright © 2020 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bocher</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France. Electronic address: rachel.bocher@chu-nantes.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jansen</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gayet</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gorwood</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>GHU Paris psychiatrie et neurosciences, CMME, hôpital Sainte-Anne, 75014 Paris, France; Université de Paris, institute of psychiatry and neuroscience of Paris (IPNP), Inserm U1266, 75014 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laprévote</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France; Pôle de psychiatrie, fédération de médecine translationnelle de Strasbourg, institut national de la santé et de la recherche médicale U1114, université de Strasbourg, centre hospitalier régional universitaire de Strasbourg, Strasbourg, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><VernacularTitle>Réactivité et pérennité des soins psychiatriques en France à l’épreuve du COVID-19.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Encephale</MedlineTA><NlmUniqueID>7505643</NlmUniqueID><ISSNLinking>0013-7006</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="N">Ambulatory Care</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001508" MajorTopicYN="N">Bed Conversion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006754" MajorTopicYN="Y">Hospital Restructuring</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006778" MajorTopicYN="N">Hospitals, Psychiatric</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008605" MajorTopicYN="N">Mental Health Services</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName><QualifierName UI="Q000600" MajorTopicYN="N">supply & distribution</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016272" MajorTopicYN="N">Occupational Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010362" MajorTopicYN="N">Patients' Rooms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011613" MajorTopicYN="N">Psychotherapy</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012922" MajorTopicYN="N">Social Change</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="N">Telemedicine</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Health 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