Management of COVID-19 Response in a Secure Forensic Mental Health Setting.
Identifieur interne : 000426 ( Main/Corpus ); précédent : 000425; suivant : 000427Management of COVID-19 Response in a Secure Forensic Mental Health Setting.
Auteurs : Alexander I F. Simpson ; Sumeeta Chatterjee ; Padraig Darby ; Roland M. Jones ; Margaret Maheandiran ; Stephanie R. Penney ; Tania Saccoccio ; Vicky Stergiopoulos ; Treena WilkieSource :
- Canadian journal of psychiatry. Revue canadienne de psychiatrie [ 1497-0015 ] ; 2020.
Abstract
OBJECTIVES
The coronavirus disease 2019 (COVID-19) pandemic presents major challenges to places of detention, including secure forensic hospitals. International guidance presents a range of approaches to assist in decreasing the risk of COVID-19 outbreaks as well as responses to manage outbreaks of infection should they occur.
METHODS
We conducted a literature search on pandemic or outbreak management in forensic mental health settings, including gray literature sources, from 2000 to April 2020. We describe the evolution of a COVID-19 outbreak in our own facility, and the design, and staffing of a forensic isolation unit.
RESULTS
We found a range of useful guidance but no published experience of implementing these approaches. We experienced outbreaks of COVID-19 on two secure forensic units with 13 patients and 10 staff becoming positive. One patient died. The outbreaks lasted for 41 days on each unit from declaration to resolution. We describe the approaches taken to reduction of infection risk, social distancing and changes to the care delivery model.
CONCLUSIONS
Forensic secure settings present major challenges as some proposals for pandemic management such as decarceration or early release are not possible, and facilities may present challenges to achieve sustained social distancing. Assertive testing, cohorting, and isolation units are appropriate responses to these challenges.
DOI: 10.1177/0706743720935648
PubMed: 32573397
PubMed Central: PMC7312094
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pubmed:32573397Le document en format XML
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<author><name sortKey="Chatterjee, Sumeeta" sort="Chatterjee, Sumeeta" uniqKey="Chatterjee S" first="Sumeeta" last="Chatterjee">Sumeeta Chatterjee</name>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>The coronavirus disease 2019 (COVID-19) pandemic presents major challenges to places of detention, including secure forensic hospitals. International guidance presents a range of approaches to assist in decreasing the risk of COVID-19 outbreaks as well as responses to manage outbreaks of infection should they occur.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We conducted a literature search on pandemic or outbreak management in forensic mental health settings, including gray literature sources, from 2000 to April 2020. We describe the evolution of a COVID-19 outbreak in our own facility, and the design, and staffing of a forensic isolation unit.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>We found a range of useful guidance but no published experience of implementing these approaches. We experienced outbreaks of COVID-19 on two secure forensic units with 13 patients and 10 staff becoming positive. One patient died. The outbreaks lasted for 41 days on each unit from declaration to resolution. We describe the approaches taken to reduction of infection risk, social distancing and changes to the care delivery model.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Forensic secure settings present major challenges as some proposals for pandemic management such as decarceration or early release are not possible, and facilities may present challenges to achieve sustained social distancing. Assertive testing, cohorting, and isolation units are appropriate responses to these challenges.</p>
</div>
</front>
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