Negative impacts of COVID-19 lockdown on mental health service access and follow-up adherence for immigrants and individuals in socio-economic difficulties.
Identifieur interne : 001D79 ( Main/Corpus ); précédent : 001D78; suivant : 001D80Negative impacts of COVID-19 lockdown on mental health service access and follow-up adherence for immigrants and individuals in socio-economic difficulties.
Auteurs : M. Aragona ; A. Barbato ; A. Cavani ; G. Costanzo ; C. MirisolaSource :
- Public health [ 1476-5616 ] ; 2020.
English descriptors
- KwdEn :
- Adult (MeSH), COVID-19 (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Cross-Sectional Studies (MeSH), Emigrants and Immigrants (psychology), Emigrants and Immigrants (statistics & numerical data), Facilities and Services Utilization (statistics & numerical data), Female (MeSH), Health Services Accessibility (statistics & numerical data), Homeless Persons (psychology), Homeless Persons (statistics & numerical data), Humans (MeSH), Italy (epidemiology), Male (MeSH), Mental Health Services (statistics & numerical data), Middle Aged (MeSH), Pandemics (prevention & control), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Poverty (MeSH), Refugees (psychology), Refugees (statistics & numerical data), Retrospective Studies (MeSH), Treatment Adherence and Compliance (statistics & numerical data), Vulnerable Populations (MeSH), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Italy.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- psychology : Emigrants and Immigrants, Homeless Persons, Refugees.
- statistics & numerical data : Emigrants and Immigrants, Facilities and Services Utilization, Health Services Accessibility, Homeless Persons, Mental Health Services, Refugees, Treatment Adherence and Compliance.
- Adult, COVID-19, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Poverty, Retrospective Studies, Vulnerable Populations, Young Adult.
Abstract
OBJECTIVES
Lockdown measures in response to the coronavirus disease 2019 (COVID-19) pandemic can have serious mental health effects on the population, especially in vulnerable groups, such as those living in poor socio-economic conditions, those who are homeless, migrant workers and asylum seekers/refugees. In addition, these vulnerable groups frequently have greater difficulty accessing health services and in treatment adherence. The aim of this study is to estimate the impact of the COVID-19-related lockdown on service utilisation and follow-up adherence in an Italian mental health outpatient service for migrants and individuals in socio-economic difficulties.
STUDY DESIGN
The design of this study is a retrospective cross-sectional study.
METHODS
All patients who visited the mental health outpatient service in the months of February and March in the years 2017-2020 were included in the study. To compare service utilisation before and after the lockdown, the number of patients who visited the mental health outpatient service for psychiatric interview were recorded. Follow-up adherence was calculated as the percentage of patients who visited in February and subsequently attended a follow-up visit in March of the same year.
RESULTS
The number of patients who visited the outpatient service between February 2017 and February 2020 was continuously increasing. In March 2020, fewer patients visited the service for psychiatric interview, in line with the introduction of lockdown measures. In addition, the number of the patients who visited in February 2020 and returned for their follow-up visits in March 2020 declined from approximately 30% over the same months in 2017-2019 to 17.53% in March 2020.
CONCLUSIONS
The lockdown-related reduction in numbers of patients accessing the mental health service makes it difficult to help vulnerable populations during a period of time in which their mental health needs are expected to increase. Moreover, the reduction seen in follow-up compliance increases the risk of treatment discontinuation and possible relapse. Proactive alternative strategies need to be developed to reach these vulnerable populations.
DOI: 10.1016/j.puhe.2020.06.055
PubMed: 32771661
PubMed Central: PMC7409736
Links to Exploration step
pubmed:32771661Le document en format XML
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Cavani</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Costanzo, G" sort="Costanzo, G" uniqKey="Costanzo G" first="G" last="Costanzo">G. Costanzo</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mirisola, C" sort="Mirisola, C" uniqKey="Mirisola C" first="C" last="Mirisola">C. 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Aragona</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy. Electronic address: massimiliano.aragona@inmp.it.</nlm:affiliation></affiliation></author><author><name sortKey="Barbato, A" sort="Barbato, A" uniqKey="Barbato A" first="A" last="Barbato">A. Barbato</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Cavani, A" sort="Cavani, A" uniqKey="Cavani A" first="A" last="Cavani">A. Cavani</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Costanzo, G" sort="Costanzo, G" uniqKey="Costanzo G" first="G" last="Costanzo">G. Costanzo</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mirisola, C" sort="Mirisola, C" uniqKey="Mirisola C" first="C" last="Mirisola">C. Mirisola</name><affiliation><nlm:affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Public health</title><idno type="eISSN">1476-5616</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>COVID-19 (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Cross-Sectional Studies (MeSH)</term><term>Emigrants and Immigrants (psychology)</term><term>Emigrants and Immigrants (statistics & numerical data)</term><term>Facilities and Services Utilization (statistics & numerical data)</term><term>Female (MeSH)</term><term>Health Services Accessibility (statistics & numerical data)</term><term>Homeless Persons (psychology)</term><term>Homeless Persons (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Italy (epidemiology)</term><term>Male (MeSH)</term><term>Mental Health Services (statistics & numerical data)</term><term>Middle Aged (MeSH)</term><term>Pandemics (prevention & control)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (prevention & control)</term><term>Poverty (MeSH)</term><term>Refugees (psychology)</term><term>Refugees (statistics & numerical data)</term><term>Retrospective Studies (MeSH)</term><term>Treatment Adherence and Compliance (statistics & numerical data)</term><term>Vulnerable Populations (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Pandemics</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Emigrants and Immigrants</term><term>Homeless Persons</term><term>Refugees</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emigrants and Immigrants</term><term>Facilities and Services Utilization</term><term>Health Services Accessibility</term><term>Homeless Persons</term><term>Mental Health Services</term><term>Refugees</term><term>Treatment Adherence and Compliance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>COVID-19</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Poverty</term><term>Retrospective Studies</term><term>Vulnerable Populations</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Lockdown measures in response to the coronavirus disease 2019 (COVID-19) pandemic can have serious mental health effects on the population, especially in vulnerable groups, such as those living in poor socio-economic conditions, those who are homeless, migrant workers and asylum seekers/refugees. In addition, these vulnerable groups frequently have greater difficulty accessing health services and in treatment adherence. The aim of this study is to estimate the impact of the COVID-19-related lockdown on service utilisation and follow-up adherence in an Italian mental health outpatient service for migrants and individuals in socio-economic difficulties.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>The design of this study is a retrospective cross-sectional study.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>All patients who visited the mental health outpatient service in the months of February and March in the years 2017-2020 were included in the study. To compare service utilisation before and after the lockdown, the number of patients who visited the mental health outpatient service for psychiatric interview were recorded. Follow-up adherence was calculated as the percentage of patients who visited in February and subsequently attended a follow-up visit in March of the same year.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The number of patients who visited the outpatient service between February 2017 and February 2020 was continuously increasing. In March 2020, fewer patients visited the service for psychiatric interview, in line with the introduction of lockdown measures. In addition, the number of the patients who visited in February 2020 and returned for their follow-up visits in March 2020 declined from approximately 30% over the same months in 2017-2019 to 17.53% in March 2020.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The lockdown-related reduction in numbers of patients accessing the mental health service makes it difficult to help vulnerable populations during a period of time in which their mental health needs are expected to increase. Moreover, the reduction seen in follow-up compliance increases the risk of treatment discontinuation and possible relapse. Proactive alternative strategies need to be developed to reach these vulnerable populations.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32771661</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>06</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1476-5616</ISSN><JournalIssue CitedMedium="Internet"><Volume>186</Volume><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Public health</Title><ISOAbbreviation>Public Health</ISOAbbreviation></Journal><ArticleTitle>Negative impacts of COVID-19 lockdown on mental health service access and follow-up adherence for immigrants and individuals in socio-economic difficulties.</ArticleTitle><Pagination><MedlinePgn>52-56</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0033-3506(20)30293-6</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.puhe.2020.06.055</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Lockdown measures in response to the coronavirus disease 2019 (COVID-19) pandemic can have serious mental health effects on the population, especially in vulnerable groups, such as those living in poor socio-economic conditions, those who are homeless, migrant workers and asylum seekers/refugees. In addition, these vulnerable groups frequently have greater difficulty accessing health services and in treatment adherence. The aim of this study is to estimate the impact of the COVID-19-related lockdown on service utilisation and follow-up adherence in an Italian mental health outpatient service for migrants and individuals in socio-economic difficulties.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">The design of this study is a retrospective cross-sectional study.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All patients who visited the mental health outpatient service in the months of February and March in the years 2017-2020 were included in the study. To compare service utilisation before and after the lockdown, the number of patients who visited the mental health outpatient service for psychiatric interview were recorded. Follow-up adherence was calculated as the percentage of patients who visited in February and subsequently attended a follow-up visit in March of the same year.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The number of patients who visited the outpatient service between February 2017 and February 2020 was continuously increasing. In March 2020, fewer patients visited the service for psychiatric interview, in line with the introduction of lockdown measures. In addition, the number of the patients who visited in February 2020 and returned for their follow-up visits in March 2020 declined from approximately 30% over the same months in 2017-2019 to 17.53% in March 2020.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The lockdown-related reduction in numbers of patients accessing the mental health service makes it difficult to help vulnerable populations during a period of time in which their mental health needs are expected to increase. Moreover, the reduction seen in follow-up compliance increases the risk of treatment discontinuation and possible relapse. Proactive alternative strategies need to be developed to reach these vulnerable populations.</AbstractText><CopyrightInformation>Copyright © 2020 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Aragona</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy. Electronic address: massimiliano.aragona@inmp.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barbato</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cavani</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Costanzo</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mirisola</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>National Institute for Health, Migration and Poverty (INMP), Rome, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Public Health</MedlineTA><NlmUniqueID>0376507</NlmUniqueID><ISSNLinking>0033-3506</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & 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