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Encephale ; 46(3S): S99-S106, 2020 Jun.
Article in French | MEDLINE | ID: covidwho-1065056


COVID-19 is a multi-organ disease due to an infection with the SARS-CoV2 virus. It has become a pandemic in early 2020. The disease appears less devastating in children and adolescents. However, stress, quarantine and eventually mourning have major impacts on development. It is difficult to describe what this pandemic implies for a child psychiatrist, other than by giving a first-hand account. I propose to go through the main ethical questions that have arisen; to describe how my hospital team has reorganized itself to meet the new demands and questions, in particular by opening a unit dedicated to people with autism and challenging behaviors affected by COVID-19; and to address, in a context of national discussion, how the discipline has sought to understand the conditions of a certain well-being during quarantine. Finally, I will try to conclude with more speculative reflections on re-opening.

Adolescent Psychiatry , Attitude of Health Personnel , Autistic Disorder/therapy , Betacoronavirus , Child Psychiatry , Coronavirus Infections , Pandemics , Pneumonia, Viral , Psychiatry , Adolescent , Adolescent Behavior , Adolescent Psychiatry/ethics , Autistic Disorder/complications , Autistic Disorder/psychology , COVID-19 , Child , Child Behavior , Child Psychiatry/ethics , Communicable Disease Control/methods , Coronavirus Infections/complications , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Coronavirus Infections/transmission , Cross Infection/complications , Cross Infection/psychology , Cross Infection/therapy , Environmental Exposure , France , Health Services Accessibility , Hospital Restructuring , Hospital Units/organization & administration , Humans , Infection Control/methods , Mental Health Services/ethics , Mental Health Services/organization & administration , Olfaction Disorders/etiology , Olfaction Disorders/psychology , Pandemics/prevention & control , Patient Acceptance of Health Care , Patient Care Team , Patient Isolation/psychology , Play Therapy , Pneumonia, Viral/complications , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Pneumonia, Viral/transmission , Professional Practice/ethics , Protective Devices , Risk Factors , SARS-CoV-2 , Stress, Psychological/etiology
J Am Acad Child Adolesc Psychiatry ; 60(3): 332-335, 2021 03.
Article in English | MEDLINE | ID: covidwho-1047645


The practice of child and adolescent psychiatry is evolving during an unprecedented global health catastrophe, the coronavirus disease 2019 (COVID-19) pandemic. As child and adolescent psychiatrists grapple with COVID-19's enormous medical, educational, social, and economic toll, a mental health crisis is co-occurring. Pre-existing disparities are recognized as contributors to the disproportionate impact of the COVID-19 pandemic on racial and ethnic minorities.1 The magnitude of COVID-19's effects on child and family mental health has yet to be fully revealed. child and adolescent psychiatrists are in a unique position to address this mental health crisis. Child and adolescent psychiatrists must stay up-to-date regarding federal, state, local, and institutional mandates, regulations, and policies informed by the Centers for Disease Control and Prevention2 and other public health institutions, while also navigating the ethical dilemmas unique to child and adolescent psychiatry during the coronavirus era.

Adolescent Psychiatry/ethics , COVID-19/psychology , Child Psychiatry/ethics , Mental Health , Pandemics , Adolescent , Child , Family Health , Health Status Disparities , Humans