RESUMEN
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.
Asunto(s)
Psiquiatría del Adolescente , Actitud del Personal de Salud , Trastorno Autístico/terapia , Betacoronavirus , Psiquiatría Infantil , Infecciones por Coronavirus , Pandemias , Neumonía Viral , Psiquiatría , Adolescente , Conducta del Adolescente , Psiquiatría del Adolescente/ética , Trastorno Autístico/complicaciones , Trastorno Autístico/psicología , COVID-19 , Niño , Conducta Infantil , Psiquiatría Infantil/ética , Control de Enfermedades Transmisibles/métodos , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/transmisión , Infección Hospitalaria/complicaciones , Infección Hospitalaria/psicología , Infección Hospitalaria/terapia , Exposición a Riesgos Ambientales , Francia , Accesibilidad a los Servicios de Salud , Reestructuración Hospitalaria , Unidades Hospitalarias/organización & administración , Humanos , Control de Infecciones/métodos , Servicios de Salud Mental/ética , Servicios de Salud Mental/organización & administración , Trastornos del Olfato/etiología , Trastornos del Olfato/psicología , Pandemias/prevención & control , Aceptación de la Atención de Salud , Grupo de Atención al Paciente , Aislamiento de Pacientes/psicología , Ludoterapia , Neumonía Viral/complicaciones , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Neumonía Viral/transmisión , Práctica Profesional/ética , Equipos de Seguridad , Factores de Riesgo , SARS-CoV-2 , Estrés Psicológico/etiologíaRESUMEN
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.