Asunto(s)
COVID-19 , Centros de Día , Hospitales Psiquiátricos , Trastornos Mentales/rehabilitación , Adulto , Atención a la Salud , Ejercicio Físico/psicología , Femenino , Humanos , Japón , Masculino , Cumplimiento de la Medicación , Trastornos Mentales/psicología , Persona de Mediana Edad , Motivación , Trastornos Psicóticos/psicología , Trastornos Psicóticos/rehabilitación , Esquizofrenia/rehabilitación , Sueño , Estrés Psicológico/psicología , Brote de los SíntomasRESUMEN
During the COVID-19 pandemic, the Oasi Research Institute of Troina (Italy) became an important hotbed for infection; in fact, 109 patients with different levels of Intellectual Disability (ID) tested positive for COVID-19. The procedures and interventions put in place at the Oasi Research Institute due to the COVID-19 pandemic are exhaustively reported in this paper. The description of the clinical procedures as well as remote/in person psychological support services provided to people with ID and their families are here divided into three different sections: Phase I (or Acute phase), Phase II (or Activity planning), and Phase III (or Activity consolidation). In each section, the main psycho-pathological characteristics of patients, the reactions of family members and the multidisciplinary interventions put in place are also described.
Asunto(s)
COVID-19/epidemiología , Discapacidades del Desarrollo/rehabilitación , Discapacidad Intelectual/rehabilitación , Sistemas de Apoyo Psicosocial , Telemedicina , Academias e Institutos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Trastorno del Espectro Autista/epidemiología , Trastorno del Espectro Autista/psicología , Trastorno del Espectro Autista/rehabilitación , COVID-19/mortalidad , COVID-19/fisiopatología , COVID-19/psicología , Niño , Preescolar , Comorbilidad , Discapacidades del Desarrollo/epidemiología , Discapacidades del Desarrollo/psicología , Punto Alto de Contagio de Enfermedades , Brotes de Enfermedades , Epilepsia/epidemiología , Femenino , Hospitales Especializados , Humanos , Hipotiroidismo/epidemiología , Lactante , Discapacidad Intelectual/epidemiología , Discapacidad Intelectual/psicología , Italia , Masculino , Persona de Mediana Edad , Trastornos del Humor/epidemiología , Trastornos del Humor/psicología , Trastornos del Humor/rehabilitación , Obesidad/epidemiología , Sobrepeso/epidemiología , Trastornos de la Personalidad/epidemiología , Trastornos de la Personalidad/psicología , Trastornos de la Personalidad/rehabilitación , Trastornos Psicóticos/epidemiología , Trastornos Psicóticos/psicología , Trastornos Psicóticos/rehabilitación , Síndrome de Dificultad Respiratoria/fisiopatología , SARS-CoV-2 , Índice de Severidad de la Enfermedad , Adulto JovenRESUMEN
OBJECTIVE: To report the clinical characteristics and transmission rate of coronavirus disease 2019 (COVID-19) in a community inpatient long-term care psychiatric rehabilitation facility designed for persons with serious mental illness to provide insight into transmission and symptom patterns and emerging testing protocols, as well as medical complications and prognosis. METHODS: This study examined a cohort of 54 residents of a long-term care psychiatric rehabilitation program from March to April 2020. Baseline demographics, clinical diagnoses, and vital signs were examined to look for statistical differences between positive versus negative severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) groups. During the early phase of the pandemic, the facility closely followed the local shelter-in-place order (starting March 19, 2020) and symptom-based testing. RESULTS: Of the residents, the primary psychiatric diagnoses were schizoaffective disorder: 28 (51.9%), schizophrenia: 21 (38.9%), bipolar I disorder: 3 (5.5%), and unspecified psychotic disorder: 2 (3.7%). Forty (74%) of 54 residents tested positive for SARS-COV-2, with a doubling time of 3.9 days. There were no statistical differences between the positive SARS-COV-2 versus negative groups for age or race/ethnicity. Psychiatric and medical conditions were not significantly associated with contracting SARS-COV-2, with the exception of obesity (n = 17 [43%] positive vs n = 12 [86%] negative, P = .01). Medical monitoring of vital signs and symptoms did not lead to earlier detection. All of the residents completely recovered, with the last resident no longer showing any symptoms 24 days from the index case. CONCLUSION: Research is needed to determine optimal strategies for long-term care mental health settings that incorporate frequent testing and personal protective equipment use to prevent rapid transmission of SARS-COV-2.