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COVID-19-related consultation-liaison (CL) mental health services in general hospitals: A perspective from Europe and beyond.
Schaefert, Rainer; Stein, Barbara; Meinlschmidt, Gunther; Roemmel, Noa; Blanch, Jordi; Boye, Birgitte; Carqueja, Eduardo; De Matteis, Tiziano; Dineen, Peter; Doherty, Anne M; Ferrari, Silvia; Lanvin, Victoria; Lee, William; Lemmens, Gilbert M D; Lemogne, Cédric; Malyszczak, Krzysztof; Mendes-Pedro, António; Nejatisafa, Ali-Akbar; Räsänen, Sami; Rosen, Benjamin; Simões do Couto, Frederico; Syngelakis, Markos; Tarricone, Ilaria; Van der Feltz-Cornelis, Christina M; Huber, Christian G; Fazekas, Christian; Vitinius, Frank.
  • Schaefert R; University of Basel and University Hospital Basel, Department of Psychosomatic Medicine, Basel, Switzerland. Electronic address: rainer.schaefert@usb.ch.
  • Stein B; Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical Private University, Nuremberg, General Hospital, Germany.
  • Meinlschmidt G; University of Basel and University Hospital Basel, Department of Psychosomatic Medicine, Basel, Switzerland; Division of Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Basel, Switzerland; Department of Clinical Psychology and Cognitive Behavioral Therapy, Intern
  • Roemmel N; University of Basel and University Hospital Basel, Department of Psychosomatic Medicine, Basel, Switzerland.
  • Blanch J; Department of Psychiatry and Psychology, Hospital Clinic of Barcelona, Catalonia, Spain; University of Barcelona, Catalonia, Spain; Center of Biomedical Network Research on Mental Health (CIBERSAM), Spain.
  • Boye B; Psychosomatic and Consultation-liaison Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway; Department of behavioral medicine, University of Oslo, Oslo, Norway.
  • Carqueja E; Serviço de Psicologia do Centro Hospitalar Universitário de S. João, Porto, Portugal; Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
  • De Matteis T; Department of Medical and Surgical Sciences, Alma Mater Studiorum - Bologna University, Bologna, Italy.
  • Dineen P; Department of Psychiatry & Neurobehavioral Science, University College Cork & Cork University Hospital, Ireland; Department of Child & Adolescent Psychiatry, Cork University Hospital, Cork, Ireland.
  • Doherty AM; Mater Misericordiae University Hospital, Dublin, Ireland; University College Dublin, Dublin, Ireland.
  • Ferrari S; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Dipartimento ad attività integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Lanvin V; Department of Psychosomatic and Consultation-Liaison Psychiatry, Hôpital Sacré-Coeur de Montréal, and University of Montreal, Quebec, Canada.
  • Lee W; Cornwall Foundation Trust, United Kingdom; University of Exeter, United Kingdom.
  • Lemmens GMD; Department of Psychiatry, Ghent University Hospital, Ghent, Belgium; Department Head and Skin - Psychiatry, Ghent University, Ghent, Belgium.
  • Lemogne C; Université Paris Cité, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, Paris, France; Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, Paris, France.
  • Malyszczak K; Division of Psychotherapy and Psychosomatics, Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.
  • Mendes-Pedro A; Instituto Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, Portugal.
  • Nejatisafa AA; Psychosomatic Research Center, Department of Psychiatry, Tehran University of Medical Sciences (TUMS), Iranian Association of Psychosomatic Medicine, Iran.
  • Räsänen S; Faculty of Medicine, Research Unit of Clinical Neuroscience, Psychiatry, University of Oulu, Oulu, Finland and Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
  • Rosen B; Sinai Health, Department of Psychiatry and University of Toronto, Ontario, Canada.
  • Simões do Couto F; Faculdade de Medicina, Universidade Católica Portuguesa, Lisboa, Portugal.
  • Syngelakis M; Division of Consultation-Liaison Psychiatry and Psychosomatics, First Department of Psychiatry, Aristotle University of Thessaloniki, G.H. Papageorgiou, Thessaloniki, Greece.
  • Tarricone I; Department of Medical and Surgical Sciences, Alma Mater Studiorum - Bologna University, Bologna, Italy.
  • Van der Feltz-Cornelis CM; Department of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
  • Huber CG; University of Basel, Department of Psychiatry (UPK), Basel, Switzerland.
  • Fazekas C; Medical University of Graz, Department of Medical Psychology and Psychotherapy, Graz, Austria.
  • Vitinius F; Department of Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
J Psychosom Res ; 167: 111183, 2023 04.
Article in English | MEDLINE | ID: covidwho-2235311
ABSTRACT

OBJECTIVE:

The COVID-19 pandemic posed new challenges for integrated health care worldwide. Our study aimed to describe newly implemented structures and procedures of psychosocial consultation and liaison (CL) services in Europe and beyond, and to highlight emerging needs for co-operation.

METHODS:

Cross-sectional online survey from June to October 2021, using a self-developed 25-item questionnaire in four language versions (English, French, Italian, German). Dissemination was via national professional societies, working groups, and heads of CL services.

RESULTS:

Of the participating 259 CL services from Europe, Iran, and parts of Canada, 222 reported COVID-19 related psychosocial care (COVID-psyCare) in their hospital. Among these, 86.5% indicated that specific COVID-psyCare co-operation structures had been established. 50.8% provided specific COVID-psyCare for patients, 38.2% for relatives, and 77.0% for staff. Over half of the time resources were invested for patients. About a quarter of the time was used for staff, and these interventions, typically associated with the liaison function of CL services, were reported as most useful. Concerning emerging needs, 58.1% of the CL services providing COVID-psyCare expressed wishes for mutual information exchange and support, and 64.0% suggested specific changes or improvements that they considered essential for the future.

CONCLUSION:

Over 80% of participating CL services established specific structures to provide COVID-psyCare for patients, their relatives, or staff. Mostly, resources were committed to patient care and specific interventions were largely implemented for staff support. Future development of COVID-psyCare warrants intensified intra- and inter-institutional exchange and co-operation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Mental Health Services Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: J Psychosom Res Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Mental Health Services Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Journal: J Psychosom Res Year: 2023 Document Type: Article