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Development of a psychological first-aid model in inpatients with COVID-19 in Wuhan, China.
Cheng, Wenhong; Zhang, Fang; Hua, Yingqi; Yang, Zhi; Liu, Jun.
  • Cheng W; Department of Psychiatry, Shanghai Mental Health Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Zhang F; Department of Psychiatry, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Hua Y; Department of Scientific Research Administration, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Yang Z; Laboratory of Psychological Health and Imaging, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Liu J; Institute of Psychological and Behavioral Science, Shanghai Jiao Tong University, Shanghai, China.
Gen Psychiatr ; 33(3): e100292, 2020.
Article in English | MEDLINE | ID: covidwho-618920
ABSTRACT

BACKGROUND:

Facing the social panic and substantial shortage of medical resources during the coronavirus disease 2019 (COVID-19) outbreak, providing psychological first-aid to inpatients is essential for their rehabilitation and the orderly operating of medical systems. However, the closed-ward environment and extreme shortage of onsite mental health workers have limited the use of traditional face-to-face diagnosis and psychological interventions.

AIM:

To develop a mental health intervention model for inpatients that can be applied during a widespread epidemic, such as COVID-19.

METHODS:

In a medical team stationed in Leishenshan Hospital, Wuhan, China, we integrated onsite and online psychological support resources to implement a graded psychological intervention system. The onsite psychiatrist established trust with the patients and classified them into categories according to their symptom severity. While face-to-face evaluation and intervention are critical for effective online support, the online team effectively extended the scope of the 'first-aid' to all patients.

CONCLUSION:

This integrated onsite and online approach was effective and efficient in providing psychological interventions for inpatients during the crisis. Our model provides a realistic scheme for healthcare systems in or after the COVID-19 epidemic and also could be adopted in areas of the world with insufficient mental healthcare resources.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Gen Psychiatr Year: 2020 Document Type: Article Affiliation country: Gpsych-2020-100292

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Gen Psychiatr Year: 2020 Document Type: Article Affiliation country: Gpsych-2020-100292