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COVID-19-related consultation-liaison (CL) mental health services in general hospitals : a perspective from Europe and beyond |
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| Author: | Schaefert, Rainer1; Stein, Barbara2; Meinlschmidt, Gunther1,3,4; |
| Organizations: |
1University of Basel and University Hospital Basel, Department of Psychosomatic Medicine, Basel, Switzerland 2Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical Private University, Nuremberg, General Hospital, Germany 3Division of Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Basel, Switzerland
4Department of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University, Berlin, Germany
5Department of Psychiatry and Psychology, Hospital Clinic of Barcelona, Catalonia, Spain 6University of Barcelona, Catalonia, Spain 7Center of Biomedical Network Research on Mental Health (CIBERSAM), Spain 8Psychosomatic and Consultation-liaison Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway 9Department of behavioral medicine, University of Oslo, Oslo, Norway 10Serviço de Psicologia do Centro Hospitalar Universitário de S. João, Porto, Portugal 11Faculdade de Medicina da Universidade do Porto, Porto, Portugal 12Department of Medical and Surgical Sciences, Alma Mater Studiorum - Bologna University, Bologna, Italy 13Department of Psychiatry & Neurobehavioral Science, University College Cork & Cork University Hospital, Ireland 14Department of Child & Adolescent Psychiatry, Cork University Hospital, Cork, Ireland 15Mater Misericordiae University Hospital, Dublin, Ireland 16University College Dublin, Dublin, Ireland 17Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy 18Dipartimento ad attività integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy 19Department of Psychosomatic and Consultation-Liaison Psychiatry, Hôpital Sacré-Coeur de Montréal, and University of Montreal, Quebec, Canada 20Cornwall Foundation Trust, United Kingdom 21University of Exeter, United Kingdom 22Department of Psychiatry, Ghent University Hospital, Ghent, Belgium 23Department Head and Skin - Psychiatry, Ghent University, Ghent, Belgium 24Université Paris Cité, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, Paris, France 25Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, Paris, France 26Division of Psychotherapy and Psychosomatics, Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland 27Instituto Ciências da Saúde, Universidade Católica Portuguesa, Lisboa, Portugal 28Psychosomatic Research Center, Department of Psychiatry, Tehran University of Medical Sciences (TUMS), Iranian Association of Psychosomatic Medicine, Iran 29Faculty of Medicine, Research Unit of Clinical Neuroscience, Psychiatry, University of Oulu, Oulu, Finland and Department of Psychiatry, Oulu University Hospital, Oulu, Finland 30Sinai Health, Department of Psychiatry and University of Toronto, Ontario, Canada 31Faculdade de Medicina, Universidade Católica Portuguesa, Lisboa, Portugal 32Division of Consultation-Liaison Psychiatry and Psychosomatics, First Department of Psychiatry, Aristotle University of Thessaloniki, G.H. Papageorgiou, Thessaloniki, Greece 33Department of Health Sciences, Hull York Medical School, University of York, York, United Kingdom 34University of Basel, Department of Psychiatry (UPK), Basel, Switzerland 35Medical University of Graz, Department of Medical Psychology and Psychotherapy, Graz, Austria 36Department of Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany |
| Format: | article |
| Version: | published version |
| Access: | open |
| Online Access: | PDF Full Text (PDF, 1.5 MB) |
| Persistent link: | http://urn.fi/urn:nbn:fi-fe20231109143643 |
| Language: | English |
| Published: |
Elsevier,
2023
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| Publish Date: | 2023-11-09 |
| Description: |
AbstractObjective: 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. see all
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| Series: |
Journal of psychosomatic research |
| ISSN: | 0022-3999 |
| ISSN-E: | 1879-1360 |
| ISSN-L: | 0022-3999 |
| Volume: | 167 |
| Article number: | 111183 |
| DOI: | 10.1016/j.jpsychores.2023.111183 |
| OADOI: | https://oadoi.org/10.1016/j.jpsychores.2023.111183 |
| Type of Publication: |
A1 Journal article – refereed |
| Field of Science: |
3124 Neurology and psychiatry |
| Subjects: | |
| Copyright information: |
© 2023 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
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https://creativecommons.org/licenses/by/4.0/ |