1. Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses
- Author
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Sheridan Rains, Luke, Johnson, Sonia, Barnett, Phoebe, Steare, Thomas, Needle, Justin J., Carr, Sarah, Lever Taylor, Billie, Bentivegna, Francesca, Edbrooke-Childs, Julian, Scott, Hannah Rachel, Rees, Jessica, Shah, Prisha, Lomani, Jo, Chipp, Beverley, Barber, Nick, Dedat, Zainab, Oram, Sian, Morant, Nicola, Simpson, Alan, Papamichail, Alexia, Moore, Anna, Jeffery, Annie, De Estrada, Blanca Sanz-Magallón Duque, Hallam, Brendan, Lloyd-Evans, Brynmor, Contreras, Carolina Yanez, Serna, Celia Esteban, Ntephe, Chukwuma, Lamirel, Daphne, Cooke, Eleanor, Pearce, Eiluned, Lemmel, Frederike, Koutsoubelis, Freya, Cragnolini, Guendalina, Harju-Seppänen, Jasmine, Wang, Jingyi, Botham, Joseph, Abdou, Karima, Krause, Karolin, Turner, Kati Jane, Poursanidou, Konstantina, Gruenwald, Lisa, Jagmetti, Louisa, Mazzocchi, Lucia, Tomaskova, Magdalena, Montagnese, Marcella, Mahé, Mélanie, Schlief, Merle, Günak, Mia Maria, Leverton, Monica, Lyons, Natasha, Vera, Norha, Gao, Qian, Griffiths, Raza, Lane, Rebecca, Busato, Riccardo, Ledden, Sarah, Mac-Ginty, Scarlett, Hardt, Selina, Orlando, Sofia, Gillard, Steve, Jeynes, Tamar, Ondrušková, Tamara, Stefanidou, Theodora, Foye, Una, Tzouvara, Vasiliki, and Cavero, Victoria
- Subjects
Health (social science) ,Social Psychology ,Epidemiology ,media_common.quotation_subject ,BF ,Service user experiences ,Peer support ,Health(social science) ,03 medical and health sciences ,0302 clinical medicine ,RA0421 ,Framework synthesis mental health services ,Pandemic ,medicine ,Humans ,030212 general & internal medicine ,Social isolation ,Pandemics ,media_common ,QR355 ,Original Paper ,SARS-CoV-2 ,business.industry ,Mental Disorders ,Stakeholder ,COVID-19 ,Loneliness ,Public relations ,Mental health ,030227 psychiatry ,Coronavirus ,Psychiatry and Mental health ,Mental Health ,RC0321 ,Professional association ,Psychological resilience ,medicine.symptom ,Psychology ,business - Abstract
Purpose The COVID-19 pandemic has many potential impacts on people with mental health conditions and on mental health care, including direct consequences of infection, effects of infection control measures and subsequent societal changes. We aimed to map early impacts of the pandemic on people with pre-existing mental health conditions and services they use, and to identify individual and service-level strategies adopted to manage these. Methods We searched for relevant material in the public domain published before 30 April 2020, including papers in scientific and professional journals, published first person accounts, media articles, and publications by governments, charities and professional associations. Search languages were English, French, German, Italian, Spanish, and Mandarin Chinese. Relevant content was retrieved and summarised via a rapid qualitative framework synthesis approach. Results We found 872 eligible sources from 28 countries. Most documented observations and experiences rather than reporting research data. We found many reports of deteriorations in symptoms, and of impacts of loneliness and social isolation and of lack of access to services and resources, but sometimes also of resilience, effective self-management and peer support. Immediate service challenges related to controlling infection, especially in inpatient and residential settings, and establishing remote working, especially in the community. We summarise reports of swiftly implemented adaptations and innovations, but also of pressing ethical challenges and concerns for the future. Conclusion Our analysis captures the range of stakeholder perspectives and experiences publicly reported in the early stages of the COVID-19 pandemic in several countries. We identify potential foci for service planning and research.
- Published
- 2020
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