Experiences of the COVID-19 pandemic on child and adolescent psychiatric wards: multi-methods investigation.

IF 3.9 3区 医学 Q1 PSYCHIATRY BJPsych Open Pub Date : 2024-11-06 DOI:10.1192/bjo.2024.783
Josephine Holland, Morenike Da-Silva-Ellimah, James Roe, Richard Morriss, Kapil Sayal
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Abstract

Background: Child and adolescent mental health service in-patient beds are unevenly spread throughout England. Where demand outstrips bed availability, young people may be admitted at-distance or to adult psychiatric wards. The COVID-19 pandemic added pressures to already overstretched services. Understanding experiences during this period is vital to inform strategies for future emergencies.

Aims: To investigate the impact of the COVID-19 pandemic on admissions to local, at-distance or adult psychiatric units, from the perspectives of young people, parents/carers and healthcare professionals.

Method: Multi-methods data were collected from February 2021 to September 2022, as part of the Far Away from Home research programme. A 13-month national surveillance study collected information about admissions to general adolescent units >50 miles from home, out-of-region or to adult psychiatric units. Free-text data from respondents (n = 51) were analysed using content analysis. Interviews with young people (n = 30), parents/carers (n = 21) and healthcare professionals (n = 68) were analysed using thematic analysis.

Results: Restrictions during the COVID-19 pandemic affected young people's contact with others; the requirement to self-isolate on admission and following overnight leave felt distressing, and visiting was limited. This disincentivised overnight leave, leading to some discharges being delayed and others feeling rushed and high risk. The COVID-19 pandemic also accelerated the introduction of virtual meetings, enabling community teams and families to be more involved in therapies, meetings and decision-making.

Conclusions: Restrictions imposed during the COVID-19 pandemic were often negatively perceived. However, the increased use of technology was felt to be positive, widening inclusion and mitigating some negative effects of distance on admissions.

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COVID-19大流行对儿童和青少年精神病病房的影响:多方法调查。
背景:儿童和青少年精神健康服务住院床位在英格兰分布不均。在床位供不应求的情况下,青少年可能会被送往远距离医院或成人精神科病房。COVID-19 大流行增加了本已捉襟见肘的服务压力。目的:从青少年、家长/监护人和医护人员的角度出发,调查 COVID-19 大流行对本地、远程或成人精神病院收治情况的影响:作为 "远离家乡 "研究计划的一部分,从 2021 年 2 月至 2022 年 9 月收集了多种方法的数据。这项为期 13 个月的全国性监测研究收集了离家超过 50 英里的普通青少年病房、地区外或成人精神科病房的入院信息。采用内容分析法对受访者(51 人)的自由文本数据进行了分析。对青少年(30 人)、家长/监护人(21 人)和医护人员(68 人)的访谈采用主题分析法进行分析:结果:COVID-19大流行期间的限制措施影响了青少年与他人的接触;入院时和过夜后自我隔离的要求让青少年感到痛苦,探视也受到限制。这抑制了过夜休假的积极性,导致一些人延迟出院,另一些人则感到仓促和高风险。COVID-19 大流行还加速了虚拟会议的引入,使社区团队和家庭能够更多地参与治疗、会议和决策:结论:在 COVID-19 大流行期间施加的限制往往被认为是负面的。然而,人们认为增加技术的使用具有积极意义,它扩大了包容性并减轻了距离对入院的一些负面影响。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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