Inpatient Mental Healthcare before and during the COVID-19 Pandemic
Prior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Veterans Health Affairs (VHA) acute inpatient mental health uni...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-11-01
|
| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/9/12/1613 |
| _version_ | 1797504222286053376 |
|---|---|
| author | Alan B. McGuire Mindy E. Flanagan Marina Kukla Angela L. Rollins Laura J. Myers Emily Bass Jennifer M. Garabrant Michelle P. Salyers |
| author_facet | Alan B. McGuire Mindy E. Flanagan Marina Kukla Angela L. Rollins Laura J. Myers Emily Bass Jennifer M. Garabrant Michelle P. Salyers |
| author_sort | Alan B. McGuire |
| collection | DOAJ |
| description | Prior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Veterans Health Affairs (VHA) acute inpatient mental health units to examine disruptions to inpatient services. It further explored the association between patient demographic, clinical, and services variables on relapse rates. Inpatient admissions and therapeutic services (group and individual therapy and peer support) were lower amongst the COVID-19 sample than prior to the onset of COVID-19 while lengths of stay were longer. Relapse rates did not differ between cohorts. Patients with prior emergent services use as well as substance abuse or personality disorder diagnoses were at higher risk for relapse. Receiving group therapy while admitted was associated with lower risk of relapse. Inpatient mental health services saw substantial disruptions across the cohort. Inpatient mental health services, including group therapy, may be an important tool to prevent subsequent relapse. |
| first_indexed | 2024-03-10T04:01:35Z |
| format | Article |
| id | doaj.art-901e570a9ab64171b24400d61e8abf97 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T04:01:35Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-901e570a9ab64171b24400d61e8abf972023-11-23T08:33:04ZengMDPI AGHealthcare2227-90322021-11-01912161310.3390/healthcare9121613Inpatient Mental Healthcare before and during the COVID-19 PandemicAlan B. McGuire0Mindy E. Flanagan1Marina Kukla2Angela L. Rollins3Laura J. Myers4Emily Bass5Jennifer M. Garabrant6Michelle P. Salyers7Health Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USAHealth Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USAHealth Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USAHealth Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USAHealth Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USAHealth Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USAHealth Services Research & Development, Richard L. Roudebush VAMC, Indianapolis, IN 46202, USADepartment of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USAPrior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Veterans Health Affairs (VHA) acute inpatient mental health units to examine disruptions to inpatient services. It further explored the association between patient demographic, clinical, and services variables on relapse rates. Inpatient admissions and therapeutic services (group and individual therapy and peer support) were lower amongst the COVID-19 sample than prior to the onset of COVID-19 while lengths of stay were longer. Relapse rates did not differ between cohorts. Patients with prior emergent services use as well as substance abuse or personality disorder diagnoses were at higher risk for relapse. Receiving group therapy while admitted was associated with lower risk of relapse. Inpatient mental health services saw substantial disruptions across the cohort. Inpatient mental health services, including group therapy, may be an important tool to prevent subsequent relapse.https://www.mdpi.com/2227-9032/9/12/1613mental healthCOVID-19hospital careservice disruption |
| spellingShingle | Alan B. McGuire Mindy E. Flanagan Marina Kukla Angela L. Rollins Laura J. Myers Emily Bass Jennifer M. Garabrant Michelle P. Salyers Inpatient Mental Healthcare before and during the COVID-19 Pandemic Healthcare mental health COVID-19 hospital care service disruption |
| title | Inpatient Mental Healthcare before and during the COVID-19 Pandemic |
| title_full | Inpatient Mental Healthcare before and during the COVID-19 Pandemic |
| title_fullStr | Inpatient Mental Healthcare before and during the COVID-19 Pandemic |
| title_full_unstemmed | Inpatient Mental Healthcare before and during the COVID-19 Pandemic |
| title_short | Inpatient Mental Healthcare before and during the COVID-19 Pandemic |
| title_sort | inpatient mental healthcare before and during the covid 19 pandemic |
| topic | mental health COVID-19 hospital care service disruption |
| url | https://www.mdpi.com/2227-9032/9/12/1613 |
| work_keys_str_mv | AT alanbmcguire inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT mindyeflanagan inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT marinakukla inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT angelalrollins inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT laurajmyers inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT emilybass inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT jennifermgarabrant inpatientmentalhealthcarebeforeandduringthecovid19pandemic AT michellepsalyers inpatientmentalhealthcarebeforeandduringthecovid19pandemic |