Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown
Introduction The COVID-19 social lockdown imposed important limitation to non-emergency health care services in Italy, between March and May 2020, with many difficulties in the mental health assistance of those chronic conditions needing a continuative therapeutic support. Objectives Our study a...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821002765/type/journal_article |
| _version_ | 1797616867417784320 |
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| author | G. De Vita A. Terrinoni F. Di Santo D. Calderoni E. Rainò A. Anichini M. Ferrara |
| author_facet | G. De Vita A. Terrinoni F. Di Santo D. Calderoni E. Rainò A. Anichini M. Ferrara |
| author_sort | G. De Vita |
| collection | DOAJ |
| description |
Introduction
The COVID-19 social lockdown imposed important limitation to non-emergency health care services in Italy, between March and May 2020, with many difficulties in the mental health assistance of those chronic conditions needing a continuative therapeutic support.
Objectives
Our study aimed to describe how therapeutic activities have been carried on by remote services in two Adolescent Psychiatric Day Hospital Units (Rome and Turin) and the outcome of these assistance interventions in youths with subacute psychopathology.
Methods
The patient cohort includes 162 adolescents (12-19 years old; QI>70) DH outpatients presenting a complete clinical and neuropsychiatric assessment before the lockdown. During the several phases of COVID-19 quarantine all patients were monitored and supported by telemedicine interventions. All data were recorded and standardized every 15 days: symptom severity was rated by global severity (CGI-S) and stress level by self-reported measures of stress (IES-R).
Results
Among patients, CGI score remained stable, IES-R score declined over time: higher IES-R score was significantly associated with female gender and but no differences was observed related with the primary diagnosis. 5 patients presented a clinical acute state needing a hospitalization. The rate of hospitalization was not significantly different compared with the rate observed in the same period of 2019.
Conclusions
In youth with psychopathological conditions, remote assistance for psychiatric cares resulted effective and it was associated with a clinical stability with decreasing stress levels.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:47:28Z |
| format | Article |
| id | doaj.art-9f26048dec8a444e8009c33e44255ef1 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:47:28Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-9f26048dec8a444e8009c33e44255ef12023-11-17T05:07:21ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S94S9410.1192/j.eurpsy.2021.276Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdownG. De Vita0A. Terrinoni1F. Di Santo2D. Calderoni3E. Rainò4A. Anichini5M. Ferrara6Department Of Human Neuroscience, Section Of Child And Adolescent Neuropsychiatry, Sapienza University of Rome, Rome, ItalyDepartment Of Human Neuroscience, Section Of Child And Adolescent Neuropsychiatry, Sapienza University of Rome, Rome, ItalyDepartment Of Human Neuroscience, Section Of Child And Adolescent Neuropsychiatry, Sapienza University of Rome, Rome, ItalyDepartment Of Human Neuroscience, Section Of Child And Adolescent Neuropsychiatry, Sapienza University of Rome, Rome, ItalyDepartment Of Public Health And Pediatric, Division Of Child Neurology And Psychiatrysciences, University of Turin, Turin, ItalyDepartment Of Public Health And Pediatric, Division Of Child Neurology And Psychiatrysciences, University of Turin, Turin, ItalyDepartment Of Human Neuroscience, Section Of Child And Adolescent Neuropsychiatry, Sapienza University of Rome, Rome, Italy Introduction The COVID-19 social lockdown imposed important limitation to non-emergency health care services in Italy, between March and May 2020, with many difficulties in the mental health assistance of those chronic conditions needing a continuative therapeutic support. Objectives Our study aimed to describe how therapeutic activities have been carried on by remote services in two Adolescent Psychiatric Day Hospital Units (Rome and Turin) and the outcome of these assistance interventions in youths with subacute psychopathology. Methods The patient cohort includes 162 adolescents (12-19 years old; QI>70) DH outpatients presenting a complete clinical and neuropsychiatric assessment before the lockdown. During the several phases of COVID-19 quarantine all patients were monitored and supported by telemedicine interventions. All data were recorded and standardized every 15 days: symptom severity was rated by global severity (CGI-S) and stress level by self-reported measures of stress (IES-R). Results Among patients, CGI score remained stable, IES-R score declined over time: higher IES-R score was significantly associated with female gender and but no differences was observed related with the primary diagnosis. 5 patients presented a clinical acute state needing a hospitalization. The rate of hospitalization was not significantly different compared with the rate observed in the same period of 2019. Conclusions In youth with psychopathological conditions, remote assistance for psychiatric cares resulted effective and it was associated with a clinical stability with decreasing stress levels. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821002765/type/journal_articleCOVID-19telemedicineAdolescence Health Care ServicesIES-R |
| spellingShingle | G. De Vita A. Terrinoni F. Di Santo D. Calderoni E. Rainò A. Anichini M. Ferrara Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown European Psychiatry COVID-19 telemedicine Adolescence Health Care Services IES-R |
| title | Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown |
| title_full | Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown |
| title_fullStr | Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown |
| title_full_unstemmed | Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown |
| title_short | Maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the COVID-19 lockdown |
| title_sort | maintaining therapeutic continuity in adolescent psychiatric day hospital programs during the covid 19 lockdown |
| topic | COVID-19 telemedicine Adolescence Health Care Services IES-R |
| url | https://www.cambridge.org/core/product/identifier/S0924933821002765/type/journal_article |
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