Evidence map›Paper›PMID 32930903›Full record

ArticleCommunity mental health journal2021

Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program.

Iline Guan, Nicole Kirwan, Michaela Beder, Matthew Levy, Samuel Law

Abstract read
In one paragraph

Article in Community mental health journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Early Impacts of the COVID-19 Pandemic on Mental Health Facilities and Psychiatric Professionals.International journal of environmental research and public health · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Grief and Hope for 2021.Community mental health journal · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Iline GuanDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Nicole KirwanClinical Nurse Specialist, and Administrative Lead, Community Psychiatry Program, St. Michael's Hospital, Toronto, Canada.
Michaela BederDepartment of Psychiatry, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Matthew LevyDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Samuel LawDepartment of Psychiatry, University of Toronto, Toronto, Canada. Samuel.Law@Unityhealth.to.ORCID 0000-0002-1918-8782

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry program, based on three key principles. In (i) Defining and maintaining essential services while limiting risk of contagion, we discuss such strategies and ways to assess risks, implement infection control, and other creative solutions. In (ii) Promoting health and mitigating physical and mental health impacts, we reflect on prioritizing vulnerable patients, dealing with loss of community resources, adapting group programs, and providing psychoeducation, among others. In (iii) Promoting staff resilience and wellness, we describe building on strength of the staff early, addressing staff morale and avoiding moral injury, and valuing responsive leadership. We also identify limitations and potential further improvements, mindful that COVID-19 and similar crises are likely recurring realities.

Indexed as

COVID-19Community Mental Health CentersCommunity Mental Health ServicesContinuity of Patient CareDisaster PlanningHumansMental DisordersMental HealthPandemicsSARS-CoV-2Assertive community treatment teamCOVID-19 pandemicDisaster preparednessPandemic preparednessSevere mental illness

Identifiers

PMID32930903
PMCPMC7491012

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.