ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2022
The early impact of the COVID-19 pandemic on patients with severe mental illness: An interrupted time-series study in South-East England.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Access and use of general and mental health services before and during the COVID-19 pandemic: a systematic review and meta-analysis.BMJ open · 2025Pooled it
- The impact of the COVID-19 pandemic on mental and psychosocial functioning, quality of life, and recovery in adults with severe mental illness: Findings from Dutch longitudinal cohorts.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- The anxiety response of patients with severe psychiatric disorders to the recent public health crisis.BMC psychiatry · 2024Article
- Clinical Outcome in Persons with Severe Mental Disorders Attending a Mental Health Day Center during the COVID-19 Pandemic.Journal of clinical medicine · 2024Article
- Provision of community mental health care before and during the COVID-19 pandemic: A time series analysis in Peru.The International journal of social psychiatry · 2023Observational
- [Assessment of Direct (COVID-19-Related) and Collateral, Psychosocial Pandemic Consequences for Vulnerable Groups by the Example of Serious Mental Illness].Psychiatrische Praxis · 2023Article
- Effect of COVID-19 pandemic on serious mental illness-related outpatient department utilization in Ningbo, China: an interrupted time series analysis.Frontiers in psychiatry · 2023Article
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDeterioration in general population mental health since the start of the COVID-19 pandemic has been reported, but the impact of the pandemic on people with severe mental illness (SMI) has received less attention.
aimsTo understand the impact of the early stages of the pandemic on the patients with SMI, in terms of provision of mental health care and patient outcomes.
methodWe examined records of 34,446 patients with SMI in Oxford Health Foundation Trust between March 2016 and July 2020. We used interrupted time-series analysis to estimate the immediate and subsequent changes in weekly rates of the use of community mental health services, hospitalization, and patient outcomes (as measured by Health of the Nation Outcome Scales, or HoNOS, scores) during the weeks of lockdown between March 23, 2020 and July 3, 2020.
resultsMean total HoNOS scores for all patients deteriorated in the weeks subsequent to lockdown (0.060 per week; 95%CI: 0.033, 0.087). Scores for patients with a history of psychosis deteriorated immediately (0.63; 95% CI: 0.26, 1.0). There was an immediate decrease in weekly referrals to community and outpatient services (-196; 95%CI: -300, -91) and no immediate change in weekly inpatient admissions (-4.2; 95%CI: -9.9, 1.5) or weekly total contacts (-26; 95%CI: -475, 423).
conclusionsPatients with SMI were negatively impacted during the early stages of the COVID-19 pandemic. Patients with a history of psychosis experienced distinct and immediate impacts. During the same period, referrals to community and outpatient services fell with no consequent impact on inpatient admissions.
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