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[Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic].
Encephale. 2020 Jun; 46(3S):S81-S84.E

Abstract

OBJECTIVES

The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic.

METHOD

This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature.

RESULTS

Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations.

DISCUSSION

COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care.

Authors+Show Affiliations

Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France. Electronic address: rachel.bocher@chu-nantes.fr.Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France.Pôle hospitalo-universitaire de psychiatrie et d'addictologie, CHU de Nantes, 85, rue Saint-Jacques, 44093 Nantes cedex 01, France.GHU Paris psychiatrie et neurosciences, CMME, hôpital Sainte-Anne, 75014 Paris, France; Université de Paris, institute of psychiatry and neuroscience of Paris (IPNP), Inserm U1266, 75014 Paris, France.Centre psychothérapique de Nancy, pôle hospitalo-universitaire de psychiatrie d'adultes et d'addictologie, 54520 Laxou, France; Faculté de médecine de Nancy, université de Lorraine, 54500 Vandœuvre-lès-Nancy, France; Pôle de psychiatrie, fédération de médecine translationnelle de Strasbourg, institut national de la santé et de la recherche médicale U1114, université de Strasbourg, centre hospitalier régional universitaire de Strasbourg, Strasbourg, France.

Pub Type(s)

Journal Article
Review

Language

fre

PubMed ID

32471705

Citation

Bocher, R, et al. "[Responsiveness and Sustainability of Psychiatric Care in France During COVID-19 Epidemic]." L'Encephale, vol. 46, no. 3S, 2020, pp. S81-S84.
Bocher R, Jansen C, Gayet P, et al. [Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic]. Encephale. 2020;46(3S):S81-S84.
Bocher, R., Jansen, C., Gayet, P., Gorwood, P., & Laprévote, V. (2020). [Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic]. L'Encephale, 46(3S), S81-S84. https://doi.org/10.1016/j.encep.2020.05.004
Bocher R, et al. [Responsiveness and Sustainability of Psychiatric Care in France During COVID-19 Epidemic]. Encephale. 2020;46(3S):S81-S84. PubMed PMID: 32471705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Responsiveness and sustainability of psychiatric care in France during COVID-19 epidemic]. AU - Bocher,R, AU - Jansen,C, AU - Gayet,P, AU - Gorwood,P, AU - Laprévote,V, Y1 - 2020/05/26/ PY - 2020/04/30/received PY - 2020/05/07/accepted PY - 2020/5/31/pubmed PY - 2020/7/14/medline PY - 2020/5/31/entrez KW - COVID-19 KW - Health system KW - Hospitalisation KW - Hospitalization KW - Organisation des soins KW - Psychiatrie KW - Psychiatry KW - SARS-COV-2 SP - S81 EP - S84 JF - L'Encephale JO - Encephale VL - 46 IS - 3S N2 - OBJECTIVES: The sudden changes of healthcare system due to COVID-19 particularly affect the organization of psychiatry. The objective of this review is to examine the adaptations of psychiatric care in France during this pandemic. METHOD: This narrative review is based on the observation of changes made in French psychiatric hospitals and on an analysis of the literature. RESULTS: Regarding psychiatric hospitalization, the COVID-19 epidemic required rapid measures that profoundly modified the conditions of patients' reception, forcing the medical staffs to adapt their methods of care. The authors noted the creation of at least 89 wards specifically dedicated to patients with COVID-19 needing psychiatric hospitalization, allowing dual care of general medicine and psychiatry. Regarding ambulatory care, maintaining patients with long-term follow-up was a priority. Patients recalling and teleconsultation have been precious resources but cannot entirely replace face-to-face consultations. DISCUSSION: COVID-19 epidemic created unprecedented situation of large-scale upheavals in the healthcare system and in society. Despite the absence of previous recommendations on the subject, French psychiatry has shown great adaptability. Some changes could inspire post-COVID-19 care. SN - 0013-7006 UR - https://www.unboundmedicine.com/medline/citation/32471705/[Responsiveness_and_sustainability_of_psychiatric_care_in_France_during_COVID_19_epidemic]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0013-7006(20)30089-0 DB - PRIME DP - Unbound Medicine ER -