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Covid-19-Related Consultation-Liaison (Cl) Mental Health Services in General Hospitals: A Perspective From Europe and Beyond Publisher Pubmed



Schaefert R1 ; Stein B2 ; Meinlschmidt G1, 3, 4 ; Roemmel N1 ; Blanch J5, 6, 7 ; Boye B8, 9 ; Carqueja E10, 11 ; De Matteis T12 ; Dineen P13, 14 ; Doherty AM15, 16 ; Ferrari S17, 18 ; Lanvin V19 ; Lee W20, 21 ; Lemmens GMD22, 23 Show All Authors
Authors
  1. Schaefert R1
  2. Stein B2
  3. Meinlschmidt G1, 3, 4
  4. Roemmel N1
  5. Blanch J5, 6, 7
  6. Boye B8, 9
  7. Carqueja E10, 11
  8. De Matteis T12
  9. Dineen P13, 14
  10. Doherty AM15, 16
  11. Ferrari S17, 18
  12. Lanvin V19
  13. Lee W20, 21
  14. Lemmens GMD22, 23
  15. Lemogne C24, 25
  16. Malyszczak K26
  17. Mendespedro A27
  18. Nejatisafa AA28
  19. Rasanen S29
  20. Rosen B30
  21. Simoes Do Couto F31
  22. Syngelakis M32
  23. Tarricone I12
  24. Van Der Feltzcornelis CM33
  25. Huber CG34
  26. Fazekas C35
  27. Vitinius F36
Show Affiliations
Authors Affiliations
  1. 1. University of Basel and University Hospital Basel, Department of Psychosomatic Medicine, Basel, Switzerland
  2. 2. Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical Private University, General Hospital, Nuremberg, Germany
  3. 3. Division of Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Basel, Switzerland
  4. 4. Department of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University, Berlin, Germany
  5. 5. Department of Psychiatry and Psychology, Hospital Clinic of Barcelona, Catalonia, Spain
  6. 6. University of Barcelona, Catalonia, Spain
  7. 7. Center of Biomedical Network Research on Mental Health (CIBERSAM), Spain
  8. 8. Psychosomatic and Consultation-liaison Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
  9. 9. Department of behavioral medicine, University of Oslo, Oslo, Norway
  10. 10. Servico de Psicologia do Centro Hospitalar Universitario de S. Joao, Porto, Portugal
  11. 11. Faculdade de Medicina da Universidade do Porto, Porto, Portugal
  12. 12. Department of Medical and Surgical Sciences, Alma Mater Studiorum - Bologna University, Bologna, Italy
  13. 13. Department of Psychiatry & Neurobehavioral Science, University College Cork & Cork University Hospital, Ireland
  14. 14. Department of Child & Adolescent Psychiatry, Cork University Hospital, Cork, Ireland
  15. 15. Mater Misericordiae University Hospital, Dublin, Ireland
  16. 16. University College Dublin, Dublin, Ireland
  17. 17. Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
  18. 18. Dipartimento ad attivita integrata di Salute Mentale e Dipendenze Patologiche, USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
  19. 19. Department of Psychosomatic and Consultation-Liaison Psychiatry, Hopital Sacre-Coeur de Montreal, and University of Montreal, Quebec, Canada
  20. 20. Cornwall Foundation Trust, United Kingdom
  21. 21. University of Exeter, United Kingdom
  22. 22. Department of Psychiatry, Ghent University Hospital, Ghent, Belgium
  23. 23. Department Head and Skin - Psychiatry, Ghent University, Ghent, Belgium
  24. 24. Universite Paris Cite, INSERM U1266, Institute of Psychiatry and Neuroscience of Paris, Paris, France
  25. 25. Service de Psychiatrie de l'adulte, AP-HP, Hopital Hotel-Dieu, Paris, France
  26. 26. Division of Psychotherapy and Psychosomatics, Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
  27. 27. Instituto Ciencias da Saude, Universidade Catolica Portuguesa, Lisboa, Portugal
  28. 28. Psychosomatic Research Center, Department of Psychiatry, Tehran University of Medical Sciences (TUMS), Iranian Association of Psychosomatic Medicine, Iran
  29. 29. Faculty of Medicine, Research Unit of Clinical Neuroscience, Psychiatry, University of Oulu, Oulu, Finland and Department of Psychiatry, Oulu University Hospital, Oulu, Finland
  30. 30. Sinai Health, Department of Psychiatry and University of Toronto, ON, Canada
  31. 31. Faculdade de Medicina, Universidade Catolica Portuguesa, Lisboa, Portugal
  32. 32. Division of Consultation-Liaison Psychiatry and Psychosomatics, First Department of Psychiatry, Aristotle University of Thessaloniki, G.H. Papageorgiou, Thessaloniki, Greece
  33. 33. Department of Health Sciences, Hull York Medical School, University of York, York, United Kingdom
  34. 34. University of Basel, Department of Psychiatry (UPK), Basel, Switzerland
  35. 35. Medical University of Graz, Department of Medical Psychology and Psychotherapy, Graz, Austria
  36. 36. Department of Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany

Source: Journal of Psychosomatic Research Published:2023


Abstract

Objective: The COVID-19 pandemic posed new challenges for integrated health care worldwide. Our study aimed to describe newly implemented structures and procedures of psychosocial consultation and liaison (CL) services in Europe and beyond, and to highlight emerging needs for co-operation. Methods: Cross-sectional online survey from June to October 2021, using a self-developed 25-item questionnaire in four language versions (English, French, Italian, German). Dissemination was via national professional societies, working groups, and heads of CL services. Results: Of the participating 259 CL services from Europe, Iran, and parts of Canada, 222 reported COVID-19 related psychosocial care (COVID-psyCare) in their hospital. Among these, 86.5% indicated that specific COVID-psyCare co-operation structures had been established. 50.8% provided specific COVID-psyCare for patients, 38.2% for relatives, and 77.0% for staff. Over half of the time resources were invested for patients. About a quarter of the time was used for staff, and these interventions, typically associated with the liaison function of CL services, were reported as most useful. Concerning emerging needs, 58.1% of the CL services providing COVID-psyCare expressed wishes for mutual information exchange and support, and 64.0% suggested specific changes or improvements that they considered essential for the future. Conclusion: Over 80% of participating CL services established specific structures to provide COVID-psyCare for patients, their relatives, or staff. Mostly, resources were committed to patient care and specific interventions were largely implemented for staff support. Future development of COVID-psyCare warrants intensified intra- and inter-institutional exchange and co-operation. © 2023