Impact of COVID-19 on Mental Health Care Practitioners
Many mental health practitioners, including psychiatrists, have suffered multiple social and mental health impacts from COVID-19. A range of actions are described that health care organizations and individuals can take to mitigate these impacts. There will likely be substantial positive short- and long-term outcomes for psychiatrists individually and as a profession post-COVID-19. These include improved professional well-being and more efficient practice modalities through the development of hybrid care clinical approaches integrating technologies into practice, and a greater focus on providing better care for diverse raci...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Peter Yellowlees Source Type: research

Impact of Coronavirus Disease 2019 on Geriatric Psychiatry
On March 11, 2020, the World Health Organization declared the coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2, a global pandemic. This pandemic disrupted health care for patients and providers. Uncertainty about COVID-19 played a significant role in the negative mental health impact in older adults. The effect of increasing age on morbidity and mortality in those who came down with COVID-19 has been substantial. The pandemic took a tremendous toll on the mental and physical health of older adults in general with even more severe consequences in more disadvantaged populatio...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Azziza Bankole Source Type: research

Mental Health Clinical Research Innovations during the COVID-19 Pandemic
The COVID-19 pandemic put an unprecedented strain on clinical research worldwide. As in-person clinical trials came to a screeching halt, we sought new ways to move forward, or as Bob Dylan put it, “start swimmin’ or sink like a stone.” Telemedicine has long been a part of medicine and clinical research, but fully remote clinical trials were few and far between. In the midst of the pandemic, at the Washington University School of Medicine we successfully conducted a fully remote clinical trial for a potential COVID-19 therapy, demonstrating the feasibility of fully remote or decentralized clinical trials. (Source: Th...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Kelly B. Ahern, Eric J. Lenze Source Type: research

Preparing for the Next Pandemic to Protect Public Mental Health
The COVID-19 pandemic exerted an extraordinary impact on public mental health to an extent not yet fully understood. Risk perception shaped psychological and behavioral responses, including experiences of distress, psychiatric disorders, and engagement in pandemic-related health behaviors. COVID-19 created unique aspects of evolving risk with various communities disproportionately impacted. The unique nature and duration of the pandemic required public-private partnerships that leveraged and adapted promising practices to promote essential elements that foster well-being after disasters. Early findings are reviewed, and fu...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Joshua C. Morganstein Source Type: research

COVID-19 and the impact on substance use disorder treatments
COVID-19 related stressors and restrictions, in the absence of social and institutional support, has led many individuals to either increase their substance consumption or relapse. Consequently, treatment programs for substance use disorders (SUDs) made a transition from in-person to remote care delivery. This review will discuss the following evidence regarding changes prompted by the COVID pandemic to the clinical care of individuals with SUDs: 1) reduction in availability of care, 2) increase in demand for care, 3) transition to telemedicine use, 4) telemedicine for the treatment of opioid use disorders and 5) considera...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Osnat C. Melamed, Wayne K. deRuiter, Leslie Buckley, Peter Selby Source Type: research

“Impact of COVID-19 on Mental Healthcare Practitioners”
Many mental health practitioners, including psychiatrists, have suffered multiple social and mental health impacts from COVID-19. A range of actions are described that healthcare organizations and individuals can take to mitigate these impacts. There will likely be substantial positive short and long-term outcomes for psychiatrists individually and as a profession post COVID-19. These include improved professional well-being and more efficient practice modalities through the development of hybrid care clinical approaches integrating technologies into practice, and a greater focus on the providing better care for diverse ra...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Peter Yellowlees Source Type: research

Impact of COVID-19 on Geriatric Psychiatry
On March 11, 2020, the World Health Organization declared the Coronavirus Disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Cov-2), a global pandemic. This pandemic disrupted healthcare for patients and providers. Uncertainty about COVID-19 played a significant role in the negative mental health impact in older adults. The effect of increasing age on morbidity and mortality in those who came down with COVID-19 has been substantial. Indeed, the pandemic took a tremendous toll on the mental and physical health of older adults in general with even more severe consequences in more dis...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Azziza Bankole Source Type: research

Mental Health Clinical Research Innovations During the COVID-19 Pandemic: The Future is Now
The COVID-19 pandemic put an unprecedented strain on clinical research worldwide. As in-person clinical trials came to a screeching halt, we sought new ways to move forward, or as Bob Dylan put it, “start swimmin’ or sink like a stone.” Telemedicine has long been a part of medicine and clinical research, but fully-remote clinical trials were few and far-between. In the midst of the pandemic, at Washington University School of Medicine, we successfully conducted a fully-remote clinical tr ial for a potential COVID-19 therapy, demonstrating the feasibility of fully-remote or decentralized clinical trials (Source: The P...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Kelly B. Ahern, Eric J. Lenze Source Type: research

Preparing for the Next Pandemic to Protect Public Mental Health: What Have We Learned from COVID-19?
The COVID-19 pandemic exerted an extraordinary impact on public mental health to an extent not yet fully understood. Risk perception shaped psychological and behavioral response including experiences of distress, psychiatric disorders, and engagement in pandemic-related health behaviors. COVID-19 created unique aspects of evolving risk with various communities disproportionately impacted. The unique nature and duration of the pandemic required public-private partnerships that leveraged and adapted promising practices to promote essential elements that foster well-being after disasters. Early findings will be reviewed and f...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Joshua C. Morganstein Source Type: research

Changes in Prevalence of Mental Illness Among US Adults During Compared to Before the COVID-19 Pandemic
We review trend and cohort surveys and administrative data comparing prevalence of mental disorders during, versus, and before the COVID-19 pandemic along with changes in mental health disparities. The best evidence suggests that clinically significant anxiety-depression point prevalence increased by RR=1.3-1.5 during the pandemic compared to before. Although substantial, this level of increase is much less than the implausibly high RR=5.0-8.0 estimates reported in trend studies early in the pandemic based on less appropriate comparisons. Disparities in anxiety-depression prevalence appear to have increased since before th...
Source: The Psychiatric Clinics of North America - November 11, 2021 Category: Psychiatry Authors: Ronald C. Kessler, Wai Tat Chiu, Irving H. Hwang, Victor Puac-Polanco, Nancy A. Sampson, Hannah N. Ziobrowski, Alan M. Zaslavsky Source Type: research

The Impact of Coronavirus Disease 2019 on US Emergency Departments
Behavioral emergencies in the United States have been increasing, with some studies reporting a doubling in the number of people experiencing symptoms related to mental health conditions, although overall visits to US emergency departments (EDs) decreased during the coronavirus disease 2019 (COVID-19) pandemic. The uncertainty surrounding the COVID-19 pandemic caused many people to avoid health care facilities, including EDs, even if they may have otherwise sought emergency care, and was associated with increases in new behavioral health diagnoses. Measures to limit the spread of COVID-19 led to people limiting their in-pe...
Source: The Psychiatric Clinics of North America - November 10, 2021 Category: Psychiatry Authors: Manuel G. Alvarez Romero, Chandra Penthala, Scott L. Zeller, Michael P. Wilson Source Type: research

Inpatient Psychiatry During COVID-19
Numerous reports describe how individual hospitals responded to the COVID-19 pandemic, but few describe how these changes occurred across a large public health system of care. As the early epicenter of the pandemic, New York State ’s response, particularly the New York City metropolitan area, included a range of coordinated planning and regulatory efforts to preserve and create medical and intensive care unit capacity where needed; maintain access to acute psychiatric services; and redefine inpatient psychiatric care throug h strict infection control, easing of regulatory requirements, and use of telehealth. These strate...
Source: The Psychiatric Clinics of North America - November 10, 2021 Category: Psychiatry Authors: Joshua Berezin, Flavio Casoy, Matthew D. Erlich, Yamilette Hernandez, Thomas E. Smith Source Type: research

Emerging Knowledge of the Neurobiology of COVID-19
Many patients with COVID-19 will experience acute or longer-term neuropsychiatric complications. The neurobiological mechanisms behind these are beginning to emerge, however the neurotropic hypothesis is not strongly supported by clinical data. The inflammatory response to SARS-CoV-2 is likely to be responsible for delirium and other common acute neuropsychiatric manifestations. Vascular abnormalities such as endotheliopathies contribute to stroke and cerebral microbleeds, with their attendant neuropsychiatric sequelae. Longer-term neuropsychiatric syndromes fall into two broad categories: neuropsychiatric deficits occurri...
Source: The Psychiatric Clinics of North America - November 10, 2021 Category: Psychiatry Authors: Matthew Butler, Benjamin Cross, Danish Hafeez, Mao Fong Lim, Hamilton Morrin, Emma Rachel Rengasamy, Tom Pollak, Timothy R. Nicholson Source Type: research

Inpatient Psychiatry During COVID-19: A Systems Perspective
Numerous reports describe how individual hospitals responded to the COVID-19 pandemic, but few describe how these changes occurred across a large public health system of care. As the early epicenter of the pandemic, New York State ’s response, particularly the New York City metropolitan area, included a range of coordinated planning and regulatory efforts to preserve and create medical and intensive care unit capacity where needed; maintain access to acute psychiatric services; and redefine inpatient psychiatric care throug h strict infection control, easing of regulatory requirements, and use of telehealth. These strate...
Source: The Psychiatric Clinics of North America - November 10, 2021 Category: Psychiatry Authors: Joshua Berezin, Flavio Casoy, Matthew D. Erlich, Yamilette Hernandez, Thomas E. Smith Source Type: research

The Impact of COVID-19 on United States Emergency Departments
Behavioral emergencies in the U.S. have been on the rise over the past decade, with some studies even reporting a doubling in the number of people experiencing symptoms related to mental health conditions, although overall visits to U.S. EDs decreased during the COVID-19 pandemic. The uncertainty surrounding the COVID-19 pandemic caused many people to avoid healthcare facilities, including emergency departments, even if they may have otherwise sought emergency care, and was associated with increases in new behavioral health diagnoses. Measures to limit the spread of COVID-19 also led to people limiting their in-person cont...
Source: The Psychiatric Clinics of North America - November 10, 2021 Category: Psychiatry Authors: Manuel G. Alvarez Romero, Chandra Penthala, Scott L. Zeller, Michael P. Wilson Source Type: research