COVID-19, consequences on psychiatric care and access to mental health services: A patients’ opinions survey

Abstract

Objective: The COVID-19 pandemic has (and will continue to have) quite a strong impact on patients whose mental conditions worsen due to isolation, disruption of usual routine, activities, and loss of community support, if not the infection itself. Therefore, exploring and evaluating existing ways and proposing new ways to communicate and maintain a strong therapeutic alliance between therapists and patients was important.
Methods: A semi-structured interview based on a homemade grid designed to assess participants’ opinions on access to telehealth services and their efficiency. Period of study: March 2020 to June 2021.
Results: Impact of COVID-19 on daily life: 70% experienced isolation due to the pandemic life-changing, 65% experienced anxiety, 42% depression, and 28% anger. Teleconsultations’ perceptions during the COVID-19 pandemic were perceived as a good solution for a pandemic era and no need for displacement (30%). 38% thought that video consultation is a better option than telephone consultations, with 60% stating a similar level of comfort in video/phone consultation compared to in-person. Recommendations to address Mental Health (MH) care delivery soon after this pandemic were: Patients (60%) are interested in accessing a website (or mobile application) on resources of MH services available in their city/region.
Conclusions: Results show that isolation and anxiety were the factors most affecting the social life and conditions of participants, with some significant levels of depression and anger. Participants largely accepted the transition to virtual care with some improvements.

Keywords

Mental health / Telehealth services / Psychological isolation / Acceptance / Virtual care

FUNDING

The work for this article was funded by the “Association médicale universitaire de l’Hôpital Montfort” (AMUM).

CONFLICTS OF INTEREST DISCLOSURE

The authors declare they have no conflicts of interest.

References

[1] Vigo D, Psych L, Patten S, et al. Mental Health of communities during the COVID-19 Pandemic. The Canadian Journal of Psychiatry. 2020; 65(10): 681-687. PMid: 32391720. https://doi.org/10.1177/0706743720926676

[2] Hao F, Tan W, Jiang L, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain, Behavior, and Immunity. 2020. PMid: 32353518. https://doi.org/10.1016/j.bbi.2020.04.069

[3] Moreno C, Wykes T, Galderisi S, et al. How mental health care should change as a consequence of the covid-19 pandemic. Position paper. 2020. PMid: 32682460. https://doi.org/10.1016/S2215-0366(20)30307-2

[4] Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395: 912-20. PMid: 32112714. https://doi.org/10.1016/S0140-6736(20)30460-8

[5] Zhou X, Snoswell C, Harding L, et al. Reducing the mental health burden through telehealth: the example of China. Telemedicine, and e-Health. 2020; 377-379. PMid: 32202977. https://doi.org/10.1089/tmj.2020.0068

[6] Desson Z, Weller E, McMeekin P, et al. An Analysis of the policy responses to the Covid-19 pandemic in France, Belgium, and Canada. Health Policy and Technology. 2020. PMid: 33520640. https://doi.org/10.1016/j.hlpt.2020.09.002

[7] Braun V, Clarke V. Successful qualitative research: A practical guide for beginners. 2013.

[8] Figueroa CA, Aguilera A. The Need for a Mental Health Technology Revolution in the Covid-19 Pandemic. Frontiers in Psychiatry. 2020; 11. PMid: 32581891. https://doi.org/10.3389/fpsyt.2020.00523

[9] Hall AK, Bernhardt JM, Dodd V, et al. The digital health divide: evaluating online health information access and use among older adults. Health Educ Behav. 2015; 42(2): 202-9. PMid: 25156311. https://doi.org/10.1177/1090198114547815

[10] Usher-Pines L, Souza J, Raja P, et al. Suddenly Becoming a “Virtual Doctor”: Experiences of Psychiatrists Transitioning to Telemedicine During the COVID-19 Pandemic. Psychiatric Services. 2020; 71: 11. PMid: 32933411. https://doi.org/10.1176/appi.ps.202000250