Management of psychiatric conditions and delirium during the COVID-19 pandemic across continents: lessons learned and recommendations.

Journal: Brain, behavior, & immunity - health

Volume: 9

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, Jos University Teaching Hospital, Jos, Plateau State, Nigeria. Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, , Italy. Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, , Maharashtra, India. Carl Gustav Carus University Hospital, Technical University Dresden, Germany. Kabir Medical College, Gandhara University, Peshawar, Pakistan. Hospital and University Clinical Service of Kosovo, Mental Health Center Prizren, Republic of Kosovo. University of Missouri, Kansas City, USA. Department of Psychiatry, Koç University Hospital, Turkey. Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Medical Services Unit, Federal Neuropsychiatric Hospital, Opposite Shagari Lowcost, Barnawa, Kaduna, Nigeria. National Institute of Mental Health and Neurosciences, Bengaluru-, India. Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital (JLNMH), Srinagar, Jammu and Kashmir, India. Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Thailand. Department of Psychiatry D, Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia. All India Institute of Medical Science, Bhubaneswar, India. College of Medicine, University of Lagos, Nigeria. Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Department of Psychiatry and Legal Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil. Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA. Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.

Abstract summary 

With the uncertainties of COVID-19, people infected with coronavirus present with diverse psychiatric presentations. Some institutions have had to manage their patients with existing protocols, others have had to create them. In this article we aimed to report the challenges and good practices in the management of psychiatric conditions and delirium coexisting with COVID-19 across continents.Early Career Psychiatrists (ECPs) from across five continents were approached to share their experiences on the management of psychiatric conditions in patients with COVID-19 during the current pandemic.We collected information about the experiences from sixteen countries. Commonalities were similar psychiatric presentations and poor preparedness across countries. Differences were varying adjustments made in the management of psychiatric conditions coexisting with COVID-19 and different innovations. Good practices which can be adopted by other countries are novel approaches such as telepsychiatry, proactive consultation-liaison units and enhanced community services targeted at circumventing challenges faced when providing mental health services.These findings highlight the need for global preparedness in the mental health sector during outbreaks of infectious diseases, and the need for concerted efforts targeted at global and locally sensitive adaptation of existing protocols and the development of new guidelines for the management of psychiatric conditions for the present pandemic and subsequent occurrences.

Authors & Co-authors:  Ojeahere Margaret Isioma MI de Filippis Renato R Ransing Ramdas R Karaliuniene Ruta R Ullah Irfan I Bytyçi Drita Gashi DG Abbass Zargham Z Kilic Ozge O Nahidi Mahsa M Hayatudeen Nafisatu N Nagendrappa Sachin S Shoib Sheikh S Jatchavala Chonnakarn C Larnaout Amine A Maiti Tanay T Ogunnubi Oluseun Peter OP El Hayek Samer S Bizri Maya M Schuh Teixeira Andre Luiz AL Pereira-Sanchez Victor V Pinto da Costa Mariana M

Study Outcome 

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Statistics
Citations :  Arbabi M., Shahhatami F., Mojtahedzadeh M., Mohammadi M., Ghaeli P. Adaptation of the pharmacological management of delirium in ICU patients in Iran: introduction and definition. Iran. J. Psychiatry. 2018;13:65–79.
Authors :  21
Identifiers
Doi : 100147
SSN : 2666-3546
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19;Coronavirus;Delirium;Early career psychiatrists (ECPs);Management;Psychiatric conditions
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States