Table.

Overview of challenges and opportunities for early career psychiatrists by country

	Telepsychiatry availability	Redeployment	PPE access and training
Nigeria	Not yet available	Not yet	Access to PPE and training in place
USA	Regulations restricting the use of telepsychiatry have been loosened nationwide; wide availability of online conferencing tools	Incipient	Access to PPE and training in place
Brazil	Regulations restricting the use of telepsychiatry have been loosened nationwide; used more in the private sector than in the public sector	Not yet	Variable training and access to PPE
Colombia	Bureaucratic roadblocks to deployment	Not yet	Access to PPE and training in place
Paraguay	Incipient and restricted; telephone hotlines already enabled	Not yet	Poor and variable access to PPE and training
Egypt	Telepsychiatry via online conferencing tools; predominant in the private sector	Not yet	Poor training and access to PPE
Iran	Online individual and group psychotherapy (including groups for health care professionals); telephone hotlines	Ongoing	Access to PPE and training in place
Lebanon	Restricted access	Voluntary	Access to PPE and training in place
Tunisia	Incipient telepsychiatry through online conferencing platforms and telephone consultation	Not yet	Poor access to PPE and variable training
Italy	More available in the private sector than in the public sector; mainly through telephone hotlines, conferencing tools, and social media	Variable	Variable training and access to PPE
Kosovo*	Emergent use of telephone hotlines and online psychotherapy	Voluntary	Poor access to PPE and variable training
Portugal	Emergent teleconsultation services for health professionals and patients	Incipient	Access to PPE in place with variable training
Spain	Telephone consultation for health professionals and outpatient services	Ongoing	Variable training and access to PPE
India	Informal telephone, messaging, and conferencing psycychotherapy for individuals and groups	Likelihood of imminent	Variable training and access to PPE
Indonesia	Use of popular online conferencing tools; online psychological first aid	Not yet	Access to PPE in place without training
Singapore	Use of online conferencing tools for educational, research, and clinical work; telephone hotlines widely used	Not yet	Access to PPE and training in place

Information on telepsychiatry, redeployment, and PPE at April 1, 2020. Redeployment=transfer of psychiatrists to other medical duties in the care of patients with COVID-19. PPE=personal protective equipment.

^*Kosovo is not recognised as a member state by WHO.