Appendix Table 2. Management and care of psychiatric patients.
Setting | Management |
---|---|
Emergency care | ▪ Continue availability for the life-threatening condition. ▪ Psychiatrists use telephone consultation. ▪ Psychiatrists practice social distancing. ▪ Recognize neuropsychiatric symptoms of COVID-19. |
Outpatient setting | ▪ Decrease visits per day. ▪ Use telemedicine and postpone appointments for stable patients. ▪ Call patients by phone to educate them about self-care. ▪ Continue to provide maintenance treatment for patients with substance abuse. ▪ Prepare for substance withdrawal patients. |
Inpatient setting and residential facilities | ▪ Tighten admission criteria. ▪ Prepare restricting area for newly admitted patients. ▪ Establish infectious units or isolation ward. ▪ Suspend some group activities. ▪ Use notice boards for communication. ▪ Restrict visitors to close relatives, one visitor at a time. ▪ Provide video calls for patients and families. |
Community psychiatry | ▪ Use telepsychiatry. ▪ Use drug delivery services. ▪ Distribute drugs to community hospitals. ▪ Use long-acting medications. ▪ Inform patients about COVID-19. |
Mental health workers | ▪ Cancel the unnecessary meeting. ▪ Use telephone, e-mail, and instant messaging applications. ▪ Organization provides food, drinks, and accommodation. ▪ Inform staff members when there is a change in standard practice. ▪ Team leaders provide moral support. ▪ Provide support programs. ▪ Senior staff should be available. ▪ Have guidelines for problematic situations. ▪ Have around-the-clock telemental health services for staff members. |