Abstract

Objective

The COVID-19 pandemic has posed a great challenge for the existing health systems. The restrictions imposed across countries on the movement of people and the realignment of health care services in response to the pandemic are likely to negatively affect the health status and delivery of mental health services to persons with dual disorders (PWDD). Methods: An online survey was conducted among mental health professionals involved in providing care to PWDD to better understand the problems encountered and identify potential solutions in providing continued treatment for PWDD during the COVID-19 pandemic. Results: The findings confirmed significant disruption in the delivery of treatment services for PWDD during the COVID-19 pandemic. Dissatisfaction with personal protective equipment, inadequate COVID-19 testing services at treatment facility, and lack of guidelines on providing continued treatment services to PWDD by national authorities or professional bodies were identified as the likely reasons for this disruption. Conclusions: These concerns in turn need to be addressed by the policy-makers, hospital management staff, and other stakeholders. Specifically, there should be a focus on developing and disseminating guidelines to assist mental health professionals in setting-up and providing continued treatment services to PWDD via tele-psychiatry and other novel digital strategies.

中文翻译：

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COVID-19 大流行期间双重疾病患者的治疗需求和服务提供：WADD 调查的结果

摘要

客观的

COVID-19 大流行对现有的卫生系统构成了巨大挑战。各国为应对大流行而对人员流动和重新调整医疗保健服务施加的限制可能会对健康状况和向双重障碍 (PWDD) 患者提供精神卫生服务产生负面影响。方法：在参与为 PWDD 提供护理的精神卫生专业人员中进行了一项在线调查，以更好地了解在 COVID-19 大流行期间为 PWDD 提供持续治疗时遇到的问题并确定潜在的解决方案。结果：调查结果证实了在 COVID-19 大流行期间为 PWDD 提供治疗服务的重大中断。对个人防护设备的不满、治疗机构的 COVID-19 检测服务不足以及国家当局或专业机构缺乏为残疾人士提供持续治疗服务的指南被认为是造成这种中断的可能原因。结论：这些问题反过来需要政策制定者、医院管理人员和其他利益相关者来解决。具体而言，应重点制定和传播指导方针，以协助精神卫生专业人员通过远程精神病学和其他新的数字策略为 PWDD 建立和提供持续的治疗服务。