A new article by the National Institute of Mental Health has been launched in Psychiatric Quarterly: "Mental Health and Quality & Safety of Care in Czech Residential Institutions during the COVID-19 Pandemic: A Mixed-Methods Study"
Long-stay institutions have been considerably afected by the COVID-19 pandemic. We aimed to assess the mental health of clients and staf as well as quality and safety of care in long-stay institutions during the state-of-emergency in the Czech Republic in response to COVID-19 pandemic. We found a high prevalence of poor mental health outcomes in clients (46% poor well-being, 58% depression, 45% anxiety) and staf (17% poor well-being, 22% depression, 14% anxiety). In clients, COVID-19 health-related and economic worries were associated with depression (1.79, 95% CI=1.14; 2.8 and 2.28, 95% CI=1.27; 4.08 respectively) and anxiety (1.63, 95% CI=1.11; 2.4 and 1.85, 95% CI=1.2; 2.85 respectively) and in staf with any mental health outcome (1.92, 95% CI=1.33; 2.77 and 1.75, 95% CI=1.15; 2.66 respectively). Lack of information and communication from authorities, lack of protective equipment and logistic difculties were reported as challenges. Delivery of care was mostly disrupted as well as admission and discharge processes. Other reported issues included lack of staf, lack of activities for patients or an increase in usage of restrictive measures. Best practices and key future measures were identifed by each institution, a summary of which is presented in the article.
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