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  1. Article: Impact of COVID-19 on the lives of people with severe mental illness-front-line community psychiatry workers observation from a provincial survey of assertive community treatment teams in Ontario, Canada.

    Kassam, Aly / Beder, Michaela / Sediqzadah, Saadia / Levy, Matthew / Ritts, Madeleine / Maher, John / Kirwan, Nicole / Law, Samuel

    International journal of mental health systems

    2023  Volume 17, Issue 1, Page(s) 18

    Abstract: Using an online survey distributed to members of the provincial organization that represents the 88 Assertive Community Treatment (ACT) and Flexible ACT teams in Ontario, Canada, this descriptive study relied on the unique vantage points and observations ...

    Abstract Using an online survey distributed to members of the provincial organization that represents the 88 Assertive Community Treatment (ACT) and Flexible ACT teams in Ontario, Canada, this descriptive study relied on the unique vantage points and observations of the front-line community psychiatry workers who maintained contact with patients through outreach and telecommunication during the height of COVID-19. The patients who suffer from serious mental illness (SMI) were uniquely affected by COVID-19 due to the changes, reduction or shut down of many essential clinical and community support services. Thematic and quantitative analyses of the workers' observations highlighted 6 main areas of note, including significant social isolation and loneliness, clinical course deterioration and life disruption, increased hospital and ER use, police and legal contacts, and substance abuse and related deaths. There were also encouraging signs of positive adaptations in terms of independence and resilience. Reflections of these impacts and potential ameliorating approaches are further discussed.
    Language English
    Publishing date 2023-06-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2382266-1
    ISSN 1752-4458
    ISSN 1752-4458
    DOI 10.1186/s13033-023-00585-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program.

    Guan, Iline / Kirwan, Nicole / Beder, Michaela / Levy, Matthew / Law, Samuel

    Community mental health journal

    2020  Volume 57, Issue 1, Page(s) 10–17

    Abstract: Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations ... ...

    Abstract Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry program, based on three key principles. In (i) Defining and maintaining essential services while limiting risk of contagion, we discuss such strategies and ways to assess risks, implement infection control, and other creative solutions. In (ii) Promoting health and mitigating physical and mental health impacts, we reflect on prioritizing vulnerable patients, dealing with loss of community resources, adapting group programs, and providing psychoeducation, among others. In (iii) Promoting staff resilience and wellness, we describe building on strength of the staff early, addressing staff morale and avoiding moral injury, and valuing responsive leadership. We also identify limitations and potential further improvements, mindful that COVID-19 and similar crises are likely recurring realities.
    MeSH term(s) COVID-19 ; Community Mental Health Centers/organization & administration ; Community Mental Health Services/organization & administration ; Continuity of Patient Care/organization & administration ; Disaster Planning ; Humans ; Mental Disorders/psychology ; Mental Disorders/therapy ; Mental Health ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-020-00710-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Further Adaptations and Reflections by an Assertive Community Treatment Team to Serve Clients with Severe Mental Illness during COVID-19.

    Law, Samuel / Guan, Iline / Beder, Michaela / Ritts, Madeleine / Sediqzadah, Saadia / Levy, Matthew / Kirwan, Nicole

    Community mental health journal

    2021  Volume 57, Issue 7, Page(s) 1227–1229

    MeSH term(s) COVID-19 ; Community Mental Health Services ; Humans ; Mental Disorders/therapy ; Patient Care Team ; Psychotic Disorders ; SARS-CoV-2
    Language English
    Publishing date 2021-06-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 215855-3
    ISSN 1573-2789 ; 0010-3853
    ISSN (online) 1573-2789
    ISSN 0010-3853
    DOI 10.1007/s10597-021-00855-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19: Perspectives and Reflections from an Assertive Community Psychiatry Program

    Guan, Iline / Kirwan, Nicole / Beder, Michaela / Levy, Matthew / Law, Samuel

    Community ment. health j

    Abstract: Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations ... ...

    Abstract Changes to community psychiatry during COVID-19 are unprecedented and without clear guidelines. Minimizing disruption, ensuring quality care to the already vulnerable people with serious mental illness is crucial. We describe and reflect our adaptations and innovations at one community psychiatry program, based on three key principles. In (i) Defining and maintaining essential services while limiting risk of contagion, we discuss such strategies and ways to assess risks, implement infection control, and other creative solutions. In (ii) Promoting health and mitigating physical and mental health impacts, we reflect on prioritizing vulnerable patients, dealing with loss of community resources, adapting group programs, and providing psychoeducation, among others. In (iii) Promoting staff resilience and wellness, we describe building on strength of the staff early, addressing staff morale and avoiding moral injury, and valuing responsive leadership. We also identify limitations and potential further improvements, mindful that COVID-19 and similar crises are likely recurring realities.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #758083
    Database COVID19

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  5. Article ; Online: Adaptations and Innovations to Minimize Service Disruption for Patients with Severe Mental Illness during COVID-19

    Guan, Iline / Kirwan, Nicole / Beder, Michaela / Levy, Matthew / Law, Samuel

    Community Mental Health Journal ; ISSN 0010-3853 1573-2789

    Perspectives and Reflections from an Assertive Community Psychiatry Program

    2020  

    Keywords Public Health, Environmental and Occupational Health ; Health(social science) ; Psychiatry and Mental health ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s10597-020-00710-8
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Prepared for transition? A cross-sectional descriptive study of the gains attained in early psychosis programs.

    McCay, Elizabeth / Tibbo, Philip / Conrad, Gretchen / Crocker, Candice / Langley, John / Kirwan, Nicole / Aiello, Andria / Danaher, Audrey / Sheasgreen, Clare

    Early intervention in psychiatry

    2020  Volume 14, Issue 5, Page(s) 636–640

    Abstract: Aim: To examine the degree to which youth identified as ready for discharge from three Canadian early psychosis intervention (EPI) programs had achieved optimal outcomes (ie, symptom remission, quality of life, self-esteem and functioning).: Methods: ...

    Abstract Aim: To examine the degree to which youth identified as ready for discharge from three Canadian early psychosis intervention (EPI) programs had achieved optimal outcomes (ie, symptom remission, quality of life, self-esteem and functioning).
    Methods: This cross-sectional descriptive study is part of a larger study assessing the effectiveness of an evidence-based intervention to sustain the gains acquired in EPI programs in two Canadian provinces (Ontario and Nova Scotia), as youth transition from EPI services to community-based care. Baseline data collected from 39 participants receiving usual treatment in these three EPI programs comprised the comparison group. Participants completed measures to assess symptoms, quality of life, self-esteem and functional level just prior to discharge.
    Results: Participants demonstrated lower levels of symptoms, greater quality of life, greater self-esteem and greater levels of functioning, following EPI treatment when compared to similar youth described in the literature. These findings suggest that study participants had achieved optimal outcomes following EPI treatment.
    Conclusion: The study findings have laid the ground work for the current Canadian Institutes of Health Research partnership study in which our research group is assessing the effectiveness of an evidence-based transitional intervention in order to address critical psychosocial issues of identity, stigma, effective relationships and meaningful life goals, along with the development of an individualized 'passport for transition'. It is anticipated that implementing an evidence-based transitional intervention will support participants to maintain the gains made in EPI programs once they transition to community-based care and will inform future research addressing this challenging issue.
    MeSH term(s) Adolescent ; Community Mental Health Services ; Cross-Sectional Studies ; Early Medical Intervention ; Evidence-Based Medicine ; Female ; Humans ; Male ; Nova Scotia ; Ontario ; Psychotic Disorders/diagnosis ; Psychotic Disorders/psychology ; Psychotic Disorders/therapy ; Quality of Life/psychology ; Self Efficacy ; Social Adjustment ; Treatment Outcome
    Language English
    Publishing date 2020-01-14
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2272425-4
    ISSN 1751-7893 ; 1751-7885
    ISSN (online) 1751-7893
    ISSN 1751-7885
    DOI 10.1111/eip.12916
    Database MEDical Literature Analysis and Retrieval System OnLINE

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