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Table 2 Community Mental Health Centres activities during the Covid-19 epidemic in Italy

From: Psychiatry during the Covid-19 pandemic: a survey on mental health departments in Italy

Items

N (%) ofrespondents Yes

Statistically significantdifferences accordingto geographical areaa

Differences according togroups based upon ratesof Covid + cases per 1000inhabitants on a regionalbasisb

Written protocols relating to management ofactivities during the emergency

50 (70.4)

None

High rate regionsc = 35(85.4)

low rate regionsd = 14 (48.3) p<.05

Scheduled on-site psychiatric visitsc

63 (88.7)

None

None

Scheduled at home psychiatric visitsc

59 (83.0)

None

None

Urgent psychiatric visits on site

71 (100)

None

None

Urgent psychiatric visits at home

68 (95.7)

None

None

Compulsory Treatments

71 (100)

None

None

Individual Psychotherapyc

33 (46.4)

none

High rate regionsc = 23 (57.4)

low rate regionsd = 10 (34.4) p<.05

Group Psychotherapyc

4 (5.6)

None

None

Psychosocial Interventionsc

1 (1.4)

None

None

Contacts with patientsd

54 (76.0)

None

None

Scheduled contactse

66 (93.0)

N = 40 (100) C = 10 (100)S = 15 (70)  p<.01

None

Phone and/or Video Counselling for generalpopulation

60 (84.5)

None

None

Phone and/or Video Counselling for healthservices operators

66 (92.0)

N = 40 (100) C = 10 (100)S = 16 (76.2) p<.01

None

Psychiatric Consultations for General Hospitalsf

55 (77.4)

None

None

Staff Meetingsg

56 (78.9)

None

None

Scheduled Administration of LAI antipsychotics

Both on site and athome = 65 (91,5)

On site only = 5 (7.0)

None

None

Regular psychiatric monitoring of cases at RFs

32 (46.5)%

N = 17 (42.5) C = 5 (50.0)S = 12 (57.1) p<.05

High rate regionsc = 32 (76.0)

low rate regionsd = 17 (58.6)

p < .05

New admissions in RFs suspended

55 (77.4)

N = 27 (67.5) C = 9 (90)S = 19 (90,5) p<.05

None

Discharge from RFs suspended

59 (83.0)

None

None

Regular Monitoring of offenders entrusted toCMHCs

43 (60.5)

N = 32 (80), C = 5 (50),S = 7 (33.3)  p<.005

None

Psychiatric Consultations in Jails

51 (71.8)

None

None

Reduction of Hospital Admissions

60 (84.5)

None

None

Reduction of Interventions for compulsoryadmissions

47 (66.2)

None

None

Increase of aggressivity toward self or others

15 (21.1)

None

None

  1. aItaly’s Geographical areas are: N=North, C=Centre, S=South and Islands
  2. bgroup 1 ≥ 2 cases × 1000 inhabitants; group 2 < 2 cases × 1000 inhabitants;high rate regions are those included in group 1, as above; Low rate regions are those included in class 2 as above
  3. cOnly in selected cases, when deemed necessary
  4. dContacts were established in case of suspension of on-site or home visits (type of contacts:telephone calls 100%, video calls 67%; e-mails 19%; all types 41%)
  5. eContact scheduled on a regular basis according to individual needs
  6. fPsychiatric consultations are delivered by CHCM psychiatrists when the General Hospital in the catchment area is not equipped with a GHPW
  7. gOn site or in videoconference