Table 2 Results of the responses about the organisational responses of French psychiatric facilities according to their legal status

Membership in the crisis management group

Yes

91.49

81.40

100

100

0.0070

Number of patients with COVID-19 at or after admission during the first wave (March to early May 2020)

> 15

10

10.64

6

13.95

4

21.05

0

0

0.0002

Number of staff members with COVID-19 during the first wave (March to early May 2020)

0

31

41.33

6

21.43

2

13.33

23

71.88

<.0001

Activation of the crisis plan ("plan blanc") before national activation

Yes

36.17

23.26

42.11

50

0.0486

Activation of the crisis management group before activation of the national "plan blanc"

Yes

64.89

55.81

84.21

65.63

0.0965

- A private facility

Yes

22.34

23.26

21.05

21.88

0.9788

- A public institution

Yes

42.55

48.84

36.84

37.5

0.5267

- A private non-profit facility

Yes

8.51

9.3

21.05

0

0.0197

Bed management system set up

Yes

91.49

88.37

89.47

96.88

0.4470

Real time inventory management for personal protective equipment set up

Yes

91.49

83.72

94.74

100

0.0252

- Blood pressure monitors,

Yes

92.55

88.37

100

93.75

0.3524

- Pulse oximeters,

Yes

89.36

83.72

100

90.63

0.1536

- Thermometers,

Yes

57.45

58.14

57.89

56.28

0.9857

- Thermometer tips and covers

Yes

54.26

53.49

57.89

53.13

0.9380

- Semiautomatic defibrillators,

Yes

94.68

93.02

94.74

96.88

0.8450

- Suction aspirators,

Yes

90.43

88.37

94.74

90.63

0.9016

- Oxygen bottles,

Yes

89.36

90.7

78.35

93.75

0.3351

- Oxygen concentrators

Yes

82.98

86.05

68.42

87.50

0.1653

- Special steps taken to increase the stocks of these types of medical equipment

Yes

63.83

67.44

78.95

50

0.0919

Presence of occupational physician in the crisis management group

At least often

26.83

46.15

14.29

6.90

<.0001

In a research study about COVID-19

Yes

7.45

100

0

0

0.0104

- Full-time hospitalisation,

Completely maintained/ partially maintained

94.68

93.02

100

93.75

0.7083

- Day hospitalisation,

Closed/partially

83

96.39

42

97.67

18

94.74

20

95.24

0.7936

- Consultation activity,

Completely maintained/ partially maintained

60

90

39

92.86

14

87.5

1

50

0.1551

- CATTP activities,

56

38

14

2

1

Closed/partially

96.43

95

100

100

- Activity therapy

Closed/partially

56

87.5

29

90.63

12

85.71

8

80

0.0876

- Psychosocial rehabilitation activity

58

86.21

28

90.32

16

94.12

6

60

0.0431

- Home care/visits

Closed/partially

61

37

13

3

0.1597

Completely/partially

86.89

90.24

86.67

60

- In-person consultations with adherence to barrier

Yes

75.53

86.05

84.21

56.25

0.0075

- measures,

Yes

74.47

74.42

84.21

68.75

0.4726

- Telepsychiatry,

Yes

92.55

100

94.74

81.25

0.0054

- Telephone consultations, Home visits with barrier measures

Yes

54.26

83.72

73.68

3.13

<.0001

- Psychological follow-up

Yes

86

96.51

41

100

18

94.74

24

92.31

0.1387

- Social support

Yes

81

90.12

39

94.87

19

100

23

73.91

0.0120

Staff assigned for in-person or telephone availability for patient follow-up

Yes

79.79

90.7

89.47

59.38

0.0019

Update of provisions to ensure patients' rights, freedom of movement, protection of the dignity of hospitalised persons, organisation of hearings in front of the judge deciding on the liberty or detention of patients hospitalized without their consent, continuity of monitoring of patients obliged or mandated to attend psychiatric care

Yes

58.06

50

11.11

38.89

0.0319

Establishment officially listed as admitting patients with COVID-19

Yes

54.26

79.07

52.63

21.88

<.0001

Units exclusively for patients with COVID-19

Yes

79.79

95.35

68.42

65.63

0.0025

Formal official protocol for operation of any COVID-19 unit opened

Yes

86.84

83.33

86.67

94.74

0.5889

Formalisation of a list of drugs at special risk with COVID-19

Yes

36.17

32.56

31.58

43.75

0.5453

Distribution of written instructions to patients to explain the barrier measures

Yes

86.17

88.37

78.95

87.5

0.6307

- Food services,

Yes

91.49

86.05

100

93.75

0.1793

- Laundry,

Yes

65.96

69.77

78.95

53.13

0.1318

- Mail,

Yes

47.87

48.84

42.11

50

0.8490

- Patient transport,

Yes

54.26

65.12

57.89

37.5

0.0560

"Listening services" for:

- patients

Yes

67.02

79.07

68.42

50

0.0297

- their families

Yes

54.26

60.47

63.16

40.63

0.1596

Maintenance of in-person visits by family and close friends

No or rarely

96.81

100

84.21

100

0.0072

Alternative means of communication

Yes

85.71

92

85.71

79.17

0.3732

Remote follow-up for carers

Yes

100

100

100

100

-

- By telephone

Yes

47.87

60.47

42.11

34.38

0.0699

- By video meetings

Yes

25

27.91

42.11

15.63

0.1135

Innovative arrangements

Yes

43.62

46.51

57.89

31.25

0.1563

Advice sought from the EOH

Yes

95.74

100

100

87.5

0.0232

Designation of an expert responsible for infection vigilance

Yes/present before the epidemic

68.82

71.43

68.42

65.63

0.8664

- Surgical masks

No

25.53

25.58

21.05

37.5

0.8548

- FFP2 masks

No

43.62

51.16

31.58

40.63

0.3276

- Gloves

No

63.83

51.16

57.86

84.38

0.0104

- Smocks

No

29.79

20.93

10.53

53.13

0.0013

- Detergents

No

93

69.89

29

67.44

11

61.11

25

78.13

0.4039

- Detergent/disinfectant sprays

No

93

62.37

24

55.81

8

44.44

26

81.25

0.0173

- Disinfectant wipes

No

92

64.13

29

69.05

9

50

21

65.63

0.3615

Systematic screening for signs suggestive of COVID-19 by a somatic physician at patient admission

Yes

81.91

83.72

84.21

78.13

0.7896

Systematic testing for COVID-19 at admission

No

48.94

44.19

42.11

59.38

0.3433

Specific procedure for patients with confirmed or suspected COVID

Yes

100

100

100

100

-

Screening at admission and specific follow-up of patients with risk factors for severe COVID-19

Yes

52.13

39.53

57.89

65.63

0.0699

Dedicated channel of care for the persons at risk

Yes

74.47

76.74

68.42

75

0.7837

Specific programme educating patients about barrier measures and social distancing

Yes

48.94

44.19

52.63

53.13

0.6988

Specific training for professionals about additional precautions beyond hospital hygiene in the management of patients with COVID-19

Yes

84.04

88.37

84.21

78.13

0.4875

Training some staff members to take nasopharyngeal samples for RT-PCR testing

Yes

78.72

90.7

78.95

62.5

0.0128

Procedure for specific follow-up of risk of infection among staff (monitoring symptoms, seeing the occupational physician, nasopharyngeal tests, etc.)

Yes

87.23

90.70

73.68

90.63

0.1976

Procedure for the management of bodies of patients who died with COVID-19

Yes

79.79

86.05

89.47

65.63

0.0467

Staff attendance chart, and chart of persons who can be called on if needed

Yes

92.55

93.02

94.74

90.63

1

Human resources management enabling psychological care for staff (QoL at work plan),

Yes

93.62

97.67

100

84.38

0.0517

- Telephone "listening services" for the health care workers

Yes

85.23

95.24

73.68

77.78

0.0272

Organisational models to support and protect the health care staff and enable flexibility in staffing

Yes

67.02

83.72

78.95

37.5

<.0001

Work at home for some occupational categories

Yes

90.43

93.02

94.74

84.38

0.4234

Study of the potential financial impact

Yes

35.11

30.23

68.42

21.88

0.0032