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

From: Organisation and timeline of measures in French psychiatric establishments during the first wave of the COVID-19 epidemic: EvOlu’Psy study

Items Response expected Total number
94
N %
Public
43
N %
Private non-profit
19
N %
Private
32
N%
p
Profile of the individuals audited
Membership in the crisis management group Yes 91.49 81.40 100 100 0.0070
Impact of the first wave of COVID-19
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
Planning and coordination of crisis management
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
Territorial partnership in mental health with:
- 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
Availability of medical equipment at the start of the epidemic:
- 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
Specific measures related to the management of patients in psychiatry departments and their families
Activity during the lockdown period:
- 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
Started specific activities
- 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
Maintenance of some activities that are part of psychiatric support:
- 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
Specific procedures established for
- 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
Hospital hygiene and epidemic control measurement
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
Shortages of personal protective equipment:
- 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
Human resource management
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