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Practical observations - the COVID-19 influence on latvian early intervention work with first episode psychosis (FEP) patients

Published online by Cambridge University Press:  13 August 2021

N. Kokina ,
L. Sile ,
B. Butorins ,
A. Pocopko ,
A. Lesina ,
S. Kikuste ,
I. Sapele  and
E. Rancans
N. Kokina*
Affiliation:
Department Of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia
L. Sile
Affiliation:
Department Of Doctoral Studies, Riga Stradins University, Riga, Latvia
B. Butorins
Affiliation:
Department Of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia
A. Pocopko
Affiliation:
Department Of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia
A. Lesina
Affiliation:
Department Of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia
S. Kikuste
Affiliation:
Department Of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia
I. Sapele
Affiliation:
Department Of Mental Health Care, Daugavpils Psychoneurological Hospital, Daugavpils, Latvia
E. Rancans
Affiliation:
Department Of Psychiatry And Narcology, Riga Stradins University, Riga, Latvia
*
*Corresponding author.

Abstract

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Introduction

COVID-19 is a very stressful experience for people with FEP and changed the work routine of the mental health services they have used.

Objectives

In this work, we aim to explore how the restrictions influenced the out-patient visits and rehospitalization rates.

Methods

The Latvian Early intervention programme (Berze et al.,2019) for patients with FEP had started on 1st January, 2019. The 1st group of patients (n=28) finished the programme on 31st December, 2019. The 2nd group of patients were enrolled in programme on 1st January, 2020 (n=12). When on 12th of March in Latvia health care restriction started due the COVID-19 situation, we were forced to change our structure of LAT-EIP.

Results

The average patient age of patients was 29.9 (SD±7.1) years in the 1st group, in 2nd group average age is 26.2 (SD±5.9) accordingly in years. In the 1st group 60.7% of patients visited the psychiatrist 6-10 times vs 8.33% in 2nd group, in the 1st group 32.1 % of patients had 2-5 visits with psychiatrist vs 75% in 2nd group. There were 72 family sessions in 1st group, whereas in 2nd group the family sessions were excluded. During the programme 7% (n=2) of patients in the 1st group were rehospitalized vs 25% (n=3).

Conclusions

The structure of LAT-EIP had change at the time of COVID-19 restrictions, unfortunately our work lack the statistical power. From the descriptive statistics, we can speculate that the rehospitalization rate is higher because of the lack of regular contact with psychiatrist and the lack of psychoeducation with families.

Keywords

interventionCOVID-19psychosisrehospitalization
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S296
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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