Negative impact of COVID-19 pandemic on outpatient mental health care in Coquimbo region, Chile

Authors

  • Camilo Sepúlveda-Queipul Hospital de La Serena
  • Gonzalo Soto Brandt Programa de Salud Mental, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile; Santiago, Chile.
  • Alvaro Castillo Camiglia Centro de Investigación en Sociedad y Salud, Facultad de Ciencias Sociales y Artes, Universidad Mayor; Santiago, Chile.
  • Olga Toro Devia Programa de Salud Mental, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile; Santiago, Chile.
  • Daniela Rivera Espinoza Programa de Salud Mental, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile; Santiago, Chile.
  • Ruben Alvarado Programa de Salud Mental, Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile; Santiago, Chile.

DOI:

https://doi.org/10.31052/1853.1180.v29.n1.39290

Keywords:

mental health service, outpatient health care, Covid 19

Abstract

Introduction:  COVID-19 pandemic has strained healthcare systems worldwide and has had a negative impact on the mental health of the population. Mental health services face the challenge to address people’s mental health needs in contexts of health emergency. 

Objective: The objective of this study was to estimate and explain the effect of COVID-19 pandemic on the outpatient services of public mental health care in Coquimbo region, Chile. 

Materials and Methods: A sequential mixed method design (DEXPLIS) was used. In the first stage, an analysis of uninterrupted time series from 2017 to 2021 was conducted on mental health care consultations included in the monthly statistical record (MSR), revealing a decrease of 56% in outpatient visits by 2020. In a second qualitative phase, experiences and perceptions were explored and analyzed through thematic content analysis of focus groups with managers, professionals, and community representatives. 

Results and Conclusion: There was a decrease in face-to-face outpatient consultations in Coquimbo region. Planning with territorial relevance and a community approach is essential in case of similar emergencies. 

 

Keywords: Mental Health Services, Outpatient Care, COVID-19.

Downloads

Download data is not yet available.

References

World Health Organization. Mental Health Atlas 2020 [Internet]. Geneva; 2021 [cited 2023 Apr 5]. Available from: https://www.who.int/publications/i/item/9789240036703

Organización Panamericana de la Salud. Tercera ronda de la encuesta nacional sobre la continuidad de los servicios esenciales de salud durante la pandemia de COVID-19 (noviembre y diciembre del 2021) [Internet]. Washington DC; 2022 [cited 2023 Apr 5]. Available from: https://iris.paho.org/handle/10665.2/56165

Economic Commission for Latin America and the Caribbean (ECLAC). Demographic Observatory. Latin America and the Caribbean 2022. Population trends in Latin America and the Caribbean: demographic effects of the COVID-19 pandemic [Internet]. Santiago; 2022. Available from: www.issuu.com/publicacionescepal/stacks

Organización Panamericana de la Salud. Impacto de la COVID-19 en los servicios para trastornos mentales, neurológicos y por consumo de sustancias psicoactivas en la Región de las Américas [Internet]. 2021 [cited 2023 Apr 5]. Available from: https://iris.paho.org/handle/10665.2/55389

World Health Organization. Pulse survey on continuity of essential health services during the COVID-19 pandemic [Internet]. 2020 [cited 2023 Apr 5]. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-EHS_continuity-survey-2020.1

Hennis AJM, Coates A, del Pino S, Ghidinelli M, de Leon RGP, Bolastig E, et al. COVID-19 and inequities in the Americas: Lessons learned and implications for essential health services. Revista Panamericana de Salud Publica/Pan American Journal of Public Health [Internet]. 2021 [cited 2023 Apr 5];45. Available from: https://pubmed.ncbi.nlm.nih.gov/34987555/

Economic Commission for Latin America and the Caribbean (ECLAC). The recovery paradox in Latin America and the Caribbean [Internet]. 2021 [cited 2023 Apr 5]. Available from: https://repositorio.cepal.org/handle/11362/47059

Pino A, Montt G, Ortiz F, Jaramillo D, Vallejo F. Overview of social protection systems in Latin America and the Caribbean: Progress and setbacks in the face of the pandemic Executive summary [Internet]. 2021 [cited 2023 Apr 5]. Available from: https://www.ilo.org/caribbean/information-resources/publications/WCMS_824905/lang--en/index.htm

Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr [Internet]. 2020;52(March):102066. Available from: https://doi.org/10.1016/j.ajp.2020.102066

United Nations. Policy Brief : COVID-19 and the Need for Action on Mental Health Executive Summary: COVID-19 and the Need for Action on Mental Health [Internet]. 2020 [cited 2023 Apr 5]. Available from: https://unsdg.un.org/sites/default/files/2020-05/UN-Policy-Brief-COVID-19-and-mental-health.pdf

Yao H, Chen JH, Xu YF. Rethinking online mental health services in China during the COVID-19 epidemic. Asian J Psychiatr [Internet]. 2020;50(March):102015. Available from: https://doi.org/10.1016/j.ajp.2020.102015

Fernández RS, Crivelli L, Guimet NM, Allegri RF, Picco S, Pedreira ME. Psychological distress and mental health trajectories during the COVID-19 pandemic in Argentina: a longitudinal study. Sci Rep [Internet]. 2022 Dec 1 [cited 2023 Apr 5];12(1). Available from: https://www.nature.com/articles/s41598-022-09663-2

Saunders R, Buckman JEJ, Fonagy P, Fancourt D. Understanding different trajectories of mental health across the general population during the COVID-19 pandemic. Psychol Med [Internet]. 2022 Dec 3 [cited 2023 Apr 5];52(16):4049–57. Available from: https://doi.org/10.1017/S0033291721000957

Kavoor AR, Chakravarthy K, John T. Remote consultations in the era of COVID-19 pandemic: Preliminary experience in a regional Australian public acute mental health care setting. Asian J Psychiatr [Internet]. 2020;51(April):102074. Available from: https://doi.org/10.1016/j.ajp.2020.102074

Kauhanen L, Wan Mohd Yunus WMA, Lempinen L, Peltonen K, Gyllenberg D, Mishina K, et al. A systematic review of the mental health changes of children and young people before and during the COVID-19 pandemic. Eur Child Adolesc Psychiatry [Internet]. 2022 [cited 2023 Apr 5]; Available from: https://doi.org/10.1007/s00787-022-02060-0

Ellwardt L, Präg P. Heterogeneous mental health development during the COVID-19 pandemic in the United Kingdom. Sci Rep [Internet]. 2021 Dec 1 [cited 2023 Apr 5];11(1). Available from: https://doi.org/10.1038/s41598-021-95490-w

Ravens-Sieberer U, Erhart M, Devine J, Gilbert M, Reiss F, Barkmann C, et al. Child and Adolescent Mental Health During the COVID-19 Pandemic: Results of the Three-Wave Longitudinal COPSY Study. Journal of Adolescent Health [Internet]. 2022 Nov 1 [cited 2023 Apr 5];71(5):570–8. Available from: https://doi.org/10.1016/j.jadohealth.2022.06.022Journal of Adolescent Health 71 (2022) 570e578

Benton T, Njoroge WFM, Ng WYK. Sounding the Alarm for Children’s Mental Health during the COVID-19 Pandemic [Internet]. Vol. 176, JAMA Pediatrics. American Medical Association; 2022 Apr [cited 2023 Apr 5]. Available from: https://jamanetwork.com/ by Ruben Alvarado on 03/10/2023

Samji H, Wu J, Ladak A, Vossen C, Stewart E, Dove N, et al. Review: Mental health impacts of the COVID-19 pandemic on children and youth – a systematic review [Internet]. Vol. 27, Child and Adolescent Mental Health. John Wiley and Sons Inc; 2022 [cited 2023 Apr 5]. p. 173–89. Available from: doi: 10.1111/camh.12501

Wirkner J, Christiansen H, Knaevelsrud C, Lüken U, Wurm S, Schneider S, et al. Mental Health in Times of the COVID-19 Pandemic: Current Knowledge and Implications from a European Perspective. Eur Psychol [Internet]. 2021 Oct 1 [cited 2023 Apr 5];26(4):310–22. Available from: https://doi.org/10.1027/1016-9040/a000465

Lewis KJS, Lewis C, Roberts A, Richards NA, Evison C, Pearce HA, et al. The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness. BJPsych Open [Internet]. 2022 Mar [cited 2023 Apr 7];8(2). Available from: https://doi.org/10.1192/bjo.2022.25

Starace F, Ferrara M. COVID-19 disease emergency operational instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry. Epidemiol Psychiatr Sci [Internet]. 2020 [cited 2023 Apr 7];29(May):e116. Available from: https://doi.org/10.1017/S2045796020000372

Percudani M, Corradin M, Moreno M, Indelicato A, Vita A. Mental Health Services in Lombardy during COVID-19 outbreak. Psychiatry Res [Internet]. 2020;288(April):112980. Available from: https://doi.org/10.1016/j.psychres.2020.112980

Estadística IN de. CENSO 2017, Tabulados y Gráficos. 2017 [Internet]. 2017. Available from: https://www.ine.cl/estadisticas/demograficas-y-vitales

Hernández Sampieri. Metodología de la investigación. (6ta Edición). McGraw Hill, editor. 2013. 634 p.

Álvarez-Gayou JL. Cómo hacer investigación cualitativa. 2012. p. 1–222.

Mayring P. Qualitative Content Analysis. Forum: Qualitative Social Research Sozial Forschung [Internet]. 2004 [cited 2023 Apr 7];(December). Available from: http://www.qualitative-research.net/fqs/

Amezcua M, Gálvez A. Los modos de análisis en investigación cualitativa en salud: perspectiva crítica y reflexiones en voz alta. Revista Escuela de Salud Pública. 2002;423–36.

Teddlie C, Tashakkori A. Foundations of Mixed Methods Research. United States of America : SAGE Publications; 2009.

Gattini C. Monitoreo, evaluación e investigación de servicios de salud. Bases conceptuales y metodológicas. Santiago de Chile; 2020.

Published

2023-06-30

Issue

Section

Scientific Articles

How to Cite

1.
Negative impact of COVID-19 pandemic on outpatient mental health care in Coquimbo region, Chile. Rev. Salud Pública (Córdoba) [Internet]. 2023 Jun. 30 [cited 2024 Nov. 22];29(1). Available from: https://revistas.psi.unc.edu.ar/index.php/RSD/article/view/39290