{"id":11118,"date":"2021-01-05T12:48:04","date_gmt":"2021-01-05T10:48:04","guid":{"rendered":"https:\/\/miir.gr\/?p=11118"},"modified":"2021-01-06T01:12:40","modified_gmt":"2021-01-05T23:12:40","slug":"no-appointments-for-mental-health-patients-during-the-covid-19-pandemic","status":"publish","type":"post","link":"https:\/\/miir.gr\/en\/no-appointments-for-mental-health-patients-during-the-covid-19-pandemic\/","title":{"rendered":"No appointments for mental health patients during the COVID-19 pandemic"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; inner_width=&#8221;auto&#8221; inner_max_width=&#8221;1080px&#8221;][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; 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header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><a href=\"https:\/\/consaludmental.org\/sala-prensa\/actualidad\/vivir-sin-miedo\/\"><span style=\"font-weight: 400;\">Andr\u00e9s Colao<\/span><\/a><span style=\"font-weight: 400;\"> speaks from his own experience as a patient who has seen the <\/span><a href=\"https:\/\/civio.es\/coronavirus\"><span style=\"font-weight: 400;\">COVID-19<\/span><\/a><span style=\"font-weight: 400;\"> pandemic cripple an already weak healthcare system. He is the spokesperson for <\/span><a href=\"https:\/\/www.afesasturias.org\/\"><span style=\"font-weight: 400;\">AFESA<\/span><\/a><span style=\"font-weight: 400;\">, a Spanish charity of people with mental illness and their relatives. For those who had a disorder diagnosed before the COVID-19 pandemic, the crisis has left them in limbo.<\/span><\/p>\n<p><a href=\"http:\/\/www.clubsociallamuralla.com\/\"><span style=\"font-weight: 400;\">Jorge Daniel Castilla<\/span><\/a><span style=\"font-weight: 400;\">, who was undergoing treatment for a mental health condition, says \u201cI have had a couple of calls since March, the last one was in June to ask how I was doing. My therapy has been left up in the air.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The crisis has been especially difficult for people seeking psychiatric and psychological services. \u201cThere are patients who <\/span><a href=\"https:\/\/www.salutmental.org\/5e-informe-covid-salut-mental\"><span style=\"font-weight: 400;\">have suffered<\/span><\/a><span style=\"font-weight: 400;\"> a lot,\u201d Colao says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">COVID-19 has caused a tsunami in mental health. During the first wave, 93% of countries <\/span><a href=\"https:\/\/www.who.int\/publications\/i\/item\/978924012455\"><span style=\"font-weight: 400;\">surveyed<\/span><\/a><span style=\"font-weight: 400;\"> by the World Health Organization (WHO) suffered paralysis in one or more services for patients with mental, neurological and substance abuse problems. Almost 40% of participating European countries reported worse conditions: they had stopped three out of four health services. \u201cThe stricter the lockdown, the more severe the impact,\u201d says Marcin Rodzinka, spokesperson for <\/span><a href=\"https:\/\/www.mhe-sme.org\/\"><span style=\"font-weight: 400;\">Mental Health Europe<\/span><\/a><span style=\"font-weight: 400;\">, a network of mental health service users and professionals. This happened in Spain, for example, which shut its mental health outpatient centres.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the most serious cases, people admitted to hospital have had an even more dramatic experience, according to Montse Aguilera, who works for the rights of people who, like her, have a mental health diagnosis. Those with severe mental disorders are generally more isolated and vulnerable, so confinement and social isolation can have a significant negative impact, says psychiatrist <\/span><a href=\"https:\/\/www.unimi.it\/en\/ugov\/person\/armando-dagostino\"><span style=\"font-weight: 400;\">Armando D\u2019Agostino<\/span><\/a><span style=\"font-weight: 400;\"> of ASST Santi Paolo e Carlo hospital in Milan, Italy.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_blurb _builder_version=&#8221;4.7.4&#8243; title=&#8221;The unequal impact of lockdown&#8221; box_shadow_horizontal_image_tablet=&#8221;0px&#8221; box_shadow_vertical_image_tablet=&#8221;0px&#8221; box_shadow_blur_image_tablet=&#8221;40px&#8221; box_shadow_spread_image_tablet=&#8221;0px&#8221; text_shadow_horizontal_length=&#8221;text_shadow_style,%91object Object%93&#8243; text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_shadow_vertical_length=&#8221;text_shadow_style,%91object Object%93&#8243; text_shadow_vertical_length_tablet=&#8221;0px&#8221; 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body_ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_ol_text_shadow_vertical_length=&#8221;body_ol_text_shadow_style,%91object Object%93&#8243; body_ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_ol_text_shadow_blur_strength=&#8221;body_ol_text_shadow_style,%91object Object%93&#8243; body_ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; body_quote_text_shadow_horizontal_length=&#8221;body_quote_text_shadow_style,%91object Object%93&#8243; body_quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_quote_text_shadow_vertical_length=&#8221;body_quote_text_shadow_style,%91object Object%93&#8243; body_quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_quote_text_shadow_blur_strength=&#8221;body_quote_text_shadow_style,%91object Object%93&#8243; body_quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; header_text_align=&#8221;left&#8221; body_text_align=&#8221;left&#8221; module_alignment=&#8221;left&#8221; background_color=&#8221;#f4f4f4&#8243; border_width_all_image=&#8221;2px&#8221; border_color_all_image=&#8221;#f4f4f4&#8243; text_orientation=&#8221;center&#8221; icon_alignment=&#8221;left&#8221; content_max_width=&#8221;478px&#8221; custom_margin=&#8221;2px|2px|2px|2px&#8221; custom_padding=&#8221;20px|20px|20px|20px&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Staying at home has not been a great difficulty for <\/span><a href=\"http:\/\/www.clubsociallamuralla.com\/\"><span style=\"font-weight: 400;\">Lurdes Louren\u00e7o<\/span><\/a><span style=\"font-weight: 400;\">, because her disorder is related to going outside. Her experience is not unique: many patients were not distressed by confinement. \u201cMany of them were already partially confined. Some patients found their anxiety alleviated by confinement\u201d, says psychiatrist <\/span><a href=\"https:\/\/www.docenti.unina.it\/#!\/professor\/46454c49434549415345564f4c4953564c464c433736453135493037334e\/riferimenti\"><span style=\"font-weight: 400;\">Felice Iasevoli<\/span><\/a><span style=\"font-weight: 400;\">. However, other people, such as those affected by autism spectrum disorder, did experience intense stress due to the loss of their daily routines and the inability to go to specialised rehabilitation centres.<\/span><\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_image _builder_version=&#8221;4.7.4&#8243; src=&#8221;https:\/\/miir.gr\/wp-content\/uploads\/2020\/12\/MontseAguilera-12-grad4-civio.jpg&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; \/][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; 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header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><i><span style=\"font-weight: 400;\">&#8220;It broke my heart when a friend was hospitalised <\/span><\/i><i><span style=\"font-weight: 400;\">and went through this double confinement, <\/span><\/i><i><span style=\"font-weight: 400;\">without visitors, without being able to call&#8221;<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Montse Aguilera poses at the headquarters of <\/span><a href=\"https:\/\/www.salutmentalblln.org\/contacte\/\"><span style=\"font-weight: 400;\">Associaci\u00f3 per la Salut Mental del Baix Llobregat Nord<\/span><\/a><span style=\"font-weight: 400;\">, the charity where she collaborates | Hugo Fern\u00e1ndez Alcaraz<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; 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header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<h4><b>Distance and intermittent mental health care<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The COVID-19 pandemic has transformed health care, including mental health care, and continues to cause problems. \u201cEven from June on, the number of appointments was largely reduced,\u201d says <\/span><a href=\"https:\/\/www.docenti.unina.it\/#!\/professor\/46454c49434549415345564f4c4953564c464c433736453135493037334e\/riferimenti\"><span style=\"font-weight: 400;\">Felice Iasevoli<\/span><\/a><span style=\"font-weight: 400;\">, a psychiatrist at the Federico II University Hospital in Naples, Italy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to the cuts in available mental health services, demand for care has dropped among people with mental health problems.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThis demand decrease is because of the lockdown and the people\u2019s fear: they did not want to come to the hospital, or they could not come because of travel restrictions or the lockdown,\u201d says Croatian psychiatrist <\/span><a href=\"https:\/\/scholar.google.com\/citations?user=ikuqT3UAAAAJ&amp;hl=en\"><span style=\"font-weight: 400;\">Martina Rojnic<\/span><\/a><span style=\"font-weight: 400;\">, spokesperson for the <\/span><a href=\"https:\/\/www.europsy.net\/\"><span style=\"font-weight: 400;\">European Psychiatric Association<\/span><\/a><span style=\"font-weight: 400;\">, a professional society.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This has been the case for Maria, a woman from Bucharest, Romania, who prefers not to give her real name due to stigma. When the confinement began, she continued consultations to treat her depression online. When her therapist suggested that she return to face-to-face appointments due to the decrease in cases over the summer, Maria says, \u201cI was very anxious even then and very afraid to get out and get infected.\u201d After the arrival of the second wave of the coronavirus, Maria returned to online therapy in order to minimise the risks of contagion.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere is a necessity to organise continuous care because if care is disrupted, it means that a large number of patients might relapse,\u201d Rojnic says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some places, the options were phone calls and, in some cases, video calls. According to internal data from the European Psychiatric Association, more than 75% of the psychiatric care provided by caregivers was online during the first wave, although there were big differences between countries.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere are some countries where online psychiatry was not used at all,\u201d Rojnic says, so the services were completely disrupted. Moreover, \u201cin some other countries like the Balkans or south eastern countries, the switch to online was up to 50%. In those countries that have already implemented it for 30 years, like Scandinavian countries, they easily switched to online therapy in these circumstances,\u201d Rojnic says. According to a <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/en\"><span style=\"font-weight: 400;\">survey<\/span><\/a><span style=\"font-weight: 400;\"> conducted in 2015 by the WHO Global Observatory for eHealth, only <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/fin.pdf?ua=1\"><span style=\"font-weight: 400;\">Finland<\/span><\/a><span style=\"font-weight: 400;\">, the <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/nld.pdf?ua=1\"><span style=\"font-weight: 400;\">Netherlands<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/swe.pdf?ua=1\"><span style=\"font-weight: 400;\">Sweden<\/span><\/a><span style=\"font-weight: 400;\"> had operational telepsychiatry programmes at the national level at the time.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; 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header_4_text_shadow_blur_strength=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">Other countries, such as <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/grc.pdf?ua=1\"><span style=\"font-weight: 400;\">Greece<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/esp.pdf?ua=1\"><span style=\"font-weight: 400;\">Spain<\/span><\/a><span style=\"font-weight: 400;\">, had launched pilot programmes for remote psychiatric care, while <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/hrv.pdf?ua=1\"><span style=\"font-weight: 400;\">Croatia<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/ita.pdf?ua=1\"><span style=\"font-weight: 400;\">Italy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/ltu.pdf?ua=1\"><span style=\"font-weight: 400;\">Lithuania<\/span><\/a><span style=\"font-weight: 400;\"> had more informal initiatives at the time. \u201cDigital consultations had never truly been a focus of healthcare policies before the pandemic,\u201d D\u2019Agostino says. Confinement changed it from being one among many options to the only option for some people.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although telephone and video follow-up can help, mental health specialists call for \u201ccontinuous support\u201d for people who have more serious problems. In fact, the problem already existed before the arrival of COVID-19: the lack of resources limited mental health care. According to <\/span><a href=\"https:\/\/ec.europa.eu\/eurostat\/databrowser\/view\/HLTH_RS_SPEC__custom_109378\/default\/table?lang=en\"><span style=\"font-weight: 400;\">2018 Eurostat data<\/span><\/a><span style=\"font-weight: 400;\">, the countries with the most psychiatrists per 100,000 inhabitants were Germany (27.45 psychiatrists per 100,000), Greece (25.79) and the Netherlands (24.15). Poland (9.23 psychiatrists per 100,000 inhabitants), Bulgaria (10.31) and Spain (10.93) had the fewest psychiatrists in proportion to their populations.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_code _builder_version=&#8221;4.7.4&#8243; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<div class=\"multimedia\"> <!-- [et_pb_line_break_holder] -->  <\/p>\n<div id=\"mental-health-psychiatrists\"><\/div>\n<p><!-- [et_pb_line_break_holder] --><\/div>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><script type=\"text\/javascript\"><!-- [et_pb_line_break_holder] -->  var script = document.createElement('script');<!-- [et_pb_line_break_holder] -->  script.onload = function() {<!-- [et_pb_line_break_holder] -->    var pymParent = new pym.Parent('mental-health-psychiatrists', 'https:\/\/graphs.civio.es\/medicamentalia\/mental-health-psychiatrists\/dist\/', {});<!-- [et_pb_line_break_holder] -->  };<!-- [et_pb_line_break_holder] -->  script.src = 'https:\/\/civio.es\/assets\/pym.v1.min.js';<!-- [et_pb_line_break_holder] -->  document.body.appendChild(script);<!-- [et_pb_line_break_holder] --><\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; 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header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<h4><b>Remote care is not a panacea<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Mental health resources were scarce before the pandemic. Today access is even more difficult. While remote care has emerged as an option, patient opinions on it vary. For some people, face-to-face meetings are very important because of the eye contact and the trust they can build between the healthcare providers and the people they are treating. \u201cIf you have no other choice, you do it, but it is not the same,\u201d says Aguilera, the mental health patient and activist.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other people say remote care is more comfortable for them than a face-to-face consultation, says Jorge Daniel Castilla, a patient who works at <\/span><a href=\"http:\/\/www.clubsociallamuralla.com\/\"><span style=\"font-weight: 400;\">La Muralla<\/span><\/a><span style=\"font-weight: 400;\">, a charity linked to mental health.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_image _builder_version=&#8221;4.7.4&#8243; src=&#8221;https:\/\/miir.gr\/wp-content\/uploads\/2020\/12\/JorgeCastilla-04-grad4-civio.jpg&#8221; 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header_4_text_shadow_vertical_length=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><i><span style=\"font-weight: 400;\">&#8220;I opened up a lot because I noticed that <\/span><\/i><i><span style=\"font-weight: 400;\">on the phone you could open up more than <\/span><\/i><i><span style=\"font-weight: 400;\">when you have the professional in front of you&#8221;<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Jorge Daniel Castilla, standing in Tarragona (Spain) | Hugo Fern\u00e1ndez Alcaraz<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; 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header_4_text_shadow_blur_strength=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">For the psychologist Marta Poll, director of the charity <\/span><a href=\"https:\/\/www.salutmental.org\/\"><span style=\"font-weight: 400;\">Salut Mental Catalunya<\/span><\/a><span style=\"font-weight: 400;\">, experiences such as Castilla\u2019s show that remote care can help people with mobility difficulties or who have a hard time building trusting relationships face to face. However, there are other barriers to access that can make it difficult to care for some patients, especially in the cases of older people or those who cannot use technology, whether for economic or other reasons.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_image _builder_version=&#8221;4.7.4&#8243; src=&#8221;https:\/\/miir.gr\/wp-content\/uploads\/2020\/12\/Jimmie-square-civio.jpg&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; \/][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; 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horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">Swedish patient Jimmie Trevett | Riksf\u00f6rbundet f\u00f6r Social och Menta<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length=&#8221;link_text_shadow_style,%91object Object%93&#8243; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; 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header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">\u201cFor some of the patients there was no contact at all because they couldn\u2019t handle the digital meetings and they couldn\u2019t go out, so they felt worse,\u201d explains patient Jimmie Trevett, spokesperson for the Swedish Association for Social and Mental Health (<\/span><a href=\"https:\/\/rsmh.se\/\"><span style=\"font-weight: 400;\">RSMH<\/span><\/a><span style=\"font-weight: 400;\">), a charity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Health professionals say calls and video calls can be useful to keep tabs on patients already in treatment. However, they are not always effective. \u201c[They] can become tricky for novel users in which a therapeutic alliance still has to be built,\u201d says D\u2019Agostino. According to various studies published in recent months, remote examination of patients is <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7177054\/pdf\/main.pdf\"><span style=\"font-weight: 400;\">more limited<\/span><\/a><span style=\"font-weight: 400;\">, although several countries have opted for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7164869\/pdf\/main.pdf\"><span style=\"font-weight: 400;\">remote care<\/span><\/a><span style=\"font-weight: 400;\"> during the pandemic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mental health services in some places, such as Utrecht, the Netherlands, have come up with more imaginative solutions. \u201cEven when the lockdown was in place, they introduced the concept of \u2018coffee to go\u2019. The mental health professionals will meet people outside keeping the distance and will do counselling and therapy while walking,\u201d says Rodzinka, the Mental Health Europe spokesperson.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length=&#8221;link_text_shadow_style,%91object Object%93&#8243; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; 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header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<h4><b>Worry for the future<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The problem for the mental health sector is not only how to care for people with existing diagnoses, but also how to deal with new cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe consequences [of the pandemic] are going to be devastating for many people, who will be ruined, unemployed, without horizons,\u201d says Nel Zapico, a relative of a person with a mental health disorder and president of the <\/span><a href=\"https:\/\/consaludmental.org\/\"><span style=\"font-weight: 400;\">Confederaci\u00f3n Salud Mental Espa\u00f1a<\/span><\/a><span style=\"font-weight: 400;\">, a charity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In fact, Tedros Adhanom Ghebreyesus, director-general of WHO, <\/span><a href=\"https:\/\/www.who.int\/news\/item\/14-05-2020-substantial-investment-needed-to-avert-mental-health-crisis\"><span style=\"font-weight: 400;\">has already warned<\/span><\/a><span style=\"font-weight: 400;\"> of this danger. A <\/span><a href=\"https:\/\/www.thelancet.com\/action\/showPdf?pii=S0140-6736%2820%2930460-8\"><span style=\"font-weight: 400;\">review<\/span><\/a><span style=\"font-weight: 400;\"> of the psychological impact of past quarantines, such as during the SARS, MERS, and Ebola epidemics, showed higher levels of anxiety and stress among people who underwent quarantine. In several European countries there seem to be more <\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lanpsy\/article\/PIIS2215-0366(20)30308-4\/fulltext\"><span style=\"font-weight: 400;\">mental distress<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.eurofound.europa.eu\/publications\/report\/2020\/living-working-and-covid-19\"><span style=\"font-weight: 400;\">concern<\/span><\/a><span style=\"font-weight: 400;\"> about the COVID-19 pandemic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mental health experts fear a wave of mental health problems. \u201cI will expect anxiety disorders as a consequence of the stress and the tension that every one of us is facing at the moment: depressive disorders as the consequence of confinement, family loss, economic loss; traumatic disorders as the consequence of severely shocking situations, such as having been hospitalised for COVID-19 or having had a close relative hospitalised,\u201d says Iasevoli, the psychiatrist. Iasevoli also predicts a recurrence of \u201csubstance use disorder and the re-exacerbation of psychotic symptoms in the most vulnerable populations\u201d. The list does not end there: \u201cHigh rates of Post-Traumatic Stress Disorder (PTSD) are also predicted in COVID-19 survivors with prolonged hospitalisation or lack of adequate assistance at home,\u201d D\u2019Agostino says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare professionals working on the front lines, such as <\/span><a href=\"https:\/\/civio.es\/medicamentalia\/2020\/07\/01\/coronavirus-covid-19-especialidades-medicas-hospitales\/\"><span style=\"font-weight: 400;\">medical<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/civio.es\/medicamentalia\/2020\/06\/23\/covid-19-pandemic-exposes-southern-europes-nursing-shortage\/\"><span style=\"font-weight: 400;\">nursing<\/span><\/a><span style=\"font-weight: 400;\"> staff, can also suffer from mental health problems. \u201cThere is a higher level of burnout and maybe post-traumatic stress disorder later on,\u201d says Rojnic, the European Psychiatric Association spokesperson. This is not just a prediction. Previous epidemics, such as SARS and MERS, affected the mental health of the healthcare professionals involved. Studies on the impact of the first wave of COVID-19 in countries like Spain report that the majority of workers on the front line have not received <\/span><a href=\"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/8149\"><span style=\"font-weight: 400;\">the psychological and psychiatric help they need<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Those who have lost loved ones also carry the pain of not being able to properly part or farewell, says psychiatrist <\/span><a href=\"https:\/\/www.researchgate.net\/profile\/Roberto_Mezzina\"><span style=\"font-weight: 400;\">Roberto Mezzina<\/span><\/a><span style=\"font-weight: 400;\">, who directed a mental health referral centre in Trieste, Italy before retiring. He warns: \u201cThis amount of grief is still floating in the air, just suspended and in any moment it can heavily impact society.\u201d<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_toggle _builder_version=&#8221;4.7.4&#8243; title=&#8221;Methodology&#8221; icon_color=&#8221;#e02b20&#8243; open_toggle_background_color=&#8221;#f4f4f4&#8243; text_shadow_horizontal_length=&#8221;text_shadow_style,%91object Object%93&#8243; text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_shadow_vertical_length=&#8221;text_shadow_style,%91object Object%93&#8243; text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_shadow_blur_strength=&#8221;text_shadow_style,%91object Object%93&#8243; text_shadow_blur_strength_tablet=&#8221;1px&#8221; title_text_shadow_horizontal_length=&#8221;title_text_shadow_style,%91object Object%93&#8243; title_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; title_text_shadow_vertical_length=&#8221;title_text_shadow_style,%91object Object%93&#8243; title_text_shadow_vertical_length_tablet=&#8221;0px&#8221; title_text_shadow_blur_strength=&#8221;title_text_shadow_style,%91object Object%93&#8243; title_text_shadow_blur_strength_tablet=&#8221;1px&#8221; closed_title_text_shadow_horizontal_length=&#8221;closed_title_text_shadow_style,%91object Object%93&#8243; closed_title_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; closed_title_text_shadow_vertical_length=&#8221;closed_title_text_shadow_style,%91object Object%93&#8243; closed_title_text_shadow_vertical_length_tablet=&#8221;0px&#8221; closed_title_text_shadow_blur_strength=&#8221;closed_title_text_shadow_style,%91object Object%93&#8243; closed_title_text_shadow_blur_strength_tablet=&#8221;1px&#8221; body_text_shadow_horizontal_length=&#8221;body_text_shadow_style,%91object Object%93&#8243; body_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_text_shadow_vertical_length=&#8221;body_text_shadow_style,%91object Object%93&#8243; body_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_text_shadow_blur_strength=&#8221;body_text_shadow_style,%91object Object%93&#8243; body_text_shadow_blur_strength_tablet=&#8221;1px&#8221; body_link_text_shadow_horizontal_length=&#8221;body_link_text_shadow_style,%91object Object%93&#8243; body_link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_link_text_shadow_vertical_length=&#8221;body_link_text_shadow_style,%91object Object%93&#8243; body_link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_link_text_shadow_blur_strength=&#8221;body_link_text_shadow_style,%91object Object%93&#8243; body_link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; body_ul_text_shadow_horizontal_length=&#8221;body_ul_text_shadow_style,%91object Object%93&#8243; body_ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_ul_text_shadow_vertical_length=&#8221;body_ul_text_shadow_style,%91object Object%93&#8243; body_ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_ul_text_shadow_blur_strength=&#8221;body_ul_text_shadow_style,%91object Object%93&#8243; body_ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; body_ol_text_shadow_horizontal_length=&#8221;body_ol_text_shadow_style,%91object Object%93&#8243; body_ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_ol_text_shadow_vertical_length=&#8221;body_ol_text_shadow_style,%91object Object%93&#8243; body_ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_ol_text_shadow_blur_strength=&#8221;body_ol_text_shadow_style,%91object Object%93&#8243; body_ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; body_quote_text_shadow_horizontal_length=&#8221;body_quote_text_shadow_style,%91object Object%93&#8243; body_quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; body_quote_text_shadow_vertical_length=&#8221;body_quote_text_shadow_style,%91object Object%93&#8243; body_quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; body_quote_text_shadow_blur_strength=&#8221;body_quote_text_shadow_style,%91object Object%93&#8243; body_quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">Data linked to psychiatrists in the European Union from this article is available for download <\/span><a href=\"https:\/\/datos.civio.es\/dataset\/psiquiatras-en-la-union-europea\/\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">, while information on telepsychiatry can be downloaded <\/span><a href=\"https:\/\/datos.civio.es\/dataset\/telepsiquiatria-en-la-union-europea\/\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">. The United Kingdom is included since the information corresponds to data obtained before the Brexit.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Information on the availability of telepsychiatric services comes from a <\/span><a href=\"https:\/\/www.who.int\/goe\/publications\/atlas\/2015\/en\/\"><span style=\"font-weight: 400;\">global survey<\/span><\/a><span style=\"font-weight: 400;\"> conducted in 2015 by the World Health Organization. In the case of Estonia, remote psychiatry had both international and national coverage, while in Finland it had national and regional coverage. According to WHO data, in Spain, the geographical scope of telepsychiatry was regional, intermediate and local, while there were pilot and established programmes. In Sweden, coverage was national and intermediate and there were also pilot and established programmes. No information is available for Austria, Hungary, Ireland, Latvia, Luxembourg, Malta, Poland, Portugal, Romania, Slovenia and Slovakia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Psychiatrists per capita data is from <\/span><a href=\"https:\/\/ec.europa.eu\/eurostat\/databrowser\/view\/HLTH_RS_SPEC__custom_109378\/default\/table?lang=en\"><span style=\"font-weight: 400;\">Eurostat<\/span><\/a><span style=\"font-weight: 400;\">: in most cases, the figures are from 2018, although in Poland, Luxembourg and Sweden, the numbers go back to 2017. Finland and Slovakia are not included for these reasons: in the first case, the data was outdated and, in the second case, there is no information in Eurostat linked to the Slovak Republic.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Data on the disruption of mental health services published by the WHO comes from a <\/span><a href=\"https:\/\/www.who.int\/publications\/i\/item\/978924012455\"><span style=\"font-weight: 400;\">2020 report<\/span><\/a><span style=\"font-weight: 400;\">. Finally, data on psychiatric care in Europe during the first COVID-19 wave is from an internal survey conducted by the European Psychiatric Association, which has not yet been officially published.<\/span><\/p>\n<p>[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243; custom_padding__hover=&#8221;|||&#8221; custom_padding=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.7.4&#8243; text_text_shadow_horizontal_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength=&#8221;text_text_shadow_style,%91object Object%93&#8243; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length=&#8221;link_text_shadow_style,%91object Object%93&#8243; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; 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header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength=&#8221;header_4_text_shadow_style,%91object Object%93&#8243; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength=&#8221;header_5_text_shadow_style,%91object Object%93&#8243; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength=&#8221;header_6_text_shadow_style,%91object Object%93&#8243; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243;]<\/p>\n<div>Source: <a href=\"https:\/\/civio.es\/medicamentalia\/2020\/12\/03\/mental-health-coronavirus-covid-19\/\">CIVIO<\/a> | European Data Journalism Network<\/div>\n<p>Licence <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY 4.0<\/a><\/p>\n<p>[\/et_pb_text][et_pb_image _builder_version=&#8221;4.7.4&#8243; src=&#8221;https:\/\/miir.gr\/wp-content\/uploads\/2020\/11\/EDJN-Logo-BW.png&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_row et_pb_row_0 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Remote therapy brings little healing for the mentally ill.COVID-19 has paralysed mental health care, already weak in several\u00a0 European countries.During the first wave, 75% of psychiatry services were via telemedicine, but it doesn\u2019t work for everybody. Reporting: \u00c1ngela Bernardo,Maria \u00c1lvarez Del VayoInterviews: Ollala Tunas,\u00a0Monica Georgescu\u00a0Data visualization: Carmen Torrecillas,English editing: Lucas Laursen\u00a0 <div class=\"et_pb_row et_pb_row_1 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> &#8220;Before the [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":11092,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[142],"tags":[148,149,150,151,140],"class_list":["post-11118","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-network","tag-mental-health","tag-patients","tag-pandemic","tag-covid-19-2","tag-covid-19"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>No appointments for mental health patients during the COVID-19 pandemic - MIIR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/miir.gr\/psychiki-ygeia-kai-covid-19-i-tile-iatriki-den-ftanei\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"No appointments for mental health patients during the COVID-19 pandemic - MIIR\" \/>\n<meta property=\"og:description\" content=\"Remote therapy brings little healing for the mentally ill.COVID-19 has paralysed mental health care, already weak in several\u00a0 European countries.During the first wave, 75% of psychiatry services were via telemedicine, but it doesn\u2019t work for everybody. 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