Fu Y

Stepanova E

Thompson A

Yu G

English

Newcastle University E-Prints

DISCUSSIONThis review is still ongoing and the data synthesis is in progress. The review is part of the larger project which aims to inform mental health services that are sensitive to people’s needs, through an analysis of routine healthcare data, stakeholder interviews and a consensus exercise. The study is funded by the NIHR School for Primary Care Research as part of the Three NIHR Research Schools Mental Health Programme (MHF018 and MH027) and also supported by ARC NENC and Integrated Care System Mental Health WorkstreamA COVID-19 diagnosis has led to significant deterioration in mental health in previously healthy people and those with pre-existing mental health conditions [1-3]. While the increasing demand for mental health support/treatment inevitably exceeded the capacity of essential mental health services, the pandemic has significantly interrupted usual practice in the UK and worldwide. Difficulties attending review appointments in person and closure of support services are likely to have impacted all those in, or in need of, active treatment. The unequal impact of the pandemic and countrywide lockdown is likely to further entrench and exacerbate the existing structural inequalities in mental health. In response to the challenges in mental health services the UK National Health Service has set up a long-term plan to improve mental healthcare services [4]. To support the service recovery and improvement, learning from health service changes throughout the pandemic, and their consequences for people’s physical and mental health is vital to inform practical policy solutions for integrated service recovery and effectively plan services that reach those with the greatest need.BACKGROUND RESULTSStudy selectionA total of 8827 records were identified, which were imported to Rayyan software for deduplication. Abstracts and titles were screened for 6969 records, resulting in 34 studies included for synthesis.Data synthesisA total of 80% of the titles and abstracts were double-screened; Full text screening was independently piloted by two reviewers. Two data extraction forms were developed for patients and health care professionals to capture data on title, author, year, design, health condition, service provision prior to COVID, services during COVID, participants’ experiences of new models, outcomes. Included studies are currently synthesised narratively [7],  the table below shows the overview of the included studies. Table 2: Studies included for Data ExtractionMETHODSA rapid review [5] with Cochrane CENTRAL, MEDLINE, Embase and PsycInfo from 2019 to the present, using search informed by a range of keywords and subject headings representing COVID-19 and mental health services. The protocol has been published [6].Table 1: Inclusion and Exclusion CriteriaPATIENT & PUBLIC INVOLVEMENTThis study has been designed in partnership with those with lived experience, who will continue to support the conduct and dissemination of this study. The organisations involved are as follows:Health equality for ethnically minoritised communities (Haref) at Newcastle and GatesheadEthnic Health Forum at ManchesterService User and Carer Reference Group of the Cumbria Northumberland and Tyne and Wear (CNTW) NHS Foundation TrustAIM1. To identify changes in mental health services for adult patients in response to the pandemic;2. To understand the impact of the changes on their health outcomes in high-income countries.Mental Health Services in Response to the COVID-19 Pandemic in High-Income Countries: A Rapid ReviewYu Fu¹²; Evgenia Stepanova¹; Alex Thompson¹²; Ge Yu¹² ¹Population Health Sciences Institute, Newcastle University² NIHR Applied Research Collaboration North East and North CumbriaThis project is supported by the NIHR Applied Research Collaboration (ARC) North East and North Cumbria (NENC)www.arc-nenc.nihr.ac.ukInclusion Criteria Exclusion CriteriaType of studies: peer-reviewed empirical studies describing the change of mental health services in response to COVID-19.Studies reporting views of the general public, letters of opinion or commentariesTypes of participants: People aged 18+ experiencing mental health conditions.Under 18 years; those with no mental health conditionsType of health services: Interventions, services and models of care delivered in response to COVID-19 to provide support for adults with mental health conditions.Services for patients with no mental health needsType of study setting: member of Organisation for Economic Co-operation and Development (OECD)Low-income countriesFigure 1: PRISMA flowchart 6REFERENCES1.Moreno C, Wykes T, Galderisi S, et al. How mental health care should change as a consequence of the COVID-19 pandemic. Lancet Psychiatry 2020;7:813–24.2.Pierce M, Hope H, Ford T, et al. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry 2020;7:883–923.Banks J, Xu X. The mental health effects of the first two months of lockdown during the COVID‐19 pandemic in the UK *. Fisc Stud2020;41:685–708.4.Alderwick H, Dixon J. The NHS long term plan. BMJ 2019;364:l84.5.Garritty C, Gartlehner G, Nussbaumer-Streit B, King VJ, Hamel C, Kamel C, Affengruber L, Stevens A. Cochrane Rapid Reviews Methods Group offers evidence-informed guidance to conduct rapid reviews. J Clin Epidemiol. 2021 Feb;130:13-226. Yu G, Craig D, Fu YMental health services in response to the COVID-19 pandemic in high-income countries: protocol for a rapid reviewBMJ Open 2022;12:e062078. doi: 10.1136/bmjopen-2022-0620787. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71Number of studies Population Type of studies Country25 patientsQualitative (n=10); Quantitative (n=11); Case study (n=3); RCT (n=1)US (n=14); UK (n=3); EU (n=5); Japan (n=1);Canada (n=2)8 Health care professionalsQualitative (n=5); Quantitative (n=2); Mixed method (n=1)US (n=6);EU (n=2)1 Both Qualitative UKIf you are interested in hearing more information about the project, please contact Dr Evgenia Stepanova. Email: evgenia.stepanova2@newcastle.ac.ukhttps://qrco.de/bdUFgi

Mental Health Services in Response to the COVID-19 Pandemic in High-Income Countries: A Rapid Review

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Mental Health Services in Response to the COVID-19 Pandemic in High-Income Countries: A Rapid Review

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