Abstract

The COVID-19 pandemic has posed many challenges in maintaining standards of care and treatment for patients while managing the increased anxieties of patients, carers and the public in general. This paper highlights several clinical, administrative, medicolegal and IT implications of COVID-19 on the delivery of mental healthcare to an elderly vulnerable patient cohort due to recommended social distancing measures. Our Psychiatry of Later Life team has adapted to this by restricting face-to-face consultation, while continuing to provide telephone support. We have modified our documentation standard and have improved some aspects of our team working by facilitating flexible working arrangement and relevant training for staff as well as by embracing new technology. Notwithstanding the challenges therefore, this exceptional time has also opened avenues for new and innovative opportunities that can be further explored even when the current crisis eventually passes.

Highlights

  • With the onset of the COVID-19 pandemic, there have been unprecedented changes in world dynamics in a matter of months

  • In order to keep up with the rapidly evolving situation, and the plethora of information that has been issued since the onset of the pandemic, it has been necessary to look at novel ways of adapting to the new circumstances in mental healthcare

  • It is important to bear in mind that while we aim for perfection in standards of care and documentation, this may not be achievable in these challenging times

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Summary

PERSPECTIVE PIECE

Coping with the COVID-19 crisis: an overview of service adaptation and challenges encountered by a rural. The COVID-19 pandemic has posed many challenges in maintaining standards of care and treatment for patients while managing the increased anxieties of patients, carers and the public in general. Our Psychiatry of Later Life team has adapted to this by restricting face-to-face consultation, while continuing to provide telephone support. We have modified our documentation standard and have improved some aspects of our team working by facilitating flexible working arrangement and relevant training for staff as well as by embracing new technology. Notwithstanding the challenges this exceptional time has opened avenues for new and innovative opportunities that can be further explored even when the current crisis eventually passes

Introduction
Clinical perspective
Staff and MDT issues
Technology issues
Medicolegal issues
Staff training
Findings
Challenges faced and lessons learned
Full Text
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