Abstract
In the context of the COVID-19 pandemic, 50 patients and 30 medical personnel were infected in a psychiatric hospital in Wuhan (Hubei Province, China), which required the Ministry of Health of China to urgently analyze the situation and develop a set of measures aimed at containing the spread of the virus and organizing a full and safe psychiatric care.
 The reasons for this situation could be the lack of reserve beds for psychiatric patients, low awareness of psychiatrists in diagnosing and treating infectious diseases, the separation of the psychiatric care system between the two departments, and the cramped living conditions of patients in psychiatric hospitals.
 More than 500 psychiatrists from across the country were sent to Wuhan to fill staff. Psychiatric patients with mild to moderate COVID-19 were transferred to temporary psychiatric hospitals organized in gymnasiums and exhibition centers. Severely ill psychiatric patients COVID-19 were transferred to hospital infectious diseases. A single patient routing system was organized, a shift schedule for doctors was introduced. To reduce the burden on public transport, the outpatient unit of psychiatric care was taken to regional hospitals, which had previously dealt only with forensic psychiatry and the control of patients with addictive disorders.
 Based on the experience of Wuhan, psychiatric communities from different countries proposed a list of practical recommendations designed to reduce the risks of spreading the infection and optimize the work of psychiatric care.
 All hospitals should have a reserve bed capacity, which can be used for the rehabilitation and socialization of patients in quiet times. Hospitals must be provided with a sufficient number of tests, drugs, and personal protective equipment. Outpatients need to be fully provided with access to medical and psychotherapeutic therapy using telemedicine technologies to minimize the risk of infection. It is crucial to restructure the appointment of doctors by introducing work on a shift schedule: two weeks in two weeks, which will not only ensure a good rest but also allow doctors to be quarantined after each shift.
Highlights
Основные цели данного обзора — изучение влияния пандемии COVID-19 на оказание психиатрической помощи в Китае и ряде других стран, а также поиск эффективных стратегий по оптимизации системы психиатрической помощи в условиях пандемии
отсутствие резервных коек для психиатрических больных
COVID-19 disease emergency operational instructions for Mental Health Departments issued by the Italian Society of Epidemiological Psychiatry
Summary
Организация психиатрической помощи и психические нарушения у жителей стран, находящихся в условиях пандемии COVID-19. Ухань (провинция Хубэй, Китай) произошло заражение 50 пациентов и 30 медицинских сотрудников, что потребовало от Министерства здравоохранения Китая экстренного анализа ситуации и разработки комплекса мер, направленных на сдерживание распространения вируса и организацию полноценной и безопасной психиатрической помощи. Ключевые слова: COVID-19, психиатрия, Китай, реформа здравоохранения, психиатрические больницы Для цитирования: Цыганков Б.Д., Иванова Г.Р., Шелег Д.А., Савенкова В.И. Организация психиатрической помощи и психические нарушения у жителей стран, находящихся в условиях пандемии COVID-19 2020 г. В данном обзоре рассмотрены организация оказания психиатрической помощи в условиях пандемии на примере больниц Китая и других стран, наиболее подвергшихся распространению эпидемии, а также влияние сложившейся ситуации на психическое здоровье населения в целом.
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