Workshop Compiled

Abstract

The COVID-19 pandemic has stretched the healthcare system its limits, largely remaining a puzzle with no definitive treatment and ever emerging variants. The overwhelming psychological stress on such patients (observed devastation, concerns about deterioration, physical isolation, social discriminations) and the CNS effects of SARS-CoV-2 infection together may lead to various psychiatric symptoms like insomnia, depressive mood, anxiety, aggressive outbursts and even suicidal ideations. Literature suggests that up to 35% have depressive symptoms, 28% have anxiety and 20% may have impaired consciousness and confusion which is linked with severe progression of disease.Persons with mental illnesses are at a higher risk of contracting viral infections because of a myriad of factors, such as a chronically dysregulated innate immune system, cognitive and higher motor functioning, and sometimes deficient personal hygiene. The recommendations and necessary social isolation can limit the continuation of tailored care, support and treatment for these patients. The situation worsens when these patients develop COVID-19 and require hospitalization for management, away from familiar caregivers and receive care through the barriers of personal protective equipment (PPE).All patients admitted at our hospital were screened for need of mental healthcare telephonically and received counselling, with in person consultation provided as required on a case-to-case basis for further management. The experience sharing of COVID-19 recovered health care professionals via audio announcement system was initiated to boost the morale of patients. All the patients were managed within COVID-19 isolation protocols.The current evidence, unique experience, novel approach at screening and support, learnings and future directions for mental healthcare delivery in a dedicated COVID-19 hospital (DCH) will be discussed. 1. Conceptual overview and mental healthcare delivery in a DCH: Jaiswal SV.2. Psychiatric symptoms in COVID-19 & case discussion: Jyrwa S. COVID-19 in patients with mental illness & case di