Psychological interventions in COVID-19 units

Leila Rokbani, Julie Saussez, Pauline Chauvier, Céline Baurain, Nathalie Chatelle, Florence Chanteux, François Hocepied, Kevin Wagemans, Philippe de Timary, Geneviève Cool Published in the journal : May 2020 Category : Psychiatrie

In this article, we sought to describe and analyze the interventions and experiences of a subgroup of psychologists from the psychology department of the Saint-Luc University Hospital, who rapidly stepped in to support care units receiving COVID-19 patients during the COVID-19 pandemic. Besides the setting up of a call center and speech groups aimed at relieving staff members, psychologists collectively and voluntarily decided to immerse themselves into these care units in order to support staff members, patients, and families overwhelmed by the strength of the crisis. Behavioral and psychological alarm signs in care unit staff members and psychologists themselves need to be considered and cared for. At the end of the article, a testimony of the involved psychologists provides an insight into the reality of the crisis.

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The impact of the pandemic on psychiatry: did we step into war psychiatry?

Gérald Deschietere, Alain Luts, Wolfgang Schuller, Jean-Philippe Heymans, Nausica Germeau, Geneviève Cool, Philippe de Timary, Laurie Nizet Published in the journal : May 2020 Category : Psychiatrie

The COVID-19 pandemic (SARS-CoV-2) has changed the organization of care in psychiatry. After providing a brief overview of the links between the epidemic and psychiatry, this article details the methods used to organize psychiatric care at Saint-Luc University Clinics: overall reduction in activity, shift towards telephone or video consultations, allocation of psychiatric beds for patients suffering from mental disorders and COVID-19, significant increase of the mobile crisis team activity, etc. The changes in psychiatric practice induced by the use of telephone and mask wearing are discussed. As a conclusion, the article raises some questions about the future of psychiatry and the links between the pandemic and mental health reform. We end with an anthropological reflection on war psychiatry and the fate of death in our society

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Innovations in 2018 in the psychiatry field ?

Published in the journal : February 2019 Category : Psychiatrie

Psychiatry occupies a very specific position within the field of medicine, given that it integrates the biological, psychological, and sociological dimensions that all contribute to the expression of mental health disorders. The essential innovations that have taken place within the fields of biology and more particularly, neuroscience, experimental psychology, and social sciences, may all be instrumental in advancing the field of psychiatry. On the other hand, psychiatry appears to be quite preoccupied with the mental health treatment reform that will profoundly modify treatment attitudes, involving an increase in community mental healthcare services, as well as more efficient first-line care facilities for mental health problems. On account of this treatment reform, special attention will be given to limiting desocialization of patients, developing mobile care units that are able to visit isolated patients at home, while promoting care intensification within hospital care units, in addition to creating long-term housing facilities for the most fragile patients. The Department of Adult Psychiatry of the academic Saint-Luc Hospital is heavily involved in this reform, but also in the project of building a new psychiatric hospital in Woluwé, in direct collaboration with the Sanatia Hospital and with our colleagues from the infanto-juvenile psychiatry department. One major challenge inherent to this new project is to not abandon our role and place in the main academic hospital, where specific innovative initiatives are presently being implemented, and this in close collaboration with our colleagues from the somatic medical fields. To end with, we think it essential that all these changes do not make us forget psychiatry’s anthropological roots that must remain its major strengths.

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Posttraumatic stress disorder (PTSD) in the South Kivu Province of the Democratic Republic of the Congo

Marie Liégeois(*), Eric Constant(**) Published in the journal : January 2017 Category : Psychiatrie

Based on the observations made during hospital care of a victim of sexual violence in South Kivu and suffering from PTSD, the authors stress the relevance of considering cultural and socio-political aspects, as well as the nature of the violence experienced for a better understanding of the situation. Given that in this very context, patients with PTSD only partially respond to the reference treatment, it is primordial to install a management that is adapted to the specificities of patient's situation. Based on the concepts of dehumanization and resilience, the authors emphasize the necessity of respecting the expression mode of suffering in PTSD patients and of setting up a network for the short- and long-term support to resilience.

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