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“Flexible Assertive Community Mental Health Teams for the Treatment of Psychosis in Extraordinary Circumstances during Pandemics and Earthquakes 2020/2021: are we Flexible Enough?”

Published online by Cambridge University Press:  01 September 2022

M. Rojnic Kuzman ,
S. Medved ,
S. Bjedov ,
M. Kovac  and
A. Mihaljevic-Peles
M. Rojnic Kuzman*
Affiliation:
University Hospital Center Zagreb, University of Zagreb, Department Of Psychiatry, Zagreb School Of Medicine, Zagreb, Croatia
S. Medved
Affiliation:
University Hospital Center Zagreb, Department Of Psychiatry And Psychological Medicine, Zagreb, Croatia
S. Bjedov
Affiliation:
University Hospital Center Zagreb, Department Of Psychiatry And Psychological Medicine, Zagreb, Croatia
M. Kovac
Affiliation:
Neuropsychiatric hospital Dr. Ivan Barbot, Psychiatry, Popovaca, Croatia
A. Mihaljevic-Peles
Affiliation:
University Hospital Center Zagreb, Department Of Psychiatry And Psychological Medicine, Zagreb, Croatia
*
*Corresponding author.

Abstract

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During the ongoing COVID-19 pandemic, two regions in Croatia, Zagreb and Petrinja in the Sisak-Moslavina County experienced strong earthquakes, on the March 22nd 2020 and on the 29th of December 2020. Both earthquakes, but especially the later one resulted on severe damage of the regions and caused severe disruptions in (mental) health service delivery. In these circumstances, the RECOVER-E project (LaRge-scalE implementation of COmmunity based mental health care for people with seVere and Enduring mental ill health in EuRopE), which was ongoing in Croatia from 2018-2022 aimed to implement flexible assertive community treatment as the new health care service for persons with severe mental illness (SMI). Since the pandemic and earthquakes have significantly influenced the life circumstances of all RECOVER-E project participants with SMI, we wanted further to examine the impact of health care delivery on mental health and the response to stress caused by a pandemic and earthquake in the patients with SMI involved in the project, in the first and second wave of the COVID-19 pandemics. Additionally, using case series, we will demonstrate the community mental health teams’ contributions in managing SMI after a double disaster in providing feasible, comprehensive, and accessible mental health services.1

Disclosure

No significant relationships.

Keywords

Covid-19 pandemicearthquakeMental health servicescommunity mental heath teams
Type
Clinical/Therapeutic
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S57
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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