About: Management of COVID-19 Response in a Secure Forensic Mental Health Setting

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Management of COVID-19 Response in a Secure Forensic Mental Health Setting
Creator	Chatterjee, Sumeeta Darby, Padraig Jones, Roland Maheandiran, Margaret Penney, Stephanie Saccoccio, Tania Simpson, Alexander Stergiopoulos, Vicky Wilkie, Treena Fcpa, Psych, Frc
source	Medline; PMC
abstract	OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic presents major challenges to places of detention, including secure forensic hospitals. International guidance presents a range of approaches to assist in decreasing the risk of COVID-19 outbreaks as well as responses to manage outbreaks of infection should they occur. METHODS: We conducted a literature search on pandemic or outbreak management in forensic mental health settings, including gray literature sources, from 2000 to April 2020. We describe the evolution of a COVID-19 outbreak in our own facility, and the design, and staffing of a forensic isolation unit. RESULTS: We found a range of useful guidance but no published experience of implementing these approaches. We experienced outbreaks of COVID-19 on two secure forensic units with 13 patients and 10 staff becoming positive. One patient died. The outbreaks lasted for 41 days on each unit from declaration to resolution. We describe the approaches taken to reduction of infection risk, social distancing and changes to the care delivery model. CONCLUSIONS: Forensic secure settings present major challenges as some proposals for pandemic management such as decarceration or early release are not possible, and facilities may present challenges to achieve sustained social distancing. Assertive testing, cohorting, and isolation units are appropriate responses to these challenges.
has issue date	2020-06-23(xsd:dateTime)
bibo:doi	10.1177/0706743720935648
bibo:pmid	32573397
has license	cc-by
sha1sum (hex)	a524482f81e49994b9e3dc6e77a92906de916838
schema:url	https://doi.org/10.1177/0706743720935648
resource representing a document's title	Management of COVID-19 Response in a Secure Forensic Mental Health Setting
has PubMed Central identifier	PMC7312094
has PubMed identifier	32573397
schema:publication	Can J Psychiatry
resource representing a document's body	covid:a524482f81e49994b9e3dc6e77a92906de916838#body_text
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