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OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL

During the current COVID-19 pandemic, Malaysia had implemented a lockdown via Movement Control Order (MCO) nationwide, beginning from 18 March 2020 until present. The restrictions affected health services including community mental health services as there were no clear response guidelines yet avail...

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Main Authors: Nur Iwana, Abdul Taib, Marhani, Midin, Tuti Iryani, Mohd Daud
Format: Proceeding
Language:English
Published: 2021
Subjects:
RZ Other systems of medicine
Online Access:http://ir.unimas.my/id/eprint/38648/1/Conf%20Proceeding%20Iwana.pdf
http://ir.unimas.my/id/eprint/38648/
https://con.antppublishing.com/index.php/ittpcovid19/article/view/187
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spelling my.unimas.ir.386482022-06-14T01:04:25Z http://ir.unimas.my/id/eprint/38648/ OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL Nur Iwana, Abdul Taib Marhani, Midin Tuti Iryani, Mohd Daud RZ Other systems of medicine During the current COVID-19 pandemic, Malaysia had implemented a lockdown via Movement Control Order (MCO) nationwide, beginning from 18 March 2020 until present. The restrictions affected health services including community mental health services as there were no clear response guidelines yet available for it. We aim to share our experience in adapting services at a teaching hospital setting to the changes during MCO. Our goals were to minimize cross infection between clients and staff while maximizing service delivery to ensure clients’ continuation of care. We identified limitations and potentially sustainable improvements to direct further service development. The main community mental health services of Hospital Canselor Tuanku Muhriz (HCTM) consists of assertive home care and psychosocial rehabilitation programs for the severely mentally ills. Modifications in assertive care include regular risk stratification of patient’s symptoms and COVID-19 risks, phone consultations, drive-thru injection services, mobilizing other available resources such as family members or nearby clinics and practicing strict home visit standard operating procedures. Psychosocial rehabilitation services such as social skills training, supported employment, family intervention and peer support groups were modified by means of teleconsultations using video calls and instant messaging services for a continuous therapeutic efforts. These modifications were practiced for the past one year and were adjusted accordingly over time to accommodate the changing MCO restrictions. There had been no recorded positive cases among staff and clients with no increase rates of relapse among the clients during this period. Clients also reacted positively with the modifications. The innovative modifications in ensuring continuing service delivery while preserving safety in this centre can act as a guide to improvise healthcare deliveries during a pandemic. 2021 Proceeding PeerReviewed text en http://ir.unimas.my/id/eprint/38648/1/Conf%20Proceeding%20Iwana.pdf Nur Iwana, Abdul Taib and Marhani, Midin and Tuti Iryani, Mohd Daud (2021) OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL. In: International Teleconference on Technology and Policy for Supporting Implementation of COVID-19 Response and Recovery Plan in Southeast Asia (ITTP-COVID19), 6-8 August 2021, Prince of Songkla University, Thailand. https://con.antppublishing.com/index.php/ittpcovid19/article/view/187
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RZ Other systems of medicine
spellingShingle RZ Other systems of medicine
Nur Iwana, Abdul Taib
Marhani, Midin
Tuti Iryani, Mohd Daud
OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL
description During the current COVID-19 pandemic, Malaysia had implemented a lockdown via Movement Control Order (MCO) nationwide, beginning from 18 March 2020 until present. The restrictions affected health services including community mental health services as there were no clear response guidelines yet available for it. We aim to share our experience in adapting services at a teaching hospital setting to the changes during MCO. Our goals were to minimize cross infection between clients and staff while maximizing service delivery to ensure clients’ continuation of care. We identified limitations and potentially sustainable improvements to direct further service development. The main community mental health services of Hospital Canselor Tuanku Muhriz (HCTM) consists of assertive home care and psychosocial rehabilitation programs for the severely mentally ills. Modifications in assertive care include regular risk stratification of patient’s symptoms and COVID-19 risks, phone consultations, drive-thru injection services, mobilizing other available resources such as family members or nearby clinics and practicing strict home visit standard operating procedures. Psychosocial rehabilitation services such as social skills training, supported employment, family intervention and peer support groups were modified by means of teleconsultations using video calls and instant messaging services for a continuous therapeutic efforts. These modifications were practiced for the past one year and were adjusted accordingly over time to accommodate the changing MCO restrictions. There had been no recorded positive cases among staff and clients with no increase rates of relapse among the clients during this period. Clients also reacted positively with the modifications. The innovative modifications in ensuring continuing service delivery while preserving safety in this centre can act as a guide to improvise healthcare deliveries during a pandemic.
format Proceeding
author Nur Iwana, Abdul Taib
Marhani, Midin
Tuti Iryani, Mohd Daud
author_facet Nur Iwana, Abdul Taib
Marhani, Midin
Tuti Iryani, Mohd Daud
author_sort Nur Iwana, Abdul Taib
title OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL
title_short OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL
title_full OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL
title_fullStr OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL
title_full_unstemmed OVERCOMING CHALLENGES IN COVID-19 PANDEMIC : A PERSPECTIVE IN ADAPTATION OF THE COMMUNITY MENTAL HEALTH SERVICE IN A TEACHING HOSPITAL
title_sort overcoming challenges in covid-19 pandemic : a perspective in adaptation of the community mental health service in a teaching hospital
publishDate 2021
url http://ir.unimas.my/id/eprint/38648/1/Conf%20Proceeding%20Iwana.pdf
http://ir.unimas.my/id/eprint/38648/
https://con.antppublishing.com/index.php/ittpcovid19/article/view/187
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score 13.211869

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