COVID-19: National PTSD Screening Programme 'Urgently Needed'

Priscilla Lynch 

July 06, 2020

Patients affected by COVID-19 need to be urgently screened for post-traumatic stress disorder (PTSD), and receive regular check-ups for at least a year, according to the COVID Trauma Response Working Group.

This week, the group, which includes psychiatrists and psychologists, published evidence-based clinical guidelines designed to inform NHS planners and clinicians of the principles for addressing the mental health needs of people who have been critically ill with COVID-19 infection.

The recommendations derive from similar epidemics, mass casualty events and critical care settings. The group warns that without immediate national action, many COVID-19 patients and their families face the prospect of long-term mental health consequences.

In line with other infectious outbreaks, the experts estimate that rates of mental health problems in survivors of severe COVID-19 illness to be 30 per cent for PTSD, 15 per cent for depression and 15 per cent for anxiety disorders

In launching the guidelines, the group states: “The mental health needs of survivors of severe COVID infection need to be taken as seriously as their physical health needs.”

Key recommendations

  • Actively monitor and provide timely treatment for patients with severe COVID-19 infection for mental health problems including PTSD.

  • Set up a national 'screen and treat' service, managed through regional mental health screening programmes either within hospitals or in the community.

  • Set up specialist psychological trauma services to facilitate the delivery of 'screen and treat' programmes.

  • Severe COVID-19 patients to receive regular check-ups for at least a year.

At the moment there is no uniform approach to monitoring the mental health of severe COVID-19 patients in the UK. Most likely a patient would need to self-refer to a GP or to an Improving Access to Psychological Therapies service, the group noted.

Guidance on screening and active monitoring for post-traumatic stress disorder (PTSD) and other mental health consequences in people recovering from severe COVID-19 illness. COVID Trauma Response Working Group. 2020 June 29th. Report.

This article originally appeared on Univadis, part of the Medscape Professional Network.

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