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Table 2 Community Mental Health Centres activities during the Covid-19 epidemic in Italy

From: Psychiatry during the Covid-19 pandemic: a survey on mental health departments in Italy

Items N (%) ofrespondents Yes Statistically significantdifferences accordingto geographical areaa Differences according togroups based upon ratesof Covid + cases per 1000inhabitants on a regionalbasisb
Written protocols relating to management ofactivities during the emergency 50 (70.4) None High rate regionsc = 35(85.4)
low rate regionsd = 14 (48.3) p<.05
Scheduled on-site psychiatric visitsc 63 (88.7) None None
Scheduled at home psychiatric visitsc 59 (83.0) None None
Urgent psychiatric visits on site 71 (100) None None
Urgent psychiatric visits at home 68 (95.7) None None
Compulsory Treatments 71 (100) None None
Individual Psychotherapyc 33 (46.4) none High rate regionsc = 23 (57.4)
low rate regionsd = 10 (34.4) p<.05
Group Psychotherapyc 4 (5.6) None None
Psychosocial Interventionsc 1 (1.4) None None
Contacts with patientsd 54 (76.0) None None
Scheduled contactse 66 (93.0) N = 40 (100) C = 10 (100)S = 15 (70)  p<.01 None
Phone and/or Video Counselling for generalpopulation 60 (84.5) None None
Phone and/or Video Counselling for healthservices operators 66 (92.0) N = 40 (100) C = 10 (100)S = 16 (76.2) p<.01 None
Psychiatric Consultations for General Hospitalsf 55 (77.4) None None
Staff Meetingsg 56 (78.9) None None
Scheduled Administration of LAI antipsychotics Both on site and athome = 65 (91,5)
On site only = 5 (7.0)
None None
Regular psychiatric monitoring of cases at RFs 32 (46.5)% N = 17 (42.5) C = 5 (50.0)S = 12 (57.1) p<.05 High rate regionsc = 32 (76.0)
low rate regionsd = 17 (58.6)
p < .05
New admissions in RFs suspended 55 (77.4) N = 27 (67.5) C = 9 (90)S = 19 (90,5) p<.05 None
Discharge from RFs suspended 59 (83.0) None None
Regular Monitoring of offenders entrusted toCMHCs 43 (60.5) N = 32 (80), C = 5 (50),S = 7 (33.3)  p<.005 None
Psychiatric Consultations in Jails 51 (71.8) None None
Reduction of Hospital Admissions 60 (84.5) None None
Reduction of Interventions for compulsoryadmissions 47 (66.2) None None
Increase of aggressivity toward self or others 15 (21.1) None None
  1. aItaly’s Geographical areas are: N=North, C=Centre, S=South and Islands
  2. bgroup 1 ≥ 2 cases × 1000 inhabitants; group 2 < 2 cases × 1000 inhabitants;high rate regions are those included in group 1, as above; Low rate regions are those included in class 2 as above
  3. cOnly in selected cases, when deemed necessary
  4. dContacts were established in case of suspension of on-site or home visits (type of contacts:telephone calls 100%, video calls 67%; e-mails 19%; all types 41%)
  5. eContact scheduled on a regular basis according to individual needs
  6. fPsychiatric consultations are delivered by CHCM psychiatrists when the General Hospital in the catchment area is not equipped with a GHPW
  7. gOn site or in videoconference