3. What is Secondary Health Care? It is also conceivable that some gatekeepers may have believed certain in-patient mental health services were closed during lockdown. Nevertheless, the findings provide several interesting observations that could have implications for the response to the current and future pandemics and for future research. 1.—(1) The title of this Order is the Mental Health (Secondary Mental Health Services) (Wales) Order 2012, and it comes into force on 6 June 2012. Meaning of secondary mental health services for the purposes of Parts 2 and 3 of the Measure. 2016. Referrals to all service types within Core AMH reduced significantly (P < 0.05), except the forensic service, where there was a slight increase (pre-lockdown n = 51; lockdown n = 64). In the UK, the COVID-19 government-regulated lockdown came into immediate effect on the 23 March 2020, following a statement by Prime Minister Boris Johnson.7 During the lockdown, UK residents were only permitted to leave their homes for very limited purposes, including shopping for basic necessities, one form of exercise per day, any medical need or to provide care or help a vulnerable person, and travelling to and from work, but only when absolutely necessary. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (, Copyright © The Author(s), 2020. This data will be updated every 24 hours. a. Denotes total number of admissions during entire period. Retrospective Trust data was collected from electronic case records pertaining to weekly admissions during a 16-week-period from 27 January 2020 to 17 May 2020, corresponding to the 8 weeks immediately prior to (27 January–22 March 2020) and immediately subsequent to (23 March–17 May 2020) COVID-19 government-regulated lockdown in the UK on 23 March 2020 (referred to as the pre-lockdown and lockdown periods, respectively). Research on the mental health of trafficked children is limited, and little is known about the use of mental health services by this group. Excepting the place of safety service (pre-lockdown n = 42; lockdown n = 27), all services within AMH saw significant decreases in referrals. The study reports data in the weeks immediately preceding and following commencement of COVID-19 lockdown within the UK and may not generalise to service utilisation in the longer-term course of the virus’ trajectory. There are several potential explanations for reduced referrals and admissions to secondary mental health services. }. "comments": true, Treatment is provided by, for instance, a psychiatrist or clinical psychologist working in … During the lockdown period, lower numbers of admissions were observed for all service types except CAMHS (pre-lockdown n = 14; lockdown n = 17), PICU (pre-lockdown n = 19; lockdown n = 20) and intellectual disability acute beds (pre-lockdown n ≤ 5; lockdown n ≤ 5), where modest increases were observed. Alongside physical morbidity and mortality, pandemics such as COVID-19 can have a significant impact on the mental health of the affected population.Reference Chakraborty5 This may have a consequent effect on the number of referrals to specialist mental health services, as well as the number of admissions to mental health in-patient units. See section 5 (meaning of “local primary mental health support services”) of the Measure for the meaning of local primary mental health support services. It is unclear whether this is attributable to patient factors (such as fewer patients seeking mental health support) or to healthcare factors (such as patients seeking support and not being referred/admitted to secondary healthcare), or a combination of the two. Reduced referrals could reflect reluctance from patients to present to referral sources, such as the general practitioner or emergency departments. Related to this, research from Italy found a significantly reduced rate of acute coronary syndrome (ACS)-related hospital admissions during the COVID-19 pandemic, suggesting that some patients may have died from ACS without seeking medical attention.Reference De Filippo, D'Ascenzo, Angelini, Bocchino, Conrotto and Saglietto17, It is also possible that the psychiatric needs of some patient's were somewhat ameliorated during COVID-19 lockdown. Feature Flags: { Services and treatment which are made available as local primary mental health support services(2) in a particular local authority area under a scheme(3) are not to be regarded as secondary mental health services(4) for the purposes of Part 2 (coordination of and care planning for secondary mental health service users) and Part 3 (assessments of former users of secondary mental health services) of the Measure in that local authority area. A care and treatment plan is for individuals receiving secondary mental health services under The Mental Health (Wales) Measure (2010). It comes from a law called the Mental Health (Wales) Measure 2010. The data that support the findings of this study are available from the corresponding author, N.C., upon reasonable request. It might be considered that patients being admitted to mental health services are those with higher or immediate needs; however, inferences regarding such characteristics cannot be drawn from this data. To describe secondary mental health service utilisation pre-lockdown and during lockdown within Leicestershire, UK, and the numbers of serious incidents during this time frame. } Query parameters: { This visualisation shows data categorised as follows: People in contact with Mental Health Services by age band - the number of people known to be in contact with secondary mental health services, by broad age groups (0-18, 19-64 and 65+ years); People in contact with Mental Health Services - the number of people known to be in contact with adult mental health services and children and … In this Order “the Measure” (“y Mesur”) means the Mental Health (Wales) Measure 2010. Secondary care is services which generally will need a referral from a GP. If you need a more accessible version of this document please email digital@gov.wales. We are based in four locations – Rhondda, Taff Ely, Cynon and Merthyr. This site additionally contains content derived from EUR-Lex, reused under the terms of the Commission Decision 2011/833/EU on the reuse of documents from the EU institutions. Different options to open legislation in order to view more content on screen at once. For raw data pertaining to numbers of admissions on a week-by-week basis, please refer to Supplementary Table 1 available at https://doi.org/10.1192/bjo.2020.104. Conversely, research has indicated that mental health needs are increasing among certain individuals and groups, such as those experiencing risk factors such as financial stress, occupational instabilityReference Godinic, Obrenovic and Khudaykulov24 and working in healthcare professional roles.Reference Adams and Walls11 Social distancing may limit opportunities to obtain support from friends and family members, potentially causing loneliness.Reference Mukhtar and Rana25 Anxiety around contracting the virus may be particularly prevalent among vulnerable groups, such as those with compromised immune function, older persons and Black and minority ethnic populations, where their increased risk has been well publicised.Reference Pfefferbaum and North16 However, although overall anxiety levels may have increased among the general population in the wake of COVID-19, much of this anxiety may be subsyndromal in severity, rather than representing severe mental illness requiring urgent medical attention.Reference Rajkumar26 Patients may feel obligated to abide by government directives to stay at home, even if feeling significantly unwell.Reference Pfefferbaum and North16. The Emotional Wellbeing Service provides a bridge between primary and secondary mental health services in Sheffield. Specialist mental health services report higher levels of fatal incidents compared to acute trusts. Secondary care Community Mental Health Team (CMHT). See section 2 (joint schemes for the provision of local primary mental health support services) and section 4 (failures to agree schemes) of the Measure regarding schemes for the provision of local primary mental health support services in local authority areas.
2020 what are secondary mental health services