Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study

The COVID-19 pandemic represents an unprecedented public health emergency, with consequences at the political, social, and economic levels. Mental health services have been called to play a key role in facing the impact of the pandemic on the mental health of the general population. In the period Ma...

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Autores principales:	Giulia Menculini, Alfonso Tortorella, Umberto Albert, Claudia Carmassi, Giuseppe Carrà, Francesca Cirulli, Bernardo Dell’Osso, Mario Luciano, Maria Giulia Nanni, Maurizio Pompili, Gabriele Sani, Umberto Volpe, Andrea Fiorillo, Gaia Sampogna
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 lockdown access to care mental health services psychiatric care stress Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/dcccee4add4d4a7ba088728fdccad5e5
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spelling	oai:doaj.org-article:dcccee4add4d4a7ba088728fdccad5e52021-11-25T16:56:45ZAccess to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study10.3390/brainsci111114132076-3425https://doaj.org/article/dcccee4add4d4a7ba088728fdccad5e52021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1413https://doaj.org/toc/2076-3425The COVID-19 pandemic represents an unprecedented public health emergency, with consequences at the political, social, and economic levels. Mental health services have been called to play a key role in facing the impact of the pandemic on the mental health of the general population. In the period March–May 2020, an online survey was implemented as part of the Covid Mental Health Trial (COMET), a multicentric collaborative study carried out in Italy, one of the Western countries most severely hit by the pandemic. The present study aims to investigate the use of mental health resources during the first wave of the pandemic. The final sample consisted of 20,712 participants, mainly females (<i>N</i> = 14,712, 71%) with a mean age of 40.4 ± 14.3 years. Access to mental health services was reported in 7.7% of cases. Among those referred to mental health services, in 93.9% of cases (<i>N</i> = 1503 subjects) a psychological assessment was requested and in 15.7% of cases (<i>N</i> = 252) a psychiatric consultation. People reporting higher levels of perceived loneliness (OR 1.079, 95% CI 1.056–1.101, <i>p</i> < 0.001), practicing smart-working (OR 1.122, 95% CI 0.980–1.285, <i>p</i> = 0.095), using avoidant (OR 1.586, 95% CI 1.458–1.725, <i>p</i> < 0.001) and approach (OR 1.215, 95% CI 1.138–1.299, <i>p</i> < 0.001) coping strategies more frequently accessed mental health services. On the other hand, having higher levels of perceived social support (OR 0.833, 95% CI 0.795–0.873, <i>p</i> < 0.001) was associated with a reduced probability to access mental health services. The COVID-19 pandemic represents a new threat to the mental health and well-being of the general population, therefore specific strategies should be implemented to promote access to mental healthcare during the pandemic and afterwards.Giulia MenculiniAlfonso TortorellaUmberto AlbertClaudia CarmassiGiuseppe CarràFrancesca CirulliBernardo Dell’OssoMario LucianoMaria Giulia NanniMaurizio PompiliGabriele SaniUmberto VolpeAndrea FiorilloGaia SampognaMDPI AGarticleCOVID-19lockdownaccess to caremental health servicespsychiatric carestressNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1413, p 1413 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 lockdown access to care mental health services psychiatric care stress Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	COVID-19 lockdown access to care mental health services psychiatric care stress Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Giulia Menculini Alfonso Tortorella Umberto Albert Claudia Carmassi Giuseppe Carrà Francesca Cirulli Bernardo Dell’Osso Mario Luciano Maria Giulia Nanni Maurizio Pompili Gabriele Sani Umberto Volpe Andrea Fiorillo Gaia Sampogna Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study
description	The COVID-19 pandemic represents an unprecedented public health emergency, with consequences at the political, social, and economic levels. Mental health services have been called to play a key role in facing the impact of the pandemic on the mental health of the general population. In the period March–May 2020, an online survey was implemented as part of the Covid Mental Health Trial (COMET), a multicentric collaborative study carried out in Italy, one of the Western countries most severely hit by the pandemic. The present study aims to investigate the use of mental health resources during the first wave of the pandemic. The final sample consisted of 20,712 participants, mainly females (<i>N</i> = 14,712, 71%) with a mean age of 40.4 ± 14.3 years. Access to mental health services was reported in 7.7% of cases. Among those referred to mental health services, in 93.9% of cases (<i>N</i> = 1503 subjects) a psychological assessment was requested and in 15.7% of cases (<i>N</i> = 252) a psychiatric consultation. People reporting higher levels of perceived loneliness (OR 1.079, 95% CI 1.056–1.101, <i>p</i> < 0.001), practicing smart-working (OR 1.122, 95% CI 0.980–1.285, <i>p</i> = 0.095), using avoidant (OR 1.586, 95% CI 1.458–1.725, <i>p</i> < 0.001) and approach (OR 1.215, 95% CI 1.138–1.299, <i>p</i> < 0.001) coping strategies more frequently accessed mental health services. On the other hand, having higher levels of perceived social support (OR 0.833, 95% CI 0.795–0.873, <i>p</i> < 0.001) was associated with a reduced probability to access mental health services. The COVID-19 pandemic represents a new threat to the mental health and well-being of the general population, therefore specific strategies should be implemented to promote access to mental healthcare during the pandemic and afterwards.
format	article
author	Giulia Menculini Alfonso Tortorella Umberto Albert Claudia Carmassi Giuseppe Carrà Francesca Cirulli Bernardo Dell’Osso Mario Luciano Maria Giulia Nanni Maurizio Pompili Gabriele Sani Umberto Volpe Andrea Fiorillo Gaia Sampogna
author_facet	Giulia Menculini Alfonso Tortorella Umberto Albert Claudia Carmassi Giuseppe Carrà Francesca Cirulli Bernardo Dell’Osso Mario Luciano Maria Giulia Nanni Maurizio Pompili Gabriele Sani Umberto Volpe Andrea Fiorillo Gaia Sampogna
author_sort	Giulia Menculini
title	Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study
title_short	Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study
title_full	Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study
title_fullStr	Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study
title_full_unstemmed	Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study
title_sort	access to mental health care during the first wave of the covid-19 pandemic in italy: results from the comet multicentric study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/dcccee4add4d4a7ba088728fdccad5e5
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Access to Mental Health Care during the First Wave of the COVID-19 Pandemic in Italy: Results from the COMET Multicentric Study

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