Coronavirus (COVID-19): mental health needs of hospitalised patients - report

Dr Nadine Cossette, liaison psychiatrist, Royal Infirmary Edinburgh, was commissioned to examine mental health needs of patients hospitalised due to COVID-19. Her report contains analysis of need and recommendations for action to support recovery.


A: Suggested evaluation and outcome measures:

  • Percent of patients engaged
  • Percent of patients seen while in hospital
  • Percent of high-risk patients engaged
  • Patient, family and referrer satisfaction measures
  • Screening measures completed at time of engagement and 12 months
  • Time from positive screen to clinical assessment
  • Time from assessment to initiation of treatment (presence of wait list)
  • Percentage of patients completing treatment
  • Clinical service extended to family and carers
  • Scores on clinical measures plus appropriate quality of life measures (to be developed in coordination with the COVID Trauma Response Working Group)

B: Suggested screening measures:

  • HADS (Hospital Anxiety and Depression Scale)
  • TSQ (Trauma Screening Questionnaire)
  • Cognitive Change Index (subjective cognitive change screen)
  • Bespoke measure of positive coping
  • Sleep measures

C: Indicative Post-ICU Rehabilitation Team Composition: Benchmarks

Multidisciplinary Post-Critical Care Clinic at Guy's & St Thomas' NHS Foundation Trust:

  • Critical Care Consultant
  • Critical Care Nurse
  • Physiotherapist
  • Occupational Therapist
  • Psychologist (and referral to Liaison Psychiatry)
  • Dietician
  • Pharmacist

Recovery and Rehabilitation for Patients Following the Pandemic, Faculty of Intensive Care Medicine Position Statement and Provisional Guidance, May 2020: "The range of healthcare professionals involved in delivering the assessments and interventions:

  • ICU nurse
  • Clinical psychologist
  • Intensive Care Consultant
  • Rehabilitation Medicine Consultant (where available)
  • Physiotherapist
  • Pharmacist
  • Social worker
  • Dietician
  • Admin
  • Speech and Language Therapist
  • Neuropsychiatrist or Liaison Psychiatrist
  • Occupational Therapist



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