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The editorial reports development of a frequently updated SOP, a multidisciplinary response team, and operational actions for cluster-infected psychiatric inpatient 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was frequently updated to match CECC regulations.",{"name":70,"@type":61,"acceptedAnswer":71},"How were COVID-19 patients with severe psychiatric illness managed when they did not meet CECC criteria for transfer?",{"text":72,"@type":64},"The team managed treatment within the inpatient unit by creating isolation rooms for positive or potentially positive patients, separating ventilation and bathrooms, suspending group sessions in cluster units, and coordinating COVID-19 and intensive psychiatric care.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},436462,1791101568,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & 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the psychiatric inpatient unit for COVID-19 pandemic  \nMao-Hsuan Huanga,b,c, Chih-Yuan Hunga, Tung-Ping Sub,c,d,*  \naDepartment of Psychiatry, Taipei Veterans General Hospital, Yuanshan and Suao branches, Ilan, Taiwan, ROC; bDivision of Psychiatry, Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; cInstitute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; dDepartment of Psychiatry, General Cheng Hsin Hospital, Taipei, Taiwan, ROC  \nTaiwan, which has been mostly free of coronavirus disease 2019 (COVID-19), is now facing the worst outbreak since the beginning of the pandemic. To preserve healthcare capacity, Taiwan’s Central Epidemic Command Center (CECC) have tightened hospital/quarantine ward admission guidelines for COVID-19 patients in the following groups: people having moderate or severe COVID-19, aged 80 or above, 36 weeks pregnant or over, infants under 3 months old with a fever, and infants 3–12 months old with a fever of over 39 degrees Celsius.1 Patients with psychiatric disorders have been reported to be vulnerable to being infected with COVID-19 and to experience adverse outcomes2; clinical recommendations and practical suggestions have been proposed in response to the evolving needs of psychiatric acute inpatients.3–5 However, patients with COVID-19 who have severe mental illnesses with potential dangerousness to self or others do not meet the current CECC criteria for hospital/quarantine ward admission. Here, we share our experience in managing a cluster infection in a psychiatric inpatient unit (Yuanshan and Suao branches of Taipei Veterans General Hospital) and actions we took to care for COVID-19 patients requiring intensive psychiatric care and treatment.  \nA standard operation procedure (SOP) has been developed in our department before the COVID-19 outbreak to outline the process to be followed by all mental health professionals while caring for psychiatric inpatients with COVID-19 . The SOP was frequently updated to meet the CECC regulations and included the following: criteria for intensive care unit (ICU)/quarantine ward transfer, criteria of COVID-19 testing for patients and medical staff, use of personal protective equipment (PPE), disinfection guidelines, and admission and discharge protocol. The chief of the psychiatry department has built a multidisciplinary team, consisting of psychiatry, psychology, nursing, and social worker staff, to implement the administrative and clinical  \n*Address correspondence. Dr. Tung-Ping Su, Department of Psychiatry, General Cheng Hsin Hospital, 45, Cheng Hsin Street, Taipei 112, Taiwan, ROC. E-mail address: [tomsu0402@gmail.com](tomsu0402@gmail.com) (T.-P. Su).  \nConflicts of interest: Dr. Tung-Ping Su, an editorial board member at Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2022) 85: 739-740.  \nReceived May 17, 2022; accepted May 21, 2022.  \ndoi: 10. 1097/JCMA.0000000000000753.  \nCopyright © 2022, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \naspects of the SOP. Soon after this outbreak, a cluster of infections involving more than 20 inpatients was identified in our acute and chronic inpatient units. The first index case developed fever and sore throat, and COVID-19 infection was detected. Immediately after identifying the index case in the unit, leaders of the department collaborated with infectious disease experts at our hospital and implemented several steps to prevent further spread of COVID-19:  \n1. Explain","cbCaio7WcZXxp0kv","https://ap.wps.com/l/cbCaio7WcZXxp0kv","pdf",289577,"English","# Editorial\n## CECC admission and quarantine criteria\n## Standard operating procedure (SOP) and multidisciplinary team\n## Cluster infection management actions","[{\"question\":\"Why did Taiwan tighten hospital and quarantine ward admission guidelines for COVID-19?\",\"answer\":\"To preserve healthcare capacity amid the worst outbreak since the pandemic began, the CECC updated admission and quarantine criteria for COVID-19 patients in specific higher-risk groups.\"},{\"question\":\"What did the department include in its standard operating procedure (SOP) for psychiatric inpatients with COVID-19?\",\"answer\":\"The SOP covered transfer criteria to ICU/quarantine wards, COVID-19 testing for patients and staff, PPE use, disinfection guidance, and admission/discharge protocol, and it was frequently updated to match CECC regulations.\"},{\"question\":\"How were COVID-19 patients with severe psychiatric illness managed when they did not meet CECC criteria for transfer?\",\"answer\":\"The team managed treatment within the inpatient unit by creating isolation rooms for positive or potentially positive patients, separating ventilation and bathrooms, suspending group sessions in cluster units, and coordinating COVID-19 and intensive psychiatric care.\"}]","Prepare the psychiatric inpatient unit for COVID-19 pandemic | PDF",1790678054]