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. 2020 Jun;46(3S):S99-S106.
doi: 10.1016/j.encep.2020.05.005. Epub 2020 May 13.

[Appreciating COVID-19 as a child and adolescent psychiatrist on the move]

[Article in French]
D Cohen  1
Affiliations

[Appreciating COVID-19 as a child and adolescent psychiatrist on the move]

[Article in French]
D Cohen. Encephale. 2020 Jun.

Abstract
in English, French

COVID-19 is a multi-organ disease due to an infection with the SARS-CoV2 virus. It has become a pandemic in early 2020. The disease appears less devastating in children and adolescents. However, stress, quarantine and eventually mourning have major impacts on development. It is difficult to describe what this pandemic implies for a child psychiatrist, other than by giving a first-hand account. I propose to go through the main ethical questions that have arisen; to describe how my hospital team has reorganized itself to meet the new demands and questions, in particular by opening a unit dedicated to people with autism and challenging behaviors affected by COVID-19; and to address, in a context of national discussion, how the discipline has sought to understand the conditions of a certain well-being during quarantine. Finally, I will try to conclude with more speculative reflections on re-opening.

Le COVID-19 est une maladie multi-organes liée à une infection par le virus SARS-CoV2 qui est devenue une pandémie au début de l’année 2020. Difficile de décrire autrement qu’en témoignant à chaud ce que cette pandémie implique pour un psychiatre d’enfants. Je propose de parcourir les principales questions éthiques qui se sont posées ; de décrire comment mon équipe hospitalière s’est réorganisée pour faire face aux nouvelles demandes et questionnements, en particulier en ouvrant une unité dédiée aux personnes avec autisme et comportements défis atteints par le COVID-19 ; et d’aborder, dans un contexte de discussion nationale, comment la discipline a cherché à comprendre les conditions d’un certain bien-être pendant le confinement. Enfin, j’essaierai de terminer par des réflexions plus spéculatives concernant le déconfinement.

Keywords: Adolescence; COVID-19; Childhood; Confinement; Déconfinement; Enfance; Quarantine; Re-opening.

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Figures

Fig. 1
Fig. 1
Vision synthétique de l’expression des maladies liées au coronavirus chez l’enfant.
Fig. 2
Fig. 2
Exemple de fiches disponibles sur le web proposant des conseils aux parents en périodes de confinement.
Fig. 3
Fig. 3
Un exemple de fiche proposant des activités motrices en situation de confinement.
Fig. 4
Fig. 4
Évolution du nombre de patients COVID-19 présents en hospitalisation en regard du nombre de personnels soignants identifiés positifs au COVID-19.
See this image and copyright information in PMC

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