Split Hospitalization as an Inpatient Care Proposal for Severe Alcohol-Use-Disorder: Considering Hospitalization as a Transition Towards Recovery.

BACKGROUND: The clinical dimensions of alcohol-use-disorder are complex and require sensitivity to these specificities. There are currently many inpatient and outpatient treatment facilities for severe alcohol-use-disorder patients (SAUD). We are also looking at the lack of access to care for this population. Recent research carried out in the cognitive and affective neurosciences and shed new light on the biological processes involved in addiction. SUBJECT AND METHOD: We wrote a perspective article describing the specific framework that we developed in our academic hospital. KEYWORDS: Hospital stay, hospital stay duration, benefits from hospitalization, alcoholism, alcohol use desorder. RESULTS: Through a review of the clinical characteristics that we observe in encounters with SAUD patients, we are going to describe a specific model of split hospitalisation. This is an open setting, with a fixed time frame and a multidisciplinary approach, designed to reduce the stigma attached to access and to support the development of the alcohol-dependent patient. CONCLUSION: In this paper, we describe the creation of an inpatient ward, that is complementary to the existing structures and take into account the cognitive and affective impairments of these patients.

Psychological distress among hospital caregivers during and after the first wave of COVID-19: Individual factors involved in the severity of symptoms expression.

Coronavirus disease 2019 has spread rapidly over the globe and has put an unprecedent psychological pressure on health care workers (HCWs). The present study aimed at quantifying the psychological consequences of the COVID-19 pandemic on HCWs during and after the first wave and identify sociodemographic, situational, and psychological risk/protective factors for symptoms severity. An online survey was sent by e-mail to all nurses and physicians employed by a teaching hospital in Brussels, Belgium. 542 (20,62%) completed the survey. 47%, 55%, 32% and 52% of participants reported posttraumatic stress, anxiety, depression and insomnia symptoms, respectively, during the peak. Two to three months later, posttraumatic symptoms emerged de novo in 54% of HCWs. It persisted in 89% of those presenting severe symptoms initially. Neuroticism was the strongest predictor of posttraumatic stress, anxiety, and insomnia. Work overload was the strongest predictor of depression and second predictor of posttraumatic stress, anxiety, and insomnia. Other significant predictors included being a nurse, the number of past traumatic experiences, avoidant coping style, and expressive suppression of emotions.