The Impact of COVID-19 on Psychiatric Acuity in a Community Psychiatric Hospital.

ABSTRACT: The COVID-19 pandemic has had extensive impacts on mental health care delivery. Anecdotal observations of inpatient care teams at Pennsylvania Psychiatric Institute suggested increased patient acuity during the pandemic. The authors found no consensus definition for measuring psychiatric acuity in the literature. We performed an interrupted time series analysis to identify whether COVID-19 was associated with changes in several hospital parameters that might reflect our patients' access to psychiatric services and acuity. We found increases in inpatient parameters for length of stay, rates of involuntary admissions, and the incidence of restraints, seclusion, and 1:1 observation orders. Observing these increasing trends can inform mitigation efforts to improve the quality of mental health care treatment and care delivery. We suggest the use of these metrics for objective measurements of psychiatric acuity.

A new measure of perfectionism: the Perfectionism Inventory.

In this investigation, we produced a new 8-scale measure of perfectionism called the Perfectionism Inventory (PI) that is designed to capture the important constructs provided by 2 existing Multidimensional Perfectionism Scale (MPS; Frost, Marten, Lahart, & Rosenblate, 1990; Hewitt & Flett, 1991b) measures, along with new perfectionism scales. In the results from 3 studies, we describe scale development, scale psychometric properties, and criterion-related validity evidence for the 8 PI scales: Concern Over Mistakes, High Standards for Others, Need for Approval, Organization, Parental Pressure, Planfulness, Rumination, and Striving for Excellence. We present relationships between the 8 PI scales, relevant MPS scales, and other criterion measures. Second-order exploratory and confirmatory analyses provide support for the 8-scale PI model as well as support for 2 composite PI factors labeled Conscientious Perfectionism and Self-Evaluative Perfectionism.