The COVID-19 social lockdown imposed important limitation to non-emergency health care services in Italy, between March and May 2020, with many difficulties in the mental health assistance of those chronic conditions needing a continuative therapeutic support.

Our study aimed to describe how therapeutic activities have been carried on by remote services in two Adolescent Psychiatric Day Hospital Units (Rome and Turin) and the outcome of these assistance interventions in youths with subacute psychopathology.

The patient cohort includes 162 adolescents (12-19 years old; QI>70) DH outpatients presenting a complete clinical and neuropsychiatric assessment before the lockdown. During the several phases of COVID-19 quarantine all patients were monitored and supported by telemedicine interventions. All data were recorded and standardized every 15 days: symptom severity was rated by global severity (CGI-S) and stress level by self-reported measures of stress (IES-R).

Among patients, CGI score remained stable, IES-R score declined over time: higher IES-R score was significantly associated with female gender and but no differences was observed related with the primary diagnosis. 5 patients presented a clinical acute state needing a hospitalization. The rate of hospitalization was not significantly different compared with the rate observed in the same period of 2019.

In youth with psychopathological conditions, remote assistance for psychiatric cares resulted effective and it was associated with a clinical stability with decreasing stress levels.

No significant relationships.

Postpartum depression is a non-psychotic depressive episode occurring in postpartum period or continuing from pregnancy. Prevalence of PPD is about 12% in general population. The most dangerous consequences of PPD are mother’s suicide and infanticide.

Assess symptoms of PPD in the first month after delivery at regular home visits to new mothers using Edinburgh Postnatal Depression Scale (EPDS) and symptoms of acute stress reaction using Impact of Events Scale revised (IES-R). Determine correlation between EPDS and IES-R scores. Determine risk factors for PPD comparing results of EPDS scale and socio-demographic questionnaire.

Study included 50 women, ages between 21 and 42 who gave birth less than a month prior to assessment. Instruments used for this study were: EPDS, IES-R and socio-demographic questionnaire specifically designed for this study.

16% of women had EPDS scores indicating possible PPD, 16% had clinically insignificant symptoms, while 4% had clinically significant symptoms of postpartum PTSD. A significant correlation between EPDS and IES-R score was determined. These variables showed statistically significant influence on EPDS score:, age of mother at first pregnancy, education, work status, smoking during pregnancy and Caesarean section. All women who had EPDS indicating possible PPD had 3 or more risk factor for PPD.

The results indicate considerable presence of PPD in women in Sarajevo Canton, and the need for screening for PPD and timely interventions that can prevent possible complications some of which can be serious.