institutions where psychologists were employed before the pandemic, even part-time, the residents were
more likely to use their support because they already knew the persons and trusted them. Even if the
contacts were not direct, it was easier to initiate them. On the other hand, some institutions informed
that residents were not interested in support provided by psychologists. Most often, however, this was
the case in the homes where the residents had no regular contacts with psychologists before, and where
during the pandemic the only initiative was to display a telephone number of a psychologist who could
be contacted (and whose services were provided ad-hoc, within programmes initiated by relevant local
governments). For senior or mentally ill persons, establishing a telephone contact with a person they did
not know was a strong barrier in itself.
Easing of restrictions
As in other areas of life, at some point also care facilities decided to ease the restrictions.
Recommendations in this regard were presented by voivodeship governors. The Mazowieckie
Voivodeship Governor did it already on 5 June 2020340, requesting local governments to undertake,
jointly with the social care home directors, steps aimed at enabling the residents to be active outside the
homes, and to maintain contacts with their families, carers or other persons. The voivodeship governor's
decision was also communicated to the owners of private 24-hour care facilities operating in the
Mazowieckie Voivodeship. Only in the Śląskie and Podlaskie voivodeships the sanitary regime
introduced in March 2020 was maintained. The SCH area could be left while maintaining the sanitary
regime (use of a face mask, social distancing and use of had disinfectants)341, the SCH could be left
under the supervision of a staff member342, tests were conducted for the residents who came back from
the family home or a hospital343, visits were received in compliance with the sanitary regime, e.g.
through meetings outdoors or prior to a telephone announcement, the number of people meeting was
limited, body temperature of visitors was checked with a non-contact thermometer, records of people
who visited residents were kept, mas wearing, hands disinfection and frequent opening of windows in
the rooms was still required; at some places where the meetings took place there were glass/plexi-glass
separation panels.
Notably, voivodeship governors emphasized that final decisions regarding the easing of
restrictions and the related procedures should be taken by the authorities operating the homes, in
340
Decision No. WPS.9421.76.2020 of the Mazowieckie Voivodeship Governor.
Governors of the following Voivodeships: Mazowieckie, Opolskie, Lubelskie, Dolnośląskie, KujawskoPomorskie, Wielkopolskie.
341
342
Zachodnipomorskie Voivodeship.
343
Lubuskie Voivodeship Governor reported that residents of some homes travelled to their family homes. Upon
their return, they were quarantined and tested. Łódzkie Voivodeship Governor informed that after reducing the
restrictions, it some internal procedures should be developed to regulate, e.g. residents’ holidays from the SCHs,
visiting relatives, admitting new residents, residents’ return from clinics or hospitals, and precautions to be taken
in specific situations.
130
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