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1.
BMC Health Serv Res ; 21(1): 340, 2021 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-33853602

RESUMEN

BACKGROUND: During the COVID-19 pandemic, youth mental health and substance use services rapidly moved to virtual modalities to meet social distancing requirements. It is important to understand youth attitudes toward and experience of virtual services. OBJECTIVE: This study examined the attitudes toward and experiences of virtual mental health and substance use services among youth drawn from clinical and non-clinical samples. METHOD: Four hundred nine youth completed a survey including questions about their attitudes toward and experience of virtual services. The survey included quantitative and open-ended questions on virtual care, as well as a mental health and substance use screener. RESULTS: The majority of youth with mental health or substance use challenges would be willing to consider individual virtual services, but fewer would consider group virtual services. However, many have not received virtual services. Youth are interested in accessing a wide variety of virtual services and other supportive wellness services. Advantages and disadvantages of virtual services are discussed, including accessibility benefits and technological barriers. DISCUSSION: As youth mental health and substance use services have rapidly gone virtual during the COVID-19 pandemic, it is essential that we hear the perspectives of youth to promote service utilization among those in need. Diverse, accessible, technologically stable virtual services are required to meet the needs of different youth, possibly with in-person options for some youth. Future research, engaging youth in the research process, is needed to evaluate the efficacy of virtual services to plan for the sustainability of some virtual service gains beyond the pandemic period.


Asunto(s)
Accesibilidad a los Servicios de Salud , Trastornos Mentales/terapia , Servicios de Salud Mental/organización & administración , Pandemias/prevención & control , Trastornos Relacionados con Sustancias/terapia , Telemedicina , Adolescente , Femenino , Humanos , Masculino , Trastornos Mentales/diagnóstico , Trastornos Mentales/psicología , Trastornos Relacionados con Sustancias/diagnóstico , Trastornos Relacionados con Sustancias/psicología
2.
Psychiatry Res ; 299: 113848, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33725578

RESUMEN

Whilst telehealth may overcome some traditional barriers to care, successful implementation into service settings is scarce, particularly within youth mental health care. This study aimed to leverage the rapid implementation of telehealth due to COVID-19 to understand the perspectives of young people and clinicians on how telehealth impacts service delivery, service quality, and to develop pathways for future uses. Youth mental health service users (aged 12-25) and clinicians took part in an online survey exploring service provision, use, and quality following the adoption of telehealth. Service use data from the period were also examined. Ninety-two clinicians and 308 young people responded to the survey. Service use was reduced compared to the same period in 2019, however, attendance rates were higher. Across eight domains of service quality, the majority of young people reported that telehealth positively impacted service quality, and were significantly more likely to rate telehealth as having a positive impact on service quality than clinicians. There was high interest in continuing to use telehealth as part of care beyond the pandemic, supporting its permanent role in youth mental health care for a segment of service users. Future work should explore how best to support its long-term implementation.


Asunto(s)
/psicología , Prestación de Atención de Salud/métodos , Servicios de Salud Mental/estadística & datos numéricos , Calidad de la Atención de Salud , Telemedicina/estadística & datos numéricos , Adolescente , Adulto , Niño , Difusión de Innovaciones , Femenino , Humanos , Masculino , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/tendencias , Pandemias , Encuestas y Cuestionarios , Telemedicina/organización & administración , Adulto Joven
3.
Adm Policy Ment Health ; 48(3): 379-387, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33751270

RESUMEN

The COVID-19 pandemic exacerbates the mental, emotional, and behavioral (MEB) health problems of children and adolescents in the United States (U.S.). A collective and coordinated national economic and social reconstruction effort aimed at shoring up services to promote children's MEB, like the Marshall Plan that helped rebuild Europe post-World War II, has been proposed to buttress against the expected retrenchment. The plan prioritizes children's well-being as a social objective. We propose strategically reconstructing the public safety-net systems serving youth, including early education, maternal and child health, child welfare, corrections, and mental health. That plan called for a concentrated focus on coalition-building and contracting by state mental health systems to establish a foundation for an improved health system. This paper offers a complementary set of suggestions for the four non-mental health systems mentioned above by recommending actionable steps based on scientific evidence to support improved services for children at risk for MEB problems. For each system we describe examples of evidence-informed services, policies or programs that (1) prevent disabilities and promote health, (2) protect and preserve families and neighborhoods, and (3) provide quality care. Prioritizing the promotion of children's MEB health by all state systems can shape U.S. children's health and well-being for generations to come.


Asunto(s)
/epidemiología , Promoción de la Salud/organización & administración , Servicios de Salud Mental/organización & administración , Salud Mental , Trastornos del Neurodesarrollo/prevención & control , Adolescente , Desarrollo del Adolescente , Encéfalo/crecimiento & desarrollo , Niño , Desarrollo Infantil , Emociones , Humanos , Aplicación de la Ley/métodos , Servicios de Salud Materno-Infantil/organización & administración , Pandemias , Relaciones Padres-Hijo , Nacimiento Prematuro , Estados Unidos/epidemiología
6.
Trials ; 22(1): 186, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33673867

RESUMEN

BACKGROUND: Depression and anxiety impact up to 1 in 5 pregnant and postpartum women worldwide. Yet, as few as 20% of these women are treated with frontline interventions such as evidence-based psychological treatments. Major barriers to uptake are the limited number of specialized mental health treatment providers in most settings, and problems with accessing in-person care, such as childcare or transportation. Task sharing of treatment to non-specialist providers with delivery on telemedicine platforms could address such barriers. However, the equivalence of these strategies to specialist and in-person models remains unproven. METHODS: This study protocol outlines the Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT) randomized trial. SUMMIT is a pragmatic, non-inferiority test of the comparable effectiveness of two types of providers (specialist vs. non-specialist) and delivery modes (telemedicine vs. in-person) of a brief, behavioral activation (BA) treatment for perinatal depressive and anxiety symptoms. Specialists (psychologists, psychiatrists, and social workers with ≥ 5 years of therapy experience) and non-specialists (nurses and midwives with no formal training in mental health care) were trained in the BA protocol, with the latter supervised by a BA expert during treatment delivery. Consenting pregnant and postpartum women with Edinburgh Postnatal Depression Scale (EPDS) score of ≥ 10 (N = 1368) will be randomized to one of four arms (telemedicine specialist, telemedicine non-specialist, in-person specialist, in-person non-specialist), stratified by pregnancy status (antenatal/postnatal) and study site. The primary outcome is participant-reported depressive symptoms (EPDS) at 3 months post-randomization. Secondary outcomes are maternal symptoms of anxiety and trauma symptoms, perceived social support, activation levels and quality of life at 3-, 6-, and 12-month post-randomization, and depressive symptoms at 6- and 12-month post-randomization. Primary analyses are per-protocol and intent-to-treat. The study has successfully continued despite the COVID-19 pandemic, with needed adaptations, including temporary suspension of the in-person arms and ongoing randomization to telemedicine arms. DISCUSSION: The SUMMIT trial is expected to generate evidence on the non-inferiority of BA delivered by a non-specialist provider compared to specialist and telemedicine compared to in-person. If confirmed, results could pave the way to a dramatic increase in access to treatment for perinatal depression and anxiety. TRIAL REGISTRATION: ClinicalTrials.gov NCT04153864 . Registered on November 6, 2019.


Asunto(s)
Ansiedad/terapia , Depresión Posparto/terapia , Depresión/terapia , Accesibilidad a los Servicios de Salud , Complicaciones del Embarazo/terapia , Psicoterapia/métodos , Telemedicina/métodos , Prestación de Atención de Salud/métodos , Estudios de Equivalencia como Asunto , Femenino , Humanos , Servicios de Salud Materna , Servicios de Salud Mental/organización & administración , Partería , Enfermeras y Enfermeros , Ensayos Clínicos Pragmáticos como Asunto , Embarazo , Escalas de Valoración Psiquiátrica , Psiquiatría , Psicología , Trabajadores Sociales , Especialización
7.
Soc Work Health Care ; 60(1): 106-116, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33555991

RESUMEN

The issue of dating and sexual violence (DSV) on college campuses has received increased attention nationwide as a criminal justice and public health issue. College and university employed social workers play a critical role in preventing and responding to campus DSV through direct clinical services to students as well as prevention through educational programming and training. COVID-19 has negative implications for DSV student victims, as well as service delivery and accessibility. This paper examines the innovative methods used by university employed social work clinicians and educators to meet evolving mental health care needs and continue violence prevention services during COVID-19.


Asunto(s)
/epidemiología , Violencia de Pareja/psicología , Servicios de Salud Mental/organización & administración , Delitos Sexuales/psicología , Servicio Social/organización & administración , Universidades/organización & administración , Consejo/organización & administración , Educación en Salud/organización & administración , Humanos , Violencia de Pareja/prevención & control , Delitos Sexuales/prevención & control , Telemedicina/organización & administración
8.
Soc Work Health Care ; 60(1): 78-92, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33563143

RESUMEN

The COVID-19 pandemic necessitated an immediate response and rapid transition from traditional face-to-face behavioral health services to behavioral telehealth at an organization serving sexual and gender diverse (SGD) individuals in Chicago. In this practice innovations article, we explore the unfolding public health crisis and the impact on service delivery for SGD individuals. Using a large multi-service organization as a case study, this paper describes how key members of the staff and leadership team shifted services online as a means of responding to isolation, loneliness, and disparities in access to healthcare for Chicago SGD communities. Lessons learned and practice recommendations are presented.


Asunto(s)
/epidemiología , Disparidades en Atención de Salud/organización & administración , Servicios de Salud Mental/organización & administración , Minorías Sexuales y de Género , Telemedicina/organización & administración , Chicago/epidemiología , Humanos , Pandemias
9.
Australas Psychiatry ; 29(2): 194-199, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33626304

RESUMEN

OBJECTIVE: The Australian federal government introduced new COVID-19 psychiatrist Medicare Benefits Schedule (MBS) telehealth items to assist with providing private specialist care. We investigate private psychiatrists' uptake of video and telephone telehealth, as well as total (telehealth and face-to-face) consultations for Quarter 3 (July-September), 2020. We compare these to the same quarter in 2019. METHOD: MBS-item service data were extracted for COVID-19-psychiatrist video and telephone telehealth item numbers and compared with Quarter 3 (July-September), 2019, of face-to-face consultations for the whole of Australia. RESULTS: The number of psychiatry consultations (telehealth and face-to-face) rose during the first wave of the pandemic in Quarter 3, 2020, by 14% compared to Quarter 3, 2019, with telehealth 43% of this total. Face-to-face consultations in Quarter 3, 2020 were only 64% of the comparative number of Quarter 3, 2019 consultations. Most telehealth involved short telephone consultations of ⩽15-30 min. Video consultations comprised 42% of total telehealth provision: these were for new patient assessments and longer consultations. These figures represent increased face-to-face consultation compared to Quarter 2, 2020, with substantial maintenance of telehealth consultations. CONCLUSIONS: Private psychiatrists continued using the new COVID-19 MBS telehealth items for Quarter 3, 2020 to increase the number of patient care contacts in the context of decreased face-to-face consultations compared to 2019, but increased face-to-face consultations compared to Quarter 2, 2020.


Asunto(s)
/prevención & control , Trastornos Mentales/terapia , Servicios de Salud Mental/tendencias , Pautas de la Práctica en Medicina/tendencias , Práctica Privada/tendencias , Psiquiatría/tendencias , Telemedicina/tendencias , Atención Ambulatoria/métodos , Atención Ambulatoria/organización & administración , Atención Ambulatoria/tendencias , Australia , Utilización de Instalaciones y Servicios/tendencias , Accesibilidad a los Servicios de Salud/organización & administración , Accesibilidad a los Servicios de Salud/tendencias , Humanos , Servicios de Salud Mental/organización & administración , Programas Nacionales de Salud , Pandemias , Pautas de la Práctica en Medicina/organización & administración , Práctica Privada/organización & administración , Psiquiatría/organización & administración , Telemedicina/métodos , Telemedicina/organización & administración , Teléfono/tendencias , Comunicación por Videocoferencia/tendencias
10.
Can J Psychiatry ; 66(5): 446-450, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33517766

RESUMEN

The Public Health Agency of Canada is funding a new Canada Suicide Prevention Service (CSPS), timely both in recognition of the need for a public health approach to suicide prevention, and also in the context of the COVID-19 pandemic, which is causing concern about the potential for increases in suicide. This editorial reviews priorities for suicide prevention in Canada, in relation to the evidence for crisis line services, and current international best practices in the implementation of crisis lines; in particular, the CSPS recognizes the importance of being guided by existing evidence as well as the opportunity to contribute to evidence, to lead innovation in suicide prevention, and to involve communities and people with lived experience in suicide prevention efforts.


Asunto(s)
Servicios de Urgencia Psiquiátrica/organización & administración , Práctica Clínica Basada en la Evidencia , Líneas Directas , Salud Pública , Suicidio/prevención & control , Canadá , Intervención en la Crisis (Psiquiatría)/economía , Intervención en la Crisis (Psiquiatría)/organización & administración , Servicios de Urgencia Psiquiátrica/economía , Gobierno Federal , Financiación Gubernamental , Prioridades en Salud , Humanos , Servicios de Salud Mental/economía , Servicios de Salud Mental/organización & administración
12.
Lancet Psychiatry ; 8(3): 202-214, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33571453

RESUMEN

BACKGROUND: The volume and heterogeneity of mental health problems that primary care patients present with is a substantial challenge for health systems, and both undertreatment and overtreatment are common. We developed Link-me, a patient-completed Decision Support Tool, to predict severity of depression or anxiety, identify priorities, and recommend interventions. In this study, we aimed to examine if Link-me reduces psychological distress among individuals predicted to have minimal/mild or severe symptoms of anxiety or depression. METHODS: In this pragmatic stratified randomised controlled trial, adults aged 18-75 years reporting depressive or anxiety symptoms or use of mental health medication were recruited from 23 general practices in Australia. Participants completed the Decision Support Tool and were classified into three prognostic groups (minimal/mild, moderate, severe), and those in the minimal/mild and severe groups were eligible for inclusion. Participants were individually and randomly assigned (1:1) by a computer-generated allocation sequence to receive either prognosis-matched care (intervention group) or usual care plus attention control (control group). Participants were not blinded but intervention providers were only notified of those allocated to the intervention group. Outcome assessment was blinded. The primary outcome was the difference in the change in scores between the intervention and control group, and within prognostic groups, on the 10-item Kessler Psychological Distress Scale at 6 months post randomisation. The trial was registered on the Australian and New Zealand Clinical Trials Registry, ACTRN12617001333303. OUTCOMES: Between Nov 21, 2017, and Oct 31, 2018, 24 616 patients were invited to complete the eligibility screening survey. 1671 of these patients were included and randomly assigned to either the intervention group (n=834) or the control group (n=837). Prognosis-matched care was associated with greater reductions in psychological distress than usual care plus attention control at 6 months (p=0·03), with a standardised mean difference (SMD) of -0·09 (95% CI -0·17 to -0·01). This reduction was also seen in the severe prognostic group (p=0·003), with a SMD of -0·26 (-0·43 to -0·09), but not in the minimal/mild group (p=0·73), with a SMD of 0·04 (-0·17 to 0·24). In the complier average causal effect analysis in the severe prognostic group, differences were larger among those who received some or all aspects of the intervention (SMD range -0·58 to -1·15). No serious adverse effects were recorded. INTERPRETATION: Prognosis-based matching of interventions reduces psychological distress in patients with anxiety or depressive symptoms, particularly in those with severe symptoms, and is associated with better outcomes when patients access the recommended treatment. Optimisation of the Link-me approach and implementation into routine practice could help reduce the burden of disease associated with common mental health conditions such as anxiety and depression. FUNDING: Australian Government Department of Health.


Asunto(s)
Sistemas de Apoyo a Decisiones Clínicas/organización & administración , Servicios de Salud Mental/organización & administración , Atención Primaria de Salud/organización & administración , Estrés Psicológico/terapia , Adolescente , Adulto , Anciano , Ansiedad/terapia , Australia , Depresión/terapia , Femenino , Humanos , Modelos Lineales , Masculino , Salud Mental , Persona de Mediana Edad , Calidad de Vida , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Adulto Joven
13.
Soins Pediatr Pueric ; 42(318): 19-23, 2021.
Artículo en Francés | MEDLINE | ID: mdl-33602421

RESUMEN

Since March 2017, minors returning from the terrorist groups' operation areas benefit from a medical and psychological assessment by referral centres throughout France. At the Avicenne hospital in Bobigny (AP-HP, 93), a team assesses the children of jihadists who land at Paris-Roissy-Charles-de-Gaulle airport. This evaluation raises unprecedented clinical questions and confronts professionals with challenges related to the history of these children and the context of their return.


Asunto(s)
Servicios de Salud Mental , Menores , Terrorismo , Niño , Francia , Humanos , Islamismo , Servicios de Salud Mental/organización & administración , Menores/psicología , Menores/estadística & datos numéricos , Derivación y Consulta
14.
Community Ment Health J ; 57(4): 720-726, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33566269

RESUMEN

Shortly after the COVID-19 pandemic arrived at the United States, mental health services moved towards using tele-mental health to provide care. A survey about resilience and tele-mental health was developed and conducted with ForLikeMinds' members and followers. Correlational analysis was used to examine relationships between quantitative variables. A phenomenological approach was used to analyze open questions responses. Sixteen percent of participants were coping well with the pandemic; 50% were coping okay; and 34% said that they were coping poorly. Three main themes emerged from the qualitative analysis: accessibility to care; self-care strategies; and community support and relationship. The responses from participants seems to reflect the combination of two main factors-the challenges they were facing in accessing care through tele-mental health plus the mental health consequences from COVID-19. This survey reflects the importance of building innovative strategies to create a working alliance with people who need care through tele-mental health.


Asunto(s)
Accesibilidad a los Servicios de Salud , Trastornos Mentales/terapia , Salud Mental/estadística & datos numéricos , Resiliencia Psicológica , Aislamiento Social , Telemedicina/estadística & datos numéricos , Adulto , /prevención & control , Femenino , Humanos , Masculino , Trastornos Mentales/psicología , Servicios de Salud Mental/organización & administración , Pandemias/prevención & control , Investigación Cualitativa , Autocuidado , Apoyo Social , Encuestas y Cuestionarios , Telemedicina/métodos , Telemedicina/organización & administración
15.
Ann Clin Psychiatry ; 33(1): 27-34, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33529285

RESUMEN

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic brought many challenges to patient care delivery. The need for social distancing and relaxing of federal and state telemental health regulations paved the way for widespread adoption of direct-to-consumer (DTC) ambulatory mental health video visits. METHODS: We present cases that demonstrate the use of video visits across 6 clinical areas, each serving a unique population of patients, in a large behavioral health system. The benefits and limitations of this modality are illustrated in children, adults, and older adults with mood disorders, anxiety disorders, intellectual disability, substance use disorders, neurocognitive disorders, and schizophrenia. RESULTS: Although telephone visits were acceptable and necessary to serve some patients, there are many advantages to video visits in providing best patient care. Education and support for telemental health-delivered to both patients and clinicians-is critical to the success of the DTC model. CONCLUSIONS: DTC telemental health is a widespread clinical tool used during the COVID-19 pandemic. Because this model has many strengths and advantages compared with traditional telemental health delivered in a clinic, regulators and insurers should be open to its continued use postpandemic when clinically appropriate.


Asunto(s)
Trastornos Mentales/terapia , Servicios de Salud Mental , Telemedicina , Adolescente , Adulto , Anciano , Niño , Femenino , Humanos , Masculino , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/normas , Persona de Mediana Edad , Telemedicina/organización & administración , Telemedicina/normas , Teléfono , Comunicación por Videocoferencia , Adulto Joven
16.
Milbank Q ; 99(1): 62-90, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33463772

RESUMEN

Policy Points That child and adolescent mental health services needs are frequently unmet has been known for many decades, yet few systemic solutions have been sought and fewer have been implemented at scale. Key among the barriers to improving child and adolescent mental health services has been the lack of well-organized primary mental health care. Such care is a mutual but uncoordinated responsibility of multiple disciplines and agencies. Achieving consensus on the essential structures and processes of mental health services is a feasible first step toward creating an organized system.


Asunto(s)
Servicios de Salud del Niño/organización & administración , Servicios de Salud Mental/organización & administración , Adolescente , Niño , Preescolar , Niños con Discapacidad/legislación & jurisprudencia , Accesibilidad a los Servicios de Salud , Historia del Siglo XX , Hospitalización/tendencias , Humanos , Comunicación Interdisciplinaria , Trastornos Mentales/epidemiología , Servicios de Salud Mental/historia , Servicios de Salud Mental/legislación & jurisprudencia , Estados Unidos/epidemiología
17.
Med Care ; 59(4): 319-323, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33480660

RESUMEN

BACKGROUND: Since coronavirus disease 2019 (COVID-19) has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES: The aim was to examine the availability of telehealth services at outpatient mental health treatment facilities in the United States at the outset of the COVID-19 pandemic, and to identify facility-level characteristics and state-level policies associated with the availability. RESEARCH DESIGN: Observational cross-sectional study. SUBJECTS: All outpatient mental health treatment facilities (N=8860) listed in the Behavioral Health Treatment Services Locator of the Substance Abuse and Mental Health Services Administration on April 16, 2020. MEASURES: Primary outcome is whether an outpatient mental health treatment facility reported offering telehealth services. RESULTS: Approximately 43% of outpatient mental health facilities in the United States reported telehealth availability at the outset of the pandemic. Facilities located in the United States South and nonmetropolitan counties were more likely to offer services, as were facilities with public sector ownership, those providing care for both children and adults, and those accepting Medicaid as a form of payment. Outpatient mental health treatment facilities located in states with state-wide shelter-in-place laws were less likely to offer telehealth, as well as facilities in counties with more COVID-19 cases per 10,000 population. CONCLUSIONS: At the onset of the COVID-19 pandemic, fewer than half of outpatient mental health treatment facilities were providing telehealth services. Our results suggest that additional policies to promote telehealth may be warranted to increase availability over the course of the COVID-19 pandemic.


Asunto(s)
Atención Ambulatoria/estadística & datos numéricos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Servicios de Salud Mental/estadística & datos numéricos , Telemedicina/estadística & datos numéricos , Atención Ambulatoria/organización & administración , /transmisión , Estudios Transversales , Geografía , Accesibilidad a los Servicios de Salud/organización & administración , Humanos , Servicios de Salud Mental/organización & administración , Pandemias/prevención & control , Telemedicina/organización & administración , Estados Unidos/epidemiología
18.
J Nerv Ment Dis ; 209(2): 144-146, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33502141

RESUMEN

ABSTRACT: To date, there is lack of specific effective treatment or vaccine for the SARS-CoV-2, and clinical and laboratory research is still ongoing to find successful drugs. Therefore, prevention to be infected through social distancing and isolation is the most effective way. However, all the other physical and mental illnesses continue to exist, if possible even more burdened by the emergency situation and social distancing. The COVID-19 pandemic, especially in many low- and middle-income countries, has caused a deeper gap in seeking psychiatric help. In this scenario, telepsychiatry could play a decisive role in implementing clinical care for frail patients and ensuring continuous mental care. Therefore, we felt the urge to write this article to express our hope that the old health care system at this time of crisis, as we know it, can offer the chance to implement pervasive care technologies that perfectly fit current psychiatric needs.


Asunto(s)
/prevención & control , Países en Desarrollo , Accesibilidad a los Servicios de Salud , Trastornos Mentales/terapia , Servicios de Salud Mental , Telemedicina , Continuidad de la Atención al Paciente/normas , Accesibilidad a los Servicios de Salud/organización & administración , Accesibilidad a los Servicios de Salud/normas , Humanos , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/normas , Aplicaciones Móviles , Psiquiatría/organización & administración , Psiquiatría/normas , Telemedicina/organización & administración , Telemedicina/normas
19.
Artículo en Inglés | MEDLINE | ID: mdl-33436319

RESUMEN

Considerable efforts over the last decade have been placed on harnessing technology to improve access to behavioral health services. These efforts have exponentially risen since the outbreak of the Coronavirus disease 2019 (COVID-19), which has prompted a move to novel systems of care, largely based on telehealth delivery. This article aims to provide a broad review of evidence for telehealth assessment and treatment of externalizing disorders and internalizing disorders in children and discuss practice considerations and established guidelines for telehealth delivery. Existing literature supports the promise of behavioral health interventions including behavioral parent training and combination approaches for externalizing disorders as well as cognitive-behavioral based interventions for internalizing disorders. There is a scarcity of work on assessment via telehealth compared with the available treatment literature. While treatment may be most pressing given the COVID-19 circumstances to continue delivery of care, movement toward establishing evidence-based assessment via telehealth will be of increased importance. Lastly, practice guidelines have been set forth by national associations, professional societies, and supported by the development of national Telehealth Centers of Excellence. These guidelines and practice considerations are discussed within the context of COVID-19.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/terapia , Trastornos de la Conducta Infantil/terapia , Servicios de Salud Mental/organización & administración , Telemedicina/organización & administración , Niño , Terapia Cognitivo-Conductual/organización & administración , Humanos
20.
Psychiatr Serv ; 72(4): 458-460, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33397144

RESUMEN

Pandemics pose unique risks to people in correctional facilities. Among other vulnerabilities, incarcerated populations often have high rates of mental disorders and substance use disorders, which may increase risks for morbidity and mortality during a pandemic. California's San Quentin State Prison (SQSP) experienced multiple outbreaks during the 1918 influenza pandemic, and, a century later, the prison faces a new pandemic. This Open Forum describes the modification of mental health services in SQSP during the early stages of the COVID-19 pandemic. The authors explore the challenges of reducing risks of viral contagion while maintaining high-quality mental health care in a correctional setting.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles/métodos , Trastornos Mentales/terapia , Servicios de Salud Mental/organización & administración , Prisiones , Telemedicina/métodos , California , Psiquiatría Forense , Humanos , Telecomunicaciones , Estados Unidos , Comunicación por Videocoferencia
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