Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization

Perry, Kristen; Gold, Sari D.; Shearer, Erika M.

doi:10.1002/jclp.22770

Cited by 91 publications

(92 citation statements)

References 33 publications

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“…For these nearly 80% of psychologists, this has to change, and the primary way to do it is through strong telepsychology training implemented for trainees both early and often in their training, as well as practicing psychologists at various phases of their careers. Indeed, lack of training was the most frequently endorsed barrier to telepsychology use among mental health care providers (Perry, Gold, & Shearer, 2020). Caver et al (2020) describe some of the excellent telepsychology training programing offered by the U.S. Department of Veterans Affairs (VA) and the VA's strong efforts to overcome barriers to training and implementation.…”

Section: Telepsychology Special Issuementioning

confidence: 99%

“…Telepsychology trainings and readings have to spend substantial time countering preconceived biases and educating psychologists and trainees that telepsychology works and how it can extend in‐person services (Pierce et al, 2020). Theory‐driven intervention research in this area would identify what barriers are present for psychologists (e.g., Perry et al, 2020), as well as exactly what types of information and experiences effectively help psychologists with strong biases against telepsychology overcome them.…”

Section: Telepsychology Special Issuementioning

confidence: 99%

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Rapid telepsychology deployment during the COVID‐19 pandemic: A special issue commentary and lessons from primary care psychology training

et al. 2020

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Objective: This article positions the special issue on telepsychology amidst the COVID-19 pandemic, which has dramatically accelerated the adoption and dissemination of telepsychology.Method: The article makes general observations about the themes emerging in the special issue with considerations for application, training, theory-driven research, and policy. It then presents as a case example the rapid deployment during the pandemic of telepsychology doctoral training and services at the Virginia Commonwealth University (VCU) Primary Care Psychology Collaborative.Results: Facilitators to VCU telepsychology deployment included trainee and supervisor resources, strong telepsychology training, and prior experience. Barriers to overcome included limited clinic capacity, scheduling, technology, and accessibility and diversity issues. Lessons learned involved presenting clinical issues, supervision, and working with children and adolescents.Conclusions: Telepsychology is crucial for psychological service provision, during the COVID-19 pandemic more than ever, and that is unlikely to change as psychologists and patients increasingly continue to appreciate its value. K E Y W O R D S COVID-19, integrated care, primary care psychology, telehealth, telemedicine, telepsychology, training 1 | INTRODUCTION Our commentary to this Journal of Clinical Psychology special issue on "Telepsychology: Research, Training, Practice,and Policy" has several purposes. We begin by making general observations about some of the themes emerging in the special issue with considerations for application, training, theory-driven research, and policy. We then position telepsychology amidst the backdrop of the COVID-19 pandemic, which arguably is a historical event that has had the largest impact on the provision of telepsychology services since the invention of the webcam. The article will present as a case example the rapid deployment during the pandemic of telepsychology doctoral training and services at the Virginia Commonwealth University (VCU) Primary Care Psychology Collaborative, which is funded by two grants from the Health Resources and Services Administration (HRSA) and at any given time trains over 30 psychology doctoral students across a dozen or so primary care psychology training sites. The article will focus on the changes being made at VCU to adapt from in-person services and training to telepsychology, successes, and supports in that adaptation, barriers encountered, and lessons learned for telepsychology training and service provision. | TELEPSYCHOLOGY SPECIAL ISSUEMore than any other theme, the articles in this special issue underscore the critical nature of strong telepsychology training as a growth opportunity for the field. Pierce, Perrin, and McDonald (2020) found in their path model that the strongest predictors of psychologists' use of telepsychology were subjective norms, perceived ease of use, and perceived usefulness of telepsychology. Put simply, psychologists who do not use telepsychology do not feel that others are usi...

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Section: Telepsychology Special Issuementioning

confidence: 99%

Section: Telepsychology Special Issuementioning

confidence: 99%

Rapid telepsychology deployment during the COVID‐19 pandemic: A special issue commentary and lessons from primary care psychology training

et al. 2020

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“…Providers hesitant to adopt telehealth solutions have reported concerns about a lack of training, a lack of technical support, and an increased administrative burden. 17,18 Others noted concerns about the loss of patient-physician interaction required to build rapport. The physical examination is also limited with current video solutions, which increases in relevance as radiation oncology trends toward increasingly precise plans and hypofractionated courses.…”

Section: Arguments For and Against Telemedicinementioning

confidence: 99%

Telemedicine for Radiation Oncology in a Post-COVID World

Maroongroge

Smith

Bloom

et al. 2020

International Journal of Radiation Oncology*Biology*Physics

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National payment and privacy policies instituted during the COVID-19 pandemic have accelerated the incorporation of telemedicine into routine radiation oncology practice for many institutions. Although telemedicine has the potential to revolutionize radiation oncology, it is unclear what role it should play moving forward, especially once these temporary policies expire and the risk of COVID-19 transmission falls. Existing literature suggests that telemedicine broadly improves access, saves time and money, and is well regarded by patients and providers. These benefits must be counterbalanced by the technical and administrative burden posed by new technology and the physical examination restrictions posed by the physically separated interaction. We describe a model for a hypothetical "Virtual Radiation Oncology Clinic" workflow that would minimize the number of visits patients must make to a physical radiation oncology facility. We also examine qualitative clinical, operational, and economic implications of shifting toward a remote practice. Now that the technology and pathways to virtual care have been developed, they are likely here to stay in some capacity. It is crucial that we generate and rely on evidence to inform policy and to determine how to best incorporate telemedicine to benefit patients and advance clinical practice.

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“…A staff survey was conducted to evaluate outcomes of this TMH training effort. Of 134 staff surveyed, only 45.5% completed TMH training and 20% reported conducting a HBTMH encounter 7 . In short, despite mandated TMH training, leadership support, and supplemental TMH training, few providers went on to implement TMH.…”

Section: Page 3/10mentioning

confidence: 99%

Implementation of a Telemental Health Training Program Across a Mental Health Department

Felker

McGinn

Shearer

et al. 2020

Preprint

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Background Telemental Health (TMH) is an effective way to increase access to mental health services. For this reason, many health care systems strive to make TMH a part of routine mental health services. TMH use has increased substantially in recent years; however, health care systems have found it challenging to implement TMH ubiquitously. Minimal literature addresses system wide TMH implementation efforts. Because previous local training efforts failed in leading to meaningful uptake in TMH use, a quality improvement project guided by implementation science methodology was used to design and implement an innovative TMH training program across a large service line. Methods PARiHS criteria (i.e., Evidence, Context, Facilitation) was used as a framework to design, communicate, and implement a TMH training program aimed at providing task-specific training and culture change. The Evidence included incorporating established telehealth literature on TMH acceptance and efficacy. The Context included leadership support to prioritize training sites. RE-AIM guided the evaluation outcome measures used. The Facilitation was guided by Implementation/Facilitation techniques. A total of 100 interdisciplinary mental health providers from outpatient mental health clinics participated in this training over the course of two years. Results Overall, providers reported satisfaction with the training program, and found that it increased their TMH knowledge and competence. The number of providers using TMH and patients who received it nearly doubled in the two years after the launch of the TMH training compared to the two years preceding. Conclusions Implementation science methodology was important in creating an organizational framework to design, evaluate, and facilitate implementation of an innovative TMH training program. The program was well-received by staff and increased the number of providers and patients using TMH. Since this project was completed, the COVID-19 pandemic has significantly increased the demand for telehealth services. This training model offers specific strategies based upon implementation science that could be disseminated to and adopted by mental health programs looking to implement system wide TMH use.

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Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization

Cited by 91 publications

References 33 publications

Rapid telepsychology deployment during the COVID‐19 pandemic: A special issue commentary and lessons from primary care psychology training

Rapid telepsychology deployment during the COVID‐19 pandemic: A special issue commentary and lessons from primary care psychology training

Telemedicine for Radiation Oncology in a Post-COVID World

Implementation of a Telemental Health Training Program Across a Mental Health Department

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