Mind the distance: experiences of non-face-to-face child and youth mental health services during COVID-19 social distancing restrictions in Western Australia

McQueen, Matthew; Strauss, Penelope; Lin, Ashleigh; Freeman, Jacinta; Hill, Nicole T. M.; Finlay‐Jones, Amy; Bebbington, Keely; Perry, Yael

doi:10.1080/00050067.2022.2078649

Cited by 11 publications

(12 citation statements)

References 28 publications

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“…When it comes to privacy, both adolescent clients and professionals mentioned relatively few worries about the tools used for telehealth, even at a time in which little was known about security and privacy features. This is contradictory to for instance findings among adolescents in a bigger sample in Western Australia ( McQueen et al, 2022 ). Additionally, some professionals in our study specifically mentioned that at the beginning of the pandemic, they sometimes put user-friendliness above security.…”

Section: Conclusion and Discussioncontrasting

confidence: 98%

Youth care in time of COVID-19: Experiences of professionals and adolescent clients with telehealth

Rooij

Weeland

Thonies

2023

Children and Youth Services Review

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Section: Conclusion and Discussioncontrasting

confidence: 98%

Youth care in time of COVID-19: Experiences of professionals and adolescent clients with telehealth

Rooij

Weeland

Thonies

2023

Children and Youth Services Review

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“…Improved access to services was reported by patients, 37 , 59 , 60 rural clinicians who were the referrers, 61 and telepsychiatry providers. 62 , 63 Telepsychiatry allowed urgent assessment for remote areas. 53 , 64 - 66 Patients could be seen in their own setting or close to home.…”

Section: Resultsmentioning

confidence: 99%

“…85 A hybrid approach, with a planned and structured transition from the initial face-to-face session to subsequent telepsychiatry, was suggested. 63 , 83 , 86 …”

Section: Resultsmentioning

confidence: 99%

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Telepsychiatry in Australia: A Scoping Review

Woon,

Maguire,

Reay

et al. 2024

INQUIRY

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Telepsychiatry formed part of the Australian mental health response to COVID-19, but relevant reviews pre- and post-pandemic are sparse. This scoping review aimed to map the literature on telepsychiatry in Australia and identify key research priorities. We searched databases (Medline, PubMed, PsycINFO, Scopus, Web of Science, EBSCO Psychology & Behavioral Sciences Collection, Proquest databases, and Cochrane Central Register of Controlled Trials) and reference lists from January 1990 to December 2022. Keywords included telepsychiatry, videoconferencing, telephone consultation, psychiatry, mental health, and Australia. Two reviewers independently screened titles, abstracts, and full texts. We identified 96 publications, one-third of which appeared since 2020. Extracted data included article types, service types, usage levels, outcome measures, perceptions, and research gaps. Most publications were quantitative studies (n = 43) and narrative reports of services (n = 17). Seventy-six papers reported mostly publicly established services. Videoconferencing alone was the most common mode of telepsychiatry. There was increased use over time, with the emergence of metropolitan telepsychiatry during the pandemic. Few papers used validated outcome measures (n = 5) or conducted economic evaluations (n = 4). Content analysis of the papers identified perceptions of patient (and caregiver) benefits, clinical care, service sustainability, and technology capability/capacity. Benefits such as convenience and cost-saving, clinical care issues, and implementation challenges were mentioned. Research gaps in patient perspectives, outcomes, clinical practice, health economics, usage patterns, and technological issues were identified. There is consistent interest in, and growth of, telepsychiatry in Australia. The identified perception themes might serve as a framework for future research on user perspectives and service integration. Other research areas include usage trends, outcome measures, and economic evaluation.

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“…Telepsychiatry, by videoconferencing or telephone, is attractive to many patients as it offers convenience through potentially reduced travel costs and waiting time opportunity costs in comparison with face-to-face consultation. 7 , 8 However, differences in OOP costs may also affect patient preference, since higher costs may create financial barriers for access to mental health care. 9 While the MBS video items might still be cost-saving for some patients and after additional opportunity costs are considered, telephone consultations are likely to be the cheaper options for most patients, on the basis of the lesser OOP costs for this mode of psychiatric consultation.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the out-of-pocket costs of Medicare-funded telepsychiatry and face-to-face consultations: A descriptive study

Woon,

Allison,

Bastiampillai

et al. 2024

Australas Psychiatry

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Objective Telepsychiatry items in the Australian Medicare Benefits Schedule (MBS) were expanded following the COVID-19 pandemic. However, their out-of-pocket costs have not been examined. We describe and compare patient out-of-pocket payments for face-to-face and telepsychiatry (videoconferencing and telephone) MBS items for outpatient psychiatric services to understand the differential out-of-pocket cost burden for patients across these modalities. Methods out-of-pocket cost information was obtained from the Medical Costs Finder website, which extracted data from Services Australia’s Medicare claims data in 2021–2022. Cost information for corresponding face-to-face, video, and telephone MBS items for outpatient psychiatric services was compared, including (1) Median specialist fees; (2) Median out-of-pocket payments; (3) Medicare reimbursement amounts; and (4) Proportions of patients subject to out-of-pocket fees. Results Medicare reimbursements are identical for all comparable face-to-face and telepsychiatry items. Specialist fees for comparable items varied across face-to-face to telehealth options, with resulting differences in out-of-pocket costs. For video items, higher proportions of patients were not bulk-billed, with greater out-of-pocket costs than face-to-face items. However, the opposite was true for telephone items compared with face-to-face items. Conclusions Initial cost analyses of MBS telepsychiatry items indicate that telephone consultations incur the lowest out-of-pocket costs, followed by face-to-face and video consultations.

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Mind the distance: experiences of non-face-to-face child and youth mental health services during COVID-19 social distancing restrictions in Western Australia

Cited by 11 publications

References 28 publications

Youth care in time of COVID-19: Experiences of professionals and adolescent clients with telehealth

Youth care in time of COVID-19: Experiences of professionals and adolescent clients with telehealth

Telepsychiatry in Australia: A Scoping Review

Comparison of the out-of-pocket costs of Medicare-funded telepsychiatry and face-to-face consultations: A descriptive study

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