Telehealth mental health services during COVID-19: summary of evidence and clinical practice

Reay, Rebecca; Looi, Jeffrey Cl; Keightley, Philip

doi:10.1177/1039856220943032

Cited by 165 publications

(127 citation statements)

References 20 publications

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“…Healthcare providers need training on setting joint agendas remotely, handling efficient patient-provider interactions, and assessing patient comprehension. They also need to recognise the limitations of the telehealth format for new patients and mental health delivery [ 44 ]. On a systems level, successful telehealth requires convenient, fast and secure internet connections, user-friendly telehealth platforms, and affordable cost structures [ [45] , [46] , [47] ].…”

Section: Communicating With Patients Families and Caregiversmentioning

confidence: 99%

Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper

White

Barello

Marco³

et al. 2021

Patient Education and Counseling

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Section: Communicating With Patients Families and Caregiversmentioning

confidence: 99%

Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper

White

Barello

Marco³

et al. 2021

Patient Education and Counseling

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“… 8 Advantages for patients include effectiveness, accessibility and convenience of telehealth, and reduced costs and time for attending consultations in-person. 9 Further adaptation of psychiatrist telehealth will require significant systemic change, as well as a awareness that cultural, health and socioeconomic factors need to be carefully considered to avoid disparities in care. 8 …”

Section: Implications For Future Private Psychiatric Carementioning

confidence: 99%

Australian private practice metropolitan telepsychiatry during the COVID-19 pandemic: analysis of Quarter-2, 2020 usage of new MBS-telehealth item psychiatrist services

Looi

Allison

Bastiampillai

et al. 2020

Australas Psychiatry

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Objective: The Australian Commonwealth Government introduced new psychiatrist Medicare-Benefits-Schedule (MBS)-telehealth items in the first wave of the COVID-19 pandemic to assist with previously office-based psychiatric practice. We investigate private psychiatrists’ uptake of (1) video- and telephone-telehealth consultations for Quarter-2 (April–June) of 2020 and (2) total telehealth and face-to-face consultations in Quarter-2, 2020 in comparison to Quarter-2, 2019 for Australia. Methods: MBS item service data were extracted for COVID-19-psychiatrist-video- and telephone-telehealth item numbers and compared with a baseline of the Quarter-2, 2019 (April–June 2019) of face-to-face consultations for the whole of Australia. Results: Combined telehealth and face-to-face psychiatry consultations rose during the first wave of the pandemic in Quarter-2, 2020 by 14% compared to Quarter-2, 2019 and telehealth was approximately half of this total. Face-to-face consultations in 2020 comprised only 56% of the comparative Quarter-2, 2019 consultations. Most telehealth provision was by telephone for short consultations of ⩽15–30 min. Video consultations comprised 38% of the total telehealth provision (for new patient assessments and longer consultations). Conclusions: There has been a flexible, rapid response to patient demand by private psychiatrists using the new COVID-19-MBS-telehealth items for Quarter-2, 2020, and in the context of decreased face-to-face consultations, ongoing telehealth is essential.

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“… 5 Patients and psychiatrists, while still preferring face-to-face interaction, appreciate the complementary effectiveness, accessibility and convenience of telehealth, with reduced opportunity costs for consultations. 6 The particular usefulness of shorter telephone telehealth consultations has been demonstrated during COVID-19.…”

Section: Implications For Future Private Psychiatric Carementioning

confidence: 99%

Increased Australian outpatient private practice psychiatric care during the COVID-19 pandemic: usage of new MBS-telehealth item and face-to-face psychiatrist office-based services in Quarter 3, 2020

Looi

Allison

Bastiampillai

et al. 2021

Australas Psychiatry

Self Cite

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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.

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Telehealth mental health services during COVID-19: summary of evidence and clinical practice

Cited by 165 publications

References 20 publications

Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper

Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper

Australian private practice metropolitan telepsychiatry during the COVID-19 pandemic: analysis of Quarter-2, 2020 usage of new MBS-telehealth item psychiatrist services

Increased Australian outpatient private practice psychiatric care during the COVID-19 pandemic: usage of new MBS-telehealth item and face-to-face psychiatrist office-based services in Quarter 3, 2020

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