Use of Telehealth in Mental Health (MH) Services During and After COVID-19

Molfenter, Todd; Heitkamp, Thomasine; Murphy, Ann; Tapscott, Stephanie; Behlman, Stephanie; Cody, Olivia

doi:10.1007/s10597-021-00861-2

Cited by 64 publications

(42 citation statements)

References 21 publications

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“…While some participants in the current study were unsure (32%) or not (19%) interested in telehealth following the pandemic, half acknowledged the importance of receiving treatment by telehealth during social restrictions and wanted to have the option of telehealth following the pandemic. A survey of mental health clinicians and organizations in the US reported a high likelihood that telehealth use would continue post-pandemic (Molfenter et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Psychotherapy via Telehealth during the COVID-19 Pandemic in Australia–Experience of Clients with a Diagnosis of Borderline Personality Disorder

Dharwadkar¹,

Broadbear²,

Heidari³

et al. 2021

GJHS

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OBJECTIVE: To investigate the transition to, and experience of, telehealth in people with a diagnosis of borderline personality disorder (BPD). METHOD: A cross-sectional study using an online survey was conducted in a specialist clinic for personality disorders in March-May 2020. RESULTS: Thirty-seven clients (48% response rate) completed the survey. Two participants (5.4%) were decided not to receive treatment via telehealth. Transitioning from in-person to telehealth, the majority of participants had few or no technical issues (51.4%). Telephone, video-conferencing and a mix of telephone and video-conferencing were used. Positive and negative experiences were endorsed asking about the effectiveness of telehealth. While some participants were whether unsure (32%) or not (19%) interested in telehealth following pandemic, half acknowledged the presence of telehealth (54.8%) and wanted to have the option of telehealth following pandemic (48.6%). CONCLUSIONS: Despite some shortcomings associated with telehealth, almost every client continued to attend appointments and half of the study participants wanted to have the option of telehealth in the future. Healthcare policymakers and mental health managers should consider the challenges described in this study while developing telehealth guidelines to best support people experiencing problems living with the psychiatric diagnoses of BPD.

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Section: Discussionmentioning

confidence: 99%

Psychotherapy via Telehealth during the COVID-19 Pandemic in Australia–Experience of Clients with a Diagnosis of Borderline Personality Disorder

Dharwadkar¹,

Broadbear²,

Heidari³

et al. 2021

GJHS

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“…Upon the onset of COVID-19, emergency public health policies granted acceptance of TMH which has since been used to conduct as much as 85% of mental health services (Pierce et al, 2020;Reilly et al, 2020). Providers and patients now demand these policy changes be made permanent and TMH uptake become the new norm (Whaibeh et al, 2020;Molfenter et al, 2021;Renn et al, 2021). TMH was once niche but has proven to be an essential care option.…”

Section: Introductionmentioning

confidence: 99%

The Symbiosis of Virtual Reality Exposure Therapy and Telemental Health: A Review

Ong¹,

Wilczewski²,

Soni³

et al. 2022

Front. Virtual Real.

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Phobias and related anxiety are common and costly mental health disorders. Experts anticipate the prevalence of phobias will increase due to the COVID-19 pandemic. Exposure therapies have been established as effective and reliable treatments for anxiety, including recent innovations in virtual reality-based exposure therapy (VRET). With the recent advent of telemental health (TMH), VRET is poised to become mainstream. The combination of VRET and TMH has the potential to extend provider treatment options and improve patient care experiences. In this narrative review, we describe how recent events have accelerated VRET + TMH, identify barriers to VRET + TMH implementation, and discuss strategies to navigate those barriers.

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“…The coronavirus (COVID-19) pandemic radically transformed substance use disorder (SUD) and mental health (MH) treatment. Due to social distancing requirements, stay-at-home orders, and other precautionary health measures, healthcare providers were forced to quickly shift many services from in-person to virtual, including SUD and MH treatment services [ 1 , 2 ]. This led to a sharp increase in use of telehealth services, with health systems seeing patients virtually at hundreds of times the rate as before the onset of the COVID-19 pandemic [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Behavioral healthcare organizations’ experiences related to use of telehealth as a result of the COVID-19 pandemic: an exploratory study

Kisicki

Becker

Chaple

et al. 2022

BMC Health Serv Res

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Background Due to the COVID-19 pandemic, healthcare providers were forced to shift many services quickly from in-person to virtual, including substance use disorder (SUD) and mental health (MH) treatment services. This led to a sharp increase in telehealth services, with health systems seeing patients virtually at hundreds of times the rate as before the onset of the COVID-19 pandemic. By analyzing qualitative data about SUD and MH care organizations’ experiences using telehealth, this study aims to elucidate emergent themes related to telehealth use by the front-line behavioral health workforce. Methods This study uses qualitative data from large-scale web surveys distributed to SUD and MH organizations between May and August 2020. At the end of these surveys, the following question was posed in free-response form: “Is there anything else you would like to say about use of telehealth during or after the COVID-19 pandemic?” Respondents were asked to answer on behalf of their organizations. The 391 responses to this question were analyzed for emergent themes using a conventional approach to content analysis. Results Three major themes emerged: COVID-specific experiences with telehealth, general experiences with telehealth, and recommendations to continue telehealth delivery. Convenience, access to new populations, and lack of commute were frequently cited advantages of telehealth, while perceived ineffectiveness of and limited access to technology were frequently cited disadvantages. Also commonly mentioned was the relaxation of reimbursement regulations. Respondents supported continuation of relaxed regulations, increased institutional support, and using a combination of telehealth and in-person care in their practices. Conclusions This study advanced our knowledge of how the behavioral health workforce experiences telehealth delivery. Further longitudinal research comparing treatment outcomes of those receiving in-person and virtual services will be necessary to undergird organizations’ financial support, and perhaps also legislative support, for virtual SUD and MH services.

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Use of Telehealth in Mental Health (MH) Services During and After COVID-19

Cited by 64 publications

References 21 publications

Psychotherapy via Telehealth during the COVID-19 Pandemic in Australia–Experience of Clients with a Diagnosis of Borderline Personality Disorder

Psychotherapy via Telehealth during the COVID-19 Pandemic in Australia–Experience of Clients with a Diagnosis of Borderline Personality Disorder

The Symbiosis of Virtual Reality Exposure Therapy and Telemental Health: A Review

Behavioral healthcare organizations’ experiences related to use of telehealth as a result of the COVID-19 pandemic: an exploratory study

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