Use of Telemedicine in Addiction Treatment: Current Practices and Organizational Implementation Characteristics

Molfenter, Todd; Brown, Roger; O'Neill, Andrew; Kopetsky, Ed; Toy, Alexander

doi:10.1155/2018/3932643

Cited by 29 publications

(31 citation statements)

References 30 publications

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“…These services can be used to provide capabilities for alcohol counseling and addiction treatment and give patients 24/7 access to care, and they allow for closer surveillance of patients at risk for decompensation and relapse. (41)(42)(43) A recent pilot study has shown that specialized hepatology care can be effectively delivered through telehealth to distant communities not originally serviced by transplant and hepatology centers. (44) Providers should schedule more frequent telehealth visits for high-risk patients to mitigate the effects of social isolation and AUD treatment disruption.…”

Section: What Can Be Done Now?mentioning

confidence: 99%

Coronavirus Disease 2019 Hangover: A Rising Tide of Alcohol Use Disorder and Alcohol‐Associated Liver Disease

2020

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The coronavirus disease 2019 (COVID‐19) pandemic has had a tremendous global impact since it began in November of 2019. However, there are concerns that the COVID‐19 pandemic will not affect all equally and that some populations will be particularly vulnerable. Relevant to liver disease, patients with alcohol use disorder (AUD) and alcohol‐associated liver disease (ALD) may be among the populations that are the most severely impacted. The reasons for this include being at a higher risk of severe COVID‐19 infection due to a depressed immune system and high‐risk underlying comorbidities, the injurious effect of COVID‐19 on the liver, the inability to attend regular visits with providers, diversion of hospital resources, and social isolation leading to psychological decompensation and increased drinking or relapse. As a result, we fear that there will be a dramatic rising tide of alcohol relapse, admissions for decompensated ALD, and an increase in newly diagnosed patients with AUD/ALD post–COVID‐19 pandemic. Providers and their institutions should implement preemptive strategies such as telehealth and aggressive patient outreach programs now to curb this anticipated problem. Liver transplantation (LT) centers should adapt to the pandemic by considering leniency to some LT candidates with ALD who cannot access appropriate alcohol treatment due to the current situation. In conclusion, the COVID‐19 pandemic will likely be especially detrimental to patients with AUD/ALD, and actions need to be taken now to limit the scope of this anticipated problem.

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Section: What Can Be Done Now?mentioning

confidence: 99%

Coronavirus Disease 2019 Hangover: A Rising Tide of Alcohol Use Disorder and Alcohol‐Associated Liver Disease

2020

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“…The APA telepsychiatry toolkit observes that certain patient groups (e.g., children and adolescents in the autism spectrum, patients with disabling anxiety) can show greater acceptance for telepsychiatry services. 28 , 29 Although telemedicine applications have been used for computer-based screening assessments, telephone-based recovery supports, and telephone-based therapy for addictive disorders, 30 its use is limited otherwise. Hence, app-based interventions for a variety of interventions from craving management to supervised medications require further consideration.…”

Section: Evidence For Telemental Health Servicesmentioning

confidence: 99%

Telerehabilitation in Psychiatry

Jayarajan

Sivakumar

Torous

et al. 2020

Indian Journal of Psychological Medicine

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The COVID-19 pandemic has interrupted the usual mechanisms of healthcare delivery and exacerbated symptoms of mental illnesses. Telemedicine has morphed from niche service to essential platform, with newly released guidelines that cover various aspects of tele-mental health delivery. Rehabilitation services, which incorporate a range of psychosocial interventions and liaison services, have been significantly impacted too. They are currently more institute-based than community-based in India. However, recent legislation has mandated that community-based rehabilitation options be available. While a large treatment gap for mental health issues has always existed, telemedicine provides an opportunity to scale services up to minimize this gap. Community-based rehabilitation can be delivered over various platforms, from text to phone to videoconferencing, and various devices. Telemedicine is cost-effective, and enables delivery of services where existing services are inadequate. The recent guidelines allow other healthcare workers to be involved in mental health service delivery. Hence, in addition to direct delivery of services, telerehabilitation can facilitate task-shifting, with mental health professionals mentoring and supervising existing human resources, such as ASHA workers, VRWs, DMHP programme staff, and others. Tele-rehabilitation also poses challenges - not all needs can be met; access and privacy can be a problem in resource-scarce settings; liaison with existing services is required; and organisations need to plan appropriately and re-allocate resources. Digital access to welfare benefits and interventions must be expanded without disadvantaging those without internet access. Yet, many rehabilitation interventions can be adapted to telemedicine platforms smoothly, and task-shifting can broaden access to care for persons with disability.

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“…Despite these emerging trends, the actual adoption of telephonic and video SUD services has been slow [ 7 , 13 ]. Emerging data suggest that organization type (eg, health system, specialty treatment clinics, etc) [ 19 ] and location (eg, suburban, rural, urban, etc) [ 20 ] can potentially influence the readiness to use these technologies.…”

Section: Introductionmentioning

confidence: 99%

Use of Telehealth in Substance Use Disorder Services During and After COVID-19: Online Survey Study

Molfenter¹,

Roget²,

Chaple³

et al. 2021

JMIR Ment Health

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Background Social distancing guidelines for COVID-19 have caused a rapid transition to telephone and video technologies for delivering treatment for substance use disorders (SUDs). Objective This study examined the adoption of these technologies across the SUD service continuum, acceptance of these technologies among service providers, and intent of providers to use these technologies after the pandemic. Additional analysis using the validated technology acceptance model (TAM) was performed to test the potential applications of these technologies after the pandemic. The study objectives were as follows: (1) to assess the use of telehealth (telephone and video technologies) for different SUD services during COVID-19 in May-June 2020, (2) to assess the intended applications of telehealth for SUD services beyond COVID-19, (3) to evaluate the perceived ease of use and value of telehealth for delivering SUD services, and (4) to assess organizational readiness for the sustained use of telehealth services. Methods An online survey on the use of telephonic and video services was distributed between May and August 2020 to measure the current use of these services, perceived organizational readiness to use these services, and the intent to use these services after COVID-19. In total, 8 of 10 regional Addiction Technology Transfer Centers representing 43 states distributed the survey. Individual organizations were the unit of analysis. Results In total, 457 organizations responded to the survey. Overall, the technology was widely used; >70% (n>335) of organizations reported using telephone or video platforms for most services. The odds of the intent of organizations to use these technologies to deliver services post COVID-19 were significantly greater for all but two services (ie, telephonic residential counseling and buprenorphine therapy; mean odds ratio 3.79, range 1.87-6.98). Clinical users preferred video technologies to telephone technologies for virtually all services. Readiness to use telephone and video technologies was high across numerous factors, though telephonic services were considered more accessible. Consistent with the TAM, perceived usefulness and ease of use influenced the intent to use both telephone and video technologies. Conclusions The overall perceived ease of use and usefulness of telephonic and video services suggest promising post–COVID-19 applications of these services. Survey participants consistently preferred video services to telephonic services; however, the availability of telephonic services to those lacking easy access to video technology is an important characteristic of these services. Future studies should review the acceptance of telehealth services and their comparative impact on SUD care outcomes.

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Use of Telemedicine in Addiction Treatment: Current Practices and Organizational Implementation Characteristics

Cited by 29 publications

References 30 publications

Coronavirus Disease 2019 Hangover: A Rising Tide of Alcohol Use Disorder and Alcohol‐Associated Liver Disease

Coronavirus Disease 2019 Hangover: A Rising Tide of Alcohol Use Disorder and Alcohol‐Associated Liver Disease

Telerehabilitation in Psychiatry

Use of Telehealth in Substance Use Disorder Services During and After COVID-19: Online Survey Study

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