Virtual mental health care in the Veterans Health Administration’s
                        immediate response to coronavirus disease-19.

Rosen, Craig S.; Morland, Leslie A.; Glassman, Lisa H.; Marx, Brian P.; Weaver, Kendra; Smith, Clifford A.; Pollack, Stacey; Schnurr, Paula P.

doi:10.1037/amp0000751

Cited by 106 publications

(110 citation statements)

References 49 publications

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“…For example, the Veteran Health Administration in the USA have had a focus on mental health specialists video consultations long before the COVID-19 pandemic. Consequently, the expansion to more video supported treatment was relatively seamless [ 56 , 57 ]. In Australia, by quickly adapting reimbursements schemes, providers and patients rapidly adopted mental health specialists video consultations and the number of video supported psychological or psychiatric sessions increased sharply [ 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

Health policy experts’ perspectives on implementing mental health specialist video consultations in routine primary care – a qualitative interview study

Tönnies

Oeljeklaus

Wensing

et al. 2021

BMC Health Serv Res

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Background Many patients with mental disorders are treated by their general practitioner (GP). Innovative technology-based integrated care models (e.g., mental health specialist video consultations) have been proposed to facilitate access to specialist services in primary care settings. While perspectives of patients and providers have been examined, there is little insight into the perspectives of health policy experts on such models. The purpose of this study was to examine the perspectives of health policy experts on (1) current challenges for continuity of care, (2) anticipated benefits and barriers for implementation of mental health specialist video consultations along with (3) practical and regulative preconditions for sustained implementation in primary care. Methods In a cross-sectional qualitative study, we conducted 15 semi-structured interviews with health policy experts representing various stakeholders in the German health care system: health insurances, governmental bodies, clinicians’ professional associations, and patient representatives. Following a critical realism approach, we applied a qualitative inductive content analysis to derive key themes from the material. Results Health policy experts saw long waiting times for patients and a lack of collaboration between in- and outpatient mental health services as well as mental health specialists and GPs as main barriers for current continuity of care. Health policy experts also felt that video consultations bear great potential to foster coordinated care between GPs and specialists and ensure timely referral for severely burdened patients. Increased workload for the general practice staff to facilitate video consultations and difficulties in establishing reliable therapeutic alliances between patients and specialists via remote treatment were considered as major barriers. Health policy experts varied significantly in their level of knowledge concerning legal frameworks and regulations pertaining to video consultations. However, the implementation of appropriate reimbursement schemes and sufficient data protection were regarded as the major regulative challenges. Conclusions Health policy experts mostly consider mental health specialist video consultations as a promising way to overcome current challenges for the management of patients with mental disorders at the interface between primary and specialist care. To ensure sustained implementation, a multi-stakeholder approach accounting for the perspective of health policy experts, patients, and providers should be followed. Trial registration German Clinical Trials Register DRKS00012487

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Section: Discussionmentioning

confidence: 99%

Health policy experts’ perspectives on implementing mental health specialist video consultations in routine primary care – a qualitative interview study

Tönnies

Oeljeklaus

Wensing

et al. 2021

BMC Health Serv Res

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“…Prevention/therapeutics of PTSD remains unclear. It has been suggested that group virtual discussion about the deficiencies of the day's work and what needed to be improved will be helpful to relieve the loneliness and tension of living alone and to release pressure during pandemic ( Rosen et al, 2020 ). Further investigations for understanding the risk factors of PTSD in frontline nurses of COVID-19 are needed which could provide novel avenues for prevention and therapeutics of PTSD.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 negatively impacts on psychological and somatic status in frontline nurses

et al. 2021

Journal of Affective Disorders

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Background : COVID-19 has become a public health emergency based on its clinical characteristics. Previous studies demonstrated that the onset of a sudden and immediately life-threatening illness could lead to extraordinary amounts of psychological pressure on nurses who play an important role in the illness. Whether COVID-19 pandemic has greater impacts on the psychological status and somatic symptoms from nurses who stand in the frontline of this crisis remain unclear. Methods : We evaluated post-traumatic stress disorder (PTSD), anxiety and somatic symptoms in the frontline nurses (n=438) who served in Wuhan, China, during COVID-19 crisis. Nurses who did not worked in the frontline of COVID-19 served as controls (n=452). The investigation was processed by online questionnaires including: event scale-revised (IES-R) self-rating anxiety scale (SAS), and somatic symptoms. Results : Prevalence of moderate and severe PTSD was significantly increased in the frontline nurses compared to non-frontline nurses. Prevalence of mild anxiety was significantly increased in frontline nurses compared to non-frontline nurses. There were more frontline nurses suffering from severe insomnia and losing weight compared to non-frontline nurses. Severity of PTSD (IES-R score), but not severity of anxiety (SAS score) was similarly positively correlated to incidence of insomnia and weight loss in both frontline and non-frontline nurses to a similar extent. Limitations : The results only represented psychological statues and somatic symptom on one time point thus the development of psychological stress and somatic symptom during pandemic of COVID-19 in the frontline nurses were missing. Conclusions : COVID-19 negatively impacted on psychological and somatic status in frontline nurses. PTSD may be the most reliability and validity criteria for evaluating psychological and somatic status for frontline nurses of COVID-19.

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“…Certamente, a pandemia de COVID-19 aumentou a necessidade de atendimento psicológico na população global e criou novas barreiras para o acesso presencial aos serviços. Hospitais, centros de saúde mental e outras clínicas enfrentam o desafio de fornecer cuidados remotos continuados a uma população que está sob forte estresse 1,8 .…”

Section: Discussionunclassified

“…A VHA forneceu quase 1,2 milhão de atendimentos por meio telefônico e videochamada, em abril de 2020, o que reduziu as visitas presenciais em aproximadamente 80% em comparação com o período de outubro de 2019 a fevereiro de 2020. Em junho de 2020, houve aumento de 11 vezes nos atendimentos por meio de videochamada, e incremento de cinco vezes nos contatos telefônicos em relação ao período anterior à pandemia 8 . Diante desta realidade, estudos para verificar a eficácia dos dispositivos tecnológicos ofertados devem ser incentivados 10 para que possam determinar até que ponto essas intervenções podem produzir os benefícios esperados 1 .…”

Section: Introductionunclassified

Intervenções on-line em saúde mental em tempos de COVID-19: Revisão sistemática

Secchi¹,

Dullius²,

Garcez³

et al. 2021

RBPsicoterapia

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Virtual mental health care in the Veterans Health Administration’s immediate response to coronavirus disease-19.

Cited by 106 publications

References 49 publications

Health policy experts’ perspectives on implementing mental health specialist video consultations in routine primary care – a qualitative interview study

Health policy experts’ perspectives on implementing mental health specialist video consultations in routine primary care – a qualitative interview study

COVID-19 negatively impacts on psychological and somatic status in frontline nurses

Intervenções on-line em saúde mental em tempos de COVID-19: Revisão sistemática

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