Client, clinician, and administrator factors associated with the successful acceptance of a telehealth comprehensive recovery service: A mixed methods study

Lynch, David A.; Stefancic, Ana; Cabassa, Leopoldo J.; Medalia, Alice

doi:10.1016/j.psychres.2021.113871

Cited by 16 publications

(32 citation statements)

References 18 publications

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“… 35 , 36 On the other hand, it is possible for patients with severe mental illness to participate more actively in telepsychiatry when factors such as access to fast internet, technology and privacy-friendly living spaces are available. 37 , 38 In The Netherlands, video consultation is a reasonably accessible option because >75% of the general population owns a smartphone; although little is known about such a percentage among patients with severe mental illness, it should be roughly similar. 39 , 40 Since the passing of legislation in 2016 extending disability rights and providing protection against discrimination on the basis of disability or chronic illness, the Dutch Government has been promoting digital accessibility to healthcare.…”

Section: Discussionmentioning

confidence: 99%

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

et al. 2021

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Background Previous studies into mental health service utilisation during the COVID-19 pandemic are limited to a few countries or specific type of service. In addition, data on changes in telepsychiatry are currently lacking. Aims We aimed to investigate whether the COVID-19 pandemic is associated with changes in mental health service utilisation, including telepsychiatry, and how these changes were distributed among patients with mental illness during the first COVID-19 outbreak. Method This retrospective study obtained routinely assessed healthcare data from a large Dutch mental healthcare institute. Data from the second quarter of 2020 (the first COVID-19 outbreak period) were compared with the pre-pandemic period between January 2018 and March 2020. Time-series analyses were performed with the quasi-Poisson generalised linear model, to examine the effect of the COVID-19 lockdown and the overall trend of mental health service utilisation per communication modality and diagnostic category. Results We analysed 204 808 care contacts of 28 038 patients. The overall number of care contacts in the second quarter of 2020 remained the same as in the previous 2 years, because the number of video consultations significantly increased (B = 2.17, P = 0.488 × 10−3) as the number of face-to-face out-patient contacts significantly decreased (B = −0.98, P = 0.011). This was true for all different diagnostic categories, although this change was less pronounced in patients with psychotic disorders. Conclusions Diminished face-to-face out-patient contacts were well-compensated by the substantial increase of video consultations during the first COVID-19 outbreak in The Netherlands. This increase was less pronounced for psychotic disorders. Further research should elucidate the need for disorder-specific digital mental healthcare delivery.

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Section: Discussionmentioning

confidence: 99%

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

et al. 2021

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“…While limited in scope, existing reviews focused on telehealth for persons with ASC have concluded that it is a promising delivery approach for both diagnosis and treatment of the condition (La Valle et al, 2022 ; Sutherland et al, 2018 ). Several newly published studies back these findings, with moderate to high satisfaction reported following diagnostic evaluations (Adamou et al, 2021 ; Jang et al, 2021 ) and treatment (Lynch et al, 2021 ; Pollard et al, 2021 ; Srinivasan et al, 2021 ) for those with ASCs. Unfortunately, relatively few studies or reviews have been conducted to determine the satisfaction of telehealth among individuals who have IDDs.…”

mentioning

confidence: 88%

Brief Report: Telehealth Satisfaction Among Caregivers of Pediatric and Adult Psychology and Psychiatry Patients with Intellectual and Developmental Disability in the Wake of Covid-19

Rosén

Blank

Lampert

et al. 2022

J Autism Dev Disord

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Telehealth has been shown to be both acceptable and effective in many areas of healthcare, yet it was not widely adopted prior to the SARS-CoV-2 (COVID-19) pandemic. Additionally, previous evaluations of telehealth for autism spectrum condition (ASC) and intellectual and developmental disability (IDD) populations are limited in both number and scope. Here, we investigated satisfaction amongst Psychology and Psychiatry patient caregivers at Cincinnati Children’s Hospital Medical Center (CCHMC) after the onset of the COVID-19 pandemic. Results (640 responses) showed high rates of satisfaction across departments, appointment types, and diagnoses, with 92% indicating overall satisfaction with their appointment. There were, however, notable decreases in satisfaction among Group Therapy respondents, and those whose diagnosis was classified as Other.

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“…Nonverbal cues can build metacognitive processes by reflecting markers of internal states and emotions emerging in the therapeutic exchange (Dimaggio & Lysaker, 2018). Although telehealth offers a useful alternative to in-person care, perhaps digital platforms cannot satisfactorily replace in-person care for some patients (Lynch et al, 2021), especially for those that value nonverbal cues such as facial expressions and tone of voice (Valentine et al, 2020). Further, it is possible that some patients need the full visual information from in-person interactions for effective communication.…”

Section: Case Formulation 2: Georgementioning

confidence: 99%

Metacognitive Reflection and Insight Therapy (MERIT) Delivered Virtually During the COVID-19 Pandemic: An Illustration of Two Cases

Faith

Chung-Zou

Kukla

2022

J Contemp Psychother

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Alternative platform offerings for psychotherapy have become a necessity in the age of the novel coronavirus (COVID-19) pandemic. The current study describes the virtual adaptation of Metacognitive Reflection and Insight Therapy (MERIT) for people with psychosis. MERIT is a recovery-oriented psychotherapy that has shown promise in increasing metacognition and allowing individuals to make meaning of their psychiatric challenges and direct their own recovery efforts. MERIT delivery requires the assumption that metacognitive reflection is an intersubjective act where individuals make meaning with others instead of in isolation. As such, considering the current COVID-19 pandemic, research is needed to understand how intersubjectivity and the therapeutic alliance may differ in a virtual environment rather than in-person. The present study addresses this question by illustrating two case examples of MERIT’s adaptation to a virtual delivery telehealth format. Moreover, this study expands on Lysaker and colleagues’ (2020) investigation of virtual adaptations of MERIT by exploring how MERIT is adapted in a virtual environment, how intersubjectivity changes in a virtual environment, and, what opportunities virtual platforms allow for metacognitive reflection. Overall, we found that MERIT can be successfully delivered in a virtual telehealth platform. We discuss opportunities and considerations for MERIT and other psychotherapy virtual delivery.

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Client, clinician, and administrator factors associated with the successful acceptance of a telehealth comprehensive recovery service: A mixed methods study

Cited by 16 publications

References 18 publications

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

Impact of the first COVID-19 outbreak on mental health service utilisation at a Dutch mental health centre: retrospective observational study

Brief Report: Telehealth Satisfaction Among Caregivers of Pediatric and Adult Psychology and Psychiatry Patients with Intellectual and Developmental Disability in the Wake of Covid-19

Metacognitive Reflection and Insight Therapy (MERIT) Delivered Virtually During the COVID-19 Pandemic: An Illustration of Two Cases

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