Clinicians' Perceptions of Rapid Scale-up of Telehealth Services in Outpatient Mental Health Treatment

Sugarman, Dawn E.; Horvitz, Lisa; Greenfield, Shelly F.; Busch, Alisa B.

doi:10.1089/tmj.2020.0481

Cited by 49 publications

(90 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Such barriers may also limit the discussion of sensitive topics like depression, anxiety, and anger. This finding is consistent with another study examining mental health providers’ experiences with COVID-19 perpetuated telehealth implementation [ 21 ]. Future research should explore ways of addressing this issue, such as by using a hybrid in-person/telehealth approach.…”

Section: Discussionsupporting

confidence: 91%

“…While providers are central in building an effective therapeutic relationship, limited literature exists that examines counselor satisfaction or perception of the therapeutic alliance, especially in the context of SUD treatment [ 20 ]. A recent survey examining provider satisfaction and telehealth experiences with outpatient mental health treatment providers (including psychiatrists and counselors) reported that providers were largely satisfied with telehealth, but may face challenges with caring for clients with psychiatric comorbidities and those with high symptom severity [ 21 ]. In addition, studies have also reported that providers were concerned with security, confidentiality, and technological issues with the use of telemedicine [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medication for Opioid Use Disorder Service Provision and Telephone Counseling: A Concurrent Mixed-Methods Approach

Martin

Kang

DeBritz

et al. 2021

IJERPH

View full text Add to dashboard Cite

Using quantitative and qualitative evidence, this study triangulates counselors’ perspectives on the use of telemedicine in the context of Opioid Use Disorder (OUD) treatment. A concurrent mixed-methods design examined counselors’ experiences with telephone counseling during the COVID-19 pandemic. N = 42 counselors who provided OUD counseling services completed a close-ended, quantitative survey examining their experiences in addressing clients’ anxiety, depression, anger, substance use, therapeutic relationship, and substance use recovery using telephone counseling. The survey also assessed comfort, convenience, and satisfaction with telephone counseling. Counselors also completed open-ended responses examining satisfaction, convenience, relationship with patients, substance use, and general feedback with telephone counseling. The synthesis of quantitative and qualitative evidence indicated that a majority of counselors had positive experiences with using telephone counseling to provide services to clients undergoing OUD treatment. Convenience, greater access to clients, and flexibility were among the reasons cited for their positive experience. However, counselors also expressed that the telephone counseling was impersonal, and that some clients may have difficulties accessing appropriate technology for telehealth adoption. Findings suggest that further research with counselors is needed to identify the key elements of an effective integration of telephone counseling with traditional in-person treatment approaches in the post-pandemic era.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Medication for Opioid Use Disorder Service Provision and Telephone Counseling: A Concurrent Mixed-Methods Approach

Martin

Kang

DeBritz

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…In a recent survey study of clinicians engaged in telehealth for mental health and SUD care, clinicians expressed the importance of discussing with patients the differences between telehealth and in-person treatment and helping patients process their feelings about telehealth treatment. 26 Although few participants reported that they dislike telehealth because they feel safer in person, in light of concerns of increases in intimate partner violence during the COVID-19 pandemic, 27,28 it is critical for clinicians to assess patient safety.…”

Section: Discussionmentioning

confidence: 99%

Patients' perceptions of telehealth services for outpatient treatment of substance use disorders during the COVID‐19 pandemic

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background and Objectives: The rapid scale-up of telehealth services for substance use disorders (SUDs) during the COVID-19 pandemic presented a unique opportunity to investigate patient experiences with telehealth. This study examined patient perceptions of telehealth in an outpatient SUD treatment program offering individual therapy, group therapy, and medication management. Methods: Two hundred and seventy adults receiving SUD outpatient treatment were eligible to complete a 23-item online survey distributed by clinicians; 58 patients completed/partially completed the survey. Data were summarized with descriptive statistics.Results: Participants were predominately male, White, and well-educated. The majority (86.2%) were "very satisfied" or "satisfied" with the quality of telehealth care. "Very satisfied" ratings were highest for individual therapy (90%), followed by medication management (75%) and group therapy (58%). Top reasons for liking telehealth included the ability to do it from home (90%) and not needing to spend time commuting (83%). Top reasons for disliking telehealth were not connecting as well with other members in group therapy (28%) and the ability for telehealth to be interrupted at home or work (26%).Discussion and Conclusions: Telehealth visits were a satisfactory treatment modality for most respondents receiving outpatient SUD care, especially those engaging in individual therapy. Challenges remain for telehealth group therapy.Scientific Significance: This is the first study examining patients' perceptions of telehealth for outpatient SUD treatment during the COVID-19 pandemic by treatment service type. Importantly, while many participants found telehealth more accessible than in-person treatment, there was variability with respect to the preferred mode of treatment delivery.

show abstract

“…Clinician support Promotion of self-care for healthcare professionals (47) Incorporate administration/coordination support (42,44,48) Ensure access to suitable work environment and tools (46)…”

Section: System and Toolsmentioning

confidence: 99%

“…(37) Saved travel time and costs were also mentioned as bene ts in several publications. Physicians from three studies thought the use of digital care visits saves the commuting time, (39,41,47) this plays a role in enhancing healthcare professionals' quality of life: "saving travel time, being present at home, and participating in family activities […] was considered bene cial." (39) Digital care visits provide exibility which contributes to healthcare professionals feeling less stressed and more at ease.…”

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

Healthcare professionals' experience of performing digital care visits - a scoping review

Lampickienė

Davoody

2022

Preprint

View full text Add to dashboard Cite

Background: The use of patient initiated digital care visits has been increasing and even more so in the era of the Coronavirus (COVID-19) pandemic. Learning more about healthcare professionals’ experience of using such technology would provide valuable insight and a basis for improvement of digital visits.Aim: This study sought to explore the existing literature on healthcare professionals’ experience of performing digital care visits.Methods: A scoping review was performed following Arksey & O’Malley’s proposed framework and utilizing the Preferred Reporting Items for Systematic reviews and Meta-Analyses – Extension for Scoping Reviews (PRISMA-ScR) checklist. Three large databases – PubMed, Web of Science and IEEE Xplore were searched, and 28 studies were included in the review. The collected data was analyzed using thematic content analysis.Results: Five main themes were identified in the literature: positive experiences/benefits, facilitators, negative experiences/challenges, barriers, and suggestions for improvement. Healthcare professionals mostly reported having overall positive experience with digital visits and saw benefits for themselves and the patients – efficiency, convenience, accessibility, and new perspectives in remote care to name a few. However, opinions were mixed or negative regarding the complexity of decision making, workload and workflow, suitability of this type of care and other challenges. The suggestions for improvement included training and education, improvements within system and tools and support for professionals.Conclusion: Despite overall positive experience and benefits for both professionals and patients, clinicians reported challenges and issues they faced when using digital care visits: physical barriers, technical issues, suitability concerns and others. Digital care visits could not fully replace face-to face visits.

show abstract

Clinicians' Perceptions of Rapid Scale-up of Telehealth Services in Outpatient Mental Health Treatment

Cited by 49 publications

References 32 publications

Medication for Opioid Use Disorder Service Provision and Telephone Counseling: A Concurrent Mixed-Methods Approach

Medication for Opioid Use Disorder Service Provision and Telephone Counseling: A Concurrent Mixed-Methods Approach

Patients' perceptions of telehealth services for outpatient treatment of substance use disorders during the COVID‐19 pandemic

Healthcare professionals' experience of performing digital care visits - a scoping review

Contact Info

Product

Resources

About