Comparing efficacy of telehealth to in-person mental health care in intensive-treatment-seeking adults

Bulkes, Nyssa; Davis, Kaley; Riemann, Bradley C.

doi:10.1016/j.jpsychires.2021.11.003

Cited by 34 publications

(36 citation statements)

References 36 publications

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“…Though we did not evaluate the underlying psychiatric condition leading to partial hospitalization, it’s likely that these services are provided for an array of psychiatric illness, not just symptoms of MDD. 19 Further, though virtual partial hospitalization programs are uncommon, Bulkes, et al 20 reported that outcomes associated with a virtual partial hospitalization program were comparable to those of a traditional in-person partial hospitalization program.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Healthcare Resource Utilization in Individuals with Major Depressive Disorder

Liberman

Bhattacharjee

Rui

et al. 2022

Health Services Research and Managerial Epidemiology

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Objective To estimate the impact COVID-19 pandemic on healthcare resource utilization (HCRU) among individuals with major depressive disorder (MDD). Method A retrospective cohort study was conducted to compare HCRU in the twelve months prior to and six months following pandemic onset among 1,318,709 individuals with MDD and propensity-score matched controls. Outcomes were monthly rates of all-cause and MDD-specific outpatient, inpatient, and prescription medication HCRU. Piecewise random effects models were used to adjust for patient-level clustering, trends over time, and pre-pandemic factors. Results In the first month following onset, outpatient HCRU declined with primary care visits down 25.1%. Following this initial decline, outpatient HCRU increased, exceeding pre-pandemic rates within three months. By April 2020, three quarters of all psychotherapy sessions were delivered by telehealth, followed by psychiatry (62.3%), and primary care visits (30.1%). The use of telehealth remained highest for psychotherapy and psychiatry (representing 67.6% and 54.2% of visits, respectively, in September 2020). All-cause partial-day hospitalizations declined 50.5% and remained depressed through July 2020 (down 18.3%). Beginning in the first month post-onset, prescription medication HCRU increased for all antidepressant and antipsychotic medication classes: serotonin modulators ( + 11.8%), bupropion ( + 10.4%), SSRIs ( + 9.0%), SNRIs ( + 8.6%), and atypical antipsychotics ( + 7.5%). Conclusions Following pandemic onset, individuals with MDD realized an immediate, but short-lived, reduction in primary care HCRU. Telehealth use remained elevated through the first six months. The most significant and sustained reduction in HCRU was noted for partial-day hospitalizations and all-cause ED visits.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Healthcare Resource Utilization in Individuals with Major Depressive Disorder

Liberman

Bhattacharjee

Rui

et al. 2022

Health Services Research and Managerial Epidemiology

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“…This transition came with a forced relaxation of HIPAA and regulatory limitations and flexibility in insurance reimbursement for telehealth ( Kinoshita et al, 2020 ). There is a growing body of TMH literature validating positive treatment outcomes for telepsychiatry and equivalency to face-to-face treatment ( Bulkes et al, 2022 ; de Las Cuevas et al, 2006 ; Hubley et al, 2016 ; O'Reilly et al, 2007 ). Still, more information is needed to assess the virtual equivalency of different modalities and psychotherapies ( Markowitz et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Patient and provider experiences of telemental health during the COVID-19 pandemic in a New York City academic medical center

Benudis

Re’em

Kanellopoulos

et al. 2022

Psychiatry Research

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“…Key questions remain about the extent to which quality behavioral health care can be effectively delivered via telehealth. Evidence supports that the quality of care for mental health conditions via telehealth is comparable to care provided in person, 17,19 but there is mixed evidence for both uptake and effectiveness of SUD treatment via this modality. 1,20 It is important to consider how the COVID-19 public health emergency (PHE)-related policy flexibilities affected trends in the use of telehealth for initiation of treatment and counseling for opioid use disorder (OUD).…”

Section: Discussionmentioning

confidence: 99%

Knowing Well, Being Well: well-being born of understanding: Supporting Workforce Mental Health During the Pandemic

Henke¹

2022

Am J Health Promot

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Comparing efficacy of telehealth to in-person mental health care in intensive-treatment-seeking adults

Cited by 34 publications

References 36 publications

Impact of the COVID-19 Pandemic on Healthcare Resource Utilization in Individuals with Major Depressive Disorder

Impact of the COVID-19 Pandemic on Healthcare Resource Utilization in Individuals with Major Depressive Disorder

Patient and provider experiences of telemental health during the COVID-19 pandemic in a New York City academic medical center

Knowing Well, Being Well: well-being born of understanding: Supporting Workforce Mental Health During the Pandemic

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