Cultural and Practical Implications for Psychiatric Telehealth Services: A Response to COVID-19

Goldin, Deana; Maltseva, Tatayana; Scaccianoce, Monica; Brenes, Francisco

doi:10.1177/1043659620973069

Cited by 12 publications

(16 citation statements)

References 9 publications

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“…Type of article 30 (49) Experience feedback [5,7,[42][43][44][45][46][47][48][49][50][51][52][53] 14 (23) Literature review [54][55][56][57][58][59][60][61][62] 9 (15) Study [63][64][65][66][67][68][69][70] 8 (13) Reflection Location of study [5,13,14,18,19,26,27,29,31,33,36,38,40,42,44,50,54,…”

Section: References Studies (N=61) N (%) Characteristicsmentioning

confidence: 99%

“…Digital tool [22,24,[26][27][28][29][30][31][32][33][34][35]37,[39][40][41]47,50,52,58,59,61,66,[68][69][70] 45 (74) Videoconferencing [24][25][26][27]32,33,[35][36][37]39,51,59,60,62,68,69] 27 (44) Telephone [29,[47][48][49]51,[53][54][55]64,<...>…”

Section: (3) Africamentioning

confidence: 99%

“…Use of digital tools [5,7,[12][13][14][15][16][17][18][19][20][21]23,[25][26][27][28][29][31][32][33][34][35][36][37][38][41][42][43]46,[48][49][50]52,57,58,60,61,63,[65][66][67][68]70] 44 (72) Patients' follow-up and care [35,44,49,51,53,54,56,62,…”

Section: (7) Artificial Intelligencementioning

confidence: 99%

“…Among other consequences, telepsychiatry favors more fragmented care modalities, with shorter and more frequent encounters [15,57]. Furthermore, although the effectiveness of telepsychiatry had already been documented [3,50,74], many professionals were skeptical about the possibility of establishing, maintaining, and strengthening a therapeutic relationship [66]. They feared that they would lose not only human contact, but also control over their image [3].…”

Section: Experiencing New Conditions Of Professional Practicementioning

confidence: 99%

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Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

Kane¹,

Baumgart²,

El‐Hage³

et al. 2022

JMIR Hum Factors

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Background The COVID-19 pandemic has required psychiatric and mental health professionals to change their practices to reduce the risk of transmission of SARS-CoV-2, in particular by favoring remote monitoring and assessment via digital technologies. Objective As part of a research project that was cofunded by the French National Research Agency (ARN) and the Centre-Val de Loire Region, the aim of this systematic literature review was to investigate how such uses of digital technologies have been developing. Methods This systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The search was carried out in the MEDLINE (ie, PubMed) and Cairn databases, as well as in a platform specializing in mental health, Ascodocpsy. The search yielded 558 results for the year 2020. After applying inclusion and exclusion criteria, first on titles and abstracts and then on full texts, 61 articles were included. Results The analysis of the literature revealed a heterogeneous integration of digital technologies, not only depending on countries, contexts, and local regulations, but also depending on the modalities of care. Notwithstanding these variations, the use of videoconferencing has developed significantly, affecting working conditions and therapeutic relationships. For many psychiatric and mental health professionals, the pandemic has been an opportunity to build up their experience of remote care and, thus, better identify the possibilities and limits of these digital technologies. Conclusions New uses of such technologies essentially consist of a transition from the classic consultation model toward teleconsultation and make less use of the specific potential of artificial intelligence. As professionals were not prepared for these uses, they were confronted with practical difficulties and ethical questions, such as the place of digital technology in care, confidentiality and protection of personal data, and equity in access to care. The COVID-19 health crisis questions how the organization of health care integrates the possibilities offered by digital technology, in particular to promote the autonomy and empowerment of mental health service users.

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Section: References Studies (N=61) N (%) Characteristicsmentioning

confidence: 99%

Section: (3) Africamentioning

confidence: 99%

Section: (7) Artificial Intelligencementioning

confidence: 99%

Section: Experiencing New Conditions Of Professional Practicementioning

confidence: 99%

See 2 more Smart Citations

Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

Kane¹,

Baumgart²,

El‐Hage³

et al. 2022

JMIR Hum Factors

View full text Add to dashboard Cite

show abstract

“…For example, guidelines for the provision of culturally appropriate telehealth services for diverse populations are needed to maintain relationships with patients and families during times when social distancing is endorsed. 30 More research is also needed to develop and validate standardized telehealth assessments for diagnosis of ASDs and measurement of developmental/cognitive skills and language skills. Furthermore, future study is required to determine whether telehealth is equivalent to in-person assessments for diagnostic formulations and patient outcomes.…”

Section: Education and Researchmentioning

confidence: 99%

Society for Developmental & Behavioral Pediatrics Position Statement on Telehealth

Keder

Mittal²,

Stringer

et al. 2021

J Dev Behav Pediatr

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Telehealth has long held promise as a way to increase access to subspecialty care for children and families, including in developmental and behavioral pediatrics (DBP). The coronavirus disease 2019 (COVID-19) pandemic necessitated rapid uptake of telehealth to continue care delivery that was facilitated by "temporary" policy changes related to the pandemic. As a result, the field of DBP has recognized telehealth as a potential model of care for performing home-based diagnostic assessments, providing medication management follow-up, and delivering therapeutic interventions for children with neurodevelopmental disorders. Telehealth has been helpful in mitigating barriers families often face when attending in-person visits (lack of transportation and child care, missed work hours, etc) but has also highlighted additional determinants of health that need to be addressed to provide equitable access to care (broadband connectivity, device access, digital literacy, access to interpretation and sign language services, etc). Anticipating the lifting of pandemic-related emergency declaration and expiration of temporary policies around telehealth, the ability to continue to deliver DBP care by telehealth is uncertain. The purpose of this policy statement is to advocate for legislation and policies that support ongoing, equitable, home-based telehealth care for patients seen by DBP providers while ensuring equitable access to DBP in general. In addition, there is a need to recognize the benefits and challenges of telehealth versus in-person care and to identify clinical scenarios that favor 1 model of care versus the other.

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Telepsychiatry for conflict-affected settings: Feasibility, ethics, barriers and prospects

Shoib

Armiya’u

Roza

et al. 2022

Asian Journal of Psychiatry

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Cultural and Practical Implications for Psychiatric Telehealth Services: A Response to COVID-19

Cited by 12 publications

References 9 publications

Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

Society for Developmental & Behavioral Pediatrics Position Statement on Telehealth

Telepsychiatry for conflict-affected settings: Feasibility, ethics, barriers and prospects

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