Mobilization of Telepsychiatry in Response to COVID-19—Moving Toward 21st Century Access to Care

Kannarkat, Jacob T.; Smith, Noah N.; McLeod-Bryant, Stephen

doi:10.1007/s10488-020-01044-z

Cited by 91 publications

(99 citation statements)

References 9 publications

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“… 7 , 8 Finally, quarantine poses social and economic consequences, increasing the usual barriers to seeking care. 6 During previous lockdowns, young adults (aged 16-24 years) had been shown to be especially at risk of mental health issues. 9 During the initial stage of the COVID-19 epidemic, Wang et al 10 found that students in China were at a greater risk of stress, anxiety, and depression in response to the COVID-19 outbreak than older adults.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic

et al. 2020

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Key Points Question What is the mental health state of university students in France who were confined during the coronavirus disease 2019 (COVID-19) pandemic, and what factors are associated with the development of mental health symptoms? Findings This survey study of 69 054 students who experienced quarantine found high prevalence rates of severe self-reported mental health symptoms. Among risk factors identified, female or nonbinary gender, problems with income or housing, history of psychiatric follow-up, symptoms compatible with COVID-19, social isolation, and low quality of information received were associated with altered mental health. Meaning The findings of this study suggest that students’ mental health is a public health issue that has become even more critical in the context of a pandemic, underlining the need to reinforce prevention, surveillance, and access to care.

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Section: Introductionmentioning

confidence: 99%

Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic

et al. 2020

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“…With COVID-19, this interest in digital health has surged, and the need to expand access to care through smartphones has become patent. Smartphone apps have been proposed as tools to mitigate social isolation, lack of access to care, and other triggers caused by the pandemic [ 3 - 5 ]. Researchers have already demonstrated that access to and use of technology among people with psychosis is nearly equivalent to that in the general population [ 6 - 8 ], but less is known about the actual efficacy of apps in care.…”

Section: Introductionmentioning

confidence: 99%

ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

Bonet¹,

Torous

Arce

et al. 2020

JMIR Mhealth Uhealth

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Background eHealth interventions are widely used in clinical trials and increasingly in care settings as well; however, their efficacy in real-world contexts remains unknown. ReMindCare is a smartphone app that has been systematically implemented in a first episode of psychosis program (FEPP) for patients with early psychosis since 2018. Objective The objective of this study was to assess the efficacy of ReMindCare after 19 months of use in the clinic and varying use by individual patients. Methods The integration of the ReMindCare app into the FEPP started in October 2018. Patients with early psychosis self-selected to the app (ReMindCare group) or treatment as usual (TAU group). The outcome variables considered were adherence to the intervention and number of relapses, hospital admissions, and visits to urgent care units. Data from 90 patients with early psychosis were analyzed: 59 in the ReMindCare group and 31 in the TAU group. The mean age of the sample was 32.8 (SD 9.4) years, 73% (66/90) were males, 91% (83/90) were White, and 81% (74/90) were single. Results Significant differences between the ReMindCare and TAU groups were found in the number of relapses, hospitalizations, and visits to urgent care units, with each showing benefits for the app. Only 20% (12/59) of patients from the ReMindCare group had a relapse, while 58% (18/31) of the TAU patients had one or more relapses (χ2=13.7, P=.001). Moreover, ReMindCare patients had fewer visits to urgent care units (χ2=7.4, P=.006) and fewer hospitalizations than TAU patients (χ2=4.6, P=.03). The mean of days using the app was 352.2 (SD 191.2; min/max: 18-594), and the mean of engagement was 84.5 (SD 16.04). Conclusions To our knowledge, this is the first eHealth intervention that has preliminarily proven its benefits in the real-world treatment of patients with early psychosis. International Registered Report Identifier (IRRID) RR2-10.1111/eip.12960

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“…On the other hand, access to direct emergency and outpatient psychiatric care was reduced ( Hao et al, 2020 ). Consequently, mental health practitioners and policymakers called for research on regulations and implementations of alternative clinical interventions, such as telepsychiatry ( Kannarkat et al, 2020 ; Shore et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Mental health research in response to the COVID-19, Ebola, and H1N1 outbreaks: A comparative bibliometric analysis

Maalouf

Mdawar

Meho

et al. 2021

Journal of Psychiatric Research

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Introduction Both the COVID-19 pandemic and its management have had a negative impact on mental health worldwide. There is a growing body of research on mental health as it relates to the pandemic. The objective of this study is to use bibliometric analyses to assess the mental health research output related to the COVID-19 pandemic and compare it to that of the West Africa Ebola and H1N1 outbreaks. Methodology We performed comprehensive searches in Embase, PubMed, and Scopus databases, and included all types of documents related to the three outbreaks published since the respective beginnings up to August 26, 2020. Results Despite the shorter time since the beginning of the COVID-19 pandemic, relative to Ebola and H1N1, we found a much greater number of mental health documents related to COVID-19 (n=3,070) compared to the two other outbreaks (127 for Ebola and 327 for H1N1). The proportion of documents in the top 10% journals was 31% for COVID-19, 24% for Ebola, and 40% for H1N1. Authors affiliated with institutions located in high-income countries published or contributed to 79% of all documents followed by authors from upper-middle-income countries (23%), lower-middle-income countries (10%), and low-income countries (2%). Approximately 19% of the documents reported receiving funding and 23% were the product of international collaboration. Conclusion Mental health research output is already greater for COVID-19 compared to Ebola and H1N1 combined. A minority of documents reported funding, was the product of international collaboration, or was published by authors located in low-income countries during the three outbreaks in general, and the COVID-19 pandemic in particular.

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Mobilization of Telepsychiatry in Response to COVID-19—Moving Toward 21st Century Access to Care

Cited by 91 publications

References 9 publications

Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic

Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic

ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

Mental health research in response to the COVID-19, Ebola, and H1N1 outbreaks: A comparative bibliometric analysis

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