Rural status, suicide ideation, and telemental health: Risk assessment in a clinical sample

Tarlow, Kevin R.; Johnson, Tina Phillips; McCord, Carly E.

doi:10.31234/osf.io/7ekbd

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…In total, data from 290 clients were analyzed in this study. This client population has been described elsewhere (Ponciano, Philip, Tarlow, & McCord, ; Sanchez Gonzalez et al, ; Tarlow, Johnson, & McCord, ; Tarlow et al, ), though relevant characteristics are summarized here.…”

Section: Methodsmentioning

confidence: 99%

Rural mental health service utilization in a Texas telepsychology clinic

Tarlow

McCord

et al. 2019

J Clin Psychol

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Objective: To determine if service utilization behaviors varied with the remoteness of clients served by a telepsychology clinic in a predominantly rural health professional shortage area (HPSA) in Texas. Methods: Archival data from 290 low-income clients wereanalyzed to test associations between service utilization behaviors and clients' distance from the nearby access points where they traveled to receive counseling services from remotely located counselors.Results: Distance to access points did not predict differences in service utilization behaviors. However, clients in rural counties traveled farther to receive services than clients in metropolitan areas. Some utilization behaviors varied by demographic variables and depressive symptom severity. Conclusions:A "hub and spoke" model of telehealth service delivery is an acceptable model for improving access to mental health care services in rural and underserved communities, even for clients who live relatively far from access points. Telehealth providers should consider geographic, socioeconomic, transportation, and health-related barriers to care experienced by clients when implementing services and policies. K E Y W O R D S dropout, rural mental health, telehealth, telepsychology, utilization ORCID Kevin R. Tarlow

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Section: Methodsmentioning

confidence: 99%

Rural mental health service utilization in a Texas telepsychology clinic

Tarlow

McCord

et al. 2019

J Clin Psychol

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Teens Using Screens for Help: Impact of Suicidal Ideation, Anxiety, and Depression Levels on Youth Preferences for Telemental Health Resources (Preprint)

Toscos¹,

Coupe²,

Flanagan³

et al. 2018

Preprint

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BACKGROUND High rates of mental illness, stress, and suicidality among teens constitute a major public health concern in the United States. However, treatment rates remain low, partially because of barriers that could be mitigated with tech-based telemental health (TMH) resources, separate from or in addition to traditional care. OBJECTIVE This study aimed to analyze TMH resource usage by high school students to establish current user characteristics and provide a framework for future development. METHODS A total of 2789 students were surveyed regarding demographics, recent anxiety and depression symptoms, suicidality, and stress; people with whom they could openly and honestly discuss stress or problems, and prior TMH use. Logistic regression models and a general linear model were used to test relationships between variables. RESULTS Overall, 30.58% (853/2789) and 22.91% (639/2789) of students reported moderate to severe anxiety and depression symptoms, respectively, in the past 2 weeks; 16.24% (414/2550) had seriously considered suicide in the past year, consistent with national averages. Meanwhile, 16.03% (447/2789) of students had previously used at least 1 of 4 types of TMH resources (ie, self-help, anonymous chat, online counselor, or crisis text line). Teens reporting depression symptoms, higher stress, or suicidality were less likely to talk to a parent about stress or problems and more likely to tell no one. Suicidality was related to the use of all 4 types of TMH resources. Depression symptoms were related to the use of anonymous chat and crisis text line, and those with higher stress were more likely to have used an online counselor. Those reporting anxiety symptoms were less likely to have no one to talk to and more likely to have used a self-help resource. CONCLUSIONS Youth struggling with mental health symptoms, some of whom lack real-life confidants, are using existing TMH support, with resource preferences related to symptoms. Future research should consider these preferences and assist in the creation of specialized, evidence-based TMH resources.

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Rural status, suicide ideation, and telemental health: Risk assessment in a clinical sample

Cited by 2 publications

References 27 publications

Rural mental health service utilization in a Texas telepsychology clinic

Rural mental health service utilization in a Texas telepsychology clinic

Teens Using Screens for Help: Impact of Suicidal Ideation, Anxiety, and Depression Levels on Youth Preferences for Telemental Health Resources (Preprint)

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