Short‐term acceptability by patients and psychiatrists of the turn to psychiatric teleconsultation in the context of the <scp>COVID</scp>‐19 pandemic

Colle, Romain; Tayeb, Abd El Kader Ait; Larminat, Delphine de; Commery, Line; Boniface, B.; Lasica, Pierre-Alexandre; Gressier, Florence; Mecifi, Rima; Rotenberg, Samuel; Rigal, Adrien; Zitoun, Sarah; Mezzacappa, Antonia; Nicolicea, Cerasella; Chaneac, Edouard; Martin, Séverine; Choucha, Walid; Hardy, Patrick; Schouman-Claeys, É.; Corruble, Emmanuelle

doi:10.1111/pcn.13081

Cited by 21 publications

(16 citation statements)

References 3 publications

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“…Similarly, this could be coupled with a patient-facing public health strategy, informing them of symptoms for which they should seek primary or secondary healthcare support and about ways to maintain good mental health during a pandemic. Use of telemedicine for supporting patients with mental health problems, which has sharply increased in response to COVID-19, 27 shows both therapeutic promise 28 and excellent rates of acceptability from both patients and psychiatrists, 29 but there is a need for further research as to who this could work most effectively for, as such an approach may be less suitable for certain groups, such as individuals with intellectual disability and/or those lacking access to the required technology. 30…”

Section: Discussionmentioning

confidence: 99%

Patterns of use of secondary mental health services before and during COVID-19 lockdown: observational study

Tromans

Chester²,

Harrison

et al. 2020

BJPsych open

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Background The coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on both the physical and mental well-being of the global population. Relatively few studies have measured the impact of lockdown on utilisation of secondary mental health services in England. Aims To describe secondary mental health service utilisation pre-lockdown and during lockdown within Leicestershire, UK, and the numbers of serious incidents during this time frame. Method Data pertaining to mental health referral and hospital admissions to adult mental health, child and adolescent mental health, intellectual disability and mental health services for older people were collated retrospectively from electronic records for both 8 weeks pre-lockdown and the first 8 weeks of lockdown in England. Serious incidents during this time frame were also analysed. Results Significantly (P < 0.05) reduced referrals to a diverse range of mental health services were observed during lockdown, including child and adolescent, adult, older people and intellectual disability services. Although admissions remained relatively stable before and during lockdown for several services, admissions to both acute adult and mental health services for older people were significantly (P < 0.05) reduced during lockdown. Numbers of serious incidents in the pre-lockdown and lockdown periods were similar, with 23 incidents pre-lockdown, compared with 20 incidents in lockdown. Conclusions To the best of our knowledge, this is the first UK-based study reporting patterns of use of mental health services immediately prior to and during COVID-19 lockdown. Overall numbers of referrals and admissions reduced following commencement of COVID-19 lockdown. Potential reasons for these observations are discussed.

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Section: Discussionmentioning

confidence: 99%

Patterns of use of secondary mental health services before and during COVID-19 lockdown: observational study

Tromans

Chester²,

Harrison

et al. 2020

BJPsych open

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“…The characteristics of each of the included studies are shown in Table 1, with a more detailed summary in Multimedia Appendix 2. [43] Staff Depression, posttraumatic stress disorder V, P b , TM c , E d , M e Description of transition to telemedicine Anton et al [44] Staff Mixed V Description of transition to telemedicine Barney et al [45] Staff (n=145) Mixed V Survey of psychotherapists' attitudes toward online psychotherapy Békés et al [46] Staff (n=190) Mixed V, P Survey of psychoanalytical therapists' experiences of videoconference therapy during the pandemic Békés et al [47] Staff Dementia V, P, TM Description of service changes due to the pandemic Benaque et al [48] General population (15,170 calls) Mixed P Description of the use of a psychological helpline Berdullas Saunders et al [49] Staff (n=158) Dementia NA f Survey of staff perspectives on delivery of services to older adults during the pandemic Bhome et al [50] Staff (n=11) Mixed V, TM, O g Interviews with health professionals on the sustainability of online treatment after the pandemic Bierbooms et al [51] Staff (n=308) Mixed V, P, M Survey of psychotherapists' experience with telepsychotherapy during the pandemic Boldrini et al [52] Service users (n=22) Mixed NA Interviews with people with mental health conditions on their experience during the pandemic Burton et al [53] Staff (n=71) Mixed NA Survey to explore the impact of the pandemic on the functioning of mental health services Carpiniello et al [54] Service users (n=6) Psychosis and bipolar V Evaluation of a crisis intervention for patients diagnosed with psychosis Cheli et al [55] NA (description of service change) Mixed V, P Description of changes made to mental health services due to the pandemic Chen et al [56] Service users Mixed V, P Description of changes made in an outpatient psychiatric service due to the pandemic Childs et al [57] Service users Mixed V, P Evaluation of teleconsultation during the pandemic Colle et al [58] NA (description of service change) Mixed V, P Description of changes to services during the pandemic Connolly et al [29] NA (description of service change) Eating disorders V Description of transition to telehealth during the pandemic Datta et al [59] Staff (n=108) Mixed V, P, O, E Exploration of mental health professionals' attitudes regarding information and communications technology use Dores et al [60] Staff Mixed V Exploration of use of telehealth in a student counseling service during the pandemic Erekson et al [61] Staff (n=51) Mixed V, P, O, E Exploration of staff experience...…”

Section: Study Characteristicsmentioning

confidence: 99%

Implementation, Adoption, and Perceptions of Telemental Health During the COVID-19 Pandemic: Systematic Review (Preprint)

Appleton¹,

Williams²,

Juan³

et al. 2021

Preprint

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BACKGROUND Early in 2020, mental health services had to rapidly shift from face-to-face models of care to delivering the majority of treatments remotely (by video or phone call or occasionally messaging) due to the COVID-19 pandemic. This resulted in several challenges for staff and patients, but also in benefits such as convenience or increased access for people with impaired mobility or in rural areas. There is a need to understand the extent and impacts of telemental health implementation, and barriers and facilitators to its effective and acceptable use. This is relevant both to future emergency adoption of telemental health and to debates on its future use in routine mental health care. OBJECTIVE To investigate the adoption and impacts of telemental health approaches during the COVID-19 pandemic, and facilitators and barriers to optimal implementation. METHODS Four databases (PubMed, PsycINFO, CINAHL, and Web of Science) were searched for primary research relating to remote working, mental health care, and the COVID-19 pandemic. Preprint servers were also searched. Results of studies were synthesized using framework synthesis. RESULTS A total of 77 papers met our inclusion criteria. In most studies, the majority of contacts could be transferred to a remote form during the pandemic, and good acceptability to service users and clinicians tended to be reported, at least where the alternative to remote contacts was interrupting care. However, a range of impediments to dealing optimal care by this means were also identified. CONCLUSIONS Implementation of telemental health allowed some continuing support to the majority of service users during the COVID-19 pandemic and has value in an emergency situation. However, not all service users can be reached by this means, and better evidence is now needed on long-term impacts on therapeutic relationships and quality of care, and on impacts on groups at risk of digital exclusion and how to mitigate these. CLINICALTRIAL PROSPERO International prospective register of systematic reviews CRD42021211025; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021211025

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“…In their interesting paper, Wright and Caudill [1] highlight the importance of telemedicine in the context of the COVID-19 pandemic. Although there were many barriers to telemedicine [2], the unexpected worldwide COVID-19 pandemic required a rapid and tremendous pragmatic turn to telepsychiatry in order to respond to treatment needs during the pandemic [3,4]. Currently, it is unclear whether this innovation will move backwards or forwards in the post-COVID-19 era and durably change the way to provide psychiatric care [5].…”

Section: Dear Editormentioning

confidence: 99%

Telepsychiatry in the Post-COVID-19 Era: Moving Backwards or Forwards?

Colle

Tayeb

Larminat

et al. 2020

Psychother Psychosom

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Short‐term acceptability by patients and psychiatrists of the turn to psychiatric teleconsultation in the context of the COVID‐19 pandemic

Cited by 21 publications

References 3 publications

Patterns of use of secondary mental health services before and during COVID-19 lockdown: observational study

Patterns of use of secondary mental health services before and during COVID-19 lockdown: observational study

Implementation, Adoption, and Perceptions of Telemental Health During the COVID-19 Pandemic: Systematic Review (Preprint)

Telepsychiatry in the Post-COVID-19 Era: Moving Backwards or Forwards?

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