Telephonic follow-up during COVID-19 to maintain continuity of care for persons with psychiatric disorders

Naik, Shalini S; Patley, Rahul; Suchandra, HariHara; Pahuja, Erika; Chithra, Nellai K; Ramachandraiah, Sujai; Kumar, V Shiva; Mehta, Urvakhsh Meherwan; Manjunatha, Narayana; Channaveerachari, Naveen Kumar; Math, Suresh Bada; Thirthalli, Jagadisha

doi:10.1016/j.ajp.2021.102564

Cited by 9 publications

(15 citation statements)

References 3 publications

(1 reference statement)

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“…Most studies employed a prospective cohort [ 35 , 36 , 39 - 41 , 47 , 48 ] or cross-sectional design [ 37 , 42 , 46 ]. Two studies used a qualitative design [ 44 , 45 ] and the rest were clinical audits/review [ 38 ] and a field-based report [ 43 ]. Table 2 summarizes the included reports’ characteristics.…”

Section: Resultsmentioning

confidence: 99%

“…We identified four different health systems adaptations and reconfiguration to improve access to NCDs: telemedicine or teleconsultation strategies [ 35 - 38 , 40 , 41 , 43 , 44 , 46 - 48 ], NCD medicines drop-off points [ 45 ], decentralization of hypertension follow-up services and provision of free medication to peripheral health centers [ 39 ], and diabetic retinopathy (DR) screening with a handheld smartphone-based retinal camera [ 36 ]. Telemedicine was the most introduced intervention among the four.…”

Section: Resultsmentioning

confidence: 99%

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Health system adaptions to improve care for people living with non-communicable diseases during COVID-19 in low-middle income countries: A scoping review

et al. 2023

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Background During the COVID-19 pandemic, access to health care for people living with non-communicable diseases (NCDs) has been significantly disrupted. Calls have been made to adapt health systems and innovate service delivery models to improve access to care. We identified and summarized the health systems adaptions and interventions implemented to improve NCD care and their potential impact on low- and middle-income countries (LMICs). Methods We comprehensively searched Medline/PubMed, Embase, CINAHL, Global Health, PsycINFO, Global Literature on coronavirus disease, and Web of Science for relevant literature published between January 2020 and December 2021. While we targeted articles written in English, we also included papers published in French with abstracts written in English. Results After screening 1313 records, we included 14 papers from six countries. We identified four unique health systems adaptations/interventions for restoring, maintaining, and ensuring continuity of care for people living with NCDs: telemedicine or teleconsultation strategies, NCD medicine drop-off points, decentralization of hypertension follow-up services and provision of free medication to peripheral health centers, and diabetic retinopathy screening with a handheld smartphone-based retinal camera. We found that the adaptations/interventions enhanced continuity of NCD care during the pandemic and helped bring health care closer to patients using technology and easing access to medicines and routine visits. Telephonic aftercare services appear to have saved a significant amount of patients’ time and funds. Hypertensive patients recorded better blood pressure controls over the follow-up period. Conclusions Although the identified measures and interventions for adapting health systems resulted in potential improvements in access to NCD care and better clinical outcomes, further exploration is needed to establish the feasibility of these adaptations/interventions in different settings given the importance of context in their successful implementation. Insights from such implementation studies are critical for ongoing health systems strengthening efforts to mitigate the impact of COVID-19 and future global health security threats for people living with NCDs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Health system adaptions to improve care for people living with non-communicable diseases during COVID-19 in low-middle income countries: A scoping review

et al. 2023

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“…• An outpatient service in India created a new telephone outpatient service and delivered 60.1% of the planned follow-up visits using telehealth (1049 of 1748) in the first 2 months of lockdown [ 64 ].…”

Section: Resultsmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on the Global Delivery of Mental Health Services and Telemental Health: Systematic Review

Zangani¹,

Ostinelli²,

Smith³

et al. 2022

JMIR Ment Health

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Background The COVID-19 pandemic required mental health services around the world to adapt quickly to the new restrictions and regulations put in place to reduce the risk of transmission. As face-to-face contact became difficult, virtual methods were implemented to continue to safely provide mental health care. However, it is unclear to what extent service provision transitioned to telemental health worldwide. Objective We aimed to systematically review the global research literature on how mental health service provision adapted during the first year of the pandemic. Methods We searched systematically for quantitative papers focusing on the impact of the COVID-19 pandemic on mental health services published until April 13, 2021, in the PubMed, Embase, medRxiv, and bioXriv electronic bibliographic databases, using the COVID-19 Open Access Project online platform. The screening process and data extraction were independently completed by at least two authors, and any disagreement was resolved by discussion with a senior member of the team. The findings were summarized narratively in the context of each country’s COVID-19 Stringency Index, which reflects the stringency of a government’s response to COVID-19 restrictions at a specific time. Results Of the identified 24,339 records, 101 papers were included after the screening process. Reports on general services (n=72) showed that several countries’ face-to-face services reduced their activities at the start of the pandemic, with reductions in the total number of delivered visits and with some services forced to close. In contrast, telemental health use rapidly increased in many countries across the world at the beginning of the pandemic (n=55), with almost complete virtualization of general and specialistic care services by the end of the first year. Considering the reported COVID-19 Stringency Index values, the increased use of virtual means seems to correspond to periods when the Stringency Index values were at their highest in several countries. However, due to specific care requirements, telemental health could not be used in certain subgroups of patients, such as those on clozapine or depot treatments and those who continued to need face-to-face visits. Conclusions During the pandemic, mental health services had to adapt quickly in the short term, implementing or increasing the use of telemental health services across the globe. Limited access to digital means, poor digital skills, and patients’ preferences and individual needs may have contributed to differences in implementing and accessing telemental health services during the pandemic. In the long term, a blended approach, combining in-person and virtual modalities, that takes into consideration the needs, preferences, and digital skills of patients may better support the future development of mental health services. It will be required to improve confidence with digital device use, training, and experience in all modalities for both clinicians and service users.

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“…The potential of such healthcare platforms (digital applications and telemedicine) lies in the increased two-way accessibility (doctor-to-patient and patient-to-doctor) to healthcare it provides. An illustration of using telehealth to bridge the widening mental health gap during the pandemic is its implementation not only to address early relapse or treatment adherence, but also to liaise with primary care physicians to deliver mental health services in resource-limited settings ( Naik et al, 2021 ). Adherence to infection control also brings upon additional clinical challenges while interviewing patients already impaired in social reciprocity with facial masks that further suppress communication ( Mehta et al, 2020 ).…”

Section: Covid-19 and Schizophreniamentioning

confidence: 99%

Hindsight 2020: Emerging research trends in schizophrenia

Mehta

Keshavan

2021

Schizophrenia Research

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Telephonic follow-up during COVID-19 to maintain continuity of care for persons with psychiatric disorders

Cited by 9 publications

References 3 publications

Health system adaptions to improve care for people living with non-communicable diseases during COVID-19 in low-middle income countries: A scoping review

Health system adaptions to improve care for people living with non-communicable diseases during COVID-19 in low-middle income countries: A scoping review

Impact of the COVID-19 Pandemic on the Global Delivery of Mental Health Services and Telemental Health: Systematic Review

Hindsight 2020: Emerging research trends in schizophrenia

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