The COVID-19 Pandemic and Rapid Implementation of Adolescent and Young Adult Telemedicine: Challenges and Opportunities for Innovation

Barney, Angela; Buckelew, Sara M.; Mesheriakova, Veronika V.; Raymond‐Flesch, Marissa

doi:10.1016/j.jadohealth.2020.05.006

Cited by 323 publications

(322 citation statements)

References 21 publications

Supporting

Mentioning

306

Contrasting

Unclassified

Order By: Relevance

“…These ndings also highlight the immense need for interventions with the ability to circumvent the need to see patients in-person are needed to ensure delivery of HIV prevention and treatment services, maintain adherence to PrEP and treatment, mitigate new transmission events, and secure long-term health outcomes. Novel and creative interventions that allow for continuity of care in the context of social distancing policies are needed to mitigate some of the observed interruptions (e.g., multi-month dispensing of treatment, and telemedicine for sustained provider-patient interactions) (60)(61)(62). Additionally, mobile health (mHealth) strategies, which have long been used to provide medical monitoring for patients and ensure they are supported in order to maintain their health and well-being, will be even more important now that in-person interactions are limited (60,63).…”

Section: Discussionmentioning

confidence: 99%

“…Novel and creative interventions that allow for continuity of care in the context of social distancing policies are needed to mitigate some of the observed interruptions (e.g., multi-month dispensing of treatment, and telemedicine for sustained provider-patient interactions) (60)(61)(62). Additionally, mobile health (mHealth) strategies, which have long been used to provide medical monitoring for patients and ensure they are supported in order to maintain their health and well-being, will be even more important now that in-person interactions are limited (60,63). In addition, scale-up of strategies that limit the need for individuals to travel in order to access testing, medications, and other services will be needed, e.g., mobile delivery of medications, home-based testing, etc.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 response on a Global Sample of Cisgender Gay Men and Other Men who have sex with Men

Santos

Ackerman

Rao

et al. 2020

Preprint

View full text Add to dashboard Cite

There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n= 2732) from April 16, 2020 to May 4, 2020, through a social networking app. We characterized the economic, mental health, HIV prevention and HIV treatment impacts of COVID-19 and the COVID-19 response, and examined whether subgroups of our study population are disproportionately impacted by COVID-19. Many men not only reported economic and mental health consequences, but also interruptions to HIV prevention and testing, and HIV care and treatment services. Consequences were significantly greater among people living with HIV, racial/ethnic minorities, immigrants, sex workers, and socio-economically disadvantaged groups. Findings underscore the crucial need to mitigate the multifaceted impacts of COVID-19 among gay men and other MSM, especially for those with intersecting vulnerabilities.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 response on a Global Sample of Cisgender Gay Men and Other Men who have sex with Men

Santos

Ackerman

Rao

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…During the COVID-19 pandemic, it has become apparent that a large number of visits can be managed on distance 213 , that the infrastructure for telemedicine is widely available 213,214 , and that the pandemic itself represents an opportunity to expand the use of telemedicine 215 . It has been reported that telepsychiatry may be efficient to screen for mental health symptoms in COVID-19 patients and to optimize treatment 216 , or that online assessments are helpful prior to appointments and as follow-up 217 . Continued care is, thus, enabled in a time when the health care systems are overwhelmed 218 .…”

Section: Telemedicine During the Covid-19 Pandemicmentioning

confidence: 99%

“…Existing and additional challenges to utilizing telemedicine in mental health care have become apparent as well. New protocols for assessment and therapy must be established quickly 213,217 . Privacy, confidentiality and access issues remain 217 .…”

Section: Telemedicine During the Covid-19 Pandemicmentioning

confidence: 99%

See 1 more Smart Citation

Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic

et al. 2020

View full text Add to dashboard Cite

Suicide is preventable. Nevertheless, each year 800,000 people die of suicide in the world. While there is evidence indicating that suicide rates de‐crease during times of crises, they are expected to increase once the immediate crisis has passed. The COVID‐19 pandemic affects risk and pro‐tective factors for suicide at each level of the socio‐ecological model. Economic downturn, augmented barriers to accessing health care, increased access to suicidal means, inappropriate media reporting at the societal level; deprioritization of mental health and preventive activities at the community level; interpersonal conflicts, neglect and violence at the relationship level; unemployment, poverty, loneliness and hopelessness at the individual level: all these variables contribute to an increase of depression, anxiety, post‐traumatic stress disorder, harmful use of alcohol, substance abuse, and ultimately suicide risk. Suicide should be prevented by strengthening universal strategies directed to the entire population, including mitigation of unemployment, poverty and inequalities; prioritization of access to mental health care; responsible media reporting, with information about available support; prevention of increased alcohol intake; and restriction of access to lethal means of suicide. Selective interventions should continue to target known vulnerable groups who are socio‐economically disadvantaged, but also new ones such as first responders and health care staff, and the bereaved by COVID‐19 who have been deprived of the final contact with loved ones and funerals. Indicated preventive strategies targeting individuals who display suicidal behaviour should focus on available pharmacological and psychological treatments of mental disorders, ensuring proper follow‐up and chain of care by increased use of telemedicine and other digital means. The scientific community, health care professionals, politicians and decision‐makers will find in this paper a systematic description of the effects of the pandemic on suicide risk at the society, community, family and individual levels, and an overview of how evidence‐based suicide preventive interventions should be adapted. Research is needed to investigate which adaptations are effective and in which con‐texts.

show abstract

Access to Care for Transgender and Nonbinary Youth

2021

View full text Add to dashboard Cite

Access to equitable health care, including gender-affirming medical care (eg, pubertal blockers, sex hormones), continues to be a struggle for transgender and nonbinary youth, especially those who are in racial and ethnic minority groups. 1,2 Barriers to accessing comprehensive health care may contribute to the many health disparities transgender and nonbinary youth face, such as higher rates of substance misuse, burden of sexually transmitted infections, bullying, being bullied, anxiety, depression, suicidal ideation, and suicidal behaviors compared with their aged-matched cisgender peers. 3 Looking at 1 disparity, mental health, there is clear evidence that access to pubertal suppression and gender-affirming hormones can be lifesaving. 4,5 Yet, barriers to this care continue to exist, and many transgender and nonbinary people avoid accessing health care because of experiences of discrimination and/or fear of breaches in confidentiality. 2 There is good news; with the exponential increase in multidisciplinary gender clinics around the world, and in particular the US, access to gender-affirming medical care has improved. 6 However, has this been enough to provide equitable access for transgender and nonbinary youth, especially transgender and nonbinary youth of color? The answer is a resounding no. This is highlighted by the fact that we continue to see health disparities within this population, despite having more centers providing gender-related care. 3 What changes to clinical practice must be done to ensure access to gender-affirming medical care for all youth?In this issue of JAMA Pediatrics, Chong et al 7 systematically reviewed the experience and perspectives of transgender youth accessing health care globally. The authors give strategies to improve clinical practice on 6 themes: (1) provide gender-affirming care, (2) promote inclusive administrative practices, (3) address concerns about confidentiality and public harassment, (4) address psychological stressors and risktaking behavior, (5) improve accessibility to transgender health services and information, and (6) educate and empower clinicians to address systematic barriers to care. These must all be done. We posit more is required to ensure equitable access to gender-affirming medical care for all transgender and nonbinary youth. Below are 7 additional strategies we believe are necessary to improve access to care.

show abstract

The COVID-19 Pandemic and Rapid Implementation of Adolescent and Young Adult Telemedicine: Challenges and Opportunities for Innovation

Cited by 323 publications

References 21 publications

Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 response on a Global Sample of Cisgender Gay Men and Other Men who have sex with Men

Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 response on a Global Sample of Cisgender Gay Men and Other Men who have sex with Men

Adaptation of evidence‐based suicide prevention strategies during and after the COVID‐19 pandemic

Access to Care for Transgender and Nonbinary Youth

Contact Info

Product

Resources

About