Virtual Treatments in an Integrated Primary Care-Behavioral 
Health Practice: An Overview of Synchronous Telehealth Services to Address 
Rural-Urban Disparities in Mental Health Care

Hills, William E.

doi:10.5604/01.3001.0013.5239

Cited by 6 publications

(7 citation statements)

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“…Access to IPC for diverse and traditionally underserved groups presents additional layers of complexity and purpose when striving to meet behavioral health needs. Telehealth initiatives highlight the opportunity to practically meet behavioral health needs for underserved groups ( Hills & Hills, 2019 ; Ralston et al, 2019 ), especially for pediatric patients during COVID-19 when access to other resources is limited ( Fiks et al, 2020 ; Monaghesh & Hajizadeh, 2020 ; Stancin, 2020 ). Limited data exist on telehealth IPC in urban settings and it is unclear whether this service option is well-attended in comparison to in-person IPC.…”

Section: Role Of Ipc and Telehealth In Access To Care During The Pandemicmentioning

confidence: 99%

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use

Chakawa

Belzer

Perez-Crawford

2021

Journal of Pediatric Psychology

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Objective The coronavirus disease 2019 pandemic (COVID-19) may increase pediatric mental health needs due to its social, economic, and public health threats, especially among Black, Indigenous, and People of Color and those served within disadvantaged communities. COVID-19 protocols have resulted in increased provision of telehealth in integrated primary care (IPC) but little is known about pediatric telehealth IPC utilization during the pandemic for diverse and traditionally underserved groups. Methods A comparative study was conducted to explore variability between in-person (pre-COVID-19; n = 106) and telehealth (mid-COVID-19; n = 120) IPC consultation utilization among children 1–19 years old served through a large, inner-city primary care clinic. Logistic regression modeling was used to examine the association between service delivery modality (i.e., in-person vs. telehealth) and attendance, referral concerns, and several sociodemographic variables. Results Service delivery modality and attendance, referral concerns, and race/ethnicity were significantly associated. The odds of non-attendance were greater for children scheduled for telehealth, the odds of children with internalizing problems being scheduled for telehealth were greater than those with externalizing problems, and the odds of Black children being scheduled for telehealth were less compared to White children. Conclusion Though telehealth has helped provide IPC continuity during COVID-19, findings from this study show troubling preliminary data regarding reduced attendance, increased internalizing concerns, and disparities in scheduling for Black patients. Specific actions to monitor and address these early but alarming indications of telehealth and Covid-19 related behavioral health disparities are discussed.

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Section: Role Of Ipc and Telehealth In Access To Care During The Pandemicmentioning

confidence: 99%

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use

Chakawa

Belzer

Perez-Crawford

2021

Journal of Pediatric Psychology

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“…One way to boost mental health is the use of telehealth. Telehealth includes “a wide range of care options utilizing online capabilities to replace or supplement traditional care, which has required providers and clients to be in the same location at the same time” ( 6 ). In the context of mental health, providers can offer patients counseling and support, or teletherapy, over the Internet through e-mail, video conferencing, online chat, or through phone calls.…”

Section: Mental Health and Covid-19: Implications For The Future Of Tmentioning

confidence: 99%

“…Telehealth and teletherapy are being used more than ever before due to the COVID-19 pandemic. Based on previous research, teletherapy has been effectively used in both synchronous and asynchronous formats ( 6 ). For example, some health care providers in Pennsylvania, Delaware, and New Jersey are using telehealth to connect health care teams to clients in their homes when treating children.…”

Section: Mental Health and Covid-19: Implications For The Future Of Tmentioning

confidence: 99%

“…More importantly, telehealth is accessible to individuals in rural areas that have limited mental health resources. In fact, less than 20% of people who need mental health care have access to services ( 6 ). Many Americans living in rural areas cannot access mental health care services because “more than 90% of all psychologists and psychiatrists and 80% of Masters of Social work, work exclusively in metropolitan areas” ( 8 ).…”

Section: Mental Health and Covid-19: Implications For The Future Of Tmentioning

confidence: 99%

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Mental Health and COVID-19: Implications for the Future of Telehealth

Pfender

2020

Journal of Patient Experience

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This article uses mental health trends during the COVID-19 pandemic to question how we can leverage current technologies such as telehealth to provide better mental health care. Based on this compilation of literature, an increase in suicide rates, suicidal ideation, and mental health disorders is possible as a result of the impact of COVID-19. By increasing the use of telehealth and investigating best practices for its use, the outcome is 3-fold. We can provide preventative measures after the COVID-19 pandemic subsides, more effective care to patients during future pandemics and global crises, and reduce mental health care disparities by reaching rural Americans.

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“…Gaining popularity in many countries worldwide, telehealth is an alternative to traditional on-site care and utilizes synchronous and asynchronous communication modes and remote patient monitoring to provide physical and mental health care (Center for Disease Control and Prevention, 2020; Hills & Hills, 2019). Telehealth offers various benefits, including improved access to services, convenience, flexibility, and potential cost savings to the client and provider (Pruitt et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Medication for opioid use disorder in rural America: A review of the literature.

Showers¹,

Dicken²,

Smith³

et al. 2021

Journal of Rural Mental Health

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The United States finds itself amid a 20-year battle with an epidemic of opioid-related overdose deaths. Medication for opioid use disorder (MOUD), a highly researched and efficacious treatment approach, remains out of reach for many individuals living in rural parts of the country. A variety of factors contribute to the disparity in access. Stigma related to substance use serves as a significant barrier in public policy enactment, making funding for MOUD scarce in rural communities. The demand for authorized providers of MOUD in rural parts of the country is high, and the number of available providers is low, significantly contributing to the disparity in care. In 2016 the United States Congress passed the Comprehensive Addiction and Recovery Act (CARA), allocating funds to rural parts of the country to enhance their MOUD capacity. While this legislation has shown great promise in increasing access, several significant barriers prevent the expansion of services necessary in these areas. Creative solutions to these barriers exist. A multifaceted approach to include elements of community stigma reduction, methods to increase provider waiver attainment and utilization, expansion of Project Echo, and the expansion of telehealth services are recommended.

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Virtual Treatments in an Integrated Primary Care-Behavioral Health Practice: An Overview of Synchronous Telehealth Services to Address Rural-Urban Disparities in Mental Health Care

Abstract: Abstract

Cited by 6 publications

References 0 publications

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use

COVID-19, Telehealth, and Pediatric Integrated Primary Care: Disparities in Service Use

Mental Health and COVID-19: Implications for the Future of Telehealth

Medication for opioid use disorder in rural America: A review of the literature.

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