Virtual Technology's Critical Role in Sustaining Coordinated Specialty Care in Texas During the COVID-19 Pandemic.
Virtual Technology's Critical Role in Sustaining Coordinated Specialty Care in Texas During the COVID-19 Pandemic.
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COVID-19 大流行期间，虚拟技术在德克萨斯州维持协调专业护理方面发挥着关键作用。
DOI：
10.1176/appi.ps.202100429
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Cohen,DeborahA
中科院分区：
文献类型：
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作者：
McCormick,KatieA;Sevillano,Lalaine;Klodnick,VanessaV;Lopez,MollyA;Cohen,DeborahA
本报告探讨了在得克萨斯州COVID-19大流行期间，为早发性精神病维持多学科团队协调专科护理（CSC）所面临的挑战和适应情况。成绩单进行了分析与专题分析。结果CSC实施障碍包括难以提供关键CSC组件（即，社区教育和职业探索）和客户招聘限制。虚拟技术集成（即，短信和视频会议）在很大程度上维持了社区支助中心的外联、服务交付和客户参与。然而，网站面临的虚拟能力和可访问性的问题，耗尽虚拟技术的使用，缺乏结构性的支持，和意想不到的disengagement.ConclusionsThe调查的网站迅速集成虚拟技术到CSC交付。这种整合促进了CSC在大流行期间的参与，特别是在农村地区，并增加了对社区精神卫生服务提供者维持虚拟技术使用所需资源和政策的了解。
ObjectiveThis report examined challenges and adaptations to sustaining multidisciplinary team-based coordinated specialty care (CSC) for early-onset psychosis during the COVID-19 pandemic in Texas.MethodsIn June 2020, team leaders from 23 Texas CSC sites participated in semistructured phone interviews about CSC implementation barriers and adaptations. Transcripts were analyzed with thematic analysis.ResultsCSC implementation barriers included difficulty delivering critical CSC components (i.e., community education and vocational exploration) and client recruitment limitations. Virtual technology integration (i.e., texting and videoconferencing) largely sustained CSC outreach, service delivery, and client engagement. However, sites faced virtual competency and accessibility issues, exhaustion from virtual technology use, lack of structural support, and unanticipated disengagement.ConclusionsThe surveyed sites rapidly integrated virtual technology into CSC delivery. This integration promoted CSC engagement during the pandemic, especially in rural areas, and increased insight into what resources and policies are needed to sustain virtual technology use among community mental health providers.