Tele-mental Health Transitions for Pennsylvania Coordinated Specialty Care Programs for Early Psychosis During the COVID-19 Pandemic.
Tele-mental Health Transitions for Pennsylvania Coordinated Specialty Care Programs for Early Psychosis During the COVID-19 Pandemic.
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DOI：
10.1007/s11126-023-10015-0
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发表时间：
2023-06
影响因子：
3.5
通讯作者：
Calkins, Monica E
中科院分区：
文献类型：
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作者：
Dong, Fanghong;Jumper, Megan B E;Becker-Haimes, Emily M;Vatza, Crystal;Miao, Lucille Lucy;Conroy, Catherine;Bennett, Melanie;Sarpal, Deepak K;Abegunde, Courtney;Kohler, Christian G;Calkins, Monica E
本研究考察了COVID-19大流行期间早期精神病护理中远程心理健康（TMH）的提供者和客户观点。为了实现这一目标，来自宾夕法尼亚州协调专业护理（CSC）项目的33名心理健康提供者和31名客户完成了基于网络的调查，评估了2020年5月至9月期间TMH的使用、体验和看法。两年后，在2022年2月至3月期间，对PA CSC项目主管提出了另外三个与tmh相关的问题。描述性统计描述了反应。开放式项目被编码并归类为主题进行定性综合。早在2020年年中，与会者就报告了TMH技术的广泛使用，包括电话和视频访问。虽然大多数提供者和客户更倾向于面对面护理，但大多数客户仍然认为面对面护理与面对面护理相当或更好；94%的客户表示对未来的TMH服务感兴趣。供应商也注意到TMH的成功多于挑战。关于提供者感知的可从TMH获益的客户特征，出现了9个主题，并将其分为两类：客户层面（获得技术、技术舒适度、交通、年轻、症状严重程度、功能水平、坚持治疗的动机）和人际层面（外部支持系统和大流行前参与规划）特征。两年后，项目主管报告称，尽管存在一些障碍，但在CSCs中，TMH仍然具有明显的优势。尽管在2019冠状病毒病大流行期间，早期精神病项目出人意料地转向了TMH，但研究结果表明，向TMH的转变相对积极，并认为TMH有望成为常规护理的持续一部分。在线版本包含补充材料，可在10.1007/s11126-023-10015-0获得。
This study examined provider and client perspectives of tele-mental health (TMH) in early psychosis care during the COVID-19 pandemic. To achieve this goal, thirty-three mental health providers and 31 clients from Pennsylvania Coordinated Specialty Care (CSC) programs completed web-based surveys assessing TMH usage, experiences, and perceptions between May and September 2020. Three additional TMH-related questions were asked two years later of PA CSC Program Directors between Feb and March 2022. Descriptive statistics characterized responses. Open-ended items were coded and grouped into themes for qualitative synthesis. As early as mid-2020, participants reported extensive use of TMH technologies, including telephone and video visits. Although most providers and clients preferred in-person care to TMH, most clients still found TMH to be comparable to or better than in-person care; 94% of clients indicated interest in future TMH services. Providers also noted more successes than challenges with TMH. Nine themes emerged regarding provider-perceived client characteristics that could benefit from TMH and were grouped into two categories: client-level (access to technology, comfort with technology, transportation, young age, symptom severity, functioning level, motivation for treatment adherence) and interpersonal-level (external support systems and engagement with program prior to the pandemic) characteristics. Two years later, program directors reported continued perceived advantages of TMH in CSCs, although some barriers persisted. Despite the unexpected shift to TMH in early psychosis programs during the COVID-19 pandemic, findings indicated a relatively positive transition to TMH and perceived promise of TMH as a sustained part of routine care. The online version contains supplementary material available at 10.1007/s11126-023-10015-0.
影响因子：
6.7
作者：
Donahue AL;Rodriguez J;Shore JH
通讯作者：
Shore JH