Assessing the impact of COVID-19 on mental health providers in the southeastern United States.
Assessing the impact of COVID-19 on mental health providers in the southeastern United States.
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DOI：
10.1016/j.psychres.2021.114055
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发表时间：
2021-08
影响因子：
11.3
通讯作者：
Bunnell BE
中科院分区：
文献类型：
--
作者：
Slone H;Gutierrez A;Lutzky C;Zhu D;Hedriana H;Barrera JF;Paige SR;Bunnell BE
2019冠状病毒病大流行增加了对精神卫生保健的需求，尽管服务存在新的障碍。人们对这一流行病如何影响心理健康提供者及其做法知之甚少。于2020年7月，我们对500名持牌精神健康服务提供者进行网上调查，以评估他们在疫情期间的就业及个案量、护理后勤、护理质素，以及病人与提供者的关系及沟通。超过90%的供应商报告了他们的就业变化（例如，64%的人不再练习。报告不再执业的提供者年龄较大，少数民族，服务于农村社区，在小型诊所/提供者网络工作，是社会工作者和婚姻家庭治疗师，并依赖私人保险或自付。大多数执业提供者报告了类似于增加的案件量（62%），寻求服务的新患者（67%）和预约频率（70%）。大约97%的提供者使用远程医疗，54%的提供者主要通过远程医疗提供服务。大多数医疗服务提供者报告说，与被认为不稳定（76%）或对自己/他人有危险（71%）的患者失去了联系。大多数提供者报告说，护理质量（83%），患者-提供者关系（80%）和沟通（80%）得到了改善。结果突出了大流行期间与精神卫生服务有关的问题，但执业提供者已表现出协调和提供高质量护理的弹性。
The COVID-19 pandemic has increased the need for mental health care despite novel barriers to services. Little is known about how the pandemic has affected mental health providers and their practice. In July 2020, we conducted a web-based survey of 500 licensed mental health providers to assess their employment and caseloads, logistics of care, quality of care, and patient-provider relationships and communication during the pandemic. Over 90% of providers reported changes to their employment (e.g., furloughs), with 64% no longer practicing. Providers who reported no longer practicing were older in age, racial minorities, served rural communities, worked in small clinics/provider networks, were social workers and marriage and family therapists, and relied on private insurance or out-of-pocket payment. Most practicing providers reported similar-to-increased caseloads (62%), new patients seeking services (67%), and appointment frequency (70%). Approximately 97% of providers used telemedicine, with 54% providing services mostly-to-exclusively via telemedicine. Most providers reported losing contact with patients deemed unstable (76%) or a danger to themselves/others (71%). Most providers reported maintained-to-improved quality of care (83%), patient-provider relationships (80%), and communication (80%). Results highlight concerns relating to mental health services during the pandemic, however practicing providers have demonstrated resilience to coordinate and provide high quality care.
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影响因子：
3.7
作者：
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通讯作者：
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影响因子：
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影响因子：
120.7
作者：
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