Mental Health Research Network III

摘要： 心理健康研究网络在大型医疗保健领域开展以实践为基础的心理健康研究 该系统为16个州的2500多万患者提供服务。该网络有可能显著提高 精神卫生临床和服务研究的速度、效率、相关性和影响。这样做的一个主要目的是 网络就是要有大规模的数据基础设施，以便进行快速分析。 随着新冠肺炎疫情的爆发，医疗保健系统迅速从主要使用面对面 诊所就诊使用电话或视频来护理患者的远程医疗就诊。然而，我们不知道如何 远程保健的改变会影响有心理健康问题的人。此补充应用程序使用 心理健康研究网络的基础设施，以检查如何从办公室探视转变为远程健康 探视扰乱了三个医疗系统中有精神健康问题的人的护理。我们想要 了解远程医疗的这种变化可能如何以不同的方式影响人们，包括种族或民族 少数族裔群体、在家中说英语以外的语言的患者、儿童或青少年、老年人 成年人、精神分裂症或双相情感障碍患者、居住在农村地区的人或生活在 低收入或低教育。我们还想了解这些变化如何影响某人的严重程度 焦虑或抑郁，无论他们是继续服用心理健康药物还是继续接受治疗， 他们是否需要去急诊科或需要在精神健康单元住院，或者是否 他们企图自杀的风险增加了。 了解过渡到远程医疗访问的影响将帮助我们了解谁能够和谁不能 在未来的危机时期获得并参与医疗保健-当亲自去医生办公室时，可能 不安全--这样我们才能为这些患者提供更多的帮助和支持。此外，本研究还具有广阔的应用前景。 关于谁受益和谁需要更多支持的含义，作为行为卫生保健领域 继续快速过渡到更经常地使用远程保健服务。

Summary: The Mental Health Research Network conducts practice-based mental health research in large healthcare systems serving over 25 million patients in 16 states. The network has the potential to dramatically improve the speed, efficiency, relevance and impact of mental health clinical and services research. A primary aim of this network is to have large-scale data infrastructure available for rapid analysis. With the onset of the COVID-19 pandemic, healthcare systems quickly changed from using mostly in-person clinic visits to telehealth visits that use phone or video to care for patients. However, we do not know how the change to telehealth affects people with mental health conditions. This supplemental application uses the infrastructure of the Mental Health Research Network to examine how changing from office visits to telehealth visits disrupts care of people with mental health conditions in three healthcare systems. We want to understand how this change to telehealth may affect people differently, including people of racial or ethnic minority groups, patients who speak a language other than English at home, children or teenagers, older adults, people with schizophrenia or bipolar disorder, people living in rural areas, or people living in areas with low income or education. We also want to understand how these changes affect the severity of someone’s anxiety or depression, whether they keep taking their mental health medications or continue going to therapy, whether they visit the emergency department or need to be hospitalized in the mental health unit, or whether they have increased risk to attempt suicide. Understanding the effects of transitioning to telehealth visits will help us understand who is, and is not, as able to access and engage in healthcare in future times of crisis - when going to the doctor’s office in person may not be safe - so that we can offer those patients more help and support. In addition, this research has broader implications regarding who benefits and who needs more support as the field of behavioral health care continues to rapidly transition to more regular use of telehealth services moving forward.