Rapid design and deployment of intensive outpatient group-based psychiatric care using telehealth during COVID-19.
Identifieur interne : 000375 ( Main/Exploration ); précédent : 000374; suivant : 000376Rapid design and deployment of intensive outpatient group-based psychiatric care using telehealth during COVID-19.
Auteurs : Amber W. Childs [États-Unis] ; Adam Unger [États-Unis] ; Luming Li [États-Unis]Source :
- Journal of the American Medical Informatics Association : JAMIA [ 1527-974X ] ; 2020.
Abstract
COVID-19 has demanded unprecedented actions in delivery of outpatient psychiatric services including the rapid shift of services from in-person to telehealth in response to public health physical distancing guidelines. One such shift was to convert group-level intensive outpatient psychiatric (IOP) interventions to telehealth. Historically, telehealth in psychiatric care has studied in provider-patient interactions, but has not been as well studied for group telehealth service delivery. During the COVID-19 outbreak, providing group-based interventions was important in order to care for high-risk individuals who needed structured psychotherapy group support. However, delivery of services via telehealth led to special challenges that were unable to be fully accommodated by the pre-existing telehealth infrastructure. Rapid feasibility testing and adoption of technology was needed to support IOP services to minimize infectious spread while delivering group services to high-risk psychiatric patients. This article describes the processes and workflows for service delivery and early results of the telehealth for IOP services in two adolescent treatment programs. In addition, the article highlights early observations around safety and quality and the role of telehealth policy and payment.
DOI: 10.1093/jamia/ocaa138
PubMed: 32687151
Affiliations:
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One such shift was to convert group-level intensive outpatient psychiatric (IOP) interventions to telehealth. Historically, telehealth in psychiatric care has studied in provider-patient interactions, but has not been as well studied for group telehealth service delivery. During the COVID-19 outbreak, providing group-based interventions was important in order to care for high-risk individuals who needed structured psychotherapy group support. However, delivery of services via telehealth led to special challenges that were unable to be fully accommodated by the pre-existing telehealth infrastructure. Rapid feasibility testing and adoption of technology was needed to support IOP services to minimize infectious spread while delivering group services to high-risk psychiatric patients. This article describes the processes and workflows for service delivery and early results of the telehealth for IOP services in two adolescent treatment programs. In addition, the article highlights early observations around safety and quality and the role of telehealth policy and payment.</AbstractText><CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Childs</LastName><ForeName>Amber W</ForeName><Initials>AW</Initials><AffiliationInfo><Affiliation>Yale University School of Medicine, Department of Psychiatry, New Haven, Connecticut, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Yale New Haven Health, Yale New Haven Psychiatric Hospital, New Haven, Connecticut, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Unger</LastName><ForeName>Adam</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Yale New Haven Health, Yale New Haven Psychiatric Hospital, New Haven, Connecticut, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Luming</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Yale University School of Medicine, Department of Psychiatry, New Haven, Connecticut, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Yale New Haven Health, Yale New Haven Psychiatric Hospital, New Haven, Connecticut, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Am Med Inform Assoc</MedlineTA><NlmUniqueID>9430800</NlmUniqueID><ISSNLinking>1067-5027</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Hospital-Based Telehealth</Keyword><Keyword MajorTopicYN="N">Intensive Outpatient Psychiatry</Keyword><Keyword MajorTopicYN="N">Rapid Design</Keyword><Keyword MajorTopicYN="N">Virtual Group Psychotherapy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>7</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32687151</ArticleId><ArticleId IdType="pii">5873874</ArticleId><ArticleId IdType="doi">10.1093/jamia/ocaa138</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Connecticut</li></region></list><tree><country name="États-Unis"><region name="Connecticut"><name sortKey="Childs, Amber W" sort="Childs, Amber W" uniqKey="Childs A" first="Amber W" last="Childs">Amber W. Childs</name></region><name sortKey="Childs, Amber W" sort="Childs, Amber W" uniqKey="Childs A" first="Amber W" last="Childs">Amber W. Childs</name><name sortKey="Li, Luming" sort="Li, Luming" uniqKey="Li L" first="Luming" last="Li">Luming Li</name><name sortKey="Li, Luming" sort="Li, Luming" uniqKey="Li L" first="Luming" last="Li">Luming Li</name><name sortKey="Unger, Adam" sort="Unger, Adam" uniqKey="Unger A" first="Adam" last="Unger">Adam Unger</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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