ABSTRACT

As the crisis of global pandemic continues to unfold and alter the everyday workings of public life, early trends in the impact on mental healthcare treatment at a safety-net hospital illuminate implications for clinical work in the public sector under unprecedented conditions and beyond. While there are many important areas to consider and research to come, the current paper will explore the impact of the COVID-19 crisis on attendance of psychotherapy sessions. The authors point to early evidence from their caseloads in an outpatient psychodynamic psychotherapy training program showing a statistically significant decrease in missed appointments upon switching, in crisis, to a telehealth model. In this paper we explore possible reasons for this decrease in missed appointments, including psychological reasons (such as increased need for connection) and logistical reasons (such as eliminating barriers to attendance). Finally, we point to considerations and implications for practice during and after the crisis of the pandemic has subsided, and consider ways in which the changing approach may, in effect, increase access and remove barriers to care that pre-date our current crisis.

摘要

随着全球大流行危机的继续展开并改变公共生活的日常运作，安全网医院精神保健治疗影响的早期趋势阐明了在前所未有的条件下及以后对公共部门临床工作的影响。虽然有许多重要的领域需要考虑和研究，但本论文将探讨 COVID-19 危机对心理治疗课程出席率的影响。作者指出，他们在门诊心理动力学心理治疗培训计划中的病例量的早期证据表明，在危机中切换到远程医疗模式后，错过预约的人数在统计上显着减少。在本文中，我们探讨了错过约会减少的可能原因，包括心理原因（例如对联系的需求增加）和后勤原因（例如消除出勤障碍）。最后，我们指出了在大流行危机消退期间和之后对实践的考虑和影响，并考虑了不断变化的方法实际上可以增加获取并消除当前危机之前的护理障碍的方式。