ABSTRACT

The COVID-19 pandemic prompted many mental health care providers to quickly reorganize their operations and services in an effort to continue serving their clientele while also ensuring the health and safety of their patients and staff. Over the course of five days (beginning 15 March 2020), the McLean OCD Institute at Houston (MOCDI-H) transitioned from providing three levels of care in-person to conducting intensive outpatient and traditional outpatient programming completely online. Through the teamwork of all members of the MOCDI-H staff and in collaboration with our patients and their families, we were able to develop virtual programming and make a smooth transition with minimal disruption to patient care. This article aims to describe how we facilitated our clinical transition in a quick and effective manner and became the first program within the OCD community to transition to teletherapy. An anecdotal exploration of the benefits and challenges experienced for patient care and providers is offered. Future directions and implications associated with the change from in-person sessions to teletherapy are discussed.

摘要

COVID-19 大流行促使许多精神卫生保健提供者迅速重组其业务和服务，以继续为客户服务，同时确保患者和员工的健康和安全。在五天的时间里（从 2020 年 3 月 15 日开始），休斯顿麦克莱恩强迫症研究所 (MOCDI-H) 从提供三个级别的面对面护理转变为完全在线进行重症监护和传统门诊计划。通过 MOCDI-H 全体员工的团队合作以及与我们的患者及其家属的合作，我们能够开发虚拟程序并在对患者护理的干扰最小的情况下顺利过渡。本文旨在描述我们如何以快速有效的方式促进我们的临床过渡，并成为 OCD 社区中第一个过渡到远程治疗的计划。提供了对患者护理和提供者所经历的好处和挑战的轶事探索。讨论了与从面对面治疗转变为远程治疗相关的未来方向和影响。