A consortium of 8 academic child and adolescent psychiatry programs in the United States and Canada examined their pivot from in-person, clinic-based services to home-based telehealth during the COVID-19 pandemic. The aims were to document the transition across diverse sites and to present recommendations for future telehealth service planning. Consortium sites completed a Qualtrics survey assessing site characteristics, telehealth practices, service use, and barriers to and facilitators of telehealth service delivery prior to (pre) and during the early stages of (post) the COVID-19 pandemic. The design is descriptive. All sites pivoted from in-person services to home-based telehealth within 2 weeks. Some sites experienced delays in conducting new intakes, and most experienced delays establishing tele−group therapy. No-show rates and use of telephony versus videoconferencing varied by site. Changes in telehealth practices (eg, documentation requirements, safety protocols) and perceived barriers to telehealth service delivery (eg, regulatory limitations, inability to bill) occurred pre−/post−COVID-19. A rapid pivot from in-person services to home-based telehealth occurred at 8 diverse academic programs in the context of a global health crisis. To promote ongoing use of home-based telehealth during future crises and usual care, academic programs should continue documenting the successes and barriers to telehealth practice to promote equitable and sustainable telehealth service delivery in the future.

中文翻译：

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COVID-19 大流行期间学术心理健康诊所向远程医疗的转变


由美国和加拿大的 8 个学术儿童和青少年精神病学项目组成的联盟研究了在 COVID-19 大流行期间他们从面对面的诊所服务转向家庭远程医疗的转变。目的是记录不同站点之间的过渡，并为未来的远程医疗服务规划提出建议。联盟站点完成了一项 Qualtrics 调查，评估站点特征、远程医疗实践、服务使用以及在 COVID-19 大流行之前（之前）和早期阶段（之后）提供远程医疗服务的障碍和促进因素。该设计是描述性的。所有站点都在两周内从面对面服务转向家庭远程医疗。一些中心在进行新的招募方面遇到了延迟，并且大多数中心在建立电话小组治疗方面遇到了延迟。缺席率以及电话与视频会议的使用因地点而异。远程医疗实践的变化（例如，文件要求、安全协议）和远程医疗服务提供的感知障碍（例如，监管限制、无法计费）发生在 COVID-19 之前/之后。在全球健康危机的背景下，8 个不同的学术项目迅速从面对面服务转向家庭远程医疗。为了促进在未来危机和日常护理期间持续使用家庭远程医疗，学术项目应继续记录远程医疗实践的成功和障碍，以促进未来公平和可持续的远程医疗服务提供。