当前位置: X-MOL 学术American Psychologist › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Virtual mental health care in the Veterans Health Administration’s immediate response to coronavirus disease-19.
American Psychologist ( IF 16.4 ) Pub Date : 2021-01-01 , DOI: 10.1037/amp0000751
Craig S Rosen 1 , Leslie A Morland 2 , Lisa H Glassman 3 , Brian P Marx 4 , Kendra Weaver 5 , Clifford A Smith 6 , Stacey Pollack 7 , Paula P Schnurr 8
Affiliation  

The coronavirus disease 2019 (COVID-19) pandemic has increased the need for psychological care in the global population and has created new barriers to accessing services. Hospitals, mental health facilities, and other clinics face the challenge of providing continued care to a population that is under severe stress, while minimizing in-person visits that risk spreading the virus. The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,286 sites. VHA ensured the continuity of mental health services after the COVID-19 outbreak by rapidly expanding its use of telemental health methods in the first weeks after the U.S. pandemic outbreak. VHA provided nearly 1.2 million telephone and video encounters to veterans in April 2020 and reduced in-person visits by approximately 80% when compared with the October 2019 to February 2020 period before the pandemic. By June 2020, VHA had an 11-fold increase in encounters using direct-to-home video and a fivefold increase in telephone contacts relative to before the pandemic. This article discusses research on the effectiveness of telemental health, VHA policies before COVID-19 that facilitated the use of telemental health systemwide, and VHA's actions that rapidly scaled use of telemental health during the first months of the outbreak. Key challenges and lessons learned from VHA's experience and implications for providers and health care systems regarding the use of telemental health to meet patients' mental health care needs during the pandemic are also discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

退伍军人健康管理局对冠状病毒病 19 的即时反应中的虚拟心理保健。

2019 年冠状病毒病 (COVID-19) 大流行增加了全球人口对心理护理的需求,并为获得服务创造了新的障碍。医院、精神卫生机构和其他诊所面临着为处于严重压力下的人群提供持续护理的挑战,同时最大限度地减少可能传播病毒的面对面访问。退伍军人健康管理局 (VHA) 是美国最大的综合医疗保健系统,在 1,286 个地点提供医疗服务。VHA 通过在美国大流行爆发后的最初几周内迅速扩大对远程心理健康方法的使用,确保了 COVID-19 爆发后心理健康服务的连续性。VHA 提供了近 1 个。与大流行前的 2019 年 10 月至 2020 年 2 月期间相比,2020 年 4 月与退伍军人进行了 200 万次电话和视频会面,面对面访问减少了约 80%。到 2020 年 6 月,与大流行前相比,VHA 使用直接到户视频的接触增加了 11 倍,电话联系增加了 5 倍。本文讨论了有关远程心理健康有效性的研究、COVID-19 之前促进在整个系统范围内使用远程心理健康的 VHA 政策,以及在疫情爆发的最初几个月内迅速扩大远程心理健康使用的 VHA 行动。从 VHA 的经验中汲取的主要挑战和教训以及对提供者和医疗保健系统在使用远程心理健康来满足患者方面的影响 还讨论了大流行期间的精神卫生保健需求。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2021-01-01
down
wechat
bug