Dr. Dent is a psychologist at Lenox Hill Hospital, New York City. Ms. Peters, Dr. Mochari-Greenberger, and Dr. Pande are with AbleTo, New York City. Dr. Kerr is an associate professor and is director of the Behavioral Science and Psychopathology Research Division, West Virginia University School of Medicine-Charleston. Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.
Psychiatr Serv. 2018 Apr 1;69(4):370-373. doi: 10.1176/appi.ps.201700477. Epub 2018 Feb 15.
Behavioral health issues are common among patients with comorbid medical conditions but often go unrecognized or untreated, resulting in worse clinical outcomes and avoidable medical expenditures. This column describes an innovative telehealth solution that includes proactive and targeted patient identification and engagement and nationwide delivery of a technology-enabled, standardized, and evidence-based behavioral health program delivered via phone or video. A retrospective before-after evaluation of the program demonstrated national reach, high patient satisfaction, and significant reductions in symptoms of depression, anxiety, and stress.
行为健康问题在合并有医学病症的患者中很常见，但往往未被识别或未得到治疗，导致临床结局更差和可避免的医疗支出。本专栏描述了一种创新的远程医疗解决方案，包括主动且有针对性的患者识别和参与，以及通过电话或视频提供全国范围内的、基于技术的、标准化的、循证行为健康项目。对该项目的回顾性前后评估表明，该项目实现了全国覆盖，患者满意度高，抑郁、焦虑和压力的症状显著减轻。
