Harvard Global Mental Health Trauma and Recovery Program, Harvard Medical School, Boston, MA, USA.
University of Maryland, College Park, MD, 20742, USA.
Curr Psychiatry Rep. 2020 Nov 28;22(12):85. doi: 10.1007/s11920-020-01209-5.
The goal of this paper was to review recent literature and provide recommendations regarding the use of telemental health, with a focus on tele-consultation and tele-supervision in post-disaster and low-resource settings, including the impact of COVID-19.
The latest research on mental health needs in low-resource settings has identified a high need for mental health services for difficult-to-reach and underserved populations. Research on tele-consultation and tele-supervision was reviewed and found that tele-consultation and tele-supervision to be an effective modality for insuring quality mental health care delivery in low-resource settings. Additionally, two case studies were included which illustrate the use of both tele-consultation and tele-supervision in low-resource low- and middle-income settings. The paper concludes that tele-consultation and tele-supervision hold the promise to narrow the gap in quality mental health services in low-resource settings so often impacted by disaster and conflict. The authors recommend that telemental health training be developed that specifically enhances consultants' and supervisors' skills in tele-consultation and tele-supervision.
目的综述：本文旨在综述近期文献，并针对灾后和资源匮乏环境中（包括 COVID-19 大流行期间）远程心理健康服务的使用，包括远程会诊和远程监督的使用，提供相关建议。
最新发现：针对资源匮乏环境中精神卫生需求的最新研究发现，对于那些难以接触到和服务不足的人群，存在对精神卫生服务的高度需求。对远程会诊和远程监督的研究进行了综述，发现远程会诊和远程监督是确保在资源匮乏环境中提供优质精神卫生保健的有效模式。此外，还包括两项案例研究，说明了远程会诊和远程监督在资源匮乏的中低收入环境中的使用。本文的结论是，远程会诊和远程监督有望缩小资源匮乏环境中精神卫生服务质量方面的差距，这些地区经常受到灾害和冲突的影响。作者建议开发远程心理健康培训，专门增强咨询师和督导者在远程会诊和远程监督方面的技能。
