Bhardwaj Anupam, Moore Anna, Cardinal Rudolf N, Bradley Carol, Cross Lauren, Ford Tamsin J
Cambridgeshire & Peterborough NHS Foundation Trust, UK.
Cambridgeshire & Peterborough NHS Foundation Trust, UK; and Department of Psychiatry, University of Cambridge, UK.
BJPsych Open. 2021 Jan 13;7(1):e34. doi: 10.1192/bjo.2020.160.
The Covid-19 crisis necessitated rapid adoption of remote consultations across National Health Service (NHS) child and adolescent mental health services (CAMHS). This study aimed to understand practitioners' experiences of rapid implementation of remote consultations across CAMHS in one NHS trust in the east of England. Data were collected through a brief questionnaire documenting clinicians' experiences following remote delivery of services. The questionnaire began before 'lockdown' and focused on assessment consultations (n = 102) as part of a planned move to virtual assessment. As the roll-out of remote consultations was extended at lockdown, we extended the questionnaire to include all remote clinical contacts (n = 202). Despite high levels of initial concern, clinicians' reports were positive overall; importantly, however, their experiences varied by team. When restrictions on face-to-face working are lifted, a blended approach of remote and face-to-face service delivery is recommended to optimise access and capacity while retaining effective and safe care.
新冠疫情危机使得英国国民医疗服务体系（NHS）的儿童与青少年心理健康服务（CAMHS）迅速采用了远程咨询方式。本研究旨在了解在英格兰东部一家NHS信托机构中，从业者在CAMHS快速实施远程咨询的经历。通过一份简短问卷收集数据，记录临床医生在远程提供服务后的经历。该问卷在“封锁”前开始，重点关注评估咨询（n = 102），这是向虚拟评估计划转移的一部分。随着远程咨询在封锁期间的推广，我们扩展了问卷，将所有远程临床接触纳入其中（n = 202）。尽管最初担忧程度较高，但临床医生的报告总体上是积极的；然而，重要的是，他们的经历因团队而异。当面对面工作的限制解除后，建议采用远程与面对面服务相结合的方式，以优化服务可及性和服务能力，同时保持有效且安全的护理。
