精神病学、远程医疗和 COVID-19：大流行第一波期间的成功经验和教训。
Psychosis, Telehealth, and COVID-19: Successes and Lessons Learned From the First Wave of the Pandemic.
机构信息
Early Psychosis Intervention Clinic, New Orleans (EPIC-NOLA), LA, USA.
Department of Psychiatry and Behavioral Services, Tulane University School of Medicine, New Orleans, LA, USA.
出版信息
Disaster Med Public Health Prep. 2022 Oct;16(5):1785-1788. doi: 10.1017/dmp.2021.42. Epub 2021 Feb 16.
OBJECTIVE
This brief report analyzes a first-episode psychosis (FEP) clinic's shift from in-person treatment to the provision of services through telemental health during the 2019 coronavirus disease (COVID-19) pandemic. The feasibility of using this technology was examined by assessing client engagement.
METHODS
The authors created and implemented procedures for the clinic's transition to telemental health. Once clients' consents were obtained, the Health Insurance Portability and Accountability Act (HIPAA) compliant platform was used to continue service provision.
RESULTS
Client engagement during this period improved compared to that of the same quarter in the previous year. Telemental health was also practical for providing groups and other supportive services to meet clients' needs.
CONCLUSION
Telemental health is an effective approach to providing care at an FEP clinic during a pandemic. Successes and lessons learned from the first wave of the pandemic can be used to prevent an uptick in symptoms and sustain engagement for this vulnerable population during the anticipated second wave.
目的
本简要报告分析了一家首发精神病（FEP）诊所如何在 2019 年冠状病毒病（COVID-19）大流行期间将治疗模式从面对面治疗转变为通过远程医疗提供服务。通过评估客户参与度来检查使用这项技术的可行性。
方法
作者为诊所向远程医疗的转变创建并实施了程序。一旦获得客户同意，就使用符合《健康保险携带和责任法案》（HIPAA）的平台继续提供服务。
结果
与前一年同期相比，在此期间客户参与度有所提高。远程医疗也可实际用于提供团体和其他支持性服务，以满足客户的需求。
结论
远程医疗是在大流行期间为首发精神病诊所提供护理的有效方法。大流行第一波期间取得的成功和吸取的经验教训可用于防止这一脆弱人群的症状再次增加，并在预期的第二波期间保持其参与度。
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