UC Berkeley-UCSF Joint Medical Program, School of Public Health, University of California, Berkeley, California, USA.
School of Medicine, University of California, San Francisco, California, USA.
J Am Coll Health. 2023 Apr;71(3):665-669. doi: 10.1080/07448481.2021.1909040. Epub 2021 Apr 23.
Federal and institutional policy changes have accelerated the use of telemental health to care for college students distant from their mental health providers during the early part of the COVID-19 pandemic. Temporary measures have made telemental health more readily available, including relaxing of regulations related to interstate licensure, controlled substance prescribing, patient privacy, and reimbursement. Though early efforts are underway to sustain these changes during and in the wake of the pandemic, there are important areas in which federal and institutional policy are still lacking. Additional steps are needed to successfully implement and sustain telemental health for college students include ensuring student access to technology and Internet; proactive outreach to optimize the student's home environment, addressing concerns about safety and confidentiality; developing the means to track rapidly shifting telemental health policy changes; and developing centralized resources that enable remote providers to become familiar with involuntary commitment laws and emergency protocols.
联邦和机构政策的变化加速了远程心理健康的使用，以便在 COVID-19 大流行初期为远离心理健康提供者的大学生提供护理。临时措施使远程心理健康更加容易获得，包括放宽与州际许可、管制物质处方、患者隐私和报销有关的规定。尽管目前正在努力在大流行期间和之后维持这些变化，但在联邦和机构政策方面仍存在一些重要领域的不足。要成功实施和维持大学生的远程心理健康，还需要采取其他措施，包括确保学生能够获得技术和互联网；积极主动地开展工作，优化学生的家庭环境，解决对安全和保密性的担忧；开发快速跟踪远程心理健康政策变化的手段；以及开发集中资源，使远程提供者能够熟悉非自愿承诺法律和紧急协议。
