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新冠疫情期间儿童和青少年心理健康领域向远程医疗的转变。

COVID-19 pandemic-related transition to telehealth in child and adolescent mental health.

作者信息

Moorman Leslie K

机构信息

Family Science and Human Development Montclair State University Montclair New Jersey USA.

出版信息

Fam Relat. 2022 Feb;71(1):7-17. doi: 10.1111/fare.12588. Epub 2021 Sep 20.

Abstract

INTRODUCTION

This article explores one mental health company's urgent response to the global COVID-19 pandemic, and the multifaceted implications of quickly transitioning to telehealth services.

OBJECTIVES

The purpose of this article is to share information with interdisciplinary professionals about the planning, implementation, and results of transitioning to telehealth services during a pandemic.

PROCEDURES

We compiled practice-related data regarding company attendance rates and customer and employee satisfaction with telehealth. Data include feedback from more than 40 clinicians and 60 families.

RESULTS

The data suggest there are both benefits and limitations to engaging in telehealth services within a mental health company. Attendance rates increased dramatically, engagement improved with adolescents but proved challenging with the younger children. Telehealth helped overcome many typical barriers to mental health treatment. Concerns remain regarding confidentiality, assessment of abuse and neglect, and ability to read nonverbal social cues.

CONCLUSION

Families and practitioners experienced the convenience and benefits of telehealth but also expressed concerns over certain limitations. Finding a responsible way to incorporate telehealth into practice postpandemic is a priority for mental health practitioners, both now and in the immediate future.

摘要

引言

本文探讨了一家心理健康公司对全球新冠疫情的紧急应对措施,以及迅速转向远程医疗服务的多方面影响。

目的

本文旨在与跨学科专业人员分享在疫情期间转向远程医疗服务的规划、实施情况及结果。

过程

我们收集了与公司出勤率以及客户和员工对远程医疗满意度相关的实践数据。数据包括40多名临床医生和60多个家庭的反馈。

结果

数据表明,在心理健康公司提供远程医疗服务既有好处也有局限。出勤率大幅提高,青少年的参与度有所改善,但事实证明,年幼儿童的参与度较难提高。远程医疗有助于克服心理健康治疗中的许多典型障碍。在保密性、虐待和忽视评估以及解读非语言社交线索的能力方面仍存在担忧。

结论

家庭和从业者体验到了远程医疗的便利和益处,但也对某些局限表示担忧。无论是现在还是在不久的将来,找到一种负责任的方式将远程医疗纳入疫情后实践中都是心理健康从业者的首要任务。

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本文引用的文献

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Using Telemedicine to Reach Adolescents During the COVID-19 Pandemic.在新冠疫情期间利用远程医疗服务青少年群体。
J Adolesc Health. 2020 Oct;67(4):469-471. doi: 10.1016/j.jadohealth.2020.07.015. Epub 2020 Aug 5.
2
Outcomes of a Rapid Adolescent Telehealth Scale-Up During the COVID-19 Pandemic.COVID-19大流行期间青少年远程医疗快速推广的成果
J Adolesc Health. 2020 Aug;67(2):172-178. doi: 10.1016/j.jadohealth.2020.05.025. Epub 2020 Jun 28.

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