向 COVID-19 及以后的远程医疗过渡：社区心理健康临床医生的观点。
Transitioning to Telehealth for COVID-19 and Beyond: Perspectives of Community Mental Health Clinicians.
机构信息
Department of Psychology, University of Washington, 119A Guthrie Hall, Box 351525, Seattle, WA, 98105, USA.
Department of Psychology, University of Miami, P.O. Box 248185, Coral Gables, FL, 33124, USA.
出版信息
J Behav Health Serv Res. 2022 Oct;49(4):524-530. doi: 10.1007/s11414-022-09799-z. Epub 2022 May 10.
In response to COVID-19, mental health clinics transitioned to telehealth to maintain psychotherapy delivery. Community mental health (CMH) settings, which are often under-resourced, likely experienced many barriers. This study examined CMH clinicians' experiences transitioning to telehealth. Data came from a state-funded initiative training CMH clinicians in cognitive behavioral therapy. Participants (N = 197) completed pre-training and post-consultation surveys which included questions about their experiences with telehealth. Most clinicians found telehealth beneficial and effective. Clinicians strongly endorsed wanting telehealth as an option even after in-person services resume. CMH clinicians rated "engaging younger children" as the most significant barrier to telehealth. Despite some telehealth barriers, clinicians generally viewed telehealth favorably and prefer having it as a long-term option. Future work should continue to understand when telehealth may be advantageous and for whom in order to improve the accessibility and quality of behavioral health services.
针对 COVID-19，心理健康诊所已过渡到远程医疗以维持心理治疗服务。社区心理健康（CMH）机构资源往往不足，可能遇到了许多障碍。本研究调查了 CMH 临床医生向远程医疗过渡的经验。数据来自一项由州政府资助的倡议，该倡议培训 CMH 临床医生进行认知行为疗法。参与者（N=197）完成了培训前和咨询后调查，其中包括有关他们远程医疗体验的问题。大多数临床医生认为远程医疗是有益和有效的。即使在恢复面对面服务后，临床医生也强烈支持将远程医疗作为一种选择。CMH 临床医生认为“吸引年幼的孩子”是远程医疗的最大障碍。尽管存在一些远程医疗障碍，但临床医生普遍对远程医疗持积极态度，并希望将其作为长期选择。未来的工作应继续了解何时远程医疗可能有利以及对谁有利，以提高行为健康服务的可及性和质量。
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