Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Work: Clinical Psychologist, KidsRehab, Children's Hospital Westmead, South Turramurra, NSW, Australia.
J Ment Health. 2024 Jun;33(3):415-438. doi: 10.1080/09638237.2023.2182422. Epub 2023 Mar 3.
This paper presents a scoping review of the peer-reviewed literature regarding reported risks, adverse effects and mitigation factors related to providing mental health services using telehealth.
The paper aims to describe risks and risk management strategies.
Publications were included if they reported upon risks, adverse events or mitigation factors experienced, hypothesised or discussed for: any population (any country, any age), service (any mental health services), intervention (telehealth), English language, 2010 to 10 July 2021, any publication type (commentary, research, policy), excluding protocol papers, and self-help tools. The following databases were searched: PsycINFO (from 2010 to 10 July 2021), MEDLINE (2010 to 10 July 2021) and the Cochrane Database from 2010 to 10 July 2021.
The search strategy resulted in 1,497 papers and after exclusions a final 55 articles were selected. Results of this scoping review are presented in terms of types of risk, risk by client population, risk by modality (eg group therapy using telehealth) and risk management.
Recommendations for future research include gathering and publishing more detailed information regarding near-miss and actual adverse events when delivering mental health assessment and care using telehealth. In clinical practice, training is required for potential adverse events, and to prevent them and reporting mechanisms in place to collate and learn from these.
本文对同行评议文献进行了范围界定审查，涉及使用远程医疗提供心理健康服务的报告风险、不良影响和缓解因素。
本文旨在描述风险和风险管理策略。
如果出版物报告了任何人群（任何国家，任何年龄）、任何心理健康服务、远程医疗干预措施经历、假设或讨论的风险、不良事件或缓解因素，包括评论、研究、政策等任何类型的出版物，排除方案文件和自助工具，都将被纳入研究。检索了以下数据库：PsycINFO（从 2010 年至 2021 年 7 月 10 日）、MEDLINE（2010 年至 2021 年 7 月 10 日）和 Cochrane 数据库（从 2010 年至 2021 年 7 月 10 日）。
搜索策略共产生了 1497 篇论文，经过排除后，最终选择了 55 篇文章。本范围界定审查的结果以风险类型、按客户人群的风险、按模式（例如使用远程医疗的团体治疗）的风险以及风险管理的方式呈现。
未来研究的建议包括在使用远程医疗进行心理健康评估和护理时，收集和发布更多关于近因和实际不良事件的详细信息。在临床实践中，需要针对潜在的不良事件进行培训，以预防这些事件，并建立报告机制，以便从这些事件中吸取经验教训。
