Fast Noam, van Kessel Robin, Humphreys Keith, Ward Natalie Frances, Roman-Urrestarazu Andres
START Treatment & Recovery Centers, New York City, USA.
Addiction Psychiatry Fellowship Faculty, Department of Psychiatry, Columbia University, New York City, USA.
Curr Addict Rep. 2023;10(2):187-197. doi: 10.1007/s40429-023-00480-9. Epub 2023 Apr 25.
This article aims to review and synthesize the current research evidence regarding the efficacy of telepsychiatry-delivered substance use disorder treatment using a narrative review with a focus on the effects of remote healthcare delivery within the substance abuse treatment space.
The COVID-19 pandemic exerted substantial pressures on all levels of society. Social isolation, loss of employment, stress, physical illness, overburdened health services, unmet medical needs, and rapidly changing pandemic restrictions had particularly severe consequences for people with mental health issues and substance use disorders. Since the start of the pandemic, addiction treatment (and medical treatment overall) using remote health platforms has significantly expanded to different platforms and delivery systems. The USA, in particular, reported transformational policy developments to enable the delivery of telehealth during the COVID-19 pandemic. However, systemic barriers such as a widespread lack of internet access and insufficient patient and provider digital skills remain.
Overall, telepsychiatry is a promising approach for the treatment of substance use disorders, but more randomized controlled trials are needed in the future to assess the evidence base of available interventions.
本文旨在回顾并综合当前关于远程精神病学提供物质使用障碍治疗疗效的研究证据，采用叙述性综述，重点关注在物质滥用治疗领域远程医疗服务的效果。
新冠疫情给社会各层面带来了巨大压力。社交隔离、失业、压力、身体疾病、不堪重负的医疗服务、未满足的医疗需求以及迅速变化的疫情防控限制，对有心理健康问题和物质使用障碍的人群产生了尤为严重的影响。自疫情开始以来，利用远程医疗平台进行的成瘾治疗（以及总体医疗治疗）已大幅扩展至不同平台和服务系统。特别是美国，报告了在新冠疫情期间推动远程医疗服务的变革性政策进展。然而，诸如普遍缺乏互联网接入以及患者和医疗服务提供者数字技能不足等系统性障碍依然存在。
总体而言，远程精神病学是治疗物质使用障碍的一种有前景的方法，但未来还需要更多随机对照试验来评估现有干预措施的证据基础。
