scholarly journals Exploring telemental health practice before, during, and after the COVID-19 pandemic

2021 ◽  
pp. 1357633X2110259
Author(s):  
Demi Zhu ◽  
Samantha R Paige ◽  
Henry Slone ◽  
Arianna Gutierrez ◽  
Caroline Lutzky ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Daily Basis ◽  
Mental Health Counselors ◽  
Telemental Health ◽  
Mental Health Providers ◽  
Health Providers ◽  
Health Practice ◽  
Rural Regions ◽  
Out Of Pocket Payments

Introduction This study investigated how mental health providers' use of telemedicine has changed since the coronavirus disease (COVID) 2019 pandemic and their expectations for continuing to use it once the pandemic ends. Methods A 15-min online survey was completed by 175 practicing and licensed telemental health providers who use telemedicine. In addition to personal and professional demographic items, the survey included items about the frequency of telemedicine use, proportion of caseload served by telemedicine, comfort using telemedicine before and during the COVID-19 pandemic, and expectations to use telemedicine after the pandemic ends. A series of χ2 analyses, an independent samples t-test, and analyses of variance were conducted. Results The pandemic resulted in a greater proportion of telemental health providers using telemedicine on a daily basis (17% before and 40% during the pandemic; p < 0.01) and serving more than half of their caseload remotely (9.1% before and 57.7% during the pandemic; p < 0.05). Also, there was a statistically significant increase in their comfort using telemedicine before and during the pandemic ( p < 0.001). Providers reported expecting to use telemedicine more often after the pandemic ends ( M = 3.35; SD = 0.99). Expectations to provide telemental health services after the pandemic were greater for mental health counselors, providers who practiced in rural regions, and providers who served patients through out-of-pocket payments. Discussion Telemental health providers use telemedicine daily as a result of the COVID-19 pandemic, with expectations of continuing to use telemedicine in practice after the pandemic. This expectation is more prominent in certain segments of providers and warrants further investigation.

Confronting the Realities of Volunteering for a National Disaster

2007 ◽  
Vol 29 (1) ◽  
pp. 4-16 ◽  
Author(s):  
Alise G. Bartley
Keyword(s):  
Mental Health ◽  
Hurricane Katrina ◽  
Mental Health Counselors ◽  
State Agencies ◽  
Mental Health Providers ◽  
Health Providers ◽  
Health Volunteer ◽  
Distribution Of Resources ◽  
National Disaster ◽  
Relief Efforts

Responding to a national appeal for mental health volunteers to assist with disaster relief efforts is an altruistic act. However, the reality of the actual work of a mental health volunteer can be jarring. In the course of providing services to traumatized individuals, mental health providers are in a position to share the emotional burden of the trauma, become a witness to the damage, recognize the realities of dealing with federal and state agencies, and observe the inequitable distribution of resources. The following is my story of what it was like before, during, and after my experience as a mental health volunteer in the Gulfport/Biloxi, Mississippi area two months after the destruction of August 2005. I hope that sharing my story will encourage other mental health counselors to play a role in responding to the needs created by events like Hurricane Katrina.

scholarly journals Telemental health for reaching out to patients in a time of pandemic: Provider survey and systematic review with meta-analysis of patient satisfaction (Preprint)

2020 ◽  
Author(s):  
Raffaele Mazziotti ◽  
Grazia Rutigliano
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Patient Satisfaction ◽  
Health Services ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Telemental Health ◽  
Mental Health Providers ◽  
Health Providers

BACKGROUND The COVID-19 pandemic threatens to impact mental health, while disrupting access to care, due to physical distance measures and to the unexpected pressure on public health services. Telemental health (TM) was rapidly implemented to deliver healthcare services. OBJECTIVE The aims of this study were: i) to present state-of-the-art TM research; ii) to survey mental health providers about care delivery during the pandemic; iii) to assess patient satisfaction with TM. METHODS Document clustering was applied to map research topics within TM research. A survey was circulated among mental health providers. Patient satisfaction was investigated through a meta-analysis of studies retrieved from Web of KnowledgeSM and Scopus® comparing satisfaction scores between TM and face-to-face (FtF) interventions for mental health disorders. Hedges’ g was used as effect size measure. Effect sizes were pooled using a random-effect model. Sources of heterogeneity and bias were sought. RESULTS Evidence about TM has been accumulating since 2000’, especially regarding service implementation, depressive/anxiety disorders, post-traumatic stress disorder, and special populations. Research was concentrated in a few countries. The survey (n=174 respondents from Italy, n=120 international) confirmed that, after the onset of COVID-19 outbreak, there was a massive shift from FtF to TM delivery of care. However, respondents held skeptical views about TM, and did not feel sufficiently trained and satisfied. Meta-analysis of 29 studies (n=2143) showed that patients would be equally satisfied with TM as compared to FtF (Hedges’ g=-0,001, 95% CI: -0,116-0,114, p=0,985, Q=43,83, I2=36%, p=0,029), if technology-related issues were minimized. CONCLUSIONS Mental health services equipped with TM will be more able to successfully cope with public health crises. Both providers and patients need to be actively engaged in digitization, to re-shape their reciprocal trust around technological innovations. CLINICALTRIAL The protocol was registered in PROSPERO [registration number: CRD42020192299].

“Better issues to focus on”: Transgender Microaggressions as Ethical Violations in Therapy

2020 ◽  
Vol 48 (6) ◽  
pp. 883-915 ◽  
Author(s):  
Ezra R. Morris ◽  
Louis Lindley ◽  
M. Paz Galupo
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Online Survey ◽  
Future Research ◽  
Mental Health Providers ◽  
Health Providers ◽  
Help Seeking Behaviors ◽  
Healthcare Settings ◽  
Ethical Violations ◽  
Gender Diverse

Negative experiences in healthcare settings have been linked to decreased treatment satisfaction and reduction of future help-seeking behaviors among transgender individuals. The present study used gender-identity based microaggressions as a model for understanding the client–therapist relationship. Using a qualitative approach, we investigated instances of microaggressions from mental health providers as experienced by 91 adults who identified as transgender or gender diverse. Participants completed an online survey and described instances of microaggressions directed towards them from mental health providers. Thematic analysis resulted in four therapy-salient themes: Lack of Respect for Client Identity, Lack of Competency, Saliency of Identity, and Gatekeeping. Our discussion of the results focuses on the examination of microaggressions as ethical guideline violations. We discuss methods to improve the practical application of ethical standards to counseling with transgender clients. Implications for practice, training, and future research are also discussed.

scholarly journals Acceptability of Telemedicine Features to Promote Its Uptake in Practice: A Survey of Community Telemental Health Providers

2020 ◽  
Vol 17 (22) ◽  
pp. 8525
Author(s):  
Brian E. Bunnell ◽  
Janelle F. Barrera ◽  
Samantha R. Paige ◽  
Dylan Turner ◽  
Brandon M. Welch
Keyword(s):  
Technology Acceptance ◽  
Online Survey ◽  
Future Research ◽  
Intention To Use ◽  
Telemental Health ◽  
Mental Health Providers ◽  
Health Providers ◽  
Health It ◽  
The Future ◽  
Acceptance Model

Understanding what motivates mental health providers to use telemedicine (i.e., telemental health) is critical for optimizing its uptake, especially during unprecedented times (e.g., the COVID-19 pandemic). Drawing from the Technology Acceptance Model (TAM), this report examined the characteristics of telemental health providers and how the acceptability of telemedicine features contributes to their intention to use the technology more often in practice. Telemental health providers (N = 177) completed an online survey between March and May 2019. Most providers (75%) spent less than 25% of their work-week using telemedicine, but 70% reported an intention to use telemedicine more in the future. The belief that telemedicine affords greater access to patients, work-life balance, flexibility in providing care, and the opportunity to be at the forefront of innovative care were significant predictors of intentions to use the technology more in the future. Other significant predictors included needing assistance to coordinate insurance reimbursements, manage a successful telemedicine practice, and integrate the telemedicine program with other health IT software. Findings have important implications for increasing the frequency of telemedicine use among telemental health providers. Future research and practice should leverage providers’ positive beliefs about telemedicine acceptability and consider their needs to enhance its uptake.

scholarly journals Mental Health Practitioners’ Understanding of Speech Pathology in a Regional Australian Community

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1485
Author(s):  
Tina Janes ◽  
Tania Signal ◽  
Barbra Zupan
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Strong Predictor ◽  
Mental Health Practitioners ◽  
Speech Pathology ◽  
Mental Health Providers ◽  
Health Providers ◽  
Health Practitioners ◽  
Speech Pathologist ◽  
Speech Pathologists

(1) Background: This study aimed to determine the level of knowledge and the perceptions of speech pathology held by a sample of regional mental health practitioners and to explore factors that facilitate understanding of the roles of speech pathologists in mental health. While mental health is recognised as an area of practice by Speech Pathology Australia, the inclusion of speech pathologists in mental health teams is limited. (2) Methods: An anonymous online survey was created using previously validated surveys and author generated questions and distributed to mental health practitioners in Central Queensland, Australia. (3) Results: Mental health practitioners had difficulty identifying speech pathology involvement when presented with case scenarios. Accuracy was poor for language-based cases, ranging from 28.81% to 37.29%. Participants who reported having worked with a speech pathologist were more likely to demonstrate higher scores on the areas of practice questions, [r(53) = 0.301, p = 0.028], and the language scenarios [r(58) = 0.506, p < 0.001]. They were also more likely to agree to statements regarding the connection between speech pathology and mental health, r(59) = 0.527, p < 0.001. (4) Conclusions: As found in this study, contact with speech pathologists is a strong predictor of mental health providers’ knowledge of the speech pathology profession. Thus, the challenge may be to increase this contact with mental health providers to promote inclusion of speech pathologists in the mental health domain.

Development of a Scale to Assess Mental Health Providers' Mindfulness in Session

2013 ◽  
Author(s):  
Jill Calderon ◽  
Paul E. Hagan ◽  
Jennifer A. Munch ◽  
Crystal Rofkahr ◽  
Sinead Unsworth ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Providers ◽  
Health Providers
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