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Provision of Care by “Real World” Telemental Health Providers

Despite its effectiveness, limited research has examined the provision of telemental health (TMH) and how practices may vary according to treatment paradigm. We surveyed 276 community mental health providers registered with a commercial telemedicine platform. Most providers reported primarily offeri...

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Autores principales: Bunnell, Brian E., Kazantzis, Nikolaos, Paige, Samantha R., Barrera, Janelle, Thakkar, Rajvi N., Turner, Dylan, Welch, Brandon M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8138039/
https://www.ncbi.nlm.nih.gov/pubmed/34025519
http://dx.doi.org/10.3389/fpsyg.2021.653652
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author Bunnell, Brian E.
Kazantzis, Nikolaos
Paige, Samantha R.
Barrera, Janelle
Thakkar, Rajvi N.
Turner, Dylan
Welch, Brandon M.
author_facet Bunnell, Brian E.
Kazantzis, Nikolaos
Paige, Samantha R.
Barrera, Janelle
Thakkar, Rajvi N.
Turner, Dylan
Welch, Brandon M.
author_sort Bunnell, Brian E.
collection PubMed
description Despite its effectiveness, limited research has examined the provision of telemental health (TMH) and how practices may vary according to treatment paradigm. We surveyed 276 community mental health providers registered with a commercial telemedicine platform. Most providers reported primarily offering TMH services to adults with anxiety, depression, and trauma-and stressor-related disorders in individual therapy formats. Approximately 82% of TMH providers reported endorsing the use of Cognitive Behavioral Therapy (CBT) in their remote practice. The most commonly used in-session and between-session (i.e., homework) exercises included coping and emotion regulation, problem solving, mindfulness, interpersonal skills, relaxation, and modifying and addressing core beliefs. CBT TMH providers had a higher odds of using in-session and homework exercises and assigning them through postal mail, email or fax methods, as compared to non-CBT TMH providers. TMH providers, regardless of treatment paradigm, felt that assigning homework was neither easy nor difficult and they believed their patients were somewhat-to-moderately compliant to their assigned exercises. CBT TMH providers also collected clinical information from their patients more often than non-CBT TMH providers. They reported being less satisfied with their method, which was identified most often as paper-based surveys and forms. Overall, TMH providers employ evidence-based treatments to their patients remotely, with CBT TMH providers most likely to do so. Findings highlight the need for innovative solutions to improve how TMH providers that endorse following the CBT treatment paradigm remotely assign homework and collect clinical data to increase their satisfaction via telemedicine.
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spelling pubmed-81380392021-05-22 Provision of Care by “Real World” Telemental Health Providers Bunnell, Brian E. Kazantzis, Nikolaos Paige, Samantha R. Barrera, Janelle Thakkar, Rajvi N. Turner, Dylan Welch, Brandon M. Front Psychol Psychology Despite its effectiveness, limited research has examined the provision of telemental health (TMH) and how practices may vary according to treatment paradigm. We surveyed 276 community mental health providers registered with a commercial telemedicine platform. Most providers reported primarily offering TMH services to adults with anxiety, depression, and trauma-and stressor-related disorders in individual therapy formats. Approximately 82% of TMH providers reported endorsing the use of Cognitive Behavioral Therapy (CBT) in their remote practice. The most commonly used in-session and between-session (i.e., homework) exercises included coping and emotion regulation, problem solving, mindfulness, interpersonal skills, relaxation, and modifying and addressing core beliefs. CBT TMH providers had a higher odds of using in-session and homework exercises and assigning them through postal mail, email or fax methods, as compared to non-CBT TMH providers. TMH providers, regardless of treatment paradigm, felt that assigning homework was neither easy nor difficult and they believed their patients were somewhat-to-moderately compliant to their assigned exercises. CBT TMH providers also collected clinical information from their patients more often than non-CBT TMH providers. They reported being less satisfied with their method, which was identified most often as paper-based surveys and forms. Overall, TMH providers employ evidence-based treatments to their patients remotely, with CBT TMH providers most likely to do so. Findings highlight the need for innovative solutions to improve how TMH providers that endorse following the CBT treatment paradigm remotely assign homework and collect clinical data to increase their satisfaction via telemedicine. Frontiers Media S.A. 2021-05-07 /pmc/articles/PMC8138039/ /pubmed/34025519 http://dx.doi.org/10.3389/fpsyg.2021.653652 Text en Copyright © 2021 Bunnell, Kazantzis, Paige, Barrera, Thakkar, Turner and Welch. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Bunnell, Brian E.
Kazantzis, Nikolaos
Paige, Samantha R.
Barrera, Janelle
Thakkar, Rajvi N.
Turner, Dylan
Welch, Brandon M.
Provision of Care by “Real World” Telemental Health Providers
title Provision of Care by “Real World” Telemental Health Providers
title_full Provision of Care by “Real World” Telemental Health Providers
title_fullStr Provision of Care by “Real World” Telemental Health Providers
title_full_unstemmed Provision of Care by “Real World” Telemental Health Providers
title_short Provision of Care by “Real World” Telemental Health Providers
title_sort provision of care by “real world” telemental health providers
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8138039/
https://www.ncbi.nlm.nih.gov/pubmed/34025519
http://dx.doi.org/10.3389/fpsyg.2021.653652
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