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Patel SR, Stefancic A, Bello I, Pagdon S, Montague E, Riefer M, Lyn J, Archard J, Rahim R, Cabassa LJ, Mathai CM, Dixon LB. "Everything Changed, Would You Like Me to Elaborate?": A Qualitative Examination of the Impact of the COVID-19 Pandemic on Community Participation Among Young Adults with Early Psychosis and Their Families. Community Ment Health J 2024; 60:27-36. [PMID: 36459285 PMCID: PMC9716164 DOI: 10.1007/s10597-022-01049-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 10/23/2022] [Indexed: 12/05/2022]
Abstract
OnTrackNY provides early intervention services to young people with early psychosis throughout New York State. This report describes the impact of the COVID-19 pandemic on community participation of OnTrackNY program participants and their families. Thirteen participants and nine family members participated in five focus groups and three individual semi-structured interviews. Data were analyzed using a summary template and matrix analysis approach. Major themes highlight the negative impacts of the pandemic with reports of decreased socializing or using online means to connect, unemployment, challenges with online learning and a decrease in civic engagement. Positive impacts include more time to deepen connections with family and valued friendships and engage in activities that promote wellness and goal attainment. Implications for coordinated specialty care programs include adapting services to promote mainstream community integration and creating new strategies for community involvement of young people within a new context brought forth by the pandemic.
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Affiliation(s)
- Sapana R Patel
- The New York State Psychiatric Institute, New York, NY, 10032, USA.
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA.
| | - Ana Stefancic
- The New York State Psychiatric Institute, New York, NY, 10032, USA
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA
| | - Iruma Bello
- The New York State Psychiatric Institute, New York, NY, 10032, USA
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA
| | - Shannon Pagdon
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Elaina Montague
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA
| | - Melody Riefer
- Center for Psychiatric Rehabilitation, Boston University, Boston, MA, 02215, USA
| | - Jamaitreya Lyn
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Joan Archard
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Reanne Rahim
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Leopoldo J Cabassa
- Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, 63130, USA
| | - Chacku M Mathai
- The New York State Psychiatric Institute, New York, NY, 10032, USA
| | - Lisa B Dixon
- The New York State Psychiatric Institute, New York, NY, 10032, USA
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, 10032, USA
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Lal S, Abdel-Baki A, Peredo R. Clinician perspectives on providing telepsychiatry services to young adults with first-episode psychosis during COVID-19. Early Interv Psychiatry 2023; 17:1189-1198. [PMID: 37057704 DOI: 10.1111/eip.13416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 02/28/2023] [Accepted: 03/28/2023] [Indexed: 04/15/2023]
Abstract
BACKGROUND Telepsychiatry has the potential to facilitate access to mental health services for young people with first-episode of psychosis (FEP); however, limited attention has been given regarding the perceptions of mental health providers in this regard. OBJECTIVE To assess service providers' perceptions on the use of telepsychiatry and changes over time. METHODS Longitudinal survey (conducted at two time points) of 26 service providers, including physicians, nurses, social workers, occupational therapists, and peer support workers, recruited from a specialized program for FEP providing telepsychiatry services through REACTS (videoconferencing platform). RESULTS Responses during the initial and the follow-up survey were similar. Most participants used REACTS nine times or more, with more than half reporting that sessions lasted more than 30 min. Over time, there was a trend towards higher frequency of use and lower duration of sessions. The majority perceived REACTS as safe and easy to use and indicated they would recommend REACTS to colleagues. Although participants reported some issues related to set-up and initial use, internet accessibility, and sound and image, most of these concerns decreased during follow-up. Participants appreciated the usability and utility of REACTS, and reported several benefits of telepsychiatry, including facilitating client engagement, assessment and continuity. CONCLUSIONS Service providers expressed positive perceptions regarding the use of telepsychiatry. Despite analysis being limited to a small sample, this study raises awareness of telepsychiatry's value and feasibility for offering services to young populations with FEP and the importance of conducting research on clinician perspectives in this regard.
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Affiliation(s)
- Shalini Lal
- School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, QC, Canada
- Youth Mental Health and Technology Lab, Innovation and Evaluation Hub, University of Montreal Hospital Research Centre (CRCHUM), Montreal, QC, Canada
- Douglas Research Centre, Montreal, QC, Canada
| | - Amal Abdel-Baki
- Youth Mental Health Service, Centre Hospitalier Université de Montréal (CHUM), Montreal, QC, Canada
- Axe Neurosciences, University of Montreal Hospital Research Centre (CRCHUM), Montreal, QC, Canada
- Department of Psychiatry, Université de Montréal, Montreal, QC, Canada
| | - Rossana Peredo
- School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, QC, Canada
- Youth Mental Health and Technology Lab, Innovation and Evaluation Hub, University of Montreal Hospital Research Centre (CRCHUM), Montreal, QC, Canada
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Schjøtt-Pedersen O, Seierstad A, Evensen S, Horgen Evensen J, Færden A, Lunde Gjerstad C, Fadler Martinsen F, Sørgård KM, Ullevoldsæter Lystad J. Lockdown during the early phase of Covid-19 - effects on specialized mental health services and vocational activities for patients with psychotic disorders. Nord J Psychiatry 2023; 77:760-767. [PMID: 37534458 DOI: 10.1080/08039488.2023.2240301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 07/17/2023] [Indexed: 08/04/2023]
Abstract
PURPOSE People with psychotic disorders may be particularly vulnerable to adverse effects from restrictions implemented to limit the COVID-19 pandemic. Mental health professionals may also be at risk of adverse effects. The aim of this study was to investigate the impact of potential changes in accessibility, quality of care and vocational activity on people with psychotic disorders and the impact on clinicians working in these conditions. MATERIALS AND METHODS Patients and clinicians in specialized mental health services for psychotic disorders answered questionnaires regarding changes in treatment, quality of treatment, vocational activity, and well-being. Data was analyzed with nonparametric tests. RESULTS Inpatients appeared more influenced by the restrictions than outpatients, however, quality of treatment was regarded relatively unaffected. Clinicians seemed satisfied working under these conditions, though a larger portion of clinicians reported changes in treatment compared to patients. The patients who reported being affected by changes in vocational activity tended to report negative effects, but the majority reported being unaffected. CONCLUSION Overall, patients and clinicians appeared to cope well with the changes they experienced in accessibility, quality of care and vocational activity during the early phases of the pandemic.
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Affiliation(s)
- Olivia Schjøtt-Pedersen
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Andreas Seierstad
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | - Stig Evensen
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
- Norwegian Labour and Welfare Administration, Nesodden, Norway
| | | | - Ann Færden
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | - Christer Lunde Gjerstad
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Norwegian Armed Forces Joint Medical Services, Institute of Military Psychiatry Oslo, Norway
| | | | - Kari Mette Sørgård
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | - June Ullevoldsæter Lystad
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
- Department of Psychology, University of Oslo, Oslo, Norway
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Tajan N, Devès M, Potier R. Tele-psychotherapy during the COVID-19 pandemic: a mini-review. Front Psychiatry 2023; 14:1060961. [PMID: 37476543 PMCID: PMC10354254 DOI: 10.3389/fpsyt.2023.1060961] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 06/14/2023] [Indexed: 07/22/2023] Open
Abstract
The COVID-19 pandemic has dramatically changed psychotherapy practices. Psychotherapy around the world has shifted from predominantly face-to-face settings to overwhelmingly online settings since the beginning of the pandemic. Many studies have been published on this topic, but there has been no review of the literature focused on the experience of psychotherapists. Our goal was to identify the challenging issues of teletherapy, including the efficiency of online consultations and the extent to which they are accepted by therapists and patients. A PubMed literature search using the [("Teletherapy" OR "Telebehavioral health" OR "telepsychotherapy") AND ("COVID-19")] search string retrieved 46 studies focused on mental health professionals, as detailed in a PRISMA flow diagram. Two reviewers independently screened the abstracts and excluded those that were outside the scope of the review. The selection of articles kept for review was discussed by all three authors. Overall, the review contributes to the description and evaluation of tele mental health services, including teletherapy, online counseling, digital mental health tools, and remote monitoring.
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Affiliation(s)
- Nicolas Tajan
- Laboratory of Psychopathology and Psychoanalysis, Graduate School of Human and Environmental Studies, Kyoto University, Kyoto, Japan
| | - Maud Devès
- Institut de Physique du Globe de Paris, CNRS, Université Paris Cité, Paris, France
- Centre de Recherche Psychanalyse Médecine et Société, CNRS, Université Paris Cité, Paris, France
| | - Rémy Potier
- Centre de Recherche en Psychopathologie et Psychologie Clinique, Institut de Psychologie, Université Lumière Lyon 2, Lyon, France
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