An international survey examining the impact of the COVID-19 pandemic on telehealth use among mental health professionals
Open accessAbstract
BACKGROUND: COVID-19 has profoundly affected the work of mental health professionals with many transitioning to telehealth to comply with public health measures. This large international study examined the impact of the pandemic on mental health clinicians' telehealth use. METHODS: This survey study was conducted with mental health professionals, primarily psychiatrists and psychologists, registered with WHO's Global Clinical Practice Network (GCPN). 1206 clinicians from 100 countries completed the telehealth section of the online survey in one of six languages between June 4 and July 7, 2020. Participants were asked about their use, training (i.e., aspects of telehealth addressed), perceptions, and concerns. OUTCOMES: Since the pandemic onset, 1092 (90.5%) clinicians reported to have started or increased their telehealth services. Telephone and videoconferencing were the most common modalities. 592 (49.1%) participants indicated that they had not received any training. Clinicians with no training or training that only addressed a single aspect of telehealth practice were more likely to perceive their services as somewhat ineffective than those with training that addressed two or more aspects. Most clinicians indicated positive perceptions of effectiveness and patient satisfaction. Quality of care compared to in-person services and technical issues were the most common concerns. Findings varied by WHO region, country income level, and profession. INTERPRETATION: Findings suggest a global practice change with providers perceiving telehealth as a viable option for mental health care. Increasing local training opportunities and efforts to address clinical and technological concerns is important for meeting ongoing demands.
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A large international survey found that most mental health clinicians during the pandemic worried about technical problems, care quality, and crisis response.
“A large international survey found the majority of mental health clinicians during the pandemic were concerned with technical issues, quality of care, and responding to crises (Montoya et al., 2022).”
From Overcoming Clinician Technophobia: What We Learned from Our Mass Exposure to Telehealth During the COVID-19 Pandemic (2022) · cites this paper as Montoya et al., 2022
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- Authors
- Montoya, M. I., Kogan, C. S., Rebello, T. J., Sadowska, K., Garcia-Pacheco, J. A., Khoury, B., Kulygina, M., Matsumoto, C., Robles, R., Huang, J., Andrews, H. F., Ayuso-Mateos, J. L., Denny, K., Gaebel, W., Gureje, O., Kanba, S., Maré, K., Medina-Mora, M. E., Pike, K. M., Roberts, M. C., Sharan, P., Stein, D. J., Scott Stroup, T., Zhao, M., & Reed, G. M.
- Affiliations
- University of Ottawa (CA)
- New York State Psychiatric Institute (US)
- Columbia University (US)
- American University of Beirut Medical Center (LB)
- The Japanese Society of Psychiatry and Neurology (JP)
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (MX)
- Shanghai Jiao Tong University (CN)
- Columbia University Irving Medical Center (US)
- Carleton University (CA)
- University of Ibadan (NG)
- Kyushu University (JP)
- University of Cape Town (ZA)
- University of Kansas (US)
- All India Institute of Medical Sciences (IN)
- South African Medical Research Council (ZA)
- Corresponding author
- Kogan, Cary S.
- ORCID
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2022-04
- Volume
- 148
- Pages
- 188-196
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC8799380
- OpenAlex
- W4210801987
- Cited by
- 46
- References
- 38
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 10 · 2023: 12 · 2022: 11
- FWCI
- 9.05
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Psychiatric Research (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Biblos-e Archivo (Universidad Autónoma de Madrid) (submittedVersion, public-domain)
- Hispana (submittedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- COVID-19 pandemic, telemedicine, mental health professionals, psychiatrists, psychologists, telehealth education, telehealth effectiveness, patient satisfaction, quality of care, videoconferencing, telephone counseling, cross-national comparison
- MeSH terms
- COVID-19, Health Personnel, Humans, Mental Health, Telemedicine, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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