Rapid design and deployment of intensive outpatient, group-based psychiatric care using telehealth during coronavirus disease 2019 (COVID-19)
Open accessAbstract
COVID-19 has demanded unprecedented actions in the delivery of outpatient psychiatric services, including the rapid shift of services from in-person to telehealth in response to public health physical distancing guidelines. One such shift was to convert group-level intensive outpatient psychiatric (IOP) interventions to telehealth. Historically, telehealth in psychiatric care has been studied in provider-patient interactions, but has not been as well studied for group telehealth service delivery. During the COVID-19 outbreak, providing group-based interventions was important in order to care for high-risk individuals who needed structured psychotherapy group support. However, the delivery of services via telehealth led to special challenges that were unable to be fully accommodated by the preexisting telehealth infrastructure. Rapid feasibility testing and adoption of technology was needed to support IOP services to minimize infectious spread while delivering group services to high-risk psychiatric patients. This article describes the processes and workflows for service delivery and early results of telehealth for IOP services in 2 adolescent treatment programs. In addition, the article highlights early observations around safety and quality and the role of telehealth policy and payment.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
It took a comprehensive program 2 months to transition from 100% in-person service prepandemic (March) to 100% telehealth service after the start of the pandemic (May 2020).
“The study demonstrated that it took a comprehensive program 2 months to transition from 100% in-person service prepandemic (March) to 100% telehealth service after the start of the pandemic (May 2020), showing the feasibility of the deployment of mHealth tools in clinical settings and the smooth transition from physical to virtual health care access.”
From Understanding Mobile Health and Youth Mental Health: Scoping Review (2023) · cites this paper as [36]
Childs and colleagues illustrated the feasibility of a rapid transition to telemedicine services during the pandemic.
“Childs and colleagues [36] illustrated the feasibility of a rapid transition to telemedicine services during the pandemic.”
From Understanding Mobile Health and Youth Mental Health: Scoping Review (2023) · cites this paper as [36]
The first mobile service was available within a week, and subsequent treatment plans and adolescent ambulatory services were developed to reach IOP level.
“The first mobile service was available within a week, and subsequent treatment plans and adolescent ambulatory services were developed to reach IOP level.”
From Understanding Mobile Health and Youth Mental Health: Scoping Review (2023) · cites this paper as [36]
Yale New Haven Psychiatric Hospital decided to discontinue in-person IOP services within 3 business days of the WHO's pandemic declaration.
“Yale New Haven Psychiatric Hospital decided to discontinue in-person IOP services within 3 business days of the World Health Organization’s pandemic declaration [36].”
From Understanding Mobile Health and Youth Mental Health: Scoping Review (2023) · cites this paper as [36]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
WHO Declares COVID-19 a Pandemic.
Cucinotta, D., & Vanelli, M. (2020) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v91i1.9397 · Cited by 7,644 · see citing works
COVID-19 transforms health care through telemedicine: Evidence from the field
Mann, D. M., Chen, J., Chunara, R., Testa, P. A., & Nov, O. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa072 · Cited by 1,361 · see citing works
Dorsey, E. R., & Topol, E. J. (2016) · New England Journal of Medicine · doi:10.1056/nejmra1601705 · Cited by 1,211 · see citing works
Reeves, J. J., Hollandsworth, H. M., Torriani, F. J., Taplitz, R., Abeles, S., Tai-Seale, M., Millen, M., Clay, B. J., & Longhurst, C. A. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa037 · Cited by 429 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Understanding Mobile Health and Youth Mental Health: Scoping Review
Ding, X., Wuerth, K., Sakakibara, B., Schmidt, J., Parde, N., Holsti, L., & Barbic, S. (2023) · JMIR mHealth and uHealth · doi:10.2196/44951 · Cited by 30 · see citing works
Bean, C. A. L., Aurora, P., Maddox, C. J., Mekota, R., & Updegraff, A. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23374 · Cited by 28 · see citing works
- Authors
- Childs, A. W., Unger, A., & Li, L.
- Affiliations
- Yale New Haven Hospital (US)
- Corresponding author
- Childs, Amber W
- ORCID
- Childs, Amber W
- Venue
- Journal of the American Medical Informatics Association
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-08-02
- Volume
- 27
- Issue
- 9
- Pages
- 1420-1424
- ISSN
- 1067-5027 (ISSN-L)
- 1527-974X
- PMC
- PMC7454574
- OpenAlex
- W3042579182
- Cited by
- 41
- References
- 4
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 8 · 2022: 5 · 2021: 19 · 2020: 1
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Journal of the American Medical Informatics Association (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (UL1TR001863)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- telemedicine, group therapy, COVID-19 pandemic, telehealth infrastructure, telehealth policy, social distancing
- MeSH terms
- COVID-19, Adolescent, Ambulatory Care, Connecticut, Hospitals, Psychiatric, Humans, Pneumonia, Viral, Psychotherapy, Group, Quality of Health Care, Telemedicine, Coronavirus Infections, Electronic Health Records, 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 ›
Are you an author, or do you see a problem with this page? Request a review
