VA Community Mental Health Service Providers’ Utilization of and Attitudes Toward Telemental Health Care: The Gatekeeper's Perspective: CBOCs and Telemental Health Care
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CONTEXT: Mental health (MH) providers in community-based outpatient clinics (CBOCs) are important stakeholders in the development of the Veterans Health Administration (VA) telemental health (TMH) system, but their perceptions of these technologies have not been systematically examined. PURPOSE: The purpose of this study was to investigate the attitudes of CBOC providers about TMH services, current utilization of these technologies in their clinics, and sources of knowledge regarding TMH. METHOD: The study employed a mixed-methods design to examine aspects of TMH in CBOCs located in a VA network in the south-central United States. Semistructured, on-site group interviews conducted with 86 CBOC MH providers were followed by in-depth phone surveys with an MH provider identified as a key informant at each of 36 CBOCs in the VA network. FINDINGS: The utilization of TMH services varied widely between CBOCs, and the scope of services provided typically focused on delivery of medication management, with little provision of psychological services. Further, several important barriers to expanded use of TMH were identified, including limited education and training and shortage of dedicated space for TMH encounters. CONCLUSIONS: General attitudes toward TMH were positive, and most CBOC providers indicated that they would like to expand use of TMH in their clinics.
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Some providers prefer personal experience, colleagues, meetings, and presentations over formal didactic training, and some prefer face-to-face workshops to telehealth.
“Some providers prefer personal experience, colleagues, meetings, and presentations to learn new skills over formal didactic training,53 and some prioritize face-to-face workshops over telehealth delivery.54”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [53]
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- Authors
- Jameson, J. P., Farmer, M. S., Head, K. J., Fortney, J., & Teal, C. R.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Central Arkansas Veterans Healthcare System (US)
- Appalachian State University (US)
- Baylor College of Medicine (US)
- Venue
- The Journal of Rural Health
- Publisher
- Wiley
- Published
- 2011-03-01
- Volume
- 27
- Issue
- 4
- Pages
- 425-432
- ISSN
- 0890-765X (ISSN-L)
- OpenAlex
- W1511391186
- Cited by
- 53
- References
- 24
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 2 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- green
- libres.uncg.edu
- Locations
- The Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
- Figshare (submittedVersion)
- Appalachian State University
- 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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- telemental health, community mental health providers, Veterans Health Administration, community-based outpatient clinics, provider attitudes, technology use, barriers to telehealth, medication management, telehealth education, rural veterans
- MeSH terms
- Attitude of Health Personnel, Mental Disorders, Community Mental Health Services, Data Collection, Health Services Research, Humans, Interviews as Topic, Mental Health, Rural Population, United States, United States Department of Veterans Affairs, Veterans, Telemedicine, Gatekeeping
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