2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Mitigating the COVID-19 related disruptions in mental health care
|
|
|
|
|
|
|
|
services is crucial in a time of increased mental health disorders.
|
|
|
|
|
|
|
|
Numerous reviews have been conducted on the process of implementing
|
|
|
|
|
|
|
|
technology-based mental health care during the pandemic. The research
|
|
|
|
|
|
|
|
question of this umbrella review was to examine what the impact of
|
|
|
|
|
|
|
|
COVID-19 was on access and delivery of mental health services and how
|
|
|
|
|
|
|
|
mental health services have changed during the pandemic. A systematic
|
|
|
|
|
|
|
|
search for systematic reviews and meta-analyses was conducted up to
|
|
|
|
|
|
|
|
August 12, 2022, and 38 systematic reviews were identified. Main
|
|
|
|
|
|
|
|
disruptions during COVID-19 were reduced access to outpatient mental
|
|
|
|
|
|
|
|
health care and reduced admissions and earlier discharge from inpatient
|
|
|
|
|
|
|
|
care. In response, synchronous telemental health tools such as
|
|
|
|
|
|
|
|
videoconferencing were used to provide remote care similar to pre-COVID
|
|
|
|
|
|
|
|
care, and to a lesser extent asynchronous virtual mental health tools
|
|
|
|
|
|
|
|
such as apps. Implementation of synchronous tools were facilitated by
|
|
|
|
|
|
|
|
time-efficiency and flexibility during the pandemic but there was a lack
|
|
|
|
|
|
|
|
of accessibility for specific vulnerable populations. Main barriers
|
|
|
|
|
|
|
|
among practitioners and patients to use digital mental health tools were
|
|
|
|
|
|
|
|
poor technological literacy, particularly when preexisting inequalities
|
|
|
|
|
|
|
|
existed, and beliefs about reduced therapeutic alliance particularly in
|
|
|
|
|
|
|
|
case of severe mental disorders. Absence of organizational support for
|
|
|
|
|
|
|
|
technological implementation of digital mental health interventions due
|
|
|
|
|
|
|
|
to inadequate IT infrastructure, lack of funding, as well as lack of
|
|
|
|
|
|
|
|
privacy and safety, challenged implementation during COVID-19. Reviews
|
|
|
|
|
|
|
|
were of low to moderate quality, covered heterogeneously designed
|
|
|
|
|
|
|
|
primary studies and lacked findings of implementation in low- and
|
|
|
|
|
|
|
|
middle-income countries. These gaps in the evidence were particularly
|
|
|
|
|
|
|
|
prevalent in studies conducted early in the pandemic. This umbrella
|
|
|
|
|
|
|
|
review shows that during the COVID-19 pandemic, practitioners and mental
|
|
|
|
|
|
|
|
health care institutions mainly used synchronous telemental health
|
|
|
|
|
|
|
|
tools, and to a lesser degree asynchronous tools to enable continued
|
|
|
|
|
|
|
|
access to mental health care for patients. Numerous barriers to these
|
|
|
|
|
|
|
|
tools were identified, and call for further improvements. In addition,
|
|
|
|
|
|
|
|
more high quality research into comparative effectiveness and working
|
|
|
|
|
|
|
|
mechanisms may improve scalability of mental health care in general and
|
|
|
|
|
|
|
|
in future infectious disease outbreaks.'
|
|
|
|
affiliation: 'Witteveen, AB (Corresponding Author), Vrije Univ Amsterdam, Amsterdam
|
|
|
|
Publ Hlth Inst, Clin Neuro \& Dev Psychol, Amsterdam, Netherlands.
|
|
|
|
|
|
|
|
Witteveen, AB (Corresponding Author), Vrije Univ Amsterdam, Amsterdam Publ Hlth
|
|
|
|
Inst, WHO Collaborating Ctr Res \& Disseminat Psychol In, Amsterdam, Netherlands.
|
|
|
|
|
|
|
|
Witteveen, A. B.; Young, S.; Cuijpers, P.; Franzoi, D.; Gasior, M.; Palantza, C.;
|
|
|
|
Wang, S.; Sijbrandij, M., Vrije Univ Amsterdam, Amsterdam Publ Hlth Inst, Clin Neuro
|
|
|
|
\& Dev Psychol, Amsterdam, Netherlands.
|
|
|
|
|
|
|
|
Witteveen, A. B.; Young, S.; Cuijpers, P.; Franzoi, D.; Gasior, M.; Palantza, C.;
|
|
|
|
Wang, S.; Sijbrandij, M., Vrije Univ Amsterdam, Amsterdam Publ Hlth Inst, WHO Collaborating
|
|
|
|
Ctr Res \& Disseminat Psychol In, Amsterdam, Netherlands.
|
|
|
|
|
|
|
|
Ayuso-Mateos, J. L., Hosp Univ La Princesa, Inst Invest Sanitaria Princesa IIS Princesa,
|
|
|
|
Dept Psychiat, Madrid, Spain.
|
|
|
|
|
|
|
|
Ayuso-Mateos, J. L.; Cabello, M., Univ Autonoma Madrid, Dept Psychiat, Madrid, Spain.
|
|
|
|
|
|
|
|
Ayuso-Mateos, J. L.; Cabello, M., CIBERSAM, Inst Salud Carlos III, Ctr Invest Biomed
|
|
|
|
Red Salud Mental, Madrid, Spain.
|
|
|
|
|
|
|
|
Barbui, C.; Bertolini, F.; Cadorin, C.; Purgato, M., Univ Verona, Sect Psychiat,
|
|
|
|
Dept Neurosci Biomed \& Movement Sci, WHO Collaborating Ctr Res \& Training Mental
|
|
|
|
Hlth, Verona, Italy.
|
|
|
|
|
|
|
|
John, A., Swansea Univ, Hlth Data Sci, Med Sch, Swansea, W Glam, Wales.
|
|
|
|
|
|
|
|
Downes, N.; Melchior, M.; Van der Waerden, J., Sorbonne Univ, Inst Pierre Louis
|
|
|
|
dEpidemiol \& Sante Publ IPLESP, Fac Med St Antoine, INSERM,Equipe Rech Epidemiol
|
|
|
|
Sociale ERES, Paris, France.
|
|
|
|
|
|
|
|
McDaid, D., London Sch Econ \& Polit Sci, Dept Hlth Policy, Care Policy \& Evaluat
|
|
|
|
Ctr, London, England.'
|
|
|
|
article-number: '104226'
|
|
|
|
author: Witteveen, A. B. and Young, S. and Cuijpers, P. and Ayuso-Mateos, J. L. and
|
|
|
|
Barbui, C. and Bertolini, F. and Cabello, M. and Cadorin, C. and Downes, N. and
|
|
|
|
Franzoi, D. and Gasior, M. and John, A. and Melchior, M. and McDaid, D. and Palantza,
|
|
|
|
C. and Purgato, M. and Van der Waerden, J. and Wang, S. and Sijbrandij, M.
|
|
|
|
author-email: a.b.witteveen@vu.nl
|
|
|
|
author_list:
|
|
|
|
- family: Witteveen
|
|
|
|
given: A. B.
|
|
|
|
- family: Young
|
|
|
|
given: S.
|
|
|
|
- family: Cuijpers
|
|
|
|
given: P.
|
|
|
|
- family: Ayuso-Mateos
|
|
|
|
given: J. L.
|
|
|
|
- family: Barbui
|
|
|
|
given: C.
|
|
|
|
- family: Bertolini
|
|
|
|
given: F.
|
|
|
|
- family: Cabello
|
|
|
|
given: M.
|
|
|
|
- family: Cadorin
|
|
|
|
given: C.
|
|
|
|
- family: Downes
|
|
|
|
given: N.
|
|
|
|
- family: Franzoi
|
|
|
|
given: D.
|
|
|
|
- family: Gasior
|
|
|
|
given: M.
|
|
|
|
- family: John
|
|
|
|
given: A.
|
|
|
|
- family: Melchior
|
|
|
|
given: M.
|
|
|
|
- family: McDaid
|
|
|
|
given: D.
|
|
|
|
- family: Palantza
|
|
|
|
given: C.
|
|
|
|
- family: Purgato
|
|
|
|
given: M.
|
|
|
|
- family: Van der Waerden
|
|
|
|
given: J.
|
|
|
|
- family: Wang
|
|
|
|
given: S.
|
|
|
|
- family: Sijbrandij
|
|
|
|
given: M.
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1016/j.brat.2022.104226
|
|
|
|
eissn: 1873-622X
|
|
|
|
files: []
|
|
|
|
issn: 0005-7967
|
|
|
|
journal: BEHAVIOUR RESEARCH AND THERAPY
|
|
|
|
keywords: 'COVID-19; Mental health service delivery; e-mental health psychological
|
|
|
|
|
|
|
|
interventions; Implementation; Scalability; Continuity of care'
|
|
|
|
keywords-plus: SYSTEMATIC REVIEWS; CORONAVIRUS; DISORDERS; SERVICES; PEOPLE; INCOME;
|
|
|
|
UK
|
|
|
|
language: English
|
|
|
|
month: DEC
|
|
|
|
number-of-cited-references: '94'
|
|
|
|
orcid-numbers: 'McDaid, David/0000-0003-0744-2664
|
|
|
|
|
|
|
|
Sijbrandij, Marit/0000-0001-5430-9810
|
|
|
|
|
|
|
|
Bertolini, Federico/0000-0003-0936-2908
|
|
|
|
|
|
|
|
Cabello, Maria/0000-0003-2362-6092
|
|
|
|
|
|
|
|
Cadorin, Camilla/0000-0002-7642-2096
|
|
|
|
|
|
|
|
Young, Susanne/0000-0001-5803-907X
|
|
|
|
|
|
|
|
van der Waerden, Judith/0000-0002-5324-1372
|
|
|
|
|
|
|
|
Witteveen, Anke/0000-0002-9636-7522
|
|
|
|
|
|
|
|
Cuijpers, Pim/0000-0001-5497-2743'
|
|
|
|
papis_id: be60bad31c76db257015cc069b8feb59
|
|
|
|
ref: Witteveen2022remotemental
|
|
|
|
researcherid-numbers: 'McDaid, David/E-5959-2014
|
|
|
|
|
|
|
|
Sijbrandij, Marit/N-6131-2018
|
|
|
|
|
|
|
|
'
|
|
|
|
tags:
|
|
|
|
- review
|
|
|
|
times-cited: '5'
|
|
|
|
title: 'Remote mental health care interventions during the COVID-19 pandemic: An umbrella
|
|
|
|
review'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:001043962500005
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
usage-count-since-2013: '4'
|
|
|
|
volume: '159'
|
|
|
|
web-of-science-categories: Psychology, Clinical
|
|
|
|
year: '2022'
|