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Impact of COVID-19-Related Social Distancing on Delivery of Intensive Case Management.
J Nerv Ment Dis ; 209(8): 543-546, 2021 08 01.
Article in English | MEDLINE | ID: covidwho-1234178
Semantic information from SemMedBD (by NLM)
1. Serious mental illness PROCESS_OF Adult
Subject
Serious mental illness
Predicate
PROCESS_OF
Object
Adult
2. COVID-19 CAUSES Physical Distancing
Subject
COVID-19
Predicate
CAUSES
Object
Physical Distancing
3. Serious mental illness PROCESS_OF Adult
Subject
Serious mental illness
Predicate
PROCESS_OF
Object
Adult
4. COVID-19 CAUSES Physical Distancing
Subject
COVID-19
Predicate
CAUSES
Object
Physical Distancing
ABSTRACT
ABSTRACT Social distancing due to COVID-19 may adversely impact treatment of adults with serious mental illness, especially those receiving intensive forms of community-based care, in part through weakening of the therapeutic alliance. Veterans and staff at a Veterans Affair (VA) medical center were surveyed 3 months after social distancing disrupted usual service delivery in intensive community-based treatment programs. Veterans (n = 105) and staff (n = 112) gave similar multi-item ratings of service delivery after social distancing, which involved far less face-to-face contact and more telephone contact than usual and rated their therapeutic alliances and clinical status similarly as "not as good" on average than before social distancing. Self-reported decline in therapeutic alliance was associated with parallel decline in clinical status indicators. Both veterans and staff indicated clear preference for return to face-to-face service delivery after the pandemic with some telehealth included.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Attitude of Health Personnel / Telemedicine / Community Mental Health Services / Case Management / Delivery of Health Care / Patient Preference / Therapeutic Alliance / Physical Distancing / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Nerv Ment Dis Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Attitude of Health Personnel / Telemedicine / Community Mental Health Services / Case Management / Delivery of Health Care / Patient Preference / Therapeutic Alliance / Physical Distancing / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: J Nerv Ment Dis Year: 2021 Document Type: Article