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
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.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Attitude of Health Personnel
/
Telemedicine
/
Community Mental Health Services
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Case Management
/
Delivery of Health Care
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Patient Preference
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Therapeutic Alliance
/
Physical Distancing
/
COVID-19
Type of study:
Experimental Studies
/
Observational 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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