Evidence map›Paper›PMID 31996115›Full record

ArticlePsychiatric services (Washington, D.C.)2020

Use of Tele-Mental Health in Conjunction With In-Person Care: A Qualitative Exploration of Implementation Models.

Lori Uscher-Pines, Pushpa Raja, Nabeel Qureshi, Haiden A Huskamp, Alisa B Busch, Ateev Mehrotra

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Telemedicine Implementation for Safety Net Populations: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
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  15. Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Article
  16. Article
  17. Our Digital Moment: Innovations and Opportunities in Digital Mental Health Care.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Lori Uscher-PinesRAND Corporation, Arlington, Virginia (Uscher-Pines) and Santa Monica, California (Qureshi); U.S. Department of Veterans Affairs Greater Los Angeles Medical Center, Los Angeles (Raja, Mehrotra); Department of Health Care Policy, Harvard Medical School, Boston (Huskamp, Busch); McLean Hospital, Belmont, Massachusetts (Busch); Beth Israel Deaconess Medical Center, Boston (Mehrotra).
Pushpa RajaRAND Corporation, Arlington, Virginia (Uscher-Pines) and Santa Monica, California (Qureshi); U.S. Department of Veterans Affairs Greater Los Angeles Medical Center, Los Angeles (Raja, Mehrotra); Department of Health Care Policy, Harvard Medical School, Boston (Huskamp, Busch); McLean Hospital, Belmont, Massachusetts (Busch); Beth Israel Deaconess Medical Center, Boston (Mehrotra).
Nabeel QureshiRAND Corporation, Arlington, Virginia (Uscher-Pines) and Santa Monica, California (Qureshi); U.S. Department of Veterans Affairs Greater Los Angeles Medical Center, Los Angeles (Raja, Mehrotra); Department of Health Care Policy, Harvard Medical School, Boston (Huskamp, Busch); McLean Hospital, Belmont, Massachusetts (Busch); Beth Israel Deaconess Medical Center, Boston (Mehrotra).
Haiden A HuskampRAND Corporation, Arlington, Virginia (Uscher-Pines) and Santa Monica, California (Qureshi); U.S. Department of Veterans Affairs Greater Los Angeles Medical Center, Los Angeles (Raja, Mehrotra); Department of Health Care Policy, Harvard Medical School, Boston (Huskamp, Busch); McLean Hospital, Belmont, Massachusetts (Busch); Beth Israel Deaconess Medical Center, Boston (Mehrotra).
Alisa B BuschRAND Corporation, Arlington, Virginia (Uscher-Pines) and Santa Monica, California (Qureshi); U.S. Department of Veterans Affairs Greater Los Angeles Medical Center, Los Angeles (Raja, Mehrotra); Department of Health Care Policy, Harvard Medical School, Boston (Huskamp, Busch); McLean Hospital, Belmont, Massachusetts (Busch); Beth Israel Deaconess Medical Center, Boston (Mehrotra).
Ateev MehrotraRAND Corporation, Arlington, Virginia (Uscher-Pines) and Santa Monica, California (Qureshi); U.S. Department of Veterans Affairs Greater Los Angeles Medical Center, Los Angeles (Raja, Mehrotra); Department of Health Care Policy, Harvard Medical School, Boston (Huskamp, Busch); McLean Hospital, Belmont, Massachusetts (Busch); Beth Israel Deaconess Medical Center, Boston (Mehrotra).
Beth Israel Deaconess Medical Center · US

Funding

Use of Telemedicine in the Treatment of Mental IllnessR01MH112829 · NIMH · HARVARD MEDICAL SCHOOL · PI HUSKAMP, HAIDEN A., MEHROTRA, ATEEV · 2018 to 2025
$5.8M
NIMH NIH HHS R01 MH112829
6 · The paper itself

Abstract

objectiveAlthough use of tele-mental health services is growing, there is limited research on how tele-mental health is deployed. This project aimed to describe how health centers use tele-mental health in conjunction with in-person care.

methodsThe 2018 Substance Abuse and Mental Health Services Administration Behavioral Health Treatment Services Locator database was used to identify community mental health centers and federally qualified health centers with telehealth capabilities. Maximum diversity sampling was applied to recruit health center leaders to participate in semistructured interviews. Inductive and deductive approaches were used to develop site summaries, and a matrix analysis was conducted to identify and refine themes.

resultsTwenty health centers in 14 states participated. All health centers used telepsychiatry for diagnostic assessment and medication prescribing, and 10 also offered therapy via telehealth. Some health centers used their own staff to provide tele-mental health services, whereas others contracted with external providers. In most health centers, tele-mental health was used as an adjunct to in-person care. In choosing between tele-mental health and in-person care, health centers often considered patient preference, patient acuity, and insurance status or payer. Although most health centers planned to continue offering tele-mental health, participants noted drawbacks, including less patient engagement, challenges sharing information within the care team, and greater inefficiency.

conclusionsTele-mental health is generally used as an adjunct to in-person care. The results of this study can inform policy makers and clinicians regarding the various delivery models that incorporate tele-mental health.

Indexed as

Models, PsychologicalSubstance Abuse Treatment CentersAttitude of Health PersonnelHumansInterviews as TopicMental Health ServicesQualitative ResearchTelemedicineUnited StatesUnited States Substance Abuse and Mental Health Services Administrationcommunity mental health centersfederally qualified health centerssafety nettelehealthtelemedicinetele–mental health

Identifiers

PMID31996115
PMCPMC7271813
OpenAlexW3003720653

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.