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Improved Access to Behavioral Health Care for Patients in a Large New York City Behavioral Health Clinic by the Transition to Telemedicine

Reliford, Aaron; Zhang, Emily; Liu, Anni; Lanina, Olga; Williams, Sharifa Z; Sanichar, Navin; Khan, Shabana; Dapkins, Isaac; Frankle, William Gordon
OBJECTIVE/UNASSIGNED:To examine the transition to telemental health within the behavioral health program of a large federally qualified health center, The Family Health Centers at NYU Langone, in the 3 months following the onset of the COVID-19 pandemic-specifically impacts on show rates and access to care. METHODS/UNASSIGNED:Demographic and clinical information for all scheduled visits was collected for two time periods: the telemental health period, March 16, 2020-July 16, 2020 (46,878 visits, 5,183 patients), and a comparison period, March 15, 2019-July 16, 2019 (47,335 visits, 5,190 patients). Data collected included modality, appointments scheduled/completed/cancelled/no-showed, age, gender, race, language, and diagnosis. Generalized estimating equations with a compound symmetry correlation structure and logit link were used for analysis. RESULTS/UNASSIGNED:= 0.01), which was eliminated by implementation of telemental health. CONCLUSIONS/UNASSIGNED:This study supports the use telemental health to increase access for all patients, including those from under-represented, lower socioeconomic status backgrounds.
PMCID:12040568
PMID: 40308563
ISSN: 2692-4366
CID: 5834012

Telepsychiatry Current Practice and Implications for Future Trends: A 2023 American Psychiatric Association Member Survey

Worthen, Abigail; Torous, John; Khan, Shabana; Hammes, Noah; Rabinowitz, Terry
PMID: 39133114
ISSN: 1556-3669
CID: 5726732

Resource Document on Best Practices in Synchronous Videoconferencing-Based Telemental Health

Mishkind, Matt; Shore, Jay H; Barrett, Raymond; Caudill, Robert; Chiu, Alexander; Hilty, Don; Idigo, Olivia Boyce; Kaftarian, Edward; Khan, Shabana; Krupinski, Elizabeth A; Malik, Tania S; Thackaberry, Jessica; Torous, John; Yellowlees, Peter
PMID: 38054938
ISSN: 1556-3669
CID: 5595692

Patient and Clinician Satisfaction with the Early Implementation of Telemental Health Services in an Urban Behavioral Health Clinic During the COVID-19 Pandemic

Reliford, Aaron; Zhang, Emily; Lanina, Olga; Williams, Sharifa Z; Sanichar, Navin; Khan, Shabana; Dapkins, Isaac; Frankle, W Gordon
PMID: 36912813
ISSN: 1556-3669
CID: 5449312

The Provision and Utilization of Telehealth within Academic Mental Health Clinics in North America during the COVID-19 Pandemic

Oblath, Rachel; Twohy, Eileen; Higdon, Claudine; Duncan, Alison; Folk, Johanna B; Schiel, Marissa A; Grewal, Seena; Hawks, Jessica L; Martinez, William; Coble, Kelly; Edwards, Sarah; Goetz, Amy; Ramtekkar, Ujjwal; Kulkarni, Chetana A; Khan, Shabana; Doan, Bridget T; Nallapula, Kishan; Fornari, Victor; Fortuna, Lisa R; Myers, Kathleen
OBJECTIVE/UNASSIGNED:To document the experience of 14 academic child and adolescent psychiatry programs in transitioning to and managing telehealth services during the COVID-19 pandemic. The goal was to understand how programs adopted and sustained telehealth during the pandemic. Telehealth was defined as services delivered via videoconferencing and telephony. METHOD/UNASSIGNED:In this descriptive study, faculty from 14 programs completed online surveys about the use of both telehealth and in-person services from February 2020 to June 2021. Survey questions addressed telehealth practices (e.g., policies, support resources), monthly service utilization, telehealth modality (videoconferencing vs. telephony), and missed appointments. RESULTS/UNASSIGNED:Programs varied in the proportion of appointments delivered by telehealth prior to the pandemic (February 2020; 0-27%). By May 2020 all programs were providing a majority of visits via telehealth (64-100%). In June 2021, all programs continued to provide services via telehealth (41% to 100%) and reported that they would continue to do so moving forward. Programs addressed many challenges to telehealth provision during the study period, including adding interpreter services, technological support for providers and patients, and formalizing safety and training requirements. CONCLUSION/UNASSIGNED:Academic child and adolescent psychiatry programs provided outpatient services primarily via telehealth throughout the COVID-19 pandemic and reported that they planned to continue utilizing telehealth in combination with in-person services moving forward. Academic programs should therefore address logistical, technological, and financial barriers to the sustained use of telehealth.
PMCID:11364370
PMID: 39220686
ISSN: 2949-7329
CID: 5687602

Telepsychiatry

Chapter by: Khan, Shabana; Jain, Abhishek
in: Malpractice and Liability in Psychiatry by
[S.l.] : Springer International Publishing, 2022
pp. 241-248
ISBN: 9783030919740
CID: 5500152

The Transition of Academic Mental Health Clinics to Telehealth During the COVID-19 Pandemic

Folk, Johanna B; Schiel, Marissa A; Oblath, Rachel; Feuer, Vera; Sharma, Aditi; Khan, Shabana; Doan, Bridget; Kulkarni, Chetana; Ramtekkar, Ujjwal; Hawks, Jessica; Fornari, Victor; Fortuna, Lisa R; Myers, Kathleen
OBJECTIVE:A consortium of eight academic child and adolescent psychiatry programs in the United States and Canada examined their pivot from in-person, clinic-based services to home-based telehealth during the COVID-19 pandemic. The aims were to document the transition across diverse sites and present recommendations for future telehealth service planning. METHOD/METHODS:Consortium sites completed a Qualtrics survey assessing site characteristics, telehealth practices, service utilization, and barriers to and facilitators of telehealth service delivery prior to (pre) and during the early stages of (post) the COVID-19 pandemic. The design is descriptive. RESULTS:All sites pivoted from in-person services to home-based telehealth within two weeks. Some sites experienced delays in conducting new intakes and most experienced delays establishing tele-group therapy. No-show rates and utilization of telephony versus videoconferencing varied by site. Changes in telehealth practices (e.g., documentation requirements, safety protocols) and perceived barriers to telehealth service delivery (e.g., regulatory limitations, inability to bill) occurred pre/post-COVID-19. CONCLUSION/CONCLUSIONS:A rapid pivot from in-person services to home-based telehealth occurred at eight diverse academic programs in the context of a global crisis. To promote ongoing use of home-based telehealth during future crises and usual care, academic programs should continue documenting the successes and barriers to telehealth practice to promote equitable and sustainable telehealth service delivery in the future.
PMID: 34119633
ISSN: 1527-5418
CID: 4911162

The Impact of COVID-19 on Pediatric Telepsychiatry Training in Child and Adolescent Psychiatry Fellowships

DeJong, Sandra M; Brooks, Deborah; Khan, Shabana; Reaves, Samantha; Busch, Bianca; Alicata, Dan; Ramtekkar, Ujjwal; Vo, Lan Chi; Pruitt, David
OBJECTIVE:This report summarizes findings from a 2020 survey of US child and adolescent psychiatry training programs that explored the impact of the COVID-19 pandemic on pediatric telepsychiatry training. The authors hypothesized that telepsychiatry training significantly increased during the pandemic, in part due to legal and regulatory waivers during the COVID-19 public health emergency. METHODS:In August 2020, an anonymous, 28-question online survey was emailed to all (138) accredited child psychiatry fellowships on the Accreditation Council for Graduate Medical Education website. Forty-nine programs responded (36%). This analysis focuses on three of the 28 questions relevant to the hypotheses: characteristics of the program's training in telepsychiatry; perceived impediments to clinical training; and perceived impediments to didactic training pre-COVID onset vs. post-COVID onset, respectively. Total scores were created to investigate differences in training programs and impediments to including telepsychiatry pre- and post-COVID onset. Paired sample t-tests were used to compare means pre- and post-COVID onset. RESULTS:Results provided support for significant differences between training components related to telepsychiatry pre- and post-COVID onset, with participants reporting more training components post-COVID onset (M = 5.69) than pre-COVID onset (M = 1.80); t(48) = 9.33, p < .001. Participants also reported significantly fewer barriers to providing clinical experiences in pediatric telepsychiatry post-COVID onset (M = 2.65) than pre-COVID onset (M = 4.90); t(48) =  - 4.20, p < .001. CONCLUSIONS:During the COVID-19 pandemic, pediatric telepsychiatry training in child psychiatry fellowships increased significantly. Perceived barriers to providing clinical, but not didactic, training decreased significantly.
PMID: 34855156
ISSN: 1545-7230
CID: 5065792

A National Pediatric Telepsychiatry Curriculum for Graduate Medical Education and Continuing Medical Education

Khan, Shabana; Myers, Kathleen; Busch, Bianca; Brooks, Deborah; Alicata, Dan; Ramtekkar, Ujjwal; Vo, Lan Chi; DeJong, Sandra M
PMID: 34283939
ISSN: 1557-8992
CID: 5060902

An Expert Panel Discussion on the Current and Future State of Telepsychiatry for Children and Adolescents

Mitrani, Paul; Cain, Sharon; Khan, Shabana; Myers, Kathleen; Ramtekkar, Ujjwal; Roth, David
PMID: 33734905
ISSN: 1557-8992
CID: 4836112