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• W4304631559 abstract "ObjectivesExperiences in foster care represent a significant risk factor for the future development of psychopathology, which underscores the need for accessible mental health services. Further, the COVID-19 pandemic has spurred additional complications that interfere with treatment utilization, despite a growing need for support. Given the unique needs and experiences of youth in or adopted from foster care, this study compares mental health service utilization before and after the transition to telemental health to investigate if client engagement changed in the context of the COVID-19 pandemic.MethodsUsing electronic health records, the number of sessions, accumulated session time, and average length of sessions for mental health services were compared across equal time points before and after the transition to telemental health. The analytic sample included 56 clients between the ages of 2 and 22 years (M = 9.89; SD = 4.43). Comparisons were made based on demographics, including age, race, gender, diagnosis, and treatment modality.ResultsClients attended a greater number of therapy sessions (p < .01) and had more accumulated session time (p < .05) via telemental health compared to in-person sessions, and telemental health had shorter session length on average (p < .05). Overall, telemental health services were utilized at the same rate across most demographic groups. Female clients attended more total sessions and had more accumulated session time than males. Regarding psychiatric appointments and medication management, the level of engagement in-person maintained during the transition to telemental health.ConclusionsTelemental health can serve as a tool to maintain or increase client engagement for youth in or adopted from foster care who are receiving mental health services. Clients were more engaged in mental health services during telemental health compared to in-person, and they appeared to attend more sessions that were shorter in length. The ability for mental health clinics to embrace and adapt technology is critical for ensuring equitable access to care for all youth, especially for vulnerable populations that are at high risk for developing significant mental health problems.TVM, FOC ObjectivesExperiences in foster care represent a significant risk factor for the future development of psychopathology, which underscores the need for accessible mental health services. Further, the COVID-19 pandemic has spurred additional complications that interfere with treatment utilization, despite a growing need for support. Given the unique needs and experiences of youth in or adopted from foster care, this study compares mental health service utilization before and after the transition to telemental health to investigate if client engagement changed in the context of the COVID-19 pandemic. Experiences in foster care represent a significant risk factor for the future development of psychopathology, which underscores the need for accessible mental health services. Further, the COVID-19 pandemic has spurred additional complications that interfere with treatment utilization, despite a growing need for support. Given the unique needs and experiences of youth in or adopted from foster care, this study compares mental health service utilization before and after the transition to telemental health to investigate if client engagement changed in the context of the COVID-19 pandemic. MethodsUsing electronic health records, the number of sessions, accumulated session time, and average length of sessions for mental health services were compared across equal time points before and after the transition to telemental health. The analytic sample included 56 clients between the ages of 2 and 22 years (M = 9.89; SD = 4.43). Comparisons were made based on demographics, including age, race, gender, diagnosis, and treatment modality. Using electronic health records, the number of sessions, accumulated session time, and average length of sessions for mental health services were compared across equal time points before and after the transition to telemental health. The analytic sample included 56 clients between the ages of 2 and 22 years (M = 9.89; SD = 4.43). Comparisons were made based on demographics, including age, race, gender, diagnosis, and treatment modality. ResultsClients attended a greater number of therapy sessions (p < .01) and had more accumulated session time (p < .05) via telemental health compared to in-person sessions, and telemental health had shorter session length on average (p < .05). Overall, telemental health services were utilized at the same rate across most demographic groups. Female clients attended more total sessions and had more accumulated session time than males. Regarding psychiatric appointments and medication management, the level of engagement in-person maintained during the transition to telemental health. Clients attended a greater number of therapy sessions (p < .01) and had more accumulated session time (p < .05) via telemental health compared to in-person sessions, and telemental health had shorter session length on average (p < .05). Overall, telemental health services were utilized at the same rate across most demographic groups. Female clients attended more total sessions and had more accumulated session time than males. Regarding psychiatric appointments and medication management, the level of engagement in-person maintained during the transition to telemental health. ConclusionsTelemental health can serve as a tool to maintain or increase client engagement for youth in or adopted from foster care who are receiving mental health services. Clients were more engaged in mental health services during telemental health compared to in-person, and they appeared to attend more sessions that were shorter in length. The ability for mental health clinics to embrace and adapt technology is critical for ensuring equitable access to care for all youth, especially for vulnerable populations that are at high risk for developing significant mental health problems.TVM, FOC Telemental health can serve as a tool to maintain or increase client engagement for youth in or adopted from foster care who are receiving mental health services. Clients were more engaged in mental health services during telemental health compared to in-person, and they appeared to attend more sessions that were shorter in length. The ability for mental health clinics to embrace and adapt technology is critical for ensuring equitable access to care for all youth, especially for vulnerable populations that are at high risk for developing significant mental health problems." @default.
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• W4304631559 date "2022-10-01" @default.
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• W4304631559 title "36.4 An Examination of Electronic Health Records to Understand the Transition from In-Person to Telemental Health Services for Youth in or Adopted From Foster Care" @default.
• W4304631559 doi "https://doi.org/10.1016/j.jaac.2022.07.760" @default.
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