Community mental health staff's perspectives on telehealth for Veterans with serious mental illness during the COVID-19 pandemic

Abstract: The COVID-19 pandemic increased tele-mental health use for those with serious mental illnesses (SMI), posing challenges to Veterans and staff. To understand reactions to this transition, a multiple methods project assessed staff reactions to the VA Connecticut's transition to tele-mental health. Staff (N = 23) from two VHA community-based programs for SMI were interviewed about their own and Veterans' reactions to the transition. Participants completed 16 Likert-type and 5 open-ended questions in virtual interviews. Quantitative responses were described with frequencies and analyzed using Welch's two-sided t-test. Qualitative responses were thematically analyzed. Most participants understood how to use video modalities (82.6%), encouraged Veterans to use them (72.7%), and did not have security concerns (73.9%). A majority believed Veterans trusted video modalities (60.9%) but have difficulty using them (65.2%). Qualitative themes included: technological and logistical issues, attitudes toward telehealth, and knowledge and training. Despite telehealth-based treatment for Veterans with SMI presenting with some barriers (e.g., available technology, familiarity with telehealth platforms, troubleshooting), participants reported that they and their Veteran clients are accepting of this modality and that it may provide access to care for those who have been unable to access traditional community-based psychosocial rehabilitation services for SMI.

Read the full article
Report a problem with this article

Related articles

  • More for Researchers

    Qualitative analysis of the lived experience of reproductive and pediatric health care in the military health care system

    Abstract: Introduction: Persistent inequities exist in obstetric and neonatal outcomes in military families despite universal health care coverage. Though the exact underlying cause has not been identified, social determinants of health may uniquely impact military families. The purpose of this study was to qualitatively investigate the potential impact of social determinants of health and the lived experiences of military individuals seeking maternity care in the Military Health System. Materials and methods: This was an Institutional Review Board-approved protocol. Nine providers conducted 31 semi-structured interviews with individuals who delivered within the last 5 years in the direct or purchased care market. Participants were recruited through social media blasts and clinic flyers with both maximum variation and homogenous sampling to ensure participation of diverse individuals. Data were coded and themes were identified using inductive qualitative research methods. Results: Three main themes were identified: Requirements of Military Life (with subthemes of pregnancy notification and privacy during care, role of pregnancy instructions and policies, and role of command support), Sociocultural Aspects of the Military Experience (with subthemes of pregnancy as a burden on colleagues and a career detractor, postpartum adjustment, balancing personal and professional requirements, pregnancy timing and parenting challenges, and importance of friendship and camaraderie in pregnancy), and Navigating the Healthcare Experience (including subthemes of transfer between military and civilian care and TRICARE challenges, perception of military care as inferior to civilian, and remote duty stations and international care). Conclusions: The unique stressors of military life act synergistically with the existing health care challenges, presenting opportunities for improvements in care. Such opportunities may include increased consistency of policies across services and commands. Increased access to group prenatal care and support groups, and increased assistance with navigating the health care system to improve care transitions were frequently requested changes by participants.