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Service delivery
Published in Trudy Stewart, Stammering Resources for Adults and Teenagers, 2020
A systematic review of speech and language therapy delivered via telehealth found that 85% of 103 studies showed some advantages (Regina Molini-Avejonas et al. 2015). While more robust evidence will be required over time, early indications suggest that there is no evidence of significant negative impact on outcomes using remote therapy. Telehealth has a variety of operating systems, from phones (landlines and mobiles) and household computers to “highly expensive, fully immersive virtual reality systems with haptic interfaces” (Theodoros and Russell 2008, p. 131).
Cardiorespiratory and skeletal muscle damage due to COVID-19: making the urgent case for rehabilitation
Published in Expert Review of Respiratory Medicine, 2021
Rebeca Nunes Silva, Cássia Da Luz Goulart, Murilo Rezende Oliveira, Guilherme Yassuyuki Tacao, Guilherme Dionir Back, Richard Severin, Mark A. Faghy, Ross Arena, Audrey Borghi-Silva
In terms of patient assessment, Finkelstein et al [132]. developed a pilot study with the aim of presenting approaches for a remote assessment of exercise capacity through an interactive platform. The authors developed a personalized remote physiotherapeutic assessment system for an exercise program, which can be adapted according to the level of functional capacity of each patient, including gait and balance limitations. The system consists of a: 1) personal computer with Zoom for the physical therapist; 2) personal computer with Zoom for the patient; and 3) wrist oximeter and arm bike for the patient. The physical therapist will be able to give the instructions and monitor the patient’s condition during remote therapy. In this pilot study, the authors collected data from 15 reports of 15 different patients. Regarding the usability of remote exercise evaluation, the results revealed high general acceptance by all patients, affirming the potential benefits of patient-centered digital health. Moving forward, the authors intend to develop an interface analyzing different subgroups of patients with different socioeconomic backgrounds, different age groups, computer skills, literacy and numeracy.
A health crisis within a health crisis: Opioid access in the COVID-19 pandemic
Published in Substance Abuse, 2021
Aditya Narayan, Rajesh Balkrishnan
Besides medication access, psychosocial support must be discussed in the conversation on MOUD. Maintaining social solidarity, which is often a significant factor to creating a recovery-oriented culture in treatment settings, is an understudied challenge during this pandemic. In addition, the type of behavioral therapy as well as the frequency with which it is provided vary by clinical setting and thus creating blanket guidelines around remote therapy remains an issue.15 However, the benefits of both a therapeutic community, as well as behavioral approaches specifically tailored to the patient, cannot be understated from a medical standpoint.16–18 AA, NA, and other groups have established remote support for members with sponsor systems as well as readily accessible counseling. Clinics and providers would do well to learn from this infrastructure and integrate these methods into care. Peer recovery specialists, who may offer lived experience in recovery, may also be leveraged to engage in such community building efforts. Qualitative research supports peer’s desire to integrate into mHealth and remote therapeutics, though issues arise due to poor reimbursement rates for peer services. The authors suggest that further steps be taken to study peer implementation and increased financial incentives be offered to peers to encourage such work.19
The impact of the early phase of the COVID-19 pandemic on mental-health services in Europe
Published in The World Journal of Biological Psychiatry, 2021
Johannes Thome, Jocelyn Deloyer, Andrew N. Coogan, Deborah Bailey-Rodriguez, Odete A. B. da Cruz e Silva, Frank Faltraco, Cathleen Grima, Snaebjorn Omar Gudjonsson, Cecile Hanon, Martin Hollý, Jo Joosten, Ingegerd Karlsson, Gabriela Kelemen, Maria Korman, Krzysztof Krysta, Boleslav Lichterman, Konstantin Loganovsky, Donatella Marazziti, Margarita Maraitou, Serge Mertens deWilmars, Merja Reunamen, Shyhrete Rexhaj, Muhammet Sancaktar, Javier Sempere, Isabelle Tournier, Emilie Weynant, Christiaan Vis, Marie-Clotilde Lebas, Laurence Fond-Harmant
Regarding the support needed to face this increased demand on mental-health services, the respondents answered in a surprisingly uniform way, with adequate PPE and psychological support identified as primary requirements (18 out of 23 experts reported that mental health workers were not adequately protected against infection). Further, provision of digital equipment for remote therapy was identified as an urgent need. Better organisational structure and leadership were mentioned several times. Lack of resources was a general worry as was the need for treatment schemes for psychiatric patients who had been diagnosed with COVID-19. Experts in general feared that psychiatry would continue to be ‘sidelined’ as an unintended consequence of the focus on public health and virology.