Unit 14 Discussion – Telehealth Practice for ALL Patients

Unit 14 Discussion – Telehealth Practice for ALL Patients: What are your thoughts (supported by evidence) for the exclusive use of telehealth in psychiatric mental health care or for a balance between in-person and telehealth visits for all patients…

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Unit 14 Discussion – Telehealth Practice for ALL Patients

Instructions

It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed.

Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.

Classroom Participation

Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however, should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criteria inclusive of content, analysis, collaboration, writing, and APA. If you fail to post an initial discussion or the initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

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Discussion Prompt

• What are your thoughts (supported by evidence) for the exclusive use of telehealth in psychiatric mental health care or for a balance between in-person and telehealth visits for all patients?
• What have your experiences been in clinicals throughout your PMHNP program been in preparing you for the use of telehealth platforms?
• What is your intention of telehealth use once in active clinical practice as a PMHNP and why?

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

Discussion Peer/Participation Prompt

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

• Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
• References and citations should conform to APA standards.
• Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
• Plagiarism is never acceptable – give credit when credit is due – cite your sources.

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Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria. Collaboration points will be forfeited if you fail to meet the response post guidelines.

Solution

Unit 14 Discussion Telehealth Practice for All Patients

While the exclusive use of telehealth in psychiatric mental health care is essential, especially during and after the Covid 19 era, I feel there is a need to balance in-person and telehealth visits for all patients. According to Busch et al. (2021), as of October 2020, 41% of mental health and substance use disorder visits were conducted through telehealth. Additionally, up to 80% of patients receiving healthcare remotely were mental health patients (Reeves et al., 2021). The successful telehealth transition has helped improve access to mental healthcare, especially to patients who do not have geographical access to health providers qualified to address their conditions (Woolliscroft, 2020).

However, telehealth creates a digital division as some patients cannot access internet services while others encounter challenges to keep up with video visits (Reeves et al., 2021). In this regard, the elderly, ethnic minorities, and individuals living in poverty are often underserved, affecting the quality of health provided to these populations (Szobot, 2017). Therefore, it is best to balance in-person and telehealth visits for all patients. Specifically, mental health patients who are struggling with isolation suicidal thoughts and may cause harm to those around them need in-person visits for easier monitoring (Busch et al. 2021). A balance between these two forms of healthcare delivery will ensure equality between all patients.

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Nonetheless, my experience in clinicals has been effective in preparing me for the use of telehealth platforms. I have interacted with different systems to address the patients’ needs with the help of registered nurses in the facility. I have mainly used these systems to check on the patient’s progress, offer therapies and change medication to patients. Our facility uses these systems on patients with mild symptoms while requiring those with severe mental health issues to visit the facility (Woolliscroft, 2020). I aim at using the knowledge and skills learned during practice to offer mental health services to patients who cannot access qualified mental health services in their geographical regions. It will help provide quality care to these patients promoting their quality of life.

References

• Busch, A. B., Sugarman, D. E., Horvitz, L. E., & Greenfield, S. F. (2021). Telemedicine for treating mental health and substance use disorders: Reflections since the pandemic. Neuropsychopharmacology, 46(6), 1068-1070. https://doi.org/10.1038/s41386-021-00960-4
• Reeves, J. J., Ayers, J. W., & Longhurst, C. A. (2021). Telehealth in the COVID-19 era: A balancing act to avoid harm. Journal of Medical Internet Research, 23(2), e24785. https://doi.org/10.2196/24785
• Szobot, C. (2017). Treatment of substance use disorders. Treating and Preventing Adolescent Mental Health Disorders, 427-458. https://doi.org/10.1093/med-psych/9780199928163.003.0018
• Woolliscroft, J. O. (2020). Innovation in response to the COVID-19 pandemic crisis. Academic Medicine, 95(8), 1140-1142. https://doi.org/10.1097/acm.0000000000003402

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