Supporting Children with Disabilities Lessons from the Pandemic: Proceedings of a Workshop (2022) / Chapter Skim
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2 Telehealth in Hospital and Outpatient Settings
2 Telehealth in Hospital and Outpatient Settings
Pages 9-18
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From page 9... ...
There were a number of benefits related to this shift, she said. The telehealth version of their intensive outpatient program for emotional dysregulation had high acceptance among family members, and the virtual format enabled the program to recruit autistic youth across the country.
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From page 10... ...
Early evidence shows a concordance of 80 to 95 percent between in-person and remote approaches, and conducting assessment virtually allows providers to see children and youth in their natural environment without the added stress and discomfort of a new clinical environment. Based on this early success, Shaffer said that it is time to identify the best candidates for remote diagnosis, and to develop collaborative models of diagnosis that involve pediatricians and other providers.
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From page 11... ...
For example, PsyPACT1 is a licensing certificate that allows providers to cross state lines to provide care via telehealth. More research is needed in order to study care delivered via telehealth, said Shaffer; she identified several research gaps: 1 https://psypact.site-ym.com/
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From page 12... ...
. The Bower Lyman Center includes four collaborating programs, and the goal is to provide comprehensive medical home services including nurse and social work care coordination, referral coordination, transition to adulthood counseling, Medical Legal Partnership services, integrated mental health services, and palliative care services.
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From page 13... ...
In a care coordination visit, the patient meets with a nurse and/or social worker in order to identify and address needs such as financial challenges or accessing durable medical equipment. The community partner collaborative visits were virtual meetings between Bower Lyman Center's staff, patients, and community partners in order to ensure that referrals to partner services went smoothly.
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From page 14... ...
Telehealth can replace some in-person visits without decreasing visit quality, and it is easy for multiple family and team members to join visits. Further, families reported feeling more connected to their providers when meeting virtually.
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From page 15... ...
The organization received an award from the federal government as part of an effort to navigate the rapid influx of telehealth, to identify barriers and promising practices, to build partnerships, and to develop strategies for supporting communities, families, and professionals. Through this work, said Ware, a number of strategies were identi fied to help families overcome barriers to healthcare, and Family Voices developed materials and resources to further these strategies.
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From page 16... ...
These include: using data sources to understand the demographics of the population; u sing postal mail, radio, and announcements in local newspapers; creating partnerships with community leaders, cultural liaisons, and community services; and cocreating telehealth materials with community partners to ensure they are culturally and linguistically appropriate. DISCUSSION Tassé moderated a discussion session with the panelists, asking his own questions as well as those from workshop participants.
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From page 17... ...
• Ware: It is critical to partner with families to understand what their needs are, and what supports they may need to engage effectively within telehealth visits. • Stille: Sustaining telehealth options will be a state-by-state pro cess, and stakeholders in each state -- including Medicaid directors, health officials, and licensing agencies -- must pay attention to what is needed for the people in their state to get the telehealth services they need.
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