School-Based Tele-Behavioral Health: A Scoping Review of the Literature

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of School Health Pub Date : 2024-01-23 DOI:10.1111/josh.13435

Nathaniel A. Sowa MD, PhD, Katie Gaffney MD, Amanda Sanders MD, Caroline Murrell MD

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Abstract

BACKGROUND

Telehealth utilization exploded during the COVID-19 pandemic, including within school-based health programs. School-based tele-behavioral health can help programs overcome barriers of access to care, but the current state and effectiveness of such programs are unknown.

METHODS

A scoping literature review was conducted. Studies were included if they described in-school behavioral health services delivered via telehealth for children ages 5 to 18. From the included studies, population, location, setting, intervention, telehealth modality, clinician type, and outcomes assessed were extracted.

FINDINGS

Eighteen studies met inclusion criteria. All described psychotherapy or medication management delivered by psychologists (n = 7) and/or psychiatrists (n = 11). Treatment included psychotherapy (N = 8), psychiatric consultation (N = 7), medication management (N = 4), crisis stabilization (N = 1), and caregiver education (N = 1). Eight studies provide qualitative or quantitative outcomes, with 4 examining clinical effectiveness.

CONCLUSIONS

Despite limited findings in the literature, school-based tele-behavioral health is feasible, effective, and acceptable for delivery of behavioral health care to children and adolescents.

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校本远程行为健康：文献综述。

背景：在 COVID-19 大流行期间，远程保健的使用率呈爆炸式增长，包括在以学校为基础的保健计划中。校本远程行为健康可帮助项目克服获得医疗服务的障碍，但此类项目的现状和有效性尚不清楚：方法：对文献进行了范围界定。如果研究描述了通过远程医疗为 5 至 18 岁儿童提供校内行为健康服务，则将其纳入研究范围。研究结果：18 项研究符合纳入标准：18项研究符合纳入标准。所有研究都描述了由心理学家（7 项）和/或精神科医生（11 项）提供的心理治疗或药物管理。治疗方法包括心理治疗（8 项）、精神科咨询（7 项）、药物管理（4 项）、危机稳定（1 项）和照顾者教育（1 项）。八项研究提供了定性或定量结果，其中四项研究考察了临床效果：尽管文献研究结果有限，但校本远程行为健康在为儿童和青少年提供行为健康护理方面是可行、有效和可接受的。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.