"“My attitude on telehealth has completely changed.”: Facilitators and " by Suzanne Meller, Justin Tauscher et al.
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Abstract

The purpose of this study was to explore facilitators and barriers aiding community mental health centers in implementing technology-assisted care during the COVID-19 pandemic. Six key informants were interviewed and 28 clinicians were surveyed from three community mental health centers. Interviews focused on technology-assisted care implementation efforts and factors that facilitated adoption. Surveys focused on clinician beliefs and experience with technology-assisted care in addition to training needs. Barriers to technology-assisted care implementation included beliefs about the quality of virtual services and a lack of technology access. An increase in service utilization was reported. Technology-assisted care facilitators included reimbursement policy changes and clinic-based factors such as clinician training and supervision efforts. Clinicians reported having the skills necessary to implement technology-assisted care however endorsed a need for training. Implementation of technology-assisted care in community mental health centers was largely successful however support is needed to help clinicians adapt services to client needs.

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