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2 results

  • Use of Telehealth to Improve Access to Care at the United States Department of Veterans Affairs During the 2017 Atlantic Hurricane Season

  • Claudia Der-Martirosian, Karen Chu, Aram Dobalian
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 17 / 2023
    Published online by Cambridge University Press:
    13 April 2020, e6
    • Article
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  • Objectives:

    This brief report examines the shift from in-person care to US Department of Veterans Affairs (VA) telehealth services during 3 devastating hurricanes in 2017 (Harvey, Irma, and Maria).

    Methods:

    VA administrative data were used to analyze the number and percentage of telehealth services 30 d pre- and 30 d post- the 2017 hurricanes for 3 hurricane-impacted VA medical centers (VAMCs): Houston (Texas), Orlando (Florida), and San Juan (Puerto Rico).

    Results:

    All 3 VAMCs remained open during the hurricanes. For the Houston VAMC, during the first week post-Harvey, in-person patient visits decreased while telehealth visits increased substantially. Similarly, for the Orlando VAMC, during the 1-wk post-Irma, telehealth use increased substantially. For the San Juan VAMC, there were many interruptions in the use of telehealth due to many power outages, resulting in a modest increase in the use of telehealth post-Irma/Maria. The most commonly used telehealth services at Houston and Orlando VAMCs during the hurricanes were: primary care, triage, mental health, and home health.

    Conclusions:

    Telehealth has the potential to improve post-disaster access to and coordination of care. However, more information is needed to better understand how telehealth services can be used as a post-disaster health-care delivery tool, particularly for patients receiving care outside of systems such as VA.

  • 22 - Family therapy when a parent suffers from psychiatric disorder

  • from Part V - Child-sensitive therapeutic interventions
  • Edited by Michael Göpfert, Webb House Democratic Therapeutic Community, Crewe, Jeni Webster, 5 Boroughs Partnership, Warrington, Mary V. Seeman, University of Toronto
  • Book:
    Parental Psychiatric Disorder
    Published online:
    09 August 2009
    Print publication:
    13 May 2004, pp 306-322

  • Summary

    This chapter identifies the need to work with the family, the family to be worked with, the relevant approaches to treatment, and the goals of treatment. It has been shown that the ways in which a child construes the parent's illness can have a significant effect on the child's own psychological health. The chapter is concerned with the way to help the child and parents develop a more positive working understanding of the parent's illness. This includes helping the parents to re-establish some working authority, so that a more 'parental' voice of the parent can be heard, as illustrated in the examples of Irma and Chrysoulla. The chapter also includes reports of two initiatives which can very usefully and easily be implemented by any mental health service provider: The Mental Health Matters workshops, and the equivalent workshops for families with children.