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10.1093/tbm/ibaa072

http://scihub22266oqcxt.onion/10.1093/tbm/ibaa072
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32710626!7529096!32710626
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suck abstract from ncbi


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pmid32710626      Transl+Behav+Med 2020 ; 10 (4): 819-826
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  • COVID-19 Pandemic-Related Practices and Policies Affecting the Continuity of Behavioral Health Care Among Children With Diabetes #MMPMID32710626
  • Clary L; Wang C; Byrne ME; Monaghan M
  • Transl Behav Med 2020[Oct]; 10 (4): 819-826 PMID32710626show ga
  • COVID-19 has led to substantial challenges in continuing to deliver behavioral health care to all patients, including children with chronic diseases. In the case of diabetes, maintaining strong connections among children, their families, and their care team is essential to promote and sustain daily adherence to a complex medical regimen. The purpose of this paper is to describe COVID-19 pandemic-related practices and policies affecting the continuity of behavioral health care among children with diabetes. Challenges and opportunities were encountered at the provider, patient, and family levels throughout the rapid transition period from in-person to online care to ensure continuity of services. Institutional, regional, and national policies that impacted the care team's capacity to respond swiftly to patients' changing needs were counterbalanced by those related to standards of care, education and training, and resource constraints. At the policy level, COVID-19 re-exposed a number of long-standing and complicated issues about professional licensure among behavioral health providers at the local and state levels and national long-distance practice restrictions during times of crisis. Issues of insurance reimbursement and regulations intended to protect the public may need to adapt and evolve as the practice of behavioral medicine increasingly takes place remotely, online, and over great distances. The sudden transition to telehealth instigated by COVID-19, in addition to the increasing recognition of the benefits of telehealth to favorably affect the reach and impact of traditional behavioral medicine services, offers an unprecedented opportunity to reimagine the medical home and continuity of care for children with diabetes.
  • |*Community Mental Health Services/organization & administration/trends[MESH]
  • |*Coronavirus Infections/epidemiology/prevention & control/psychology[MESH]
  • |*Diabetes Mellitus/epidemiology/psychology/therapy[MESH]
  • |*Pandemics/prevention & control[MESH]
  • |*Pneumonia, Viral/epidemiology/prevention & control/psychology[MESH]
  • |*Self-Management/methods/trends[MESH]
  • |*Telemedicine/organization & administration/trends[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Child[MESH]
  • |Child Behavior[MESH]
  • |Communicable Disease Control/*methods[MESH]
  • |Humans[MESH]
  • |Needs Assessment[MESH]
  • |Organizational Innovation[MESH]
  • |Patient Care Management/organization & administration/trends[MESH]
  • |Policy Making[MESH]
  • |Psychosocial Support Systems[MESH]
  • |Risk Assessment[MESH]
  • |Risk Reduction Behavior[MESH]


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