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10.1097/NMD.0000000000001358

http://scihub22266oqcxt.onion/10.1097/NMD.0000000000001358
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34009864!ä!34009864

suck abstract from ncbi


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pmid34009864      J+Nerv+Ment+Dis 2021 ; 209 (8): 543-546
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  • Impact of COVID-19-Related Social Distancing on Delivery of Intensive Case Management #MMPMID34009864
  • Rosenheck R; Johnson B; Deegan D; Stefanovics E
  • J Nerv Ment Dis 2021[Aug]; 209 (8): 543-546 PMID34009864show ga
  • Social distancing due to COVID-19 may adversely impact treatment of adults with serious mental illness, especially those receiving intensive forms of community-based care, in part through weakening of the therapeutic alliance. Veterans and staff at a Veterans Affair (VA) medical center were surveyed 3 months after social distancing disrupted usual service delivery in intensive community-based treatment programs. Veterans (n = 105) and staff (n = 112) gave similar multi-item ratings of service delivery after social distancing, which involved far less face-to-face contact and more telephone contact than usual and rated their therapeutic alliances and clinical status similarly as "not as good" on average than before social distancing. Self-reported decline in therapeutic alliance was associated with parallel decline in clinical status indicators. Both veterans and staff indicated clear preference for return to face-to-face service delivery after the pandemic with some telehealth included.
  • |*Attitude of Health Personnel[MESH]
  • |*COVID-19/prevention & control[MESH]
  • |*Patient Preference[MESH]
  • |*Physical Distancing[MESH]
  • |*Therapeutic Alliance[MESH]
  • |Adult[MESH]
  • |Case Management/*standards[MESH]
  • |Community Mental Health Services/*standards[MESH]
  • |Delivery of Health Care/*standards[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Telemedicine/*standards[MESH]
  • |United States[MESH]
  • |United States Department of Veterans Affairs[MESH]


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