News

Telehealth addiction treatment rose rapidly during pandemic; but potential benefits still unclear

Telehealth addiction treatment rose rapidly during pandemic; but potential benefits still unclear
Science
During the COVID-19 pandemic, addiction treatment providers rapidly pivoted to providing services via telehealth. New research highlights the potential for telehealth delivery to increase patient engagement by improving access and convenience. However, it also finds limited evidence that telehealth results in better retention or other outcomes relative to in-person treatment. The research appears online today in Psychiatric Services a journal of the American Psychiatric Association, ahead of the organization s Mental Health Services Conference.

advertisement

Prior to the COVID-19 pandemic, only about 27% of specialty addiction facilities had telehealth capabilities and telehealth was used in about 0.1% of addiction treatment visits. Addiction treatment services faced many restrictions on telehealth use. During the pandemic, state and federal agencies temporarily eased many of the restrictions to maintain access to treatment and use of telehealth expanded rapidly. Policymakers are now considering which of these changes to keep.

Researchers from RTI International and UCLA -- University of California, Los Angeles reviewed studies of the efficacy of synchronous delivery of telehealth addiction treatment relative to in-person treatment. Eight published studies were identified that compared addiction treatment via telehealth with in-person treatment. Most of the studies were small (N < 150 patients). Seven found telehealth treatment as effective but not more effective in terms of retention, satisfaction with treatment, therapeutic alliance and substance use. One large Canadian study found better retention with telehealth methadone medication management.

The researchers also conducted an online survey of addiction treatment organizations in California and held interviews with addiction professionals and other stakeholders. Addiction professionals were most comfortable with using telehealth for one-to-one counseling. Survey respondents were almost equally split with about 46% saying telehealth individual counseling was equally or more effective than in-person and 45% saying telehealth was less effective. When considering use of telehealth for intake assessment, 40% said telehealth was equally or more effective while 49% said it was less effective. Telehealth group counseling had less support with 25% reporting it was equally or more effective than in person and 62% reporting it was less effective than in person.

Interview participants highlighted that telehealth reduces the time and cost to patients of participating in treatment and offers an opportunity for clinicians to observe patients home environment and engage patients families. On the other hand, many participants felt strongly that patients with substance use disorders need personal relationships and connectedness which are hard to establish virtually. Additionally, they noted that it is more difficult to sense how a patient is doing when meeting via telehealth and it can be challenging to keep patients focused online. Interviewees also noted that telehealth may work better for some patients and for some clinicians than for others.

"Telehealth health may allow patients to more easily begin and stay in addiction treatment, which has been a longstanding challenge," said Tami L. Mark, Ph.D., M.B.A., lead author on the paper. "However, research is needed to confirm this benefit. As providers pivot to hybrid telehealth models -- offering both telehealth and in-person treatment -- they need information to help target telehealth to the most appropriate services and patients."

"This research underscores the importance of offering telehealth for addiction treatment and the dramatic need to conduct more empirical work to test out the concerns regarding telehealth articulated by agency staff and on surveys," said Lisa Dixon, M.D., M.P.H., editor, Psychiatric Services.

Mark is senior fellow, Behavioral Health Financing and Quality Measurement at RTI International, an independent nonprofit research institute dedicated to improving the human condition. The study s coauthors include Katherine Treiman, Ph.D., M.P.H., Howard Padwa, Ph.D., Kristen Henretty, M.A., Janice Tzeng, M.P.H., and Marylou Gilbert, M.A., J.D.

Materials provided by American Psychiatric Association . Note: Content may be edited for style and length.

American Psychiatric Association. "Telehealth addiction treatment rose rapidly during pandemic; but potential benefits still unclear." ScienceDaily. ScienceDaily, 13 October 2021. .

American Psychiatric Association. "Telehealth addiction treatment rose rapidly during pandemic; but potential benefits still unclear." ScienceDaily. www.sciencedaily.com/releases/2021/10/211013131602.htm (accessed October 13, 2021).

advertisement

1

Mar. 23, 2021 — A study has found that telehealth consults among privately insured working-age patients accounted for almost 24 percent of outpatient consults with health care providers during the early phase of the ...

Sep. 1, 2020 — Expanded telehealth services at UT Southwestern have proved effective at safely delivering patient care during the pandemic, leading to an increase in patients even in specialties such as plastic ...

Dec. 3, 2018 — As retail outlets deliver health care services, including telehealth, physicians say more needs to be done to protect patient privacy, anticipate the capabilities of artificial intelligence and other ...
Read more on sciencedaily.com
News Topics :
RELATED STORIES :
Science
Expanded telehealth services at UT Southwestern have proved effective at safely delivering patient care during the pandemic, leading to an increase in patients even in specialties such as plastic surgery,...
Business
For many Canadians, the summer of ’21 is shaping up to be a season of celebration vaccinations are surging, COVID cases are dropping and provinces and territories are ramping up...
Science
Overcoming the nation s opioid epidemic will require clinicians to look beyond opioids, new research from Oregon Health & Science University suggests. advertisement The study reveals that among patients who...
Technology
As covid 19 has taken over the US, medical providers have looked for any possible way to keep people home and out of hospitals without compromising care. We’re only now coming...
Science
Using a remotely delivered, algorithm driven program for disease management, patients experienced significant improvement in cholesterol and blood pressure levels, according to late breaking research presented today at the American Heart Association s...