Samenvatting

How do clients in outpatient forensic mental health care experience telepsychiatry? Differences between positive and negative opinions

J. Wilpert

The pandemic lockdown in March 2020 caused a large-scale change in delivery of treatment because mental health care had to continue remotely. Forensic outpatients (n = 399) were asked about their experience with this sudden switch to telepsychiatry. Almost half of them (44,4%) rated the remote treatment positive, 18,8% of them negative and the remaining 36,8% were mixed/undecided. Comparing the negative and positive groups yielded differences on a number of characteristics. Respondents negative about remote therapy were more likely to experience depression, adhd, personality disorders, co-morbidity, less privacy at home, more stress, below average conscientiousness and neurotiscism and dissatisfaction with working alliance aspects. It is, therefore, recommended to monitor different elements to help identify pitfalls in telepsychiatry. This is best done by deliberating with patients about what works for them and what doesn’t.


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Vanwege de coronapandemielockdown in maart 2020 moest de ggz grootschalig op afstand plaatsvinden. Cliënten in de ambulante forensische ggz (n = 399) werd gevraagd naar hun ervaring met deze plotselinge overstap naar telepsychiatrie. Respondenten die negatief waren over sessies op afstand bleken te verschillen van degenen die positief waren, onder meer wat betreft diagnosen, persoonlijkheids-trekken, privacy, stress en beleving van de werkrelatie. Dit onderschrijft het belang van rekening houden met cliëntperceptie bij deze behandelvorm.

Inleiding

Door de eerste lockdown, vanwege de coronaviruspandemie in maart 2020, kwam de hulpverlening op afstand in een stroomversnelling. Het was geen nieuw fenomeen in de geestelijke gezondheidszorg (ggz). Ruim twintig jaar geleden werden al voordelen als kosten- en tijdbesparing en groter bereik als gunstig beschouwd, van wat toen telepsychiatrie (therapiesessies via communicatiemiddelen als telefoon en computer in plaats van op locatie) werd genoemd. Maar waar toen nog een groot gebrek aan empirisch onderzoek werd geconstateerd (Baer, Elford & Cukor, 1997; Frueh et al., 2000), zijn we inmiddels wat wijzer, hoewel onderzoeksresultaten wisselend zijn (Montes, 2018).

De algemene tendens is dat ggz op afstand soortgelijke uitkomsten bewerkstelligt als op locatie

De algemene tendens is dat ggz op

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