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Socially Distanced Emergencies: Clinicians' Experience with Tele-behavioral Health Safety Planning.

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Few psychiatrists proactively plan for emergencies during tele-behavioral health visits. Enhanced training in safety planning and emergency protocols is crucial for effective virtual psychiatric care delivery.

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Area of Science:

  • Psychiatry
  • Telehealth
  • Mental Health Services

Background:

  • The COVID-19 pandemic accelerated the adoption of tele-behavioral health services in psychiatry.
  • Limited understanding exists regarding clinicians' experiences with managing patient emergencies in virtual settings.

Purpose of the Study:

  • To investigate clinicians' safety planning practices during ambulatory tele-behavioral health services.
  • To identify challenges associated with managing psychiatric emergencies in a virtual care environment.

Main Methods:

  • An anonymous electronic survey was distributed to clinical faculty in a large academic psychiatry department.
  • Data were collected on safety planning, emergency protocol implementation, and civil commitment petitions.
  • Statistical analysis was performed using SAS 9.4 to identify associations between variables.

Main Results:

  • Only 23.3% of clinicians engaged in proactive safety planning for most virtual visits.
  • Over half (53.2%) implemented emergent safety planning infrequently (1-5 visits).
  • Frequent emergency protocol users were more likely to engage in proactive safety planning (p=0.0115).

Conclusions:

  • There is a need for enhanced training in safety planning and emergency protocols for tele-behavioral health.
  • Challenges exist in managing patient emergencies and civil commitments via virtual platforms.
  • Continued attention to protocols is essential as virtual care in psychiatry expands.