Professional stakeholders' perceptions of barriers to behavioral health care following pediatric traumatic brain injury.

Autor:	Miley AE; Division of Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA., Elleman CB; Department of Undergraduate Education- Medical Sciences, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Chiu RY; Department of Psychology, Northwestern University, Evanston, Illinois, USA., Moscato EL; Division of Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA., Fisher AP; Division of Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA., Slomine BS; Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, Maryland, USA.; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA., Kirkwood MW; Department of Physical Medicine & Rehabilitation, University of Colorado School of Medicine, Aurora, Illinois, USA.; Department of Rehabilitation Medicine, Children's Hospital Colorado, Aurora, Illinois, USA., Baum KT; Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA., Walsh KE; Department of Pediatrics, Harvard Medical School, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA., Wade SL; Division of Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.; Department of Psychology, University of Cincinnati, Cincinnati, Ohio, USA.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Jazyk:	angličtina
Zdroj:	Brain injury [Brain Inj] 2022 Mar 21; Vol. 36 (4), pp. 536-543. Date of Electronic Publication: 2022 Feb 03.
DOI:	10.1080/02699052.2022.2034956
Abstrakt:	Objective: To examine professional stakeholders' perspectives of barriers to behavioral health care (BHC) follow-up and telepsychology after pediatric traumatic brain injury (TBI). Methods: Twenty-nine professionals participated in a focus group (FG) or key informant interview (KII) between January and March 2020. Professionals answered questions about facilitators and barriers to BHC follow-up and telepsychology. Given widespread telepsychology implementation since COVID-19, a follow-up survey assessing telehealth perceptions since the pandemic was sent out in December 2020. Nineteen professionals completed the survey. Results: Professionals identified individual (e.g., family factors, insurance coverage/finances, transportation/distance, availability, planning follow-up care) and system-level (e.g., lack of access to BHC providers) barriers to BHC post-injury. Possible solutions, like collaborative follow-up care, were also identified. Generally, clinical professionals have favorable impressions of telepsychology and utilized services as a delivery modality for clinical care. Though telepsychology could reduce barriers to care, professionals also expressed concerns (e.g., technology issues, security/safety) and challenges (e.g., funding, accessibility, training/licensure for clinicians) with implementing telepsychology. Conclusion: Barriers identified highlight the need for context-specific solutions to increase BHC access, with telepsychology generally recognized as a beneficial modality for BHC. Future work should continue to focus on understanding barriers to BHC and potential solutions after pediatric TBI.
Databáze:	MEDLINE
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