{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T08:53:20Z","timestamp":1777366400292,"version":"3.51.4"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2020,8,2]],"date-time":"2020-08-02T00:00:00Z","timestamp":1596326400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>COVID-19 has demanded unprecedented actions in the delivery of outpatient psychiatric services, including the rapid shift of services from in-person to telehealth in response to public health physical distancing guidelines. One such shift was to convert group-level intensive outpatient psychiatric (IOP) interventions to telehealth. Historically, telehealth in psychiatric care has been studied in provider-patient interactions, but has not been as well studied for group telehealth service delivery. During the COVID-19 outbreak, providing group-based interventions was important in order to care for high-risk individuals who needed structured psychotherapy group support. However, the delivery of services via telehealth led to special challenges that were unable to be fully accommodated by the preexisting telehealth infrastructure. Rapid feasibility testing and adoption of technology was needed to support IOP services to minimize infectious spread while delivering group services to high-risk psychiatric patients. This article describes the processes and workflows for service delivery and early results of telehealth for IOP services in 2 adolescent treatment programs. In addition, the article highlights early observations around safety and quality and the role of telehealth policy and payment.<\/jats:p>","DOI":"10.1093\/jamia\/ocaa138","type":"journal-article","created":{"date-parts":[[2020,7,18]],"date-time":"2020-07-18T04:25:55Z","timestamp":1595046355000},"page":"1420-1424","source":"Crossref","is-referenced-by-count":41,"title":["Rapid design and deployment of intensive outpatient, group-based psychiatric care using telehealth during coronavirus disease 2019 (COVID-19)"],"prefix":"10.1093","volume":"27","author":[{"given":"Amber W","family":"Childs","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA"},{"name":"Yale New Haven Health, Yale New Haven Psychiatric Hospital, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Unger","sequence":"additional","affiliation":[{"name":"Yale New Haven Health, Yale New Haven Psychiatric Hospital, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luming","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA"},{"name":"Yale New Haven Health, Yale New Haven Psychiatric Hospital, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,8,2]]},"reference":[{"key":"2020110613085936700_ocaa138-B1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa072","article-title":"COVID-19 transforms health care through telemedicine: evidence from the field [published online ahead of print May 29, 2020]","author":"Mann","year":"2020","journal-title":"J Am Med Inform Assoc"},{"key":"2020110613085936700_ocaa138-B2","article-title":"Rapid response to COVID-19: health informatics support for outbreak management in an academic health system [published online ahead of print March 24, 2020]","author":"Reeves","journal-title":"J Am Med Inform Assoc"},{"issue":"2","key":"2020110613085936700_ocaa138-B3","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1056\/NEJMra1601705","article-title":"State of telehealth","volume":"375","author":"Dorsey","year":"2016","journal-title":"N Engl J Med"},{"issue":"1","key":"2020110613085936700_ocaa138-B4","first-page":"157","article-title":"WHO declares COVID-19 a pandemic","volume":"91","author":"Cucinotta","year":"2020","journal-title":"Acta Biomed"},{"key":"2020110613085936700_ocaa138-B5","author":"Lionrock Recovery. Online substance abuse counseling","year":"2020"},{"key":"2020110613085936700_ocaa138-B6","author":"Health and Human Services Office of the Secretary, Office for Civil Rights. OCR notification of enforcement discretion for telehealth","year":"2020"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/advance-article-pdf\/doi\/10.1093\/jamia\/ocaa138\/33514163\/ocaa138.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/27\/9\/1420\/34153481\/ocaa138.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/27\/9\/1420\/34153481\/ocaa138.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T19:23:52Z","timestamp":1604690632000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/27\/9\/1420\/5873874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,2]]},"references-count":6,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,8,2]]},"published-print":{"date-parts":[[2020,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocaa138","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,9]]},"published":{"date-parts":[[2020,8,2]]}}}