Appunti di Neuropsichiatria
Aspetti positivi e limiti della telemedicina: esperienze di lavoro in Neuropsichiatria infantile in tempo di Covid-19
Positive aspects and limits of telemedicine: work experiences in infant neuropsychiatry during Covid-19
Alessandro Albizzati1, Cristina Riva Crugnola2, Margherita Moioli 3, Elena Ierardi 4
1Neuropsichiatra infantile, responsabile UONPIA 2, ASST Santi Paolo e Carlo
2Professore associato, Dipartimento di Psicologia, Università degli Studi di Milano-Bicocca
3Terapista della Neuropsicomotricità, ASST Santi Paolo e Carlo
4Psicologa-Psicoterapeuta ASST Santi Paolo e Carlo; Dipartimento di Psicologia, Università degli Studi di Milano-Bicocca
Novembre 2021 - pagg. 583 -586 | DOI: 10.53126/MEB40583
Abstract
The pandemic situation caused by Covid-19 has led to changes in the clinical practice of hospital services, including Infant Neuropsychiatry. During the lockdown period the services had to use new intervention strategies, particularly telemedicine to meet the needs of children, teenagers and parents. The online therapy is a useful tool during situations of serious crises such as a global pandemic but like any mode of intervention have strengths and limits. Therefore, the article reports the positive and critical aspects of telemedicine and describes some work experiences in the specialist services of Infant Neuropsychiatry at the ASST Santi Paolo e Carlo in Milan.
Riassunto
La situazione di pandemia mondiale causata dal Covid-19 ha portato numerosi cambiamenti nella pratica clinica dei servizi ospedalieri, compreso la Neuropsichiatria Infantile. Nel periodo del lockdown i servizi hanno dovuto utilizzare nuove strategie di intervento, in particolare la telemedicina al fine di fronteggiare i bisogni di bambini, ragazzi e genitori. Il videocolloquio è un utile strumento durante le situazioni di gravi crisi come quelle di pandemia globale ma come ogni modalità di intervento ha pregi e limiti. Nell’articolo verranno quindi affrontati gli aspetti positivi e di criticità della telemedicina e descritte alcune esperienze di lavoro nei servizi specialistici della Neuropsichiatria Infantile dell’ASST Santi Paolo e Carlo di Milano.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. Moreno C, Wykes T, Galderisi S, et al. How mental health care should change as a consequence of the COVID-19 pandemic. Lancet Psychiat 2020;7(9):813-24. doi: 10.1016/S2215-0366(20)30307-2.
2. Figueroa CA, Aguilera A. The need for a mental health technology revolution in the COVID-19 pandemic. Front Psychiatry 2020; 11:523. doi: 10.3389/fpsyt.2020.00523.
3. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet 2020;395(10224): e37-e38. doi: 10.1016/S0140-6736(20)30309-3.
4. Nelson LM, Simard JF, Oluyomi A, et al. US public concerns about the COVID-19 pandemic from results of a survey given via social media. JAMA Intern Med 2020; 180(7):1020-2. doi: 10.1001/jamainternmed. 2020.1369.
5. Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatr 2020;52:102066. doi: 10.1016/j.ajp.2020.102066.
6. Sansi-Roca R. Economies of relation, money and personalism in the lusophone world (Vol. 23). 2013 Tagus Press UMass-Dartmouth.
7. Li S, Wang Y, Yang Y, Lei X, Yang Y. Investigation on the influencing factors for anxiety related emotional disorders of children and adolescents with home quarantine during the prevalence of novel coronavirus pneumonia. Chin J Clin Med 2020;28(04): 407-10.
8. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395(10227):912-920. doi: 10.1016/S0140-6736(20)30460-8.
9. Usher K, Bhullar N, Durkin J, Gyamfi N, Jackson D. Family violence and COVID-19: Increased vulnerability and reduced options for support. Int J Ment Health Nurs 2020;29(4):549-52. doi: 10.1111/inm.12735.
10. Abbraciavento G, Cognigni M, Riccio G, Carrozzi M. Covid-19 e salute mentale in età evolutiva: l’urgenza di darsi da fare. Medico e Bambino 2020;39(4):237-40.
11. Nelson EL, Bui TN, Velasquez SE. Telepsychology: research and practice overview. Child Adolesc Psychiatr Clin N Am. 2011; 20(1):67-79. doi: 10.1016/j.chc.2010.08.005.
12. Calam, R, Cox A, Glasgow D, Jimmleson P, Larsen, SG. Assessment and therapy with children: can computers help? Clin Child Psychol Psychiatry 2000;5:329-43.
13. Childress CA. Ethical issues in providing online psychotherapeutic interventions. J Med Internet Res 2000;2(1):E5. doi: 10.2196/ jmir.2.1.e5.
14. Perle JG, Langsam LC, Nierenberg B. Controversy clarified: an updated review of clinical psychology and tele-health. Clin Psychol Rev 2011;31(8):1247-58. doi: 10.1016/ j.cpr.2011.08.003.
15. Andrews E, Berghofer K, Long J, Prescott A, Caboral-Stevens M. Satisfaction with the use of telehealth during COVID-19: An integrative review. Int J Nurs Stud Adv 2020;2:100008. doi: 10.1016/j.ijnsa.2020. 100008.
16. Reay RE, Looi JC, Keightley P. Telehealth mental health services during COVID-19: summary of evidence and clinical practice. Australas Psychiatry. 2020;28(5): 514-6. doi: 10.1177/1039856220943032.
17. Schuster R, Kalthoff I, Walther A, Köhldorfer L, Partinger E, Berger T, Laireiter AR. Effects, adherence, and therapists’ perceptions of web- and mobile-supported group therapy for depression: mixed-methods study. J Med Internet Res 2019;21(5):e11860. doi: 10.2196/11860.
18. Ralston, AL, Andrews AR, Hope DA. Fulfilling the promise of mental health technology to reduce public health disparities: Review and research agenda. Clinical Psychology: Science and Practice 2019;26(1): e12277. doi: 10.1111/cpsp.12277.
19. Barak A, Hen L, Boniel-Nissim M, Shapira N. A comprehensive review and a meta-analysis of the effectiveness of Internet-based psychotherapeutic interventions. J Technology Human Sciences 2008;26:109-60.
20. Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One 2010;5(10):e13196. doi: 10.1371/journal.pone.0013196.
21. Kiropoulos LA, Klein B, Austin DW, Gilson K, Pier C, Mitchell J, Ciechomski L. Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT? J Anxiety Disord 2008;22(8):1273-84. doi: 10.1016/j.janxdis.2008.01.008.
22. Frueh BC, Monnier J, Grubaugh AL, Elhai JD, Yim E, Knapp R. Therapist adherence and competence with manualized cognitive-behavioral therapy for PTSD delivered via videoconferencing technology. Behav Modif 2007;31(6):856-66. doi: 10.1177/ 0145445507302125.
23. Pesämaa L, Ebeling H, Kuusimäki ML, Winblad I, Isohanni M, Moilanen I. Videoconferencing in child and adolescent telepsychiatry: a systematic review of the literature. J Telemed Telecar. 2004;10(4):187-92. doi: 10.1258/1357633041424458.
24. Hong YA, Zhou Z, Fang Y, Shi L. The digital divide and health disparities in China: evidence from a national survey and policy implications. J Med Internet Res 2017;19(9): e317. doi: 10.2196/jmir.7786.
25. Yao H, Chen JH, Xu YF. Rethinking online mental health services in China during the COVID-19 epidemic. Asian J Psychiatr 2020;50:102015. doi: 10.1016/j.ajp.2020. 102015.
26. Lovejoy TI, Demireva PD, Grayson JL, McNamara JR. Advancing the practice of online psychotherapy: an application of Rogers' diffusion of innovations theory. Psychotherapy (Chic) 2009;46(1):112-24. doi: 10.1037/ a0015153.
27. Fenichel M, Suler J, Barak A, Zelvin E, Jones G, Munro K, Meunier V, Walker-Schmucker W. Myths and realities of online clinical work. Cyberpsychol Behav 2002;5(5): 481-97. doi: 10.1089/109493102761022904.
28. Perle JG, Langsam LC, Randel A, Lutchman S, Levine AB, Odland AP, Nierenberg B, Marker CD. Attitudes toward psychological telehealth: current and future clinical psychologists’ opinions of internet-based interventions. J Clin Psychol 2013;69(1):100-13. doi: 10.1002/jclp.21912.
29. Boldrini T, Tanzilli A, Pontillo M, Chirumbolo A, Vicari S, Lingiardi V. Comorbid personality disorders in individuals with an at-risk mental state for psychosis: a meta-analytic review. Front Psychiatry 2019;10: 429. doi: 10.3389/fpsyt.2019.00429.
30. Burgoyne N, Cohn AS. Lessons from the transition to relational teletherapy during COVID-19. Fam Process 2020;59(3):974-988. doi: 10.1111/famp.12589.
31. Green P. Risks to children and young people during covid-19 pandemic. BMJ 2020; 369:m1669. doi: 10.1136/bmj.m1669.
32. Tamburlini G. L’impatto della pandemia Covid-19 sulla salute globale dei bambini. Medico e Bambino 2020;39(10):629-32.
33. Marchetti F. La salute mentale di bambini e adolescenti: tempo di agire. Medico e Bambino 2021;40(7):414-5. doi: 10.53126/MEB40414.
Corrispondenza: alessandro.albizzati@asst-santipaolocarlo.it