{"id":31543,"date":"2020-11-30T15:18:10","date_gmt":"2020-11-30T15:18:10","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=31543"},"modified":"2020-11-30T15:18:10","modified_gmt":"2020-11-30T15:18:10","slug":"telehealth-not-enough-to-offset-crushing-demand-for-mental-health-services","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/telehealth-not-enough-to-offset-crushing-demand-for-mental-health-services\/","title":{"rendered":"Telehealth not enough to offset crushing demand for mental health services"},"content":{"rendered":"\n\n\n
\n

Lightened telehealth regulations have expanded access to virtual visits for therapy and other mental health services. But many patients still aren\u2019t having their needs met. <\/h2>\n\n\n\n

By ELISE REUTER<\/a> Post a comment<\/a> \/ Nov 19, 2020 at 8:50 PM<\/a><\/a><\/a><\/a><\/p>\n\n\n\n

Worries about rising Covid-19 cases, a challenging presidential transition, and growing inequities are crushing people across the U.S.<\/p>\n\n\n\n

COVID-19 pandemic has underscored the need for a healthcare system that can help patients easily navigate healthcare concerns as well as price transparency. Learn more.<\/p>\n\n\n\n

This, coupled with the dark winter months and an unusual holiday season, is creating a rising need for mental healthcare in a country where it was already difficult to access.<\/p>\n\n\n\n

\u201cDemand was beating supply before the pandemic, before the racial trauma, before the election and before the winter,\u201d said Dr. Ken Duckworth, chief medical officer of the National Alliance on Mental Illness. \u201cNow what you have is demand crushing supply.\u201d<\/p>\n\n\n\n

In August, the Centers for Disease Control and Prevention surveyed more than 5,000 people across the U.S., and found that 41% reported an adverse mental health or behavioral health condition related to Covid-19. Anxiety, depression, traumatic stress and substance use all increased.<\/p>\n\n\n\n

According to a new survey, providers want price transparency tools at the point-of-care, but many do not trust the data they are seeing\u2026 and for good reason.<\/p>\n\n\n\n

Alarmingly, nearly a quarter of young adults, between ages 18 and 24, reported they had considered suicide in the month before the survey. Calls to the National Suicide Prevention Lifeline (1-800-273-TALK), while at normal levels in April and May, started tick up in June.  It also has a disaster distress line, which offers emotional support for Covid-19 and other disasters (1-800-985-5990). In October, call rates were 5% above the same time last year.<\/p>\n\n\n\n

\u201cI can feel it by the number of people who reach out to me looking for help for their brother or sister or daughter or niece,\u201d Duckworth said.<\/p>\n\n\n\n

Telehealth and other technologies have helped to offset these pressures, but many patients still struggle with access.<\/p>\n\n\n\n

\u201cThe whole system was under strain beforehand,\u201d he said. \u201cIt\u2019s difficult to get what you need right now.\u201d<\/p>\n\n\n\n

Utilization still down<\/strong><\/p>\n\n\n\n

Brighton Health Plan Solutions, a third-party administrator that works with several self-insured employers in New York, saw telemedicine for mental health skyrocket. Telemedicine visits were up 3,400% for members diagnosed with bipolar disorder, major depressive disorder, schizophrenia, and other conditions. But total utilization was still down compared to last year.<\/p>\n\n\n\n

When New York saw an initial spike in cases, the decline was significant \u2014 Brighton Health Plan Solutions saw a 41.2% decline in behavioral health services, chief analytics officer Urvashi Patel wrote in an email.<\/p>\n\n\n\n

\u201c<\/strong>While we can\u2019t say with certainty what specific challenges members had with access, our claims show that behavioral health utilization dropped during the shutdown in NY this spring. Perhaps their provider\u2019s offices were closed or members were concerned about leaving the safety of their homes,\u201d she wrote. \u201cMany turned to telehealth, but many others skipped receiving care altogether. While we can\u2019t say definitively what those lost visits mean at the individual or population level, the numbers certainly sound an alarm.\u201d<\/p>\n\n\n\n

Now, several months later, the gap is much smaller, largely driven by increased adoption of telehealth. Utilization levels are down 10% from last year.<\/p>\n\n\n\n

\u201cI do think it has dramatically improved the potential for access,\u201d she wrote, adding that patients who don\u2019t have many providers in their area might now be able to talk to someone hundreds of miles away. But the problem still remains: There still is a shortage across the country of behavioral health providers.<\/p>\n\n\n\n

 Rise of digital tools <\/strong><\/p>\n\n\n\n

The pandemic has also led to a rise in digital mental health services, such as text-based therapy and app-based mindfulness tools.<\/p>\n\n\n\n

\u201cThat\u2019s a pretty unregulated space, but there are some apps that people use,\u201d Duckworth said.<\/p>\n\n\n\n

Ginger, a telehealth startup that lets users access therapy via text, said it has seen utilization rates jump 170% for its coaches and 307% for therapy. It also saw a spike in activity around the election. The company has also been bringing in more providers to help.<\/p>\n\n\n\n

\u201cThis has been a period of immense stress, anxiety and depression, driven by fear of Covid, family members getting Covid, uncertainty about children, schooling and how do we care for them while we\u2019re working?,\u201d CEO Russell Glass said. \u201cAll of those things are like a big witches\u2019 brew of stress and pressure.\u201d\"\"<\/p>\n\n\n\n

Ginger has seen demand for coaching and therapy increase in recent months.<\/p>\n\n\n\n

Glass said being able to provide care across state lines has been helpful, but it\u2019s still complicated. For example, differences in state licensing rules mean that providers have to meet different requirements and register with certain states. Telemedicine interstate compacts are a proposed solution for this that many states are opting into.<\/p>\n\n\n\n

Even with all of that, you still have to take the next step of being credentialed with an insurance company to be covered, Glass said.<\/p>\n\n\n\n

NAMI is also advocating for Medicare to cover \u201caudio-only\u201d visits after the pandemic ends, to make telehealth accessible for people without a reliable internet connection. It has also been offering peer support groups to help people get support quickly.<\/p>\n\n\n\n

\u201cI think there\u2019s a lot of momentum to try to increase access. You are paying for your health insurance. It is their job to help you find somebody,\u201d Duckworth said.<\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"

Lightened telehealth regulations have expanded access to virtual visits for therapy and other mental health […]<\/p>\n","protected":false},"author":3,"featured_media":31545,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,186,189,159,165],"tags":[],"class_list":["post-31543","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-medicare","category-covid-19-coronavirus","category-telehealth","category-telemedicine"],"acf":[],"yoast_head":"\nTelehealth not enough to offset crushing demand for mental health services · Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"Lightened telehealth regulations have expanded access to virtual visits for therapy and other mental health services. 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