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. 2022 Jan-Feb;45(1):129-143.
doi: 10.1080/07317115.2021.1906812. Epub 2021 Apr 17.

Feasibility of a COVID-19 Rapid Response Telehealth Group Addressing Older Adult Worry and Social Isolation

Affiliations

Feasibility of a COVID-19 Rapid Response Telehealth Group Addressing Older Adult Worry and Social Isolation

Rachel Weiskittle et al. Clin Gerontol. 2022 Jan-Feb.

Abstract

Objectives: During the early months of the COVID-19 pandemic, virtual and telephone visits rapidly replaced most in-person care within the Veterans Health Administration (VA) to reduce the virus spread. To address the emerging mental health needs of older Veterans (e.g., social isolation) in the context of chronic underlying mental health needs (e.g., trauma), we developed an 8-week virtual group treatment manual. This article describes the results from a survey of geriatric mental health clinicians who used the COVID group manual to determine its acceptability and feasibility in these settings.

Methods: Clinicians across three VA integrated care settings (home-based primary care, community living centers, and geriatric primary care) were surveyed about their experiences implementing this treatment (n = 21).

Results: Clinicians found this intervention to be effective with their patients and useful and adaptable beyond the early pandemic period.

Conclusions: This group teletherapy intervention was feasible and acceptable when treating Veterans in integrated geriatric healthcare settings. Despite technical challenges experienced by older Veterans, clinicians found this manual to be effective in addressing COVID-related worry and social isolation.

Clinical implications: This rapid response manual has remained clinically useful in geriatric mental health care settings beyond the initial weeks of the pandemic.

Keywords: Aging; anxiety; group therapy; older adult; stress; telehealth.

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Conflict of interest statement

Disclosure statement

No potential conflict of interest was reported by the authors.

Figures

Figure 1.
Figure 1.
Veteran population distribution by site.

References

    1. Baker E & Clark L (2020). Biopsychopharmacosocial approach to assess impact of social distancing and isolation on mental health in older adults. British Journal of Community Nursing, 25(5), 231–238. 10.12968/bjcn.2020.25.5.231 - DOI - PubMed
    1. Beck AT (1970). Cognitive therapy: Nature and relation to behavior therapy. Behavior therapy, 1(2), 184–200. 10.1016/S0005-7894(70)80030-2 - DOI
    1. Bedard-Thomas J, Gausvik C, Wessels J, Regan S, Goodnow K, & Goroncy A (2019). I live alone but don’t feel alone: Social isolation and loneliness lrom the patient perspective. Journal of patient-Centered Research and Reviews, 6(4), 262–266. doi:10.17294/2330-0698.1715. - DOI - PMC - PubMed
    1. Bergman YS, Cohen-Fridel S, Shrira A, Bodner E, & Palgi Y (2020). COVID-19 health worries and anxiety symptoms among older adults: The moderating role of ageism. International Psychogeriatrics, 32(11), 1371–1375. doi:10.1017/S1041610220001258. - DOI - PMC - PubMed
    1. Carroll D, Kearney LK, & Miller MA (2020). Addressing suicide in the veteran population: Engaging a public health approach. Frontiers in Psychiatry, 11, 569069. doi:10.3389/fpsyt.2020.569069. - DOI - PMC - PubMed

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