In this article, we comment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in 2018 to provide community-based mental health and social services to immigrant and refugee youth and families who have experienced trauma. COVID-19 temporarily closed the doors of the center, suspending provision of in-person services in the community, and the program was forced to become remote overnight. The KCCTP rapidly transitioned to providing accessible information, active outreach, extensive case management, and flexible delivery of teletherapy and online psychosocial support, finding that attending to structural barriers and basic needs was crucial to family engagement and therapeutic success. Ongoing challenges include technological proficiency and access to computers, Internet, and private spaces. (Author abstract)
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Reference Type: Journal ArticleYear: 2020
In this article, we comment on the experience of the Kovler Center Child Trauma Program (KCCTP) following the March 21, 2020, shelter at home order in Chicago due to COVID-19. The KCCTP is a program of Heartland Alliance International that was founded in 2018 to provide community-based mental health and social services to immigrant and refugee youth and families who have experienced trauma. COVID-19 temporarily closed the doors of the center, suspending provision of in-person services in the community, and the program was forced to become remote overnight. The KCCTP rapidly transitioned to providing accessible information, active outreach, extensive case management, and flexible delivery of teletherapy and online psychosocial support, finding that attending to structural barriers and basic needs was crucial to family engagement and therapeutic success. Ongoing challenges include technological proficiency and access to computers, Internet, and private spaces. (Author abstract)
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Reference Type: Journal ArticleYear: 2020
This article explores the growth in popularity and reliance on telemedicine in the wake of the Covid-19 pandemic. No telemedicine program can be created overnight, but U.S. health systems that have already implemented telemedical innovations have been able to leverage them for the response to Covid-19. More than 50 U.S. health systems already have such programs. Jefferson Health, Mount Sinai, Kaiser Permanente, Cleveland Clinic, and Providence, for example, all leverage telehealth technology to allow clinicians to see patients who are at home. Systems lacking such programs can outsource similar services to physicians and support staff provided by Teladoc Health or American Well. Authors, Dr. Judd E. Hollander and Dr. Brendan G. Carr, explore the benefits and shortcomings of telemedicine and ask if telemedince will have an impact on how in-person health care visits are prioritized. (Author introduction)
This article explores the growth in popularity and reliance on telemedicine in the wake of the Covid-19 pandemic. No telemedicine program can be created overnight, but U.S. health systems that have already implemented telemedical innovations have been able to leverage them for the response to Covid-19. More than 50 U.S. health systems already have such programs. Jefferson Health, Mount Sinai, Kaiser Permanente, Cleveland Clinic, and Providence, for example, all leverage telehealth technology to allow clinicians to see patients who are at home. Systems lacking such programs can outsource similar services to physicians and support staff provided by Teladoc Health or American Well. Authors, Dr. Judd E. Hollander and Dr. Brendan G. Carr, explore the benefits and shortcomings of telemedicine and ask if telemedince will have an impact on how in-person health care visits are prioritized. (Author introduction)
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Reference Type: Journal ArticleYear: 2020
The Coronavirus disease 2019 (COVID-19) pandemic has significantly impacted and devastated the world. As the infectionspreads, the projected mortality and economic devastation are unprecedented. In particular, racial and ethnic minorities may be ata particular disadvantage as many already assume the status of a marginalized group. Black Americans have a long-standinghistory of disadvantage and are in a vulnerable position to experience the impact of this crisis and the myth of Black immunity toCOVID-19 is detrimental to promoting and maintaining preventative measures. We are the first to present the earliest availabledata in the peer-reviewed literature on the racial and ethnic distribution of COVID-19-confirmed cases and fatalities in the state ofConnecticut. We also seek to explode the myth of Black immunity to the virus. Finally, we call for a National Commission onCOVID-19 Racial and Ethnic Health Disparities to further explore and respond to the unique challenges that the crisis presentsfor Black and Brown communities. (Author abstract)
The Coronavirus disease 2019 (COVID-19) pandemic has significantly impacted and devastated the world. As the infectionspreads, the projected mortality and economic devastation are unprecedented. In particular, racial and ethnic minorities may be ata particular disadvantage as many already assume the status of a marginalized group. Black Americans have a long-standinghistory of disadvantage and are in a vulnerable position to experience the impact of this crisis and the myth of Black immunity toCOVID-19 is detrimental to promoting and maintaining preventative measures. We are the first to present the earliest availabledata in the peer-reviewed literature on the racial and ethnic distribution of COVID-19-confirmed cases and fatalities in the state ofConnecticut. We also seek to explode the myth of Black immunity to the virus. Finally, we call for a National Commission onCOVID-19 Racial and Ethnic Health Disparities to further explore and respond to the unique challenges that the crisis presentsfor Black and Brown communities. (Author abstract)
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Reference Type: Journal ArticleYear: 2020
The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare. (Author abstract)
The current coronavirus (COVID-19) pandemic is again reminding us of the importance of using telehealth to deliver care, especially as means of reducing the risk of cross-contamination caused by close contact. For telehealth to be effective as part of an emergency response it first needs to become a routinely used part of our health system. Hence, it is time to step back and ask why telehealth is not mainstreamed. In this article, we highlight key requirements for this to occur. Strategies to ensure that telehealth is used regularly in acute, post-acute and emergency situations, alongside conventional service delivery methods, include flexible funding arrangements, training and accrediting our health workforce. Telehealth uptake also requires a significant change in management effort and the redesign of existing models of care. Implementing telehealth proactively rather than reactively is more likely to generate greater benefits in the long-term, and help with the everyday (and emergency) challenges in healthcare. (Author abstract)
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Reference Type: Journal ArticleYear: 2020
As the world struggles with the rapidly evolving pandemic of novel coronavirus disease (COVID-19), evidence and experience suggest that low-income and marginalized communities in our global society will bear the biggest impact. Weknow this because, with our colleagues in Boston, Haiti, Uganda, and Sierra Leone, we have worked in under-resourced, overstretched, and overwhelmed health systems for our whole careers. We know we will see the devastating impact of this pandemic on those who are already marginalized; COVID-19 will amplify existing inequities, and we must act swiftly to leave no one behind. (Author introduction)
As the world struggles with the rapidly evolving pandemic of novel coronavirus disease (COVID-19), evidence and experience suggest that low-income and marginalized communities in our global society will bear the biggest impact. Weknow this because, with our colleagues in Boston, Haiti, Uganda, and Sierra Leone, we have worked in under-resourced, overstretched, and overwhelmed health systems for our whole careers. We know we will see the devastating impact of this pandemic on those who are already marginalized; COVID-19 will amplify existing inequities, and we must act swiftly to leave no one behind. (Author introduction)