Federally Qualified Health Centers Use of Telehealth to Deliver Integrated Behavioral Health Care During COVID-19

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Creator
  • Lombardi B.M.
    • Affiliation: School of Medicine, Department of Family Medicine
  • de Saxe Zerden L.
    • Affiliation: School of Social Work
  • Greeno C.
    • Other Affiliation: University of Pittsburgh
Abstract
  • Federally qualified health centers (FQHCs) that provide comprehensive health services, including integrated behavioral health (IBH), transitioned to deliver care via telehealth during the COVID-19 pandemic. This study explored how FQHCs adapted IBH services using telehealth. A mixed-method design was used, pairing a survey disseminated to FQHC administrators with a structured interview. Of the 46 administrators who participated in the survey, 14 (30.4%) reported delivering IBH using telecommunication prior to the pandemic. Since COVID-19, almost all of the FQHCs surveyed used telecommunication to deliver IBH (n = 44, 95.7%). Nine interviews with FQHC administrators resulted in the four themes: telehealth was essential; core components of IBH were impacted; payment parity and reimbursement were a concern; and telehealth addressed workforce issues. Findings confirm the necessity of telehealth for FQHCs during COVID-19. However due to the lack of co-location, warm-handoffs and other core components of IBH were limited.
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Resource type
  • Article
Rights statement
  • In Copyright
Journal title
  • Community Mental Health Journal
Journal volume
  • 60
Journal issue
  • 2
Page start
  • 215
Page end
  • 223
Language
  • English
Funder
  • Health Resources and Services Administration, HRSA
ISSN
  • 0010-3853
Publisher
  • Springer

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