J Telemed Telecare - National telemental health responses to a major bushfire disaster.

Tópicos

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Resumo

In response to the Victorian bushfire disaster in 2009, various telemental health services were provided by three national agencies: Kids Helpline (BoysTown), MensLine Australia (Crisis Support Services) and Lifeline Australia. All provider agencies used their existing national service structures and staff resources, which were expanded to respond to bushfire-related service demand. We examined service provider reports and conducted key informant interviews. Despite a lack of quantitative data on consumer outcomes and perspectives, it appears that all three telemental health services experienced significant increases in overall service uptake levels in the wake of the bushfires. Uptake of specialized telephone-, web-, email- and crisis counselling services was substantial, although that of callback services was very limited. Potential clients encountered specific barriers in relation to service access and the callback model. The bushfire experience highlighted the impact of transitory living circumstances and the increased complexity of post-disaster calls on service provision. Telemental health services need to be integrated into mainstream services and disaster response structures.

Resumo Limpo

respons victorian bushfir disast various telement health servic provid three nation agenc kid helplin boystown menslin australia crisi support servic lifelin australia provid agenc use exist nation servic structur staff resourc expand respond bushfirerel servic demand examin servic provid report conduct key inform interview despit lack quantit data consum outcom perspect appear three telement health servic experienc signific increas overal servic uptak level wake bushfir uptak special telephon web email crisi counsel servic substanti although callback servic limit potenti client encount specif barrier relat servic access callback model bushfir experi highlight impact transitori live circumst increas complex postdisast call servic provis telement health servic need integr mainstream servic disast respons structur

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