Use of an Opt-Out vs Opt-In Strategy Increases Use of Residency Mental Health Services
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Le résumé fourni par la source
Background Residents report high levels of distress but low utilization of mental health services. Prior research has shown several barriers that prevent residents from opting into available mental health services. Objective To determine the impact of a mental health initiative centered around an opt-out versus an opt-in approach to help-seeking, on the use of psychotherapy. Methods Resident use of psychotherapy was compared between 2 time frames. During the first time frame (July 1, 2020 to January 31, 2021), residents were offered access to therapy that they could self-initiate by calling to schedule an appointment (opt-in). The second time frame (February 1, 2021 to April 30, 2021) involved the switch to an opt-out structure, during which the same residents were scheduled for a session but could choose to cancel. Additional changes were implemented to reduce stigma and minimize barriers. The outcome was psychotherapy use by residents. Results Of the 114 residents, 7 (6%) self-initiated therapy during the opt-in period. When these same residents were placed in an opt-out context, 59 of the remaining 107 residents (55%) kept their initial appointment, and 23 (39%) self-initiated additional sessions. Altogether, across both phases, a total of 30 of the 114 residents initiated therapy (ie, 7 during the opt-in and 23 during the opt-out). The differences in therapy use between the 2 phases are statistically significant ( P <.001 by McNemar’s test). Conclusions There was a substantial increase in residents’ use of psychotherapy after the opt-out initiative that included efforts to reduce stigma and encourage mental health services.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Use of an Opt-Out vs Opt-In Strategy Increases Use of Residency Mental Health Services
- Date Crossref
- 01/04/2024
- Éditeur
- Journal of Graduate Medical Education
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of California Riverside Community Hospital Emergency Medicine Residency pays non établi dans la noticeUniversité ou école supérieure
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Riverside Community Hospital is Program Director pays non établi dans la noticeÉtablissement de santé
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Claremont Graduate University Division of Behavioral and Organizational Science pays non établi dans la noticeUniversité ou école supérieure
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California Baptist University is Associate Professor of Industrial-Organizational Psychology pays non établi dans la noticeUniversité ou école supérieure
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is Behavioral Science Faculty MA pays non établi dans la noticeUniversité ou école supérieure
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Napatkamon Ayutyanont pays non établi dans la noticeInstitution
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Timothy Sisemore pays non établi dans la noticeInstitution
Riverside Community Hospital Emergency Medicine Residency — University of California, is Program Director — Riverside Community Hospital et Division of Behavioral and Organizational Science — Claremont Graduate University, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.