Study: Providing courses to rural physicians to reduce homicide, increase mental health visits

Providing video games to rural seniors has reduced critical business visits and homicides, and increased mental and physical health visits, according to a report. study published in JAMA Network was launched.

“These findings suggest that video courses can provide access to critical services for local patients with mental health needs and reduce the chances of homicide and ED visits among patients. them, ”the authors wrote.


The researchers found that having a video board with a data center with an overall 20% reduction in the likelihood of a crisis office visit, a 36% reduction in the likelihood of a homicide -related visit. and a 22% reduction in likelihood. homicide among older Americans living in rural areas. The Department of Veterans Affairs maintained this information for veterans who were considered critical of homicide.

Classes are also associated with an increase of 1.8 psychotherapy visits per year, 3.5 psychotherapy video visits, 0.7 video-related medications and 0.02 videos related to critical episodes of homicide. Canada.


The study conducted a study of 13,180 class visitors and 458,611 unaccompanied, rural veterans who received at least one VA mental health visit in 2019.

Those who received their course received it between March 2020 and April 2021, and the data was pulled 10 months before their original month. The vets were followed until the end of June 2021, and researchers tried to track the data. for most of the ancients for 10 months after the courses are received.

They also included a sub-cohort that was considered at high risk for homicide by a VA prognostic model to analyze medical history.


Mental health care and nature is a booming area for virtual care. Where aa According to CB Insights, mental health technology will start to reach $ 5.5 billion worldwide by 2021. While U.S. digital health funding slowed in the first quarter of this year, Rock Health found mental health led largely by investment funds.

Telehealth use has increased during the COVID-19 epidemic, but there are concerns that some marginalized organizations may have little access to virtual care. He The shortlist released by the Department of Health and Human Services found lower use of telehealth used video among people with lower incomes; parents without a high school degree; Black, Latinx and Asian respondents; and those without health insurance.

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The researchers found that the study was limited. For one thing, they are evaluating a health system by the VA, so they can’t choose what is available in a class. It was performed during COVID-19, so it was difficult to exclude the effects of the disease from groups that belong to the class alone.

The study does not consider all the ways in which the course can help improve mental health outcomes, such as comfort of care or interpersonal relationships. Future studies may look at these other class outcomes and how classes affect mental health in non-VA care settings.

“These findings suggest the VA and other health care systems are considering using video conferencing to improve mental health care through telehealth and to prevent homicide among others. of the rural people, ”the authors wrote.

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