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Required format:

Impact of Coronavirus on Mental Health Care

Dear colleague,

We are trying to understand how mental health providers are receiving information and altering care practices in response to the coronavirus SARS-CoV-2 (aka COVID-19) epidemic.

Please take less than 10 minutes to complete this brief online survey. Your responses are confidential but not anonymous; data will be reported in aggregate.There is minimal risk to completing this survey. Completion of this survey implies your consent.

You may participate in this survey if you are an ABPN board-eligible psychiatrists or in an accredited residency training program that will result in board eligibility and practicing in the United States. You will receive another follow-up survey in approximately 6 weeks that we can track responses over time.

This study has been reviewed by the Colorado Institutional Review Board (www.ucdenver.edu/research/comirb) or 303-724-1055.

Thank you for all that you do,

Scott Simpson MD MPH, Medical Director, Psychiatric Emergency Services, Denver Health Medical Center, scott.simpson@dhha.org

In which state or US territory do you currently practice psychiatry most frequently?

* must provide value

What is your national provider identifier (NPI)? We need this information to verify that you are eligible to complete the survey. If you don’t know your NPI you can look it up here: https://npiregistry.cms.hhs.gov/

* must provide value

In which of the following settings did you work at least 10% of your time in the last 3 months? Select all that apply.

* must provide value

Community mental health

Solo or small group private practice

Primary care or other outpatient medical setting

Outpatient mental health

Forensic setting

Hospital-based setting including inpatient, consultation-liaison, or emergency psychiatry

Non-hospital based crisis service

Substance treatment program

Telehealth

I am a resident or fellow

Other

Do you have any board certifications? Please check all that apply. If you are not board certified, you may leave this question blank.

General/adult psychiatry

Child and adolescent psychiatry

Forensic psychiatry

Consultation-liaison psychiatry

Addiction psychiatry

Addiction medicine

Geriatric psychiatry

Internal medicine

Family medicine

Pediatrics

I am a resident and not yet board eligible

Other

In which setting do you anticipate working most often in the next 3 months? Select only one.

* must provide value

Community mental health

Solo or small group private practice

Primary care or other outpatient medical setting

Outpatient mental health

Forensic setting

Hospital-based setting including inpatient, consultation-liaison, or emergency psychiatry

Non-hospital based crisis service

Substance treatment program

Telehealth

I am a resident or fellow

Other

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What best describes the general status of the coronavirus pandemic in the city where you practice most often?

* must provide value

We have had multiple confirmed cases and deaths.

We have had multiple confirmed cases but no deaths.

We have had significant preparations related to coronavirus (eg, school closures) but have no confirmed cases.

We have had no cases, no deaths, and no significant preparations.

I am not sure.

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How familiar are you with recommendations around screening and treatment procedures for coronavirus (SARS-CoV-2 )?

* must provide value

Very familiar

Somewhat familiar

A little familiar

Not at all familiar

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How worried are you personally about contracting and becoming ill with coronavirus?

* must provide value

Very worried

Somewhat worried

Not sure

A little worried

Not at all worried

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How worried are you about your patients contracting and becoming ill with coronavirus?

* must provide value

Very worried

Somewhat worried

Not sure

A little worried

Not at all worried

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Where are you receiving information regarding how to screen or manage patients with coronavirus? Check all that apply.

* must provide value

My employer (eg, hospital system)

General media (eg, newspaper)

Specialized media (eg, Medscape)

Clinical reference sites that I usually use (eg, UpToDate)

Peer-reviewed literature (eg, JAMA or AJP)

Government websites (eg, state public health or CDC)

Direct interaction with colleagues

Direct emails to me from one of the above sources

Professional societies

Other

What "other" source of information are you considering?

How applicable do you think the recommendations you have received from the above sources are for your psychiatric practice setting and your patients?

* must provide value

Very applicable

Somewhat applicable

Not sure

Occasionally applicable

Not at all applicable

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About how much time do you spend reading about current events every day? Consider time spent online, watching television, and reviewing social media.

* must provide value

Less than 30 minutes

30-60 minutes

More than 60 minutes

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For these next questions, please consider clinical changes to your practice in the setting in which you will practice MOST often in the next 3 months. (You described this setting above as "______".) Check all that apply.

* must provide value

Screening of patients with symptom checklists

Screening of patients with temperature checks

Increased use of telemedicine

Cancellation of appointments

Cancellation of team meetings

Required time off among staff and/or clinicians

Substitution of staff types for cross-coverage (eg, having social workers do evaluations typically done by psychologists)

Cross-training of staff from other service settings (eg, having outpatient clinicians practice in hospital settings)

Other

Please describe the "other" changes.

How have these interventions and the community response to coronavirus impacted the quality of your patients' mental health treatment in your most common practice setting?

* must provide value

Very positively impacted treatment

Somewhat positively impacted treatment

Has not made a difference

Somewhat negatively impacted treatment

Very negatively impacted treatment

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How have these interventions and the community response to coronavirus impacted the accessibility of mental health treatment for patients in your most common practice setting?

* must provide value

Very positively impacted access

Somewhat positively impacted access

Has not made a difference

Somewhat negatively impacted access

Very negatively impacted access

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How closely have you personally been impacted by coronavirus? Please check all that apply.

* must provide value

I or my immediate friends or family have been tested for coronavirus.

I or my immediate friends or family have been quarantined for coronavirus.

I have treated a patient with suspicion of coronavirus.

I have treated a patient with confirmed coronavirus.

None of these describe me.

Please share any other observations, concerns, or thoughts about how coronavirus and related interventions are impacting patients with mental illness. We will use responses to inform future survey questions.

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We would like to complete a follow-up survey in about 6 weeks in order to assess how your perceptions may have changed over time. What is the best email address at which we can contact you?

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.