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Caring for the Most Vulnerable: A Model for Managing Maladaptive Behavior in Children with Mental Special Needs During the COVID-19 Pandemic

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dc.contributor.author Dursun, O. B., Turan, B., Gulsen, M., Karayagmurlu, A., Tugce Mustan, A., Kutlu, A., ... & Tanır, Y.
dc.date.accessioned 2021-03-31T18:21:46Z
dc.date.available 2021-03-31T18:21:46Z
dc.date.issued 2020
dc.identifier.citation Dursun, O. B., Turan, B., Gulsen, M., Karayagmurlu, A., Tugce Mustan, A., Kutlu, A., ... & Tanır, Y. (2020). Caring for the Most Vulnerable: A Model for Managing Maladaptive Behavior in Children with Mental Special Needs During the COVID-19 Pandemic. Telemedicine and e-Health. en_US
dc.identifier.uri https://www.liebertpub.com/doi/pdf/10.1089/tmj.2020.0380
dc.identifier.uri http://hdl.handle.net/11212/5033
dc.description.abstract This article presents the results of a comprehensive national model developed for managing maladaptive behaviors (MBs) in children with mental special needs (CMSNs) during the coronavirus disease 2019 (COVID-19) pandemic that combines telehealth-based Applied Behavioral Analyses, psychiatric interventions, and support from local psychosocial teams. This study aims to determine the effectiveness of a system that combined telehealth applications with local psychosocial support teams, allowing services from video calls to emergency interventions. Materials and Methods: The system combines the telehealth applications with the services from local psychosocial intervention teams. In addition to system records covering sociodemographic variables and initial complaints, a telephone survey questioning the effectiveness and satisfaction of the system was used as the main outcome. Results: In total, 347 individuals used the system with mothers constituting the majority of applicants (88.7%, n = 332). The overall satisfaction of the system was 8.8/10. In terms of effectiveness, 63.3% (n = 237) of caregivers reported an improvement in the reason of application. Counselors decided on a need for follow-up visits for 36.6% (n = 137) of applications. A referral to a psychiatrist was asked for 40 patients (10.6%). Discussion: To our best knowledge, this is the first study presenting a model for managing MBs of CMSNs during the COVID-19 outbreak. In general, therefore, it seems that there is a need for unique systems to handle behavioral problems of CMSNs. Conclusions: The findings of this study suggest that it is possible to establish an integrative multistep multidisciplinary telehealth-based approach in a short while. en_US
dc.language.iso en en_US
dc.publisher Telemedicine and e-Health en_US
dc.subject behavioral health en_US
dc.subject pandemic en_US
dc.subject children with special needs en_US
dc.subject mental health en_US
dc.subject intervention en_US
dc.title Caring for the Most Vulnerable: A Model for Managing Maladaptive Behavior in Children with Mental Special Needs During the COVID-19 Pandemic en_US
dc.type Article en_US


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