Table 5.
Reported barriers to telehealth by levels of coronavirus positivity and unmet need for child and adolescent mental health services.
| State Group | |||||
|---|---|---|---|---|---|
| High Positivity High Unmet Need |
Low Positivity High Unmet Need |
High Positivity Low Unmet Need |
Low Positivity Low Unmet Need |
Total | |
| n | n | n | n | n | |
| Limited internet access | 4 | 3 | 3 | 7 | 17 |
| Limited access to technology | 4 | 3 | 4 | 8 | 19 |
| Family/client reluctance to use | 3 | 2 | 0 | 4 | 9 |
| Privacy | 0 | 2 | 3 | 3 | 8 |
| Hard to use with young children | 1 | 2 | 0 | 4 | 7 |
| Cannot provide certain services | 2 | 2 | 0 | 2 | 6 |
| Virtual fatigue | 1 | 0 | 2 | 2 | 5 |
| Client/provider lack of familiarity | 1 | 0 | 2 | 2 | 5 |
| Provider reluctance to use | 1 | 0 | 1 | 1 | 3 |
| Reduced session duration | 0 | 0 | 1 | 2 | 3 |
| Billing for services | 1 | 0 | 1 | 0 | 2 |
| Getting parental authorization | 1 | 0 | 1 | 0 | 2 |
| State regulations | 1 | 0 | 0 | 0 | 1 |
| Working with schools | 1 | 0 | 0 | 0 | 1 |
| Lack of funding | 0 | 0 | 0 | 1 | 1 |
| Number of barriers | 21 | 14 | 18 | 36 | 89 |
| Number of barriers per state | 3.50 | 3.50 | 4.50 | 5.14 | 4.24 |