Hossam Mahmoud's research while affiliated with Tufts University and other places

Publications (20)

Chapter
Incorporating a Monitoring and Evaluation (M & E) framework into your TBH program or practice supports not only quality assurance and improvement, but also long-term success and sustainability. M & E can facilitate tracking the progress toward meeting your program goals using identified measures, and can guide program modifications for improved out...
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Purpose of review: To review the role of digital health technologies in behavioral health treatment and promotion for sexual and gender minorities (SGM). Recent findings: Digital technologies have advantages and limitations at multiple levels in addressing SGM's behavioral health needs. For patients, digital technologies improve convenience and...
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Purpose of Review Telehealth-delivered medication-assisted treatment for opioid use disorder (tele-MOUD) has received increased attention, with the intersection of the opioid epidemic and COVID-19 pandemic, but research on recent develop- ments is scattered. We critically review recent literature on tele-MOUD and synthesize studies reporting primar...
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Introduction: Preventing and managing burnout among psychiatrists in the United States is a national priority. Telepsychiatry is a promising web-based modality for the delivery of psychiatric services that has the potential for reducing burnout rates. However, it may also be associated with certain occupational challenges such as social and profes...
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Healthcare institutions in the United States are increasingly adopting telehealth services given their numerous benefits in enhancing access to care. Despite that, few accounts of such organizational experiences in the literature exist, especially those pertaining to telepsychiatry. In this case study, we report the planning and implementation of a...
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Mental Health Disorders (MHD) represent a serious public health issue in Lebanon. While MHDs are highly prevalent, access to Mental Health Services (MHS) is considerably low. Telemental Health (TMH) may mitigate this gap by remotely delivering MHS using information and communications tech- nologies. TMH has not yet been adequately explored in Leban...
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LGBT people face significant discrimination, social pressures, and legal challenges in Lebanon, yet little is known about their experiences with the healthcare system. We conducted a secondary data analysis study using a qualitative descriptive design and data from the parent project, LebGuide (2016 2017). The data consisted of de-identified one-on...
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Purpose: Although studies have examined the effectiveness of telemental health programs, optimal approaches for their evaluation remain unclear. We sought to review the outcomes used to evaluate telemental health programs. Methods: We conducted a literature search in PubMed and Google Scholar for peer-reviewed studies published between January 20...
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Purpose Telepsychiatry in the USA witnessed exponential growth in the last decade, having been proven to be a cost-effective and sustainable approach to delivering high-quality mental health services. This surge was aided by the availability of high-speed Internet, improved software, and an increase in demand paired with expanded reimbursement mode...
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Significant efforts have been conducted to improve access to Mental Health Services (MHS) and reduce the burden of Mental Health Disorders (MHD) in Low-to Middle-Income Countries (LMIC). However, important challenges to accessing MHS still exist and limit improvements. Telemental Health (TMH), a modality that delivers remote MHS provides an ideal s...
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Although telepsychiatry has emerged as an innovative tool for increasing access to behavioral health services, few studies have examined the complexities associated with designing and implementing telepsychiatry programs. This column examines a multisite, multimodal telepsychiatry program that has been providing direct care, synchronous consultatio...
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The high prevalence of psychiatric conditions and the concomitant increase in need for mental illness have posed a challenge across the USA. Patients continue to encounter many barriers to accessing care with only 43% receiving treatment. This situation is even more challenging for LGBT individuals, who experience higher rates of some mental health...
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The present cross-sectional descriptive study examined the attitudes and behaviors of health-care providers toward LGBT patients in Lebanon. Participants (N = 141) generally showed positive attitudes and behaviors toward LGBT patients. Mental health providers were significantly less likely to believe that homosexuality is a mental health disorder o...
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Physician burnout and stress have reached alarming levels. Psychiatrists are at risk of experiencing burnout due to emotional stressors related to the nature of the clinical work, occupational hazards, changing nature of service delivery, and increasing administrative pressures. Currently, little is known about the impact of telepsychiatry on psych...
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Despite the staggering physical, economic, and societal costs of mental health conditions in the United States, there continues to be a significant gap in mental health service, as access lags behind the demand for them. The uneven distribution of mental health service providers contributes to this gap, making it necessary to incorporate novel appr...
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Full-text available
The opioid epidemic faced by the USA is a complex public health crisis, with staggering loss of life and overwhelming social, health, and economic costs. Despite the rising need for medication-assisted treatment, individuals struggling with opioid use continue to face multiple barriers hindering their access to care, particularly in rural areas. In...

Citations

... An example M & E of teleclinician satisfaction and engagement is summarized in the publication "Evaluating a Multicomponent Strategy to Address Burnout, Job engagement, and Job Satisfaction Among Telepsychiatrists" [10]. In this report, a healthcare organization examined individual and organizational-level indicators such as teleclinician Net Promoter Score (NPS), retention rates, and output (hours worked per month), in addition to qualitative data. ...
... This is evident from the multiple advocacy and awareness raising efforts, the increase in calls for research production, and steady shift of the general public's sensitization towards mental health topics (1). Following the COVID-19 pandemic, and in view of the multiple crises that hit Lebanon in the past couple of years such as the severe economic crisis, the Beirut Port Explosion, and continuous social and political upheavals, an increased interest in and a shift towards Telemental Health (TMH) has also been observed (2,3). ...
... They described their expectations of affirming providers as respectful, inclusive, and knowledgeable. In this study, transgender participants, especially refugee transgender women, reported unique challenges, stigma, and discrimination (Abboud et al., 2020). Transgender participants in Iran perceived psychiatrists as being more empathetic, non-discriminatory, and providing better care to transgender participants than other healthcare providers (Jazi et al., 2015). ...
... nonclinical outcomes), can include volume of patients served, number of sessions conducted, patient engagement, and wait-times, among others. Clinical outcomes may include changes in scores on specific assessments, in screening measures of symptoms, in laboratory results, or in hospital admissions or readmissions, to name a few [1]. While both nonclinical and clinical outcomes were reported in a nonstandardized manner, most evaluation approaches were short-term and included small sample sizes. ...
... For example, if the clinical needs of patients are complex enough to require more frequent follow-up appointments, both wait-times and volume of individual patients served may be impacted as the frequent follow-up needs affect the teleclinician's ability to accommodate new patients. In other cases, limited support services at the OS may decrease teleclinician productivity, which would also impact wait-times and volume of individual patients served [3]. ...
... Research shows that many service providers in Lebanon, including mental health professionals, transitioned towards remote service delivery in the past few years in an effort to adapt to contextual challenges (2,6). However, in the absence of clear regulatory oversight and adequate training and education in remote service delivery, little work has been done nationally to guide such practices (7,8). Although some resources do exist internationally on TMH (9), to our knowledge, none have been contextualized to the speci cities of the Lebanese context, which represents a unique setting by virtue of its tumultuous environment, unpredictable landscape, and overstretched healthcare system (10). ...
... Monitor this indicator at regular intervals. We recommend capturing the average wait-time for services each month and reviewing this data for trends at least every 3 months [2]. ...
... Increased access to patients in rural regions and those with practical barriers to access mental health care may encourage providers' long-term integration of telemedicine into their practice [8]. Telemental health (TMH) emerged as a response to a crisis and has proven to be an effective, useful, and sustainable form of health care delivery [9]. However, widespread adoption of telemedicine was largely due to emergency regulations providing coverage during the pandemic. ...
... OS staff can offer valuable insights about your program. Feedback on the TBH program, including insights into workflow, processes, and staff satisfaction, can be collected through quantitative or qualitative methods, such as semi-structured interviews and selfcompleted surveys [4]. ...
... Interventions such as the Transdiagnostic Sleep and Circadian Intervention (Dolsen et al., 2021a;Dong et al., 2020;Harvey et al., 2018Harvey et al., , 2021, which is a modular treatment designed to address the particular needs of an individual, may be a good fit for addressing the sleep problems experienced by SGM people. Additionally, research on sleep treatments is particularly needed given that SGM people experience barriers to treatment at the patient, provider, and healthcare system level (Ojeda-Leitner and Lewis, 2021;Whaibeh et al., 2020;Zay Hta et al., 2021). Identifying potential barriers to treatment may be especially important given that number of sleep medicine clinic visits was associated with an 11% reduction in the odds of a suicide attempt in a large sample of veterans (Bishop et al., 2020). ...