Examining the state of telehealth for mental health and substance use care after the coronavirus disease 2019 pandemic: An integrative review.

Publication date: Jul 01, 2026

ObjectiveThe objective of this integrative review was to synthesize literature and provide implications for clinical practice on telehealth use among patients with serious mental illness and substance use disorders following the coronavirus disease 2019 pandemic. MethodsAn integrative review guided by Socio-Technical Systems Theory was applied. The PubMed, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Medline, Academic Search Complete, and Gale Health and Wellness databases were searched for publications from 1 January 2019 to 1 December 2024. Articles selected according to the established inclusion and exclusion criteria were evaluated using a rapid critical appraisal checklist developed by Fineout-Overholt and Melnyk. ResultsAmong the 172 articles reviewed, 16 peer-reviewed and 2 government publications were included. Four themes were identified: (a) treatment adherence; (b) satisfaction reported by patients and providers; (c) telehealth policy developments; and (d) access to services. Telehealth supported continuity of care, improved satisfaction, and improved access. Technological and financial barriers restricted equitable access. Policy changes enabled broader adoption; however, regulatory approaches varied across jurisdictions. ConclusionTelehealth remains an integral method for delivering mental health and substance use care following the coronavirus disease 2019 pandemic. Greater focus is needed on long-term effectiveness and limitations of telehealth.

Concepts Keywords
Academic clinical practice
Coronavirus coronavirus disease 2019
December COVID-19
Nursing Digital Health
Pubmed health care outcomes
Health Services Accessibility
Humans
integrative review
Mental Disorders
Mental Health
Mental Health Services
Mental Health Teletherapy
Pandemics
Patient Satisfaction
SARS-CoV-2
serious mental illness
socio-technical
substance use disorders
Substance-Related Disorders
Telehealth
Telemedicine

Semantics

Type Source Name
disease MESH substance use
disease MESH coronavirus disease 2019
disease MESH mental illness
disease MESH included

Original Article

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