Telehealth interventions in mental healthcare: A comparative review of effectiveness and outcomes

Document Type

Poster Presentation

Publication Date

4-17-2026

Keywords

fsc2026

Abstract

Mental health disorders affect over 1 billion people worldwide, with a persistent gap in access to care. Rural areas are disproportionately impacted, with up to 65% of counties lacking a psychiatrist. Barriers include cost, transportation, stigma, and provider shortages. Telehealth offers a solution by expanding access and reducing geographic limitations.

To evaluate the effectiveness of telehealth compared to in-person mental health treatment, focusing on patient outcomes and access to care.

A literature review was conducted using ProQuest, CINAHL, and PubMed. Inclusion criteria: peer-reviewed articles (≤5 years), English, mental health populations ≤65. Excluded geriatric and non-mental health studies. Quality was assessed using the Johns Hopkins Evidence-Based Practice Tool. Studies were analyzed using an evidence table comparing design, sample size, interventions, outcomes, and quality. Patterns and differences across populations and methods were examined.

RESULTS

Four studies (n = 92–17,742) showed:

  • Significant reductions in anxiety and depression

  • Telehealth CBT ≈ in-person effectiveness

  • Improved access for rural populations

  • Limited impact on reaching new underserved patients

Telehealth is an effective alternative to in-person care, with consistent positive outcomes. However, variations in study design limit direct comparison. While it improves continuity of care, it does not substantially increase access for new patients in underserved areas.

Telehealth provides effective, accessible mental health care comparable to in-person treatment. It supports nursing practice by improving access and adherence while reducing barriers. Future efforts should focus on increasing engagement in underserved populations and evaluating long-term outcomes.

Comments

Poster presented at the 2026 Fisher Showcase, St. John Fisher University, April 17, 2026.

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