Comparative Outcomes of Video, Phone, and In-Person Mental Health Care - Report - MDSpire
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Evaluating the Effectiveness of Video, Telephone, and Face-to-Face Mental Health Services

  • By

  • Samantha L. Connolly

  • Rebecca A. Raciborski

  • Hassen Abdulkerim

  • Timothy P. Hogan

  • Jan A. Lindsay

  • Leonie Heyworth

  • Jennifer L. Sullivan

  • Kendra R. Weaver

  • Stephanie L. Shimada

  • Christopher J. Miller

  • September 8, 2026

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Clinical Report: Evaluating the Effectiveness of Video, Telephone, and Face-to-Face Mental Health Services

Overview

This study evaluates the comparative effectiveness of video, telephone, and in-person mental health services among veterans.

Background

The shift to tele-mental health services has become increasingly significant, particularly following the COVID-19 pandemic. With a substantial portion of mental health services now delivered remotely, understanding the effectiveness of different modalities is crucial for optimizing patient care.

Data Highlights

This study analyzed VA administrative data from veterans who completed at least three outpatient mental health appointments between July 2021 and October 2022, categorizing them into video, phone, or in-person cohorts based on their predominant care modality.

Key Findings

  • Video care was associated with lower rates of mental health hospitalization compared to phone care.
  • Veterans receiving video care had fewer emergency department visits than those using phone care.
  • Higher appointment completion rates were observed in the video care group compared to the phone care group.
  • No significant differences in outcomes were found between video and in-person care, except for appointment completion rates.

Clinical Implications

The findings suggest that video-based mental health services may offer advantages over phone-based services in terms of hospitalization and emergency visits. Clinicians may consider prioritizing video visits to enhance patient engagement and treatment outcomes.

Conclusion

This study evaluates the effectiveness of video mental health services compared to phone services.

Related Resources & Content

  1. JAMA Network Open, 2026 -- Comparative Outcomes of Video, Phone, and In-Person Mental Health Care
  2. Frontiers in Digital Health, 2026 -- Factors Influencing Acceptance of Video Telemedicine for Non-Urgent Health Concerns
  3. DIGITAL HEALTH, 2026 -- But would you use it again? Determinants of patient intention to reuse and recommend telemental health services
  4. Journal of General Internal Medicine, 2026 -- Optimization of Virtual and In-Person Care Coordination Between VA Primary Care and Mental Health Teams
  5. npj Digital Medicine — Assessing Youth Mental Health Needs Through an Adaptive Digital Tool: Findings from a Cross-Sectional Analysis
  6. Practice Guidelines Archives - ATA
  7. Comparative Outcomes of Video, Phone, and In-Person Mental Health Care | Health Policy | JAMA Network Open | JAMA Network
  8. Journal of Medical Internet Research - Comparing Video-Based and Face-to-Face Psychotherapy: Systematic Review and Multilevel Meta-Analysis Across Mental Disorders

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