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Telepsychiatry legal issues

Subrata Naskar, Robin Victor, Himabrata Das, Kamal Nath
A wide discrepancy exists in India between the existing mental healthcare repertoire and the alarmingly high burden of individuals requiring immediate attention from requisite mental healthcare services. Providing equitable mental healthcare across a vast country characterized by profound cultural variations and territorial caveats has remained a major public health concern. Against this gloomy backdrop, the emergence of distant communications technology offers solace and optimism as an ingenious approach to bridge the existing gap between clients and mental health professionals...
May 2017: Indian Journal of Psychological Medicine
Jessica Abrams, Sarah Sossong, Lee H Schwamm, Lauren Barsanti, Michael Carter, Naomi Kling, Meghan Kotarski, Jaclyn Leddy, Benjamin Meller, Marcy Simoni, Michael Sullivan, Janet Wozniak
BACKGROUND: In the age of online communication, psychiatric care can now be provided via videoconferencing technologies. While virtual visits as a part of telepsychiatry and telemental health provide a highly efficient and beneficial modality of care, the implementation of virtual visits requires attention to quality and safety issues. As practitioners continue to utilize this technology, issues of clinician licensing, treatment outcomes of virtual visits versus in-person visits, and cost offset require ongoing study...
May 2017: Harvard Review of Psychiatry
Sam Hubley, Sarah B Lynch, Christopher Schneck, Marshall Thomas, Jay Shore
AIM: To conduct a review of the telepsychiatry literature. METHODS: We conducted a systematic search of the literature on telepsychiatry using the search terms, "telepsychiatry", "telemental health", "telecare", "telemedicine", "e-health", and "videoconferencing". To meet criteria for inclusion, studies had to: (1) be published in a peer-reviewed journal after the year 2000; (2) be written in English; (3) use videoconferencing technology for the provision of mental health assessment or treatment services; and (4) use an adequately-powered randomized controlled trial design in the case of treatment outcome studies...
June 22, 2016: World Journal of Psychiatry
Marta Valdagno, Arianna Goracci, Silvia di Volo, Andrea Fagiolini
Telepsychiatry, thanks to the continuous advance of technologies, is an area with excellent prospects to become an effective tool for assistance in psychiatry. Many studies evaluated the effectiveness of telepsychiatry in different psychiatric disorders like anxiety disorders, psychotic disorders and depression. Results showed that telepsychiatry seems to be promising in anxiety and depressive disorders, especially in the maintenance phase, and also for psychotic disorders, especially for these cases with a poor compliance...
December 2014: CNS Spectrums
Bruno Pereira, Pedro Cintra, Fernando Vieira, Jorge Costa Santos
Forensic Telepsychiatry has had growing usage in countries such as the USA and England in the last decade, due to ongoing development of technologies which allow a better access to mental health care in needed populations, and improve the outcome of technicians' work, while facing a more demanding performance of Mental Health facilities. In this article we make a revision of literature concerning applications of Forensic Telepsychiatry, analyzing its potencialities and limits in Portugal. The literature shows positive evidence about efficiency, cost and acceptance, to both patients and doctors...
July 2011: Acta M├ędica Portuguesa
Wynn W Paing, Ronald A Weller, Bill Welsh, Taliba Foster, Jennifer M Birnkrant, Elizabeth B Weller
Psychiatric care for children and adolescents is limited in remote and underserved areas because of the shortage of child and adolescent psychiatrists. Telepsychiatry has the potential to alleviate this problem. This article reviews the procedures used to develop telepsychiatry, equipment needed for videoconferencing in telepsychiatry, benefits and limitations of telepsychiatry, and confidentiality issues in telepsychiatry. Many questions regarding confidentiality, legality, reimbursement, cost-effectiveness, and technology still need to be resolved...
April 2009: Current Psychiatry Reports
Diana J Antonacci, Richard M Bloch, Sy Atezaz Saeed, Yilmaz Yildirim, Jessica Talley
A growing body of literature now suggests that use of telepsychiatry to provide mental health services has the potential to solve the workforce shortage problem that directly affects access to care, especially in remote and underserved areas. Live interactive two-way audio-video communication-videoconferencing-is the modality most applicable to psychiatry and has become synonymous with telepsychiatry involving patient care, distance education, and administration. This article reviews empirical evidence on the use and effectiveness of videoconferencing in providing diagnostic and treatment services in mental health settings that serve child, adolescent, and adult populations...
2008: Behavioral Sciences & the Law
Thomas W Miller, James Clark, Lane J Veltkamp, Deborah C Burton, Marian Swope
A medical center-based forensic clinic that provides the necessary comprehensive consultation, continuing education, court testimony, and clinical services through an applied model of teleconferencing applications is addressed. Telemedicine technology and services have gained the attention of both legal and clinical practitioners, examining trends and models of health care for underserved populations, and identifying where consultation with a team of professionals may benefit service providers in rural communities...
2008: Behavioral Sciences & the Law
Jay H Shore, Joseph D Bloom, Spero M Manson, Ron J Whitener
The use of live interactive videoconferencing to provide psychiatric care, telepsychiatry, has particular relevance for improving mental health treatment to rural American Indian reservations. There is little literature on civil commitments in telepsychiatry and none specifically addressing this topic among American Indians. This article reviews telepsychiatry in the mental health care of American Indians, civil commitments and telepsychiatry in general, and the current state of civil commitments in American Indian communities...
2008: Behavioral Sciences & the Law
Jay H Shore, Donald M Hilty, Peter Yellowlees
OBJECTIVE: Telepsychiatry, in the form of live interactive videoconferencing, is an emerging application for emergency psychiatric assessment and treatment and can improve the quality and quantity of mental health services, particularly for rural, remote and isolated populations. Despite the potential of emergency telepsychiatry, the literature has been fairly limited in this area. METHOD: Drawing on the combined clinical and administrative experiences of its authors, this article reviews the common administrative, legal/ethical and clinical issues that arise in emergency telepsychiatry...
May 2007: General Hospital Psychiatry
Pamela S Whitten, Michael S Mackert
OBJECTIVES: During the past decade, telehealth has enjoyed a plethora of public funding and publication outlets around the world. Yet, rhetoric appears to be outpacing the actual diffusion and utilization of telehealth technologies for patient care. Several barriers, such as reimbursement and legal/regulatory issues, are commonly cited as impeding the successful deployment of this innovation. However, two separate studies carried out in Michigan that controlled for these barriers point out a more significant initial gatekeeper to the deployment of telehealth, namely providers...
2005: International Journal of Technology Assessment in Health Care
Steven E Hyler, Dinu P Gangure
Telepsychiatry in the 21st century poses a wide range of legal and ethical challenges. The authors review issues related to licensure, credentialing, privacy, security, confidentiality, informed consent, and professional liability in the use of telepsychiatry services and illustrate the discussion with hypothetical clinical vignettes. It is clear that there will be a need in the immediate future to create legal instruments as well as formal professional ethical guidelines for the practice of telepsychiatry.
July 2004: Journal of Psychiatric Practice
Jeannine Monnier, Rebecca G Knapp, B Christopher Frueh
OBJECTIVE: In response to new developments and interest in the area of telepsychiatry, literature on this topic has greatly increased over the past three years. Because of this increase, the authors conducted a literature review of telepsychiatry to update a previously published review that covered the years 1970 to 2000. METHODS: A search was conducted on the MEDLINE, PsycINFO, and Telemedicine Information Exchange (TIE) databases for literature published from March 2000 to March 2003 on telepsychiatry applications, using the following terms: telepsychiatry, telepsychology, telemental health, videoconferencing, and video conferencing...
December 2003: Psychiatric Services: a Journal of the American Psychiatric Association
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