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Henrik Koblauch, Sasha M Reinhardt, Waltraut Lissau, Pia-Lis Jensen
INTRODUCTION: Telepsychiatric modalities are used widely in the treatment of many mental illnesses. It has also been proposed that telepsychiatric modalities could be a way to reduce readmissions. The purpose of the study was to conduct a systematic review of the literature on the effects of telepsychiatric modalities on readmissions in psychiatric settings. METHODS: We conducted a systematic literature search in MEDLINE, CINAHL, Embase, Cochrane, PsycINFO and Joanna Briggs databases in October 2015...
September 22, 2016: Journal of Telemedicine and Telecare
Céline Elie-Lefebvre, Jean-Pierre Schuster, Frédéric Limosin
Telemedicine has recently been developed in response to epidemiological, demographical and economical problems in the French Health care system. Telepsychiatry appears to be a suitable tool, but few studies have evaluated its applicability and acceptability when applied to the elderly. The use of such a tool is interesting because elderly people have many psychiatric disorders, but encounter many difficulties to access health care. Studies performed in health care facilities generally report patients and caregivers satisfaction with teleconsultations and suitability for demented patients...
September 1, 2016: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
Albert Yeung, Max A Martinson, Lee Baer, Justin Chen, Alisabet Clain, Aya Williams, Trina E Chang, Nhi-Ha T Trinh, Jonathan E Alpert, Maurizio Fava
OBJECTIVE: This study evaluates the effectiveness of a telepsychiatry-based culturally sensitive collaborative treatment (T-CSCT) intervention to improve treatment outcomes for depressed Chinese American immigrants. METHODS: Participants were Chinese Americans recruited from primary care settings from February 1, 2009, to July 31, 2012, with DSM-IV major depressive disorder (MDD) identified by the Mini-International Neuropsychiatric Interview. Eligible patients were randomized to receive either T-CSCT or treatment as usual (TAU) for 6 months...
August 2016: Journal of Clinical Psychiatry
Ines Hungerbuehler, Leandro Valiengo, Alexandre A Loch, Wulf Rössler, Wagner F Gattaz
BACKGROUND: There is a tremendous opportunity for innovative mental health care solutions such as psychiatric care through videoconferencing to increase the number of people who have access to quality care. However, studies are needed to generate empirical evidence on the use of psychiatric outpatient care via videoconferencing, particularly in low- and middle-income countries and clinically unsupervised settings. OBJECTIVE: The objective of this study was to evaluate the effectiveness and feasibility of home-based treatment for mild depression through psychiatric consultations via videoconferencing...
2016: JMIR Mental Health
Teresa Crowe, Suni Jani, Sushma Jani, Niranjan Jani, Raja Jani
BACKGROUND: Access to mental health care in deaf communities is limited by cultural considerations, availability of translators, and technological considerations. Telepsychiatry can mitigate the deaf community's lack of access to care by allowing for deaf individuals in remote communities access to care with facilities that cater to their needs. METHODS: Community Behavioral Health, Arundel Lodge, and Gallaudet University worked in conjunction to test three hypotheses: 1...
March 2016: Heliyon
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
Ann Vander Stoep, Carolyn A McCarty, Chuan Zhou, Carol M Rockhill, Erin N Schoenfelder, Kathleen Myers
The Children's Attention-deficit Hyperactivity Disorder (ADHD) Telemental Health Treatment Study (CATTS) tested the hypotheses that children and caregivers who received guideline-based treatment delivered through a hybrid telehealth service delivery model would experience greater improvements in outcomes than children and caregivers receiving treatment via a comparison delivery model. Here, we present caregiver outcomes. 88 primary care providers (PCPs) in seven geographically underserved communities referred 223 children (ages 5...
April 27, 2016: Journal of Abnormal Child Psychology
Allison Crawford, Nadiya Sunderji, Jenna López, Sophie Soklaridis
BACKGROUND: A foundational assessment of learning needs is missing from previous reports of telepsychiatry curricula. We used an in-depth needs assessment to identify specific skills required for the practice of effective telepsychiatry, and provide an evidence base to guide the development of telepsychiatry curricula in postgraduate psychiatry training. Many of these skills set telepsychiatry apart from practice in traditional face-to-face clinical settings, or result from adaptations to clinical practice to meet the needs of a telepsychiatry interface in patient care...
2016: BMC Medical Education
Sharon Cain, Susan Sharp
OBJECTIVE: The purpose of this study is to review and discuss the status of telepsychiatry practice, particularly as applied to treating children and adolescents with psychotropic medications, which is termed "telepharmacotherapy." METHODS: The literature pertinent to telepsychiatry practice is reviewed, followed by a presentation of the challenges to implementing telepharmacotherapy, potential solutions, current controversies, and future directions, combining insights from the literature with the authors' own experiences...
April 2016: Journal of Child and Adolescent Psychopharmacology
Barb Johnston, Peter Yellowlees
No abstract text is available yet for this article.
January 2016: Psychiatric Services: a Journal of the American Psychiatric Association
David Farabee, Stacy Calhoun, Robert Veliz
OBJECTIVE: Many offenders treated for psychiatric disorders while incarcerated are paroled to counties where psychiatric care is limited, leading some correctional departments to offer psychiatric treatment via videoconferencing ("telepsychiatry"). However, the effectiveness of telepsychiatry for offenders with psychiatric disorders has not been rigorously evaluated. METHODS: In this randomized field experiment, the authors compared the effectiveness of telepsychiatry and in-person psychiatric sessions (treatment as usual) among 71 parolees receiving outpatient psychiatric treatment over a six-month period...
May 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Jeffrey DeVido, Anna Glezer, Linda Branagan, Alvin Lau, James A Bourgeois
BACKGROUND: Many hospitals do not have regular access to psychiatry consult services. This is well understood as a common shortage at nonacademic community hospitals (especially in rural environments, and may also be a problem at noncontiguously located smaller hospitals that are affiliated with academic medical centers in urban settings. The authors sought to deliver timely inpatient psychiatric consultation-liaison services via telemedicine to a local but physically separated hospital affiliated with an academic medical center...
July 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
John C Fortney, Jeffrey M Pyne, Eric E Turner, Kellee M Farris, Tre M Normoyle, Marc D Avery, Donald M Hilty, Jürgen Unützer
From a population health perspective, the mental health care system in the USA faces two fundamental challenges: (1) a lack of capacity and (2) an inequitable geographic distribution of services. Telepsychiatry can help address the equity problem, and if applied thoughtfully, can also help address the capacity problem. In this paper we describe how telepsychiatry can be used to address the capacity and equity challenges related to the delivery of mental health services in rural areas. Five models of telepsychiatry are described, including (1) the traditional telepsychiatry referral model, (2) The telepsychiatry collaborative care model, (3) the telepsychiatry behavioural health consultant model, (4) the telepsychiatry consultation-liaison model, and (5) the telepsychiatry curbside consultation model...
2015: International Review of Psychiatry
Jay H Shore
No abstract text is available yet for this article.
2015: International Review of Psychiatry
Robbie Campbell, Jennifer O'Gorman, Zack Z Cernovsky
Telepsychiatry could offer a viable medical service to remote or isolated social communities if it does not generate adverse reactions such as delusional ideation, particularly in patients in settlements without adequate exposure to mainstream culture and internet. We examined subjective reactions to telepsychiatry of randomly selected 84 psychiatric patients from remote locations in Ontario, Canada. They rated the quality of their teleconferencing sessions via 10 item questionnaire and were asked about advantages and disadvantages of telepsychiatry...
September 30, 2015: Mental Illness
Maryann Waugh, Debbie Voyles, Marshall R Thomas
In the USA, the high cost and inefficiencies of the health care system have prompted widespread demand for a better value on investment. Reform efforts, focused on increasing effective, cost-efficient, and patient-centred practices, are inciting lasting changes to health care delivery. Integrated care, providing team-based care that addresses both physical and behavioural health needs is growing as an evidence-based way to provide improved care with lower overall costs. This in turn, is leading to an increasing demand for psychiatrists to work with primary care physicians in delivering integrated care...
2015: International Review of Psychiatry
Sy Atezaz Saeed, Vivek Anand
This article reviews the organization, infrastructure basics, applications, effectiveness, outreach, and implementation barriers related to telepsychiatry. We highlight the tremendous potential and promise that this technology holds and also discuss the importance that telepsychiatry may play in the field of psychodynamic psychiatry. Given the growing effectiveness evidence base for therapy delivered over the Internet, telepsychiatry holds a large unexplored territory to help psychodynamically minded patients connect with psychodynamically oriented psychiatrists...
December 2015: Psychodynamic Psychiatry
Donald M Hilty, Allison Crawford, John Teshima, Steven Chan, Nadiya Sunderji, Peter M Yellowlees, Greg Kramer, Patrick O'neill, Chris Fore, John Luo, Su-Ting Li
Telepsychiatry (TP; video; synchronous) is effective, well received and a standard way to practice. Best practices in TP education, but not its desired outcomes, have been published. This paper proposes competencies for trainees and clinicians, with TP situated within the broader landscape of e-mental health (e-MH) care. TP competencies are organized using the US Accreditation Council of Graduate Medical Education framework, with input from the CanMEDS framework. Teaching and assessment methods are aligned with target competencies, learning contexts, and evaluation options...
2015: International Review of Psychiatry
Robert Lee Caudill, Zachary Sager
The delivery of psychiatric care via video-teleconferencing (VTC) technology is thought to have reached a tipping point. As a medical speciality with relatively few material or technical requirements for service delivery, psychiatry has been one of the earliest to embrace the possibility of providing evaluations and treatment at a distance. Such technical infrastructure as is necessary can often be found in the institutions already in existence. It was natural therefore that institutionally based telepsychiatry would lay the foundation for the development of the field...
2015: International Review of Psychiatry
James E Sabin, Kathryn Skimming
Psychiatrists who provide telepsychiatric services must uphold the standards of ethics and professionalism expected in in-person interactions. Psychiatrists' fundamental ethical responsibilities do not change when they take up a new form of practice. But as in other areas of medicine, the introduction of a new technology - here, Internet use and videoconferencing - raises new ethical challenges, requiring a fresh look at clinical practice and social issues such as equitable access. This review discusses these new challenges under six headings: providing competent, safe care, ensuring informed consent, promoting privacy and confidentiality, managing boundaries, encouraging continuity of care, and addressing health equity...
2015: International Review of Psychiatry
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