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Leonard E Egede, Ron Acierno, Rebecca G Knapp, Rebekah J Walker, Elizabeth H Payne, B Christopher Frueh
OBJECTIVE: To analyze the impact of telepsychology and same-room care on functioning, satisfaction, and perception of care based on a noninferiority trial of psychotherapy delivered via telemedicine or same-room care to elderly patients with depression. METHODS: 241 elderly patients with depression (meeting DSM-IV diagnostic criteria) were randomly assigned to either telemedicine (n = 120) or same-room treatment (n = 121) between April 1, 2007, and July 31, 2011...
December 2016: Journal of Clinical Psychiatry
Lynn W Aurich
Physicians and psychologists are often the front-line professionals who examine and treat individuals who are in suicidal crisis. Murphy comments "the clinical conditions that predispose to suicide frequently occasion visits to physicians, mostly nonpsychiatrists." When suicide appears imminent, physicians and psychologists take the necessary steps to hospitalize the patient to ensure their safety. If the patient refuses to voluntarily submit to examination and hospitalization, La.R.S.28:53 provides the legal means for effecting examination and treatment...
September 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Leonard E Egede, Mulugeta Gebregziabher, Rebekah J Walker, Elizabeth H Payne, Ron Acierno, B Christopher Frueh
BACKGROUND: Little evidence exists regarding the costs of telemedicine, especially considering changes over time. This analysis aimed to analyze trajectory of healthcare cost before, during, and after a behavioral activation intervention delivered via telepsychology and same-room delivery to elderly Veterans with depression. METHODS: 241 participants were randomly assigned into one of two study groups: behavioral activation for depression via telemedicine or via same-room treatment...
January 1, 2017: Journal of Affective Disorders
Ashley B Batastini, Robert D Morgan
The use of telepsychology, such as videoconferencing (VC) systems, has been rapidly increasing as a tool for the provision of mental health services to underserved clients in difficult to access settings. Inmates detained in restrictive housing appear to be at an increased risk of experiencing emotional and behavioral disturbances compared to their general population counterparts, yet they are less likely to receive appropriate treatment due to security constraints. The primary purpose of this article is to describe the process of implementing a novel telepsychology intervention specifically designed to offer group therapy to high-security, administratively segregated inmates...
August 2016: Psychological Services
Whitney R Garney, Carly E McCord, Michaela V Walsh, Angela B Alaniz
Literature indicates that the use of promising innovations in mental health care can be improved. The advancement of telepsychology is one innovation that has been utilized as a method to reduce rural health disparities and increase the number of people with access to mental health services. This paper describes a successful pilot telepsychology program implemented in a rural community to increase access to mental health services and the model's replication and expansion into four additional communities using concepts described in an Interactive Systems Framework...
2016: Scientifica
Carol Webb, Janet Orwig
This article discusses the background and history of the Association of State and Provincial Psychology Board's (ASPPB) Principles and Standards for Telepsychology. The Principles/Standards are described with comments on each one as they apply to the practice of telepsychology, and with a guide on how they coordinate with the American Psychological Association's Guidelines for the Practice of Telepsychology. Further, barriers to the interjurisdictional practice of telepsychology are reviewed and a proposed solution to them is presented...
December 2015: Journal of Clinical Psychology in Medical Settings
Timothy G Heckman, Bernadette Davantes Heckman, Timothy Anderson, Joseph A Bianco, Mark Sutton, Travis I Lovejoy
Telepsychology research has focused primarily on treatment efficacy, with far less attention devoted to how common factors relate to teletherapy outcomes. This research identified trajectories of depressive symptom relief in 105 older people living with HIV with elevated depressive symptoms enrolled in a randomized clinical trial testing two 12-session group teletherapies and compared common factors (e.g., therapeutic alliance and group cohesion) across depressive symptom trajectory groups. Growth mixture modelling of weekly depression scores identified three depressive symptom change groups: (1) 'early improvers' (31%) who reported reductions in depressive symptoms by Session 4; (2) 'delayed improvers' (16%) whose symptoms improved after Session 5 and (3) 'non-improvers' (53%)...
January 2017: Clinical Psychology & Psychotherapy
Ashley B Batastini, Christopher M King, Robert D Morgan, Brieann McDaniel
Recent years have seen the incorporation of telepsychology into poorly accessed, rural, and underserved settings, including criminal justice and substance abuse treatment. A systematic search of the literature on telepsychological and related services with justice-involved and substance abuse clients revealed numerous descriptive reports, but few empirical studies. The results of 3 studies of criminal justice participants and 2 studies of substance-abuse participants were subjected to a series of 5 outcome-specific meta-analyses (mental health symptoms, therapeutic processes, program engagement, program performance, and service satisfaction)...
February 2016: Psychological Services
Rodolfo A Fiorini, Piero De Giacomo, Luciano L'Abate
Reliably expanding our clinical practice and lowering our overhead with telepsychiatry, telepsychology, distance counseling and online therapy, requires resilient and antifragile system and tools. When utilized appropriately these technologies may provide greater access to needed services to include more reliable treatment, consultation, supervision, and training. The wise and proper use of technology is fundamental to create and boost outstanding social results. We present, as an example, the main steps to achieve application resilience and antifragility at system level, for diagnostic and therapeutic telepractice and telehealth support, devoted to psychiatry and psychology application...
2015: Studies in Health Technology and Informatics
A J Bolton, D S Dorstyn
The effectiveness of psychological services provided remotely, telepsychology, for the management of Posttraumatic Stress Disorder (PTSD) was evaluated. Eleven studies (n = 472 participants) were identified from electronic database searches. Study quality was assessed, with studies characterised by small and underpowered samples. Effect sizes and associated confidence intervals (CIs) were calculated to determine the direction and magnitude of treatment change. Short-term treatment gains were reported for internet and video-based interventions...
July 2015: Journal of Telemedicine and Telecare
Robert J Reese, Norah C Slone, Neelkamal Soares, Rob Sprang
Telepsychology offers the potential to reach rural and underserved children and families with mental health concerns. The current study evaluated the effects of using videoconferencing technology to deliver an evidence-based parenting program, the Group Triple P Positive Parenting Program (Group Triple P; Turner, Markie-Dadds, & Sanders, 2002), with families who had a child experiencing behavioral problems. Using a pre/post design, families (N = 13) from low socioeconomic backgrounds in Kentucky completed the Group Triple P via a videoconferencing delivery format...
August 2015: Psychological Services
Kevin R Tarlow, Carly E McCord, Timothy R Elliott, Daniel F Brossart
Sixty million US residents live in rural areas, but health policies and interventions developed from an urban mindset often fail to address the significant barriers to health experienced by these local communities. Telepsychology, or psychological services delivered by distance via technology, is an emerging treatment modality with special implications for underserved rural areas. This study found that a sample of rural residents seeking telepsychology services (n = 94) had low health-related quality of life (HRQOL), often due to cooccurring physical and mental health diagnoses including high rates of depression...
2014: International Journal of Telemedicine and Applications
Susan Simpson, Corinne Reid
The current roll-out of broadband across Australia provides new opportunities for psychologists to reach out to residents in remote and rural areas. With the advent of internet protocol (IP)-based videoconferencing, telepsychology is becoming more accessible and affordable, and a potential solution to those in remote areas who require access to specialist assessment and psychotherapy services. Telepsychology represents a high-quality/low-cost model of service delivery. Findings to date suggest that outcome might be equivalent to in-person therapy across a range of client groups both using standardised assessments and evidence-based therapies...
December 2014: Australian Journal of Rural Health
Patrick A Vogel, Stian Solem, Kristen Hagen, Erna M Moen, Gunvor Launes, Åshild T Håland, Bjarne Hansen, Joseph A Himle
Evidence-based exposure and response prevention (ERP) treatment for obsessive-compulsive disorder (OCD) is not always easily accessible. Long distances from specialist treatment and other practical or motivational difficulties can interfere with ERP access and outcome. Delivery of ERP through telepsychology can help "fill the gap". The current study included 30 patients with OCD who were randomized to 12 weeks of either videoconference-assisted ERP (VCT; N = 10), self-help ERP (S-H, N = 10), or a wait-list condition (W-L, N = 10)...
December 2014: Behaviour Research and Therapy
Katherine B Drum, Heather L Littleton
Technology-assisted mental health services are becoming much more routinely utilized by clients and practitioners alike. Clinicians practicing telepsychology must prepare themselves in order to provide competent care in this ever-evolving context of service delivery. Although much has been written with regards to considerations of ethical and legal practice, practical and logistical guidelines, and the advantages and disadvantages of the delivery of services via the use of technology, little to no attention has been paid to issues related to therapeutic boundaries in the telepsychology relationship...
October 2014: Professional Psychology, Research and Practice
C Munro Cullum, L S Hynan, M Grosch, M Parikh, M F Weiner
The use of videoconference technology to deliver health care diagnostics and treatment continues to grow at a rapid pace. Telepsychiatry and telepsychology applications are well-accepted by patients and providers, and both diagnostic and treatment outcomes have generally been similar to traditional face-to-face interactions. Preliminary applications of videoconference-based neuropsychological assessment (teleneuropsychology) have yielded promising results in the feasibility and reliability of several standard tests, although large-scale studies are lacking...
November 2014: Journal of the International Neuropsychological Society: JINS
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No abstract text is available yet for this article.
December 2013: American Psychologist
Angela Banitt Duncan, Sarah E Velasquez, Eve-Lynn Nelson
Children and adolescents living in rural areas have difficulty accessing psychological services due to a lack of psychologists and other behavioral health professionals, especially those with expertise in treating youth. Telepsychology helps bridge this access gap. This article extends evidence supporting videoconferencing for psychological assessment and treatment in adults to support telepsychological treatment for youth. In addition, the basic components needed to begin and sustain a telepsychological practice are explored...
2014: Journal of Clinical Child and Adolescent Psychology
John Kasckow, Kandi Felmet, Cathleen Appelt, Robert Thompson, Armando Rotondi, Gretchen Haas
BACKGROUND: Telehealth technology has become more available to providers as a means of treating chronic diseases. Consideration of the applicability of telehealth technology in the treatment of schizophrenia calls for a review of the evidence base in light of the special needs and challenges in the treatment of this population. Our aims are to assess the types and nature of distant interventions for patients with schizophrenia, either telephone-based, internet-based or video-based telehealth systems...
April 2014: Clinical Schizophrenia & related Psychoses
Melba C Stetz, Raymond A Folen, Sandra Van Horn, Daniel Ruseborn, Kevin M Samuel
The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Regional Medical Command. Due to Tripler's large area of responsibility, many behavioral health professionals are starting to employ more technology during their sessions. As explained in this article, virtual reality and telepsychology efforts are proving to benefit military service members and their families in the Pacific Rim.
August 2013: Psychological Services
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