Benefits and Challenges of Video Consulting for Mental Health Diagnosis and Follow-Up: A Qualitative Study in Community Care

Sheikh, Yusuf; Ali, Ayesha; Khasati, Aya; Hasanic, Alan; Bihani, Urvi; Ohri, Raja; Muthukumar, Keerthi; Barlow, James

doi:10.3390/ijerph20032595

Cited by 9 publications

(2 citation statements)

References 36 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mixed effects of consultation medium were observed in recent studies. [55][56][57][58] Third, the ndings may be region-speci c. Although the study's catchment area covered a large, ethically diverse population, it is unclear whether the results can be generalised across countries or cultures.…”

Section: Discussionmentioning

confidence: 99%

Association between continuity of care and attendance of post-discharge follow-up after psychiatric emergency presentation

Wong,

Chu,

Calaminus

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The number of accident and emergency (A&E) hospital attendances by young people aged 18 or under with a recorded diagnosis of a psychiatric condition more than tripled between 2010 and 2022. After discharge from the hospital, attendance at follow-up appointments in the community is critical to ensure the safety of young people and optimise the use of clinical resources Aims To evaluate the association between follow-up attendance and the continuity of clinicians and clinical teams. Method A retrospective cohort study was conducted using electronic clinical record data from East London NHS Foundation Trust (ELFT), between April 2019 and March 2022. Multi-level mixed effects logistic regression was performed to model the follow-up attendance odds based on whether the same or different clinician and clinical team offered the initial A&E and the community follow-up appointment or whether a crisis team was involved. Results 3134 A&E presentations by 2368 young people were identified within the study period. Following these presentations, 2091 follow-up appointments in the community were offered. The attendance rate increased by more than three times if the follow-up appointment was offered by the same clinician who saw the young person in A&E (odds ratio (OR) = 3.66; 95% CI 1.65–8.13). Whether the same clin ical team provided the community follow-up appointment, or whether a crisis team was involved before discharge made no difference to the likelihood of follow-up attendance. Conclusions The findings support the importance of the continuity of clinicians in the care of young people in crisis. Crisis service planners and policymakers should prioritise the continuity of clinicians in mental health service models and rota planning.

show abstract

Section: Discussionmentioning

confidence: 99%

Association between continuity of care and attendance of post-discharge follow-up after psychiatric emergency presentation

Wong,

Chu,

Calaminus

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Despite the growing evidence base for the efcacy of psychiatric interventions via VC modality [12][13][14], there is an acknowledgement that video consultation is often underutilized in clinical practice [27][28][29]. Te delay in the transfer of efcacious interventions from research to clinical settings is a recognized problem [30].…”

Section: Introductionmentioning

confidence: 99%

Implementing Video Consultations in a Rural Psychiatric Outpatient Clinic: A Feasibility Study

Shaker,

Austin,

Sørensen

et al. 2023

Perspectives in Psychiatric Care

View full text Add to dashboard Cite

Introduction. Multiple efficacy studies have shown that treatment provided via video consultation (VC) can be equivalent to in-person (IP) consultation for people with psychiatric diagnoses. However, despite the great promise of VC, it has not been widely implemented in psychiatric outpatient services. This study investigated the feasibility aspects of VC in clinical practice and examined a range of factors associated with the implementation of this modality of treatment within psychiatric outpatient services. Methods. This study had a pragmatic design, where 40 consecutive referrals for people with anxiety, personality, or depressive disorders were given the choice to receive eight weekly treatment sessions via VC or IP modality within an outpatient psychiatric setting. Information on demand, acceptance, engagement, implementation, and potential negative effects for treatment conducted via VC were collected to help identify factors that may impact on the uptake of VC within the psychiatric outpatient service. Results. There was a high demand and acceptance for VC, with 44% (n = 15) of the patients choosing to receive eight weekly treatment sessions via VC, and acceptance was rated highly. Engagement with VC modality was good, with only a very small percentage (13%, n = 2) not completing treatment. A good level of working alliance was established and largely maintained throughout treatment for patients and case managers. There were differences in the utilization of VC compared to the IP modality, with the VC modality having a greater focus on supportive counseling and IP modality having a greater focus on psychotherapy. Overall, the duration of treatment conducted via VC was also slightly shorter than that of IP consultations. There were no negative effects registered for consultations via video. Conclusions. Findings suggest a high patient demand and acceptance for VC within psychiatric services, with good levels of engagement and alliance reported. Differences in focus and duration in VC compared to IP may reflect clinicians’ different attitudes and/or approaches to providing treatment, depending on whether it is VC or IP consultations.

show abstract

Association between continuity of care and attendance of post-discharge follow-up after psychiatric emergency presentation

Wong,

Chu,

Calaminus

et al. 2024

npj Mental Health Res

View full text Add to dashboard Cite

The number of accident and emergency (A&E) hospital attendances by young people aged 18 or under with a recorded diagnosis of a psychiatric condition more than tripled between 2010 and 2022. After discharge from the hospital, attendance at follow-up appointments in the community is critical to ensure the safety of young people and optimise the use of clinical resources. A retrospective cohort study was conducted to evaluate the association between follow-up attendance and the continuity of clinicians and clinical teams, using electronic clinical record data from East London NHS Foundation Trust (ELFT), between April 2019 and March 2022. Multi-level mixed effects logistic regression was performed to model the follow-up attendance odds based on whether the same or different clinician and clinical team offered the initial A&E and the community follow-up appointment or whether a crisis team was involved. 3134 A&E presentations by 2368 young people were identified within the study period. Following these presentations, 2091 follow-up appointments in the community were offered. The attendance rate increased by more than three times if the follow-up appointment was offered by the same clinician who saw the young person in A&E (odds ratio (OR) = 3.66; 95% CI 1.65–8.13). Whether the same clinical team provided the community follow-up appointment, or whether a crisis team was involved before discharge made no difference to the likelihood of follow-up attendance. The findings support the importance of the continuity of clinicians in the care of young people in crisis.

show abstract

Benefits and Challenges of Video Consulting for Mental Health Diagnosis and Follow-Up: A Qualitative Study in Community Care

Cited by 9 publications

References 36 publications

Association between continuity of care and attendance of post-discharge follow-up after psychiatric emergency presentation

Association between continuity of care and attendance of post-discharge follow-up after psychiatric emergency presentation

Implementing Video Consultations in a Rural Psychiatric Outpatient Clinic: A Feasibility Study

Association between continuity of care and attendance of post-discharge follow-up after psychiatric emergency presentation

Contact Info

Product

Resources

About