Practice guidelines for videoconference-based telepsychiatry in South Africa

Chipps, Jennifer; Ramlall, Suvira; Mars, Maurice

doi:10.4314/ajpsy.v15i4.35

Cited by 16 publications

(18 citation statements)

References 30 publications

(19 reference statements)

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“…30 A systematic review of the effectiveness of training programs for health staff without post-qualification psychiatry training found that despite the differences in training programs, training in mental health may improve outcomes in mental health in low and middle income countries. 35 Continuing medical education (CME) via videoconferencing has been proven to be very successful in other specialties 12 and it would be prudent to adopt this mode of education delivery for psychiatry.…”

Section: Functional Componentsmentioning

confidence: 99%

“…Appropriate equipment and facilities for telepsychiatry and recommendations for use are included in the Guidelines for Telepsychiatry developed for South Africa. 35 Administrative infrastructure should include the use of referral sheets, booking and recording systems 30 or web-based scheduling systems. 23 …”

Section: Structural Componentsmentioning

confidence: 99%

“…More evidence is needed on utilization and cost of telepsychiatry, particularly from developing countries. 35 A set of Guidelines and Standard Operating Procedures were developed.…”

Section: Stage 4 Review Of Evidence (A): Videoconference-based Educatmentioning

confidence: 99%

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A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

2012

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The access of rural Mental Health Care Users in South Africa to specialist psychiatrists and quality mental health care is currently sub-optimal. Health professionals and planners working in psychiatry lack a well-defined and feasible outreach model to facilitate the delivery of services to remote and rural areas. In response to this challenge, a three-year action research telepsychiatry study was undertaken by the Departments of Psychiatry and TeleHealth at the University of KwaZulu-Natal, to develop a telepsychiatry outreach model based on local research and international evidence. The Model draws on needs and infrastructure assessments of the designated psychiatric hospitals in the province, a review of the published international evidence on telepsychiatry and videoconference-based education, and an evaluation of local clinical and educational telepsychiatry implementations in KwaZuluNatal. The Model proposed is "virtual", i.e. not bound to provincial or district referral patterns, aims not to add to the burden on the current workforce and is intended to be integrated into psychiatry outreach services and policy. The Model should be subjected to in situ testing for validation and implementation. It is hoped that an implementation of this Model will improve the access of Mental Health Care Users to specialist psychiatry care.

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Section: Functional Componentsmentioning

confidence: 99%

Section: Structural Componentsmentioning

confidence: 99%

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A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

2012

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“…Telemedicine has been successfully deployed in dermatology (19–25), ophthalmology (26,27), HIV prevention and care (28), clinical psychology and psychiatry (29,30), neurosurgery (31), radiology (32–35), and non-commuicable diseases including hypertension (36–38). Overall, the most successful telemedicine endeavors in SSA have relied on international collaborative efforts between centers in Africa and counterparts in North America or Europe.…”

Section: Discussionmentioning

confidence: 99%

Tele-neurology in sub-Saharan Africa: A systematic review of the literature

Adamu

Awuah

Ovbiagele

2017

Journal of the Neurological Sciences

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Background The rapid advancement in telecommunications on the African continent has opened up avenues for improving medical care to underserved populations. Although the greatest burden of neurological disorders is borne by Low-and-Middle Income Countries (LMICs) including sub-Saharan Africa (SSA), there is a profound paucity of neurologists to serve the population. Telemedicine presents a promising avenue for effective mobilization and utilization of the few neurologists in Africa. Objective To systematically review the published literature on the use of telemedicine for improved care and outcomes for patients with neurological disorders in SSA. Methods We searched PubMed and Cochrane library from January 1, 1980 to April 30, 2017 using the following keywords: “Telemedicine neurology Africa”, “Teleneurology Africa”, “Telestroke Africa”, “Telerehabilitation Africa”, “Telemedicine for epilepsy”, Telemedicine for Parkinson’s disease Africa”, “Telemedicine for dementia Africa”, “Telehealth neurology Africa”. Our inclusion criteria were randomized controlled trials, or case series that reported the utilization of telemedicine for care/education of individuals with neurological disorders in Sub-Saharan Africa. Results This search yielded 6 abstracts. By consensus between two investigators, 1 publication met the criteria for inclusion and further review. The one study identified utilized telemedicine for the purpose of improving education/knowledge of 16 doctors and 17 allied health professionals in Parkinson’s disease (PD) in Cameroon. The study noted feasibility and satisfaction of participants with telemedicine as well as improved knowledge base of participants after the educational course but noted access to healthcare by patients did not change. No studies have evaluated the use of telemedicine for care of patients with neurological disorders. Conclusion The indication is that teleneurology may be feasible in SSA and studies are needed to assess feasibility, acceptability, efficacy, cost-effectiveness of this promising discipline of neurology in these resource-limited settings. We propose the setting up of trans-continental, inter-regional, intra-regional, and national networks of neurologists to utilize teleneurology platforms to improve the reach of neurology care in SSA.

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“…Ethical approval for the study was obtained from the Bioethics and Research Committee of UKZN. 26 These documents included guidelines, standard operating procedures, a standard referral form, an information sheet, a consent form, a telepsychiatry log sheet, and a telepsychiatry clinical record sheet. The development of the guidelines is described elsewhere.…”

Section: Methodsmentioning

confidence: 99%

Developing telepsychiatry services in KwaZulu-Natal – an action research study

et al. 2012

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Objective: In 2009, the Departments of Psychiatry and Telehealth of the University of KwaZulu-Natal (UKZN) initiated a three year project to develop telepsychiatry services in KwaZulu-Natal. This paper describes the challenges and opportunities of this project. Method: This was a collaborative, in situ health service project and an action research framework was adopted. Over the three years, following a needs assessment and an e-health Readiness Assessment, two action research cycles were completed. Cycle 1: The preparation, implementation and evaluation of educational material, technical requirements and clinical guidelines and clinical support materials. Cycle 2: Preparation and evaluation of educational and clinical outreach sessions. Results: Videoconference education sessions were beneficial to health staff without post-qualification psychiatry training. A flexible format for education improved knowledge outcomes. Clinical sessions are feasible, but require administration and technical support for facilitation. With facilitator training, 128Kbps is a suitable bandwidth for education but 384Kbps is preferred for clinical consultation. Conclusion: Telepsychiatry offers tremendous potential to facilitate the three strategies suggested by the World Psychiatric Association to address the treatment gap, save time and costs and improve access to the small pool of specialist psychiatrists in resource constrained environments.

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Practice guidelines for videoconference-based telepsychiatry in South Africa

Cited by 16 publications

References 30 publications

A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

Tele-neurology in sub-Saharan Africa: A systematic review of the literature

Developing telepsychiatry services in KwaZulu-Natal – an action research study

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