Primary Care Physician Adherence to Telepsychiatry Recommendations: Intermediate Outcomes from a Randomized Clinical Trial

Lieng, Monica K.; Aurora, Magi S.; Kang, Yuna; Kim, Joseph M.; Marcin, James P.; Chan, Steven; Mouzoon, Jamie L.; Tancredi, Daniel J.; Parish, Michelle Burke; González, Álvaro; Scher, Lorin; Xiong, Glen L.; McCarron, Robert M.; Yellowlees, Peter Mackinlay

doi:10.1089/tmj.2021.0389

Cited by 5 publications

(3 citation statements)

References 55 publications

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“…Reimbursement for most asynchronous models in the US is variable or nonexistent. This discourages psychiatrists and other clinicians from adopting them, despite evidence for their efficacy, as in this case study 19-21 . Technology and innovative clinical practices have changed far more rapidly than most CPT-based coding systems that still primarily focus on synchronous interaction between patient and provider.…”

Section: Questions To the Consultantsmentioning

confidence: 94%

“…This discourages psychiatrists and Hybrid and Remote Care in Psychiatry other clinicians from adopting them, despite evidence for their efficacy, as in this case study. [19][20][21] Technology and innovative clinical practices have changed far more rapidly than most CPT-based coding systems that still primarily focus on synchronous interaction between patient and provider. Thus, many innovative mental health treatments occur in capitated systems like the Veterans Health Administration and others.…”

Section: Peter Yellowlees Mbbs MDmentioning

confidence: 99%

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Psychotherapy in the Digital Era: A Case for Hybrid Care and Remote Therapeutic Monitoring

Hartstein,

Peck,

Yellowlees

et al. 2024

Harv Rev Psychiatry

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Section: Questions To the Consultantsmentioning

confidence: 94%

Section: Peter Yellowlees Mbbs MDmentioning

confidence: 99%

Psychotherapy in the Digital Era: A Case for Hybrid Care and Remote Therapeutic Monitoring

Hartstein,

Peck,

Yellowlees

et al. 2024

Harv Rev Psychiatry

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“…Two studies have shown this approach to be just as effective as traditional synchronous telepsychiatry 16 , 17 and to achieve similar PCP adherence to recommendations (∼60%). 18 …”

Section: Asynchronous Virtual Care: An Efficient Methods To Support C...mentioning

confidence: 99%

Virtual Care and Mental Health: Dismantling Silos to Strengthen Care Delivery

Scott

Yellowlees

Becker

et al. 2023

Telemedicine Reports

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Background: During the COVID-19 pandemic, many Americans experienced new or worsened mental health conditions. Concurrently, much care switched from in-person to virtual care, highlighting the value of virtual care but also some of the underlying challenges. Methods: This paper explores one such challenge, the separation of mental health care from physical health care, and a potential solution, collaborative care. It is a team-based approach linking psychiatrists to primary care providers that can help break down the silos of care created through reimbursement models. Results: In this context of collaborative care, high quality virtual care further bridges the divide between physical and mental health care. Asynchronous virtual care for mental and behavioral health is an innovation that can create efficiencies while still supporting collaborative care. Discussion: The barriers and weaknesses of using virtual care exclusively for mental and behavioral health are discussed, as well as examples of policy changes which can improve mental health care through collaborative virtual care.

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Asynchronous Technologies in Mental Health Care and Education

Lagera

Chan

Yellowlees

2023

Curr Treat Options Psych

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Purpose of review Patients, providers, and trainees should understand the current types of asynchronous technologies that can be used to enhance the delivery and accessibility of mental health care. Asynchronous telepsychiatry (ATP) removes the need for real time communication between the clinician and patient, which improves efficiency and enables quality specialty care. ATP can be applied as distinct consultative and supervisory models in clinician-to-clinician , clinician-to-patient , and patient-to-mobile health settings. Recent findings This review is based on research literature and the authors’ clinical and medical training, using experiences with asynchronous telepsychiatry from before, during, and after the COVID-19 pandemic. Our studies demonstrate that ATP provides positive outcomes in the clinician-to-patient model with demonstrated feasibility, outcomes and patient satisfaction. One author’s medical education experience in the Philippines during COVID-19 highlights the potential to utilize asynchronous technology in areas with limitations to online learning. We emphasize the need to teach media skills literacy around mental health to students, coaches, therapists, and clinicians when advocating for mental well-being. Several studies have demonstrated the feasibility of incorporating asynchronous e-tools such as self-guided multimedia and artificial intelligence for data collection at the clinician-to-clinician and patient-to-mobile health level. In addition, we offer fresh perspectives on recent trends in asynchronous telehealth in wellness, applying concepts such as “tele-exercise” and “tele-yoga.” Summary Asynchronous technologies continue to be integrated into mental health care services and research. Future research must ensure that the design and the usability of this technology puts the patient and provider first.

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Primary Care Physician Adherence to Telepsychiatry Recommendations: Intermediate Outcomes from a Randomized Clinical Trial

Cited by 5 publications

References 55 publications

Psychotherapy in the Digital Era: A Case for Hybrid Care and Remote Therapeutic Monitoring

Psychotherapy in the Digital Era: A Case for Hybrid Care and Remote Therapeutic Monitoring

Virtual Care and Mental Health: Dismantling Silos to Strengthen Care Delivery

Asynchronous Technologies in Mental Health Care and Education

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