Psychiatry, Technology, and the Corn Fields of Iowa

Barriers to Use of Telepsychiatry: Clinicians as Gatekeepers

“…Limited education, clinical exposure, and hands-on learning in telepsychiatry are significant barriers to expanding use. 8,11,20,27,28,31,35,38,40,47,59,89,104,105,[107][108][109][110] Telepsychiatry education in medical school and residency is minimal, 8,47,110 with only 21 of 183 US residency training programs offering any training or experience in telepsychiatry. 12 The burden largely falls on individual psychiatrists to seek out the knowledge and experience required to become competent in telepsychiatry.…”

A multi-phase telepsychiatry programme in Michigan: organizational factors affecting utilization and user perceptions

“…Telepsychiatry has become a viable alternative to conventional methods for the delivery of mental health-care, especially in rural areas, although research specific to service delivery in rural areas remains sparse 6 . Explanations for the slow adoption of telepsychiatry include lack of professional standards 1 , providers' perceptions of the complexity of the technique, and the lack of opportunity to test telepsychiatry applications or to observe their use by others 7 .…”

Diffusion of efficacious interventions for children and adolescents with mental health problems

“…One key problem here is that these strategies are not always cost‐effective. The last strategy is far less used: the implementation of telepsychiatry for training purposes in child psychiatry (Hilty, Marks, Urness, Yellowlees, & Nesbitt, 2004; Karlinsky, 2004; Pesamaa et al., 2004; Styra, 2004). Owing to its potential future and cost‐effective benefits, we will review some principles of its use and examples available for disseminating efficacious interventions for child mental disorders.…”

“…On the other hand, access to the internet has quickly become available worldwide, even in developing countries. In a developed country like Canada, around 88% of physicians actively use the internet (Karlinsky, 2004). Moreover, the internet not only increases access to medical literature, but also allows both continuing education and the availability of information from international guidelines and clinical trials even for health care practitioners from developing countries.…”

“…During these conference calls, lively discussion was undertaken while materials were reviewed in the sharepoint. For the implementation of this kind of training, it is essential that local leaders are involved, since it is clearly established that they are fundamental to having new interventions accepted and disseminated locally (Karlinsky, 2004). In addition, the technology should be compatible with personal beliefs and values at the local center.…”