Tele-Psychiatry: After Mars, Can we Reach the Unreached?

Math, Suresh Bada; Moirangthem, Sydney; Kumar, Nitish

doi:10.4103/0253-7176.155606

Cited by 22 publications

(16 citation statements)

References 4 publications

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“…Despite the promising advantages, still, some drawbacks curb the widespread use of telemedicine model in prison which includes (a) lack of acceptance to this model, both by patients and healthcare professionals, at spoke side as a replacement for an in-person consultation, (b) conflicting view on virtuality versus reality interphase-based consultation, (c) technical difficulties faced in connecting hub with spoke center, (d) inadequate training and lack of availability of skilled workforce, (e) disputed primary legal responsibility in cases of medico-legal issues, (f) uncertain policy on confidentiality of patient information during web consultation and (g) storage of relevant audiovisual telemedicine data. [21]…”

Section: Discussionmentioning

confidence: 99%

Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Agarwal

Manjunatha

Gowda

et al. 2019

Journal of Neurosciences in Rural Practice

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Background: Tele-medicine helps to provide clinical care comparable to in-person treatment in various clinical settings. It is a novel system of healthcare delivery in both low-resource settings and sites where adequate medical care continues to pose greatest challenge like in prison’s in India and worldwide. Aim: To study the sociodemographic and clinical profile of patients from Central Prisons, having received collaborative Tele-Neuropsychiatric Care. Methodology: Psychiatry, neurology, and neurosurgery specialists provided tele-neuropsychiatry consultation through Specialist–Doctor–Patient model as part of the state-run program for the two central prisons from July 1, 2014, to June 30, 2016. A retrospective file review was done of the tele-neuropsychiatry case records at Tele-Medicine Centre, Located at Tertiary Neuro Psychiatric centre of South India. Results: A total of 53 patients were provided tele-neuropsychiatric consultation over 2-year period. Of these, 48 (90.6%) were male and 34 (64.1%) were aged more than 30 years. In total, 20.7% of them had severe mental illness, i.e., schizophrenia and mood disorders, 20.7% with substance use disorder (alcohol and cannabis), 17% had anxiety disorders while 17% with seizure disorder. Nearly 81.1% of patients (inmates) were advised pharmacotherapy while 18.9% were suggested further evaluation of illness and inpatient care at the higher center. Conclusion: The collaborative care was successful in delivering psychiatry, neurology, and neurosurgery consultation with a Specialist–Doctor–Patient model to prison inmates.

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Section: Discussionmentioning

confidence: 99%

Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Agarwal

Manjunatha

Gowda

et al. 2019

Journal of Neurosciences in Rural Practice

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“…Avinash De Sousa 1,2 , Amresh Shrivastava 3 , Bhumika Shah 1 amined by the doctor is vital to patient satisfaction. 5 Many patients may not accept telepsychiatry and telepsychotherapy as does not substitute the real experience of a clinic and a consultation.…”

Section: Viewpointmentioning

confidence: 99%

“…With the onset of the coronavirus disease (COVID-19) pandemic, there has been a surge in telepsychiatry services, online and telepsychotherapy services with patients and psychiatrists alike being compelled to resort to these media of services due to the restrictions imposed. 2 There have also been the development of clear guidelines for telepsychiatry 3 and telepsychotherapy 4 from an Indian perspective. While these guidelines are truly comprehensive, some lacunae and gray areas remain in clinical practice that need to be addressed.…”

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confidence: 99%

Telepsychiatry and Telepsychotherapy: Critical Issues Faced by Indian Patients and Psychiatrists

Sousa

Shrivastava

Shah³

2020

Indian Journal of Psychological Medicine

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Telepsychiatry and telepsychotherapy are new treatment modalities that have been used more than ever during the COVID-19 pandemic. There are many challenges that are faced with the use of this modality for both patients and psychiatrists alike. There are critical issues faced with regard to the development of rapport, managing the entire teleconsultation set up, privacy and issues related to fees, issues related to prescribing and monitoring, and issues while handling emergencies. The challenges faced are discussed and some solutions if possible are laid out.

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“…It is an oft-recorded observation that the access to specialized mental health care in low- and middle-income countries including India is significantly restricted by numerous factors, such as limited numbers of trained professionals and their inequitable distribution, stigma and prejudice,lack of awareness, and limited resources and lacunae in policy making. 1…”

Section: Introductionmentioning

confidence: 99%

Concurrent Validity and Interrater Reliability of the “Clinical Schedules for Primary Care Psychiatry”

Kulkarni

Adarsha

Parthasarathy

et al. 2019

Journal of Neurosciences in Rural Practice

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Background and Objectives There is limited access to specialized mental health care in countries such as India with a wide treatment gap for psychiatric illnesses. Integrating mental health delivery with primary health-care services is vital. The clinical schedules for primary care psychiatry (CSP) was designed for training primary care doctors (PCDs) to identify and diagnose psychiatric illness in patients presenting to primary care settings. This study aims to study the validity and reliability of the CSP and its hypothesis is that the CSP would help PCDs to identify psychiatric caseness. Methods The study was conducted at three primary health centers of Karnataka. Consented PCDs were briefly trained in the use of CSP and screened patients who were later interviewed by a psychiatrist using a semistructured interview and confirmed by International Statistical Classification of Diseases and Related Health Problems 10th edition (ICD-10) symptom checklist. The appropriate statistical analysis was performed. Results A total of 180 patients were included. Agreement was found between diagnoses made by PCDs and psychiatrist for 142 (78. 9%) patients with a Cohen's kappsychiatry pa (K) = 0. 57. The sensitivity was 91. 1% and specificity was 68. 3%. The interrater reliability showed K = 0. 7. Conclusion The CSP helps PCDs to make psychiatric diagnoses. It has a relatively high sensitivity with reasonably high specificity but mayneed clinical training.

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Tele-Psychiatry: After Mars, Can we Reach the Unreached?

Cited by 22 publications

References 4 publications

Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Collaborative Tele-Neuropsychiatry Consultation Services for Patients in Central Prisons

Telepsychiatry and Telepsychotherapy: Critical Issues Faced by Indian Patients and Psychiatrists

Concurrent Validity and Interrater Reliability of the “Clinical Schedules for Primary Care Psychiatry”

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