Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

Langarizadeh, Mostafa; Tabatabaei, Mohsen; Tavakol, Kamran; Naghipour, Majid; Rostami, Alireza; Moghbeli, Fatemeh

doi:10.5455/aim.2017.25.240-246

Cited by 260 publications

(242 citation statements)

References 55 publications

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“…21 Furthermore, telemedicine to provide mental health services in remote and inaccessible areas, internet-based and telephone-based helplines, and mental health mobile apps can reduce the burden on existing mental health services. [69][70][71] Communities and families have an important role in addressing mental health by reducing stigma and discrimination, raising awareness, and promoting inclusion. 72,73 Community-based programmes have the poten tial to reduce the treatment gap for mental disorders in India.…”

Section: Discussionmentioning

confidence: 99%

The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990–2017

Sagar¹,

Dandona²,

Gururaj³

et al. 2020

The Lancet Psychiatry

504

292

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Background Mental disorders are among the leading causes of non-fatal disease burden in India, but a systematic understanding of their prevalence, disease burden, and risk factors is not readily available for each state of India. In this report, we describe the prevalence and disease burden of each mental disorder for the states of India, from 1990 to 2017. Methods We used all accessible data from multiple sources to estimate the prevalence of mental disorders, years lived with disability (YLDs), and disability-adjusted life-years (DALYs) caused by these disorders for all the states of India from 1990 to 2017, as part of the Global Burden of Diseases, Injuries, and Risk Factors Study. We assessed the heterogeneity and time trends of mental disorders across the states of India. We grouped states on the basis of their Socio-demographic Index (SDI), which is a composite measure of per-capita income, mean education, and fertility rate in women younger than 25 years. We also assessed the association of major mental disorders with suicide deaths. We calculated 95% uncertainty intervals (UIs) for the point estimates. Findings In 2017, 197•3 million (95% UI 178•4-216•4) people had mental disorders in India, including 45•7 million (42•4-49•8) with depressive disorders and 44•9 million (41•2-48•9) with anxiety disorders. We found a significant, but modest, correlation between the prevalence of depressive disorders and suicide death rate at the state level for females (r²=0•33, p=0•0009) and males (r²=0•19, p=0•015). The contribution of mental disorders to the total DALYs in India increased from 2•5% (2•0-3•1) in 1990 to 4•7% (3•7-5•6) in 2017. In 2017, depressive disorders contributed the most to the total mental disorders DALYs (33•8%, 29•5-38•5), followed by anxiety disorders (19•0%, 15•9-22•4), idiopathic developmental intellectual disability (IDID; 10•8%, 6•3-15•9), schizophrenia (9•8%, 7•7-12•4), bipolar disorder (6•9%, 4•9-9•6), conduct disorder (5•9%, 4•0-8•1), autism spectrum disorders (3•2%, 2•7-3•8), eating disorders (2•2%, 1•7-2•8), and attention-deficit hyperactivity disorder (ADHD; 0•3%, 0•2-0•5); other mental disorders comprised 8•0% (6•1-10•1) of DALYs. Almost all (>99•9%) of these DALYs were made up of YLDs. The DALY rate point estimates of mental disorders with onset predominantly in childhood and adolescence (IDID, conduct disorder, autism spectrum disorders, and ADHD) were higher in low SDI states than in middle SDI and high SDI states in 2017, whereas the trend was reversed for mental disorders that manifest predominantly during adulthood. Although the prevalence of mental disorders with onset in childhood and adolescence decreased in India from 1990 to 2017, with a stronger decrease in high SDI and middle SDI states than in low SDI states, the prevalence of mental disorders that manifest predominantly during adulthood increased during this period. Interpretation One in seven Indians were affected by mental disorders of varying severity in 2017. The proportional contribution of mental disorders to the t...

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Section: Discussionmentioning

confidence: 99%

The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990–2017

Sagar¹,

Dandona²,

Gururaj³

et al. 2020

The Lancet Psychiatry

504

292

View full text Add to dashboard Cite

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“…27 Ancak, fiziksel ya da bilişsel engeli sebebiyle teknolojik ekipmanı kullanamayacak durumda olan bireyler için uygun bir tercih olmadığı belirtilmektedir. 42 Psikiyatride kullanılan teknolojik araçlardan telefon ile, bireylerin sağlık profesyonellerinin sesini duyduğunda, mesajlarını dinlediğinde tedavi ittifakının güçlendiği, randevulara ve ödevlere uyumunu artırdığı belirtilmektedir. Bilgisayar destekli uygulamalar ise tanı koyma, değerlendirme, ruhsal toplumsal tedaviler ve iyileştirim hizmetlerinde kullanılabilmektedir.…”

Section: Psi̇ki̇yatri̇de Tele Hemşi̇reli̇kunclassified

Tele-Health Practice and Use in Psychiatry Nursing

Çam¹,

Kaçmaz²

2018

Turkiye Klinikleri J Nurs Sci

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ilgi ve iletişim teknolojilerindeki hızlı gelişmeler, yer ve zaman fark etmeden bireylerin ihtiyaçlarının karşılanması ile kendini göstermektedir. Bu gelişmeler; bireylerin kültürel, sosyal, eğitim alanlarında olduğu gibi sağlık alanındaki gereksinimlerini de etkilemiştir. 1 Sağlık alanındaki teknolojik gelişmeler, tele tıp ve tele sağlık kavramlarının oluş-Turkiye Klinikleri J Nurs Sci 2018;10(4):363-9 363 Tele Sağlık Uygulamaları ve Psikiyatri Hemşireliğinde Kullanımı Ö ÖZ ZE ET T Tele sağlık uygulamaları; fiziksel mesafeleri kısaltmak, bilgiye erişimi kolaylaştırmak, kronik hastalıkların takibini yapmak, hastaneye bağlılığı azaltmak ve az zamanda düşük maliyetli sağlık hizmeti sağlamak amacıyla kullanılmaktadır. Özellikle, sosyal izolasyon yaşayan psikiyatri hastaları için, ruh sağlığı hizmetlerine erişimini kolaylaştıran, tedavi ve bakımlarındaki boşlukları azaltmak için tele sağlık uygulamalarının kullanımı uygundur. Tele psikiyatri hizmetleri; evde, adli ve acil birimlerde ve rutin uygulamalarda kullanılmaktadır. Sağlık hizmetlerinin önemli bir unsuru olan hemşirelik mesleğinin de bu gelişmelerden etkilenmesiyle tele hemşirelik kavramı ortaya çıkmıştır. Tele hemşirelik, hemşirelik bakımında telekomünikasyon hizmetlerinin kullanılması olarak tanımlanmaktadır. Psikiyatride tele hemşirelik uygulamalarında sıklıkla taburculuk sonrası telefonla izlem olduğu görülmektedir. Dünyada psikiyatri alanında tele hemşirelik uygulamalarının yaygın olarak kullanıldığı, ancak uygulama ile ilgili resmi bir eğitim eksikliğinin olduğu, tele uygulamaların gizlilik ve güvenlik ile ilgili sınırlılıklarına dikkat edilmesi gerektiği belirtilmektedir. Literatürde, tele hemşirelik uygulamalarının olumlu sonuçları olduğunu gösteren çalışmalar bulunmakla birlikte, ülkemizde psikiyatride tele hemşirelik alanında yapılan araştırmaların sınırlı olduğu saptanmıştır. Bu çalışmada, psikiyatride tele hemşireliğin kullanımına ilişkin bilgilerin verilmesi amaçlanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Tele sağlık; tele psikiyatri; tele hemşirelik; psikiyatri hemşireliği A AB BS ST TR RA AC CT T Tele-health applications are used to shorten physical distances, to facilitate the acces to information, to monitor chronic diseases, to reduce hospitalization and to provide low cost health services within less time. Use of tele-healthcare applications is especially feasible for the patients with psychiatric disorders who experience social isolation to facilitate the access to mental health services, to reduce the gaps in treatment and care. Tele-psychiatry services are used at home, forensic and emergency departments as well as routine procedures. The concept of tele-nursing appeared when nursing, one of the most important element of healthcare services, is affected by such developments. Tele-nursing is defined as use of telecommunication services in nursing care. Tele-nursing applications in psychiatry is usually set as monitoring after discharge. It is reported that tele-nursing applications are commonly used in psychiatry all ove...

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“…There are many NGOs in Ecuador that provided free services due to the Covid-19 emergency: One of them was the Ecuadorian Association of Evidence-Based Psychology and Psychotherapy (AEPPBE) [Asociación Ecuatoriana de Psicología y Psicoterapia Basada en Evidencia]. Since, Tele-behavioral Health is an effective way to approach a wide range of psychological problems [64,31], AEPPBE organized a free volunteer work regarding the guidelines of the APA (American Psychology Association) [36,28] and the Ecuadorian guidelines on Telepsychology of MSP [40].…”

Section: Introductionmentioning

confidence: 99%

An integer programming model to assign patients based on mental health impact for tele-psychotherapy intervention during the Covid–19 emergency

Miniguano-Trujillo

Salazar

Torres

et al. 2020

Preprint

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The Covid–19 pandemic challenges healthcare systems worldwide while severely impacting mental health. As a result, the rising demand for psychological assistance during crisis times requires early and effective intervention. This contributes to the well-being of the public and front-line workers and prevents mental health disorders. Many countries are offering diverse and accessible services of tele-psychological intervention; Ecuador is not the exception. The present study combines statistical analyses and discrete optimization techniques to solve the problem of assigning patients to therapists for crisis intervention with a single tele-psychotherapy session. The statistical analyses showed that professionals and healthcare workers in contact with Covid–19 patients or with a confirmed diagnosis had a significant relationship with suicide risk, sadness, experiential avoidance, and perception of severity. Moreover, some Covid–19-related variables were found to be predictors of sadness and suicide risk as unveiled via path analysis. This allowed categorizing patients according to their screening and grouping therapists according to their qualifications. With this stratification, a multi-periodic optimization model and a heuristic are proposed to find an adequate assignment of patients to therapists over time. The integer programming model was validated with real-world data, and its results were applied in a volunteer program in Ecuador.

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Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

Cited by 260 publications

References 55 publications

The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990–2017

The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990–2017

Tele-Health Practice and Use in Psychiatry Nursing

An integer programming model to assign patients based on mental health impact for tele-psychotherapy intervention during the Covid–19 emergency

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