Telepsychiatry and e-Mental Health Services: Potential for Improving Access to Mental Health Care

McGinty, Kaye L.; Saeed, Sy Atezaz; Simmons, Scott C.; Yildirim, Yılmaz

doi:10.1007/s11126-006-9019-6

Cited by 69 publications

(47 citation statements)

References 23 publications

(22 reference statements)

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“…The positive response of several healthcare participants regarding these technologies reflects research showing tele-mental health is generally effective for assessment and diagnosis for many populations in a variety of settings and appears comparable to in-person care [42]. Tele-mental healthcare has also been shown to be largely effective for mental health diagnoses, can improve continuity and quality of care, is viewed positively by patients and consulting professionals and can reduce costs in some circumstances (see reviews) [42–44]. This technology has been used in justice-related settings [45].…”

Section: Discussionmentioning

confidence: 99%

“…Issues of confidentiality have also been described as “one of the most important concerns providers must address” [43]. And justice sector concerns about the technology’s limited availability and poor reliability aligns with research suggesting the approach is technologically intensive [44]. This clear contrast between justice sector perceptions of remote mental health communication technologies and those of the health and scientific community presents a clear challenge to the adoption of these technologies as a solution to remoteness in the context of potential criminal court mental health initiatives.…”

Section: Discussionmentioning

confidence: 99%

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Remoteness and its impact on the potential for mental health initiatives in criminal courts in Nunavut, Canada

Ferrazzi

Krupa

2018

International Journal of Circumpolar Health

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Remoteness in the isolated communities of Nunavut, Canada adversely affects access to mental health services. Mental health initiatives in criminal courts exist in many cities to offer healthcare alternatives to regular criminal court processing for people affected by mental illness. These initiatives do not exist in Nunavut. A qualitative multiple-case study in 3 Nunavut communities involving 55 semi-structured interviews and 3 focus groups explored perceptions by health, justice and community stakeholders of the potential for criminal court mental health initiatives in the territory. Findings suggest remoteness is perceived to hinder mental healthcare support for court responses to people affected by mental illness, creating delay in psychiatric assessments and treatment. While communication technologies, such as tele-mental health, are considered an effective solution by most health professionals, many justice-sector participants are sceptical because of perceived limits to accessibility, reliability and therapeutic value. These perceptions suggest remoteness is a significant hurdle facing future criminal court mental health initiatives in Nunavut. Additionally, remoteness is viewed as affecting decisions by lawyers to bypass legislated mental health avenues, possibly resulting in more people with mental illness facing criminal justice sanctions without assessment and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Remoteness and its impact on the potential for mental health initiatives in criminal courts in Nunavut, Canada

Ferrazzi

Krupa

2018

International Journal of Circumpolar Health

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“…Additionally, telepsychiatric videoconferencing can be used for interacting with patients and also for administration, pharmacological management, education, training and research activities. 6 Depression has often been managed successfully via telepsychiatry, especially in elderly white men with substantial physical and behavioural health comorbidity. 7 Telepsychiatric treatment for comorbid depression with either a problematic cannabis or alcohol dependence has been shown to be equally or more effective (for outcomes after a year) than traditional interventions.…”

Section: Applications Of Telepsychiatrymentioning

confidence: 99%

Telepsychiatry in South Africa – present and future

Wynchank

Fortuin

2010

S. Afr. J. Psych.

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Telepsychiatry is one of the most longstanding telemedicine disciplines, having started over a century ago with the inception of the telephone; its modern form dates from about 1960.Telepsychiatry uses information and computer technology for diagnosis, therapy, follow-up, forensic purposes, pharmacotherapy management, psychiatric education, etc. Telecommunication links between a remote site and another to which a request/referral is made, allow data transfer (e.g. of videoconferencing images, history, reports and teaching material). Links range from telephone lines to rapid-transfer wireless links. Two or more persons at different locations (typically, a psychiatrist and a patient) most frequently use interactive videoconferencing for the provision of psychiatric expertise not otherwise available at the sender's (i.e. patient's) location. Enormous progress in telepsychiatry and all forms of telemedicine has been made recently, owing to rapidly decreasing costs of computing power, and larger data transfer capacity and storage, which allow telepsychiatry to provide unprecedented access to mental health services, and especially in rural areas. 1 Videoconferencing v. face-to-facePsychiatry is so firmly associated with face-to-face interaction that telepsychiatry's successes are insufficiently appreciated. Applications of telepsychiatryTelephonic interaction has a long history in telepsychiatry, and still remains important, as recent studies in the USA attest. In one report, 15% of such calls were 'urgent' and 1.5 % were 'emergencies'. In the UK (and many other countries, including Attitudes of patients and the providers of psychiatric services are discussed, and a short account is given of the place of tele-education in psychiatric teaching. The advantages of telepsychiatry are outlined and its limitations are discussed.Lastly,the limited experience and relevance of telepsychiatry in South Africa (and hence for other developing countries)are presented. The conclusion is that telepsychiatry is well established, its successes documented, and that it should be applied in planning future public health services in South Africa.articles

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“…Each has its own service delivery characteristics. Telemedicine has become a great part of the shared care model thanks to its wide applicability possibilities across geographical challenges [6].…”

Section: Introductionmentioning

confidence: 99%

Telepsychiatry- Prevention and Treatment in the Outskirt Areas, A Shared-Care Model within a Danish Context

Mucic¹,

Jokumsen²

2017

J Intensive Crit Care

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This article reports on a project running over 24 months from July 2010 until July 2012, conducted by The Little Prince Psychiatric Centre in Copenhagen in cooperation with three general practitioner's clinics on the outskirts of Denmark. The article outlines the conceptual shared care model, in which psychiatrists and psychologists collaborate with general physicians in the assessment, diagnosis and treatment of mental health patients in the context of the general physician's office by use of telepsychiatry service. A formal evaluation of the project was conducted and outcomes are discussed along with issues related to the requirements for sustaining the service over time and broadening its applicability. The results has shown that collaboration via use of videoconferencing across levels of health care sectors can be a useful alternative that offers learning, leads to continuity, reduces costs and improves the quality of care. Telepsychiatry, in the form of video conferencing, has been well received by patients (n=27) and general practitioners (n=3) as a method reducing waiting time and bridging the distance between patients and specialized psychiatric care.

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Telepsychiatry and e-Mental Health Services: Potential for Improving Access to Mental Health Care

Cited by 69 publications

References 23 publications

Remoteness and its impact on the potential for mental health initiatives in criminal courts in Nunavut, Canada

Remoteness and its impact on the potential for mental health initiatives in criminal courts in Nunavut, Canada

Telepsychiatry in South Africa – present and future

Telepsychiatry- Prevention and Treatment in the Outskirt Areas, A Shared-Care Model within a Danish Context

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