Telepsychiatry at Forty: What Have We Learned?

Baer, Lee; Elford, D. Roderick; Cukor, Peter

doi:10.3109/10673229709034720

Cited by 87 publications

(51 citation statements)

References 22 publications

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“…Common limitations in the systematic reviews were: grading of the evidence was not evident in the recommendations; studies were assessed for quality but were not linked to recommendations; all of the systematic reviews reported on the same 10 RCTs; 6,58-66 two child and adolescent RCTs [67][68] and two of the systematic reviews 23,39 included information from a further 8 moderate quality control studies. [69][70][71][72][73][74][75][76] The systematic reviews also only included studies up until 2008. The authors identified a further four RCTs published post 2008 which showed similar evidence to the studies in the systematic reviews.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Chipps¹,

Brysiewicz²,

Mars³

2012

Afr. J. Psych

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Objective: A review of systematic reviews of the effectiveness and feasibility of videoconference-based telepsychiatry services for resource constrained environments was conducted. Specifically with the aim of producing an evidence-based review of the effectiveness and feasibility of videoconference-based telepsychiatry services in resource constrained countries like South Africa. Methods: Eight key questions on telepsychiatry effectiveness and feasibility were identified and inclusion and exclusion criteria were developed. Review of citations from 2000-2011 from CINAHL, Medline, Pubmed, PsycInfo, EBSCOhost, SABINET, Cochrane Database of Systematic Reviews (CCTR), Cochrane Controlled Trial Registry (CCTR), Database of Abstracts of Reviews of Effectiveness (DARE), unpublished abstracts through NEXUS and internet search engines (Google/Google scholar) was conducted. Results: Ten systematic reviews were included for review. Despite the methodological limitations and heterogeneity of the systematic reviews, there appears to be good evidence of effectiveness (reliability and improved outcomes) and feasibility (use, satisfaction, acceptability and cost) for videoconference-based telepsychiatry internationally. The application of this evidence in lower middle income countries is dependent on the integration of telepsychiatry into local health system contexts. Conclusion: Based on the evidence, resource constrained countries such as South Africa should be encouraged to develop telepsychiatry programs along with rigorous evaluation methods.

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Section: Resultsmentioning

confidence: 99%

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Chipps¹,

Brysiewicz²,

Mars³

2012

Afr. J. Psych

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“…3,4 Some strong quantitative investigations and notable review articles on telepsychiatry have been published. 5 Qualitative research in the area of telepsychiatry, however, with some exceptions is still notably in its infancy and has tended to be more descriptive than analytic. [6][7][8][9] In July 2000, a pediatric telepsychiatry program was initiated by the Division of Child Psychiatry at the University of Toronto and was administered through The Hospital for Sick Children in Toronto, Ontario.…”

Section: Introductionmentioning

confidence: 98%

Pediatric Telepsychiatry in Ontario: Caregiver and Service Provider Perspectives

Greenberg¹,

Boydell

Volpe³

2006

J Behav Health Serv Res

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Families in rural areas face significant geographic and economic obstacles to obtaining pediatric mental health services. Telepsychiatry promises the possibility of extending specialized expertise into areas that have no resident psychiatrists. In this study, user perspectives and experiences of a pediatric telepsychiatry program serving rural communities in Ontario, Canada, were explored. Qualitative, exploratory methods were utilized because of the complex nature of mental health services needs and provision in rural communities. Focus groups with rural mental health service providers and interviews with family caregivers of children receiving a telepsychiatry consultation were conducted. The purpose of this research was to evaluate the benefits and limitations of providing pediatric psychiatric services via video-technology to inform future program development and health policy. Whereas participants in the study indicated that their experiences with the telepsychiatry service had been positive, the need for additional local services to support treatment recommendations was emphasized.

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“…10 Despite the high need for culturally competent mental health services in reservation communities, these clinics are the only such programs specifically targeting treatment for American Indian Veterans with PTSD. Although there exists growing evidence regarding the validity and effectiveness of telemental health, 11,12 its acceptance and implementation in rural areas is still quite slow. [13][14][15] In its simplest form, Everett Roger's Diffusion Theory posits that multiple events interact to facilitate or impede the adoption of new technologies among a specific group.…”

mentioning

confidence: 99%

The Diffusion of Telehealth in Rural American Indian Communities: A Retrospective Survey of Key Stakeholders

Brooks

Manson

Bair³

et al. 2012

Telemedicine and e-Health

105

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Objective: Mental health issues are a serious concern for many American Indian Veterans, especially for post-traumatic stress disorder and related psychiatric conditions. Yet, acquiring mental health treatment can be a challenge in Native communities where specialized services are largely unavailable. Consequently, telehealth is increasingly being suggested as a way to expand healthcare access on or near reservation lands. In this study, we wanted to understand the factors affecting the diffusion of telehealth clinics that provided mental health care to rural, American Indian Veterans. Materials and Methods: We surveyed 39 key personnel and stakeholders who were involved in the decision-making process, technological infrastructure, and implementation of three clinics. Using Roger Everett's Diffusion Theory as a framework, we gathered information about specific tasks, factors hindering progress, and personal reactions to telehealth both before and after implementation. Results: Many participants expressed initial concerns about using telehealth; however, most became positive over time. Factors that influenced participants' viewpoint largely included patient and staff feedback and witnessing the fulfillment of a community health need. The use of outside information to support the implementation of the clinics and personal champions also showed considerable influence in the clinics' success. Conclusion: The findings presented here address critical gaps in our understanding of telehealth diffusion and inform research strategies regarding the cultural issues and outcomes related to telemental health services. Information contained in this report serves as a long overdue guide for developing telemental health programs and policies among American Indians, specifically, and rural populations in general.

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Telepsychiatry at Forty: What Have We Learned?

Cited by 87 publications

References 22 publications

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Pediatric Telepsychiatry in Ontario: Caregiver and Service Provider Perspectives

The Diffusion of Telehealth in Rural American Indian Communities: A Retrospective Survey of Key Stakeholders

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