Telepsychiatry for Mental Health Service Delivery to Children and Adolescents

Kommu, John Vijay Sagar; Sharma, Eesha; Ramtekkar, Ujjwal

doi:10.1177/0253717620959256

Cited by 8 publications

(7 citation statements)

References 34 publications

(51 reference statements)

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“…Telepsychiatry services can be improved to provide mental health support to children in childcare institutions and for assessment and parental counseling in children with developmental and behaviour disorders. 15 At the same time, patients above the age of 60 comprised 18% of the sample, and the common diseases in this age group were depression, dementia, and psychotic disorders. Both doctors and patients felt that the telepsychiatry program would benefit the elderly with mobility issues and those who require support from a relative to attend the hospital.…”

Section: Immediate Reactionmentioning

confidence: 97%

Perception of doctors and patients regarding telepsychiatry services during the COVID-19 pandemic: Experience from the state of Kerala, India

KR¹,

Ashokkumar²,

PK³

et al. 2023

KJP

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Introduction:The present article aims to describe the experience of organizing a telepsychiatry program to ensure continuity of care during the COVID-19 pandemic from the doctors' as well as the patients' perspectives. Methods: We initiated a synchronous telepsychiatry program for continuity of care using a Government-sponsored online platform with facilities for consulting a psychiatrist and e-prescription. Three months later we conducted a Video Focus Group discussion (VFGD) among the doctors involved in the program and telephonic interviews with randomly selected patients and caretakers to evaluate the merits and demerits of the program and to elicit suggestions for improvement. Results: The online services were availed by 120 patients (55% males) with the majority in the 19-60 years age group; 47.5% of them were availing psychiatry consultation for the first time. Overall, depression and anxiety were the common diagnoses. Both doctors and patients felt that online services are feasible and acceptable, ensure adequate privacy and provide the opportunity to avail of mental health services without stigma. Conclusions: Telepsychiatry has the potential to develop into an alternate model of mental health service delivery and it is more advantageous to women, the elderly, and those with travel difficulties. Mental health support to people in prisons, government residential facilities, and geographically isolated areas through online platforms is a feasible and cost-effective option. Definite legal and ethical guidelines on telepsychiatry should be formulated with facilities for training for professionals. Online platforms should be more user-friendly and tailor-made to provide psychotherapy and counseling services in addition to pharmacotherapy.

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Section: Immediate Reactionmentioning

confidence: 97%

Perception of doctors and patients regarding telepsychiatry services during the COVID-19 pandemic: Experience from the state of Kerala, India

KR¹,

Ashokkumar²,

PK³

et al. 2023

KJP

View full text Add to dashboard Cite

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Section: Emerging Trends: Shaping the Future Landscape Of Mental Heal...mentioning

confidence: 99%

“…For instance, with the growth of telepsychiatry, people may now obtain mental health care from a distance. In addition to addressing accessibility concerns, this movement creates new opportunities for ongoing monitoring and individualized treatments via digital platforms [ 66 ]. Additionally, coming soon are VR and AR, which will provide immersive experiences for exposure treatment, cognitive training, and cutting-edge therapeutic modalities [ 33 ].…”

Section: Reviewmentioning

confidence: 99%

Beyond the Asylum Walls: Tracing the Tapestry of Mental Health Interventions Across Eras and Cultures

Gupta,

Muneshwar,

Juganavar

et al. 2023

Cureus

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This article offers an extensive review of the changing field of mental health therapies, charting a transformational path from traditional methods to modern breakthroughs and speculating on potential future developments. The story develops by investigating historical viewpoints while reflecting on the present and highlighting the lessons learned and their impact on contemporary practices. We have advanced from the stigmatized constraints of asylums to a paradigm that puts human rights, dignity, and individualized, culturally sensitive treatment first. Modern methods are much more varied and evidencebased, from cutting-edge technical advancements to evidence-based psychotherapies. The ethical considerations arising from the delicate balance of pharmacological therapies underline the responsibility of administering drugs that significantly affect mental health. Cultural factors become a pillar, highlighting how crucial cultural sensitivity is to promoting tolerance. By acknowledging how many facets of the human experience are interrelated, holistic methods help close the gap between the mind and body. Integrative medicine and alternative therapies represent a shift away from reductionist approaches and toward a holistic viewpoint. The delivery of mental health treatment is being reimagined by technological advancements, with virtual and digital environments opening up new access and support channels. These developments cut beyond regional boundaries, reinventing conventional therapy dynamics and paving the way for individualized therapies. Cultural concerns highlight the significance of cultural competency in navigating the complex mental health treatment system and adapting interventions to fit the particular requirements of various cultural contexts. With telepsychiatry, virtual reality, and artificial intelligence among the new technologies that promise to further revolutionize mental health therapies, the essay looks to the future. This review concludes by imagining a day when mental health is prioritized, therapies are available, and the diversity of human experience is valued. The path to a society that values, nurtures, and celebrates mental health continues.

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“…The mHealth interventions included in this review mainly focused on service delivery. Therefore, the important benefit that emerged from this review was improvement in healthcare service delivery [1,[10][11][12][13]16,20,27,28,30,[32][33][34][35][36]39,40,42,43,46,47,49,52,[55][56][57]64,[66][67][68][69][70][71][72][73][74][75]. One of the mHealth interventions used mobile phones to register complaints and problems by community members regarding their health status and health services.…”

Section: Benefitsmentioning

confidence: 99%

“…The health workers were expected to update all data online in almost real-time mode and this consumed a lot of their time. The mobile health interventions carried a potential risk of breach of privacy and confidentiality of health information [11,13,16,[19][20][21]23,27,47,60,63]. This was particularly important in the case of stigmatising illnesses.…”

Section: Risksmentioning

confidence: 99%

Ethical issues in m-Health applications in community health work in India — a scoping review

Gopichandran¹,

Subramaniam²,

Thiagesan³

2023

IJME

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Background: Mobile phone-based interventions are being increasingly used in community health work in India. The extensive use of mobile phones in community health work is associated with several ethical issues. This review was conducted to identify the ethical issues related to mHealth applications in community health work in India. Methods: We performed a scoping review of literature in PubMed and Google Scholar using a search strategy that we developed. We included studies that mentioned ethical issues in mHealth applications that involved community health work and community health workers in India, published in peer reviewed English language journals between 2011 and 2021. All three authors screened the articles, shortlisted them, read them, and extracted the data. We then synthesised the data into a conceptual framework. Results: Our search yielded 1125 papers, from which we screened and shortlisted 121, after reading which we included 58 in the final scoping review. The main ethical issues identified from review of these papers included benefits of mHealth applications such as improved quality of care, increased awareness about health and illness, increased accountability of the health system, accurate data capture and timely data driven decision making. The risks of mHealth applications identified were impersonal communication of community health worker, increased workload, potential breach in privacy, confidentiality, and stigmatisation. The inherent inequities in access to mobile phones in the community due to gender and class led to exclusion of women and the poor from the benefits of mHealth interventions. Though mHealth interventions increased access to healthcare by taking healthcare to remote areas through tele-health, unless we contextualise mHealth to local rural settings through community engagement, it is likely to remain inequitable. Conclusion: This scoping review revealed that there is a lack of well conducted empirical studies which explore the ethical issues related to mHealth applications in community health work.

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Telepsychiatry for Mental Health Service Delivery to Children and Adolescents

Cited by 8 publications

References 34 publications

Perception of doctors and patients regarding telepsychiatry services during the COVID-19 pandemic: Experience from the state of Kerala, India

Perception of doctors and patients regarding telepsychiatry services during the COVID-19 pandemic: Experience from the state of Kerala, India

Beyond the Asylum Walls: Tracing the Tapestry of Mental Health Interventions Across Eras and Cultures

Ethical issues in m-Health applications in community health work in India — a scoping review

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