Telepsychiatry: ‘tele’ yes, but what about the ‘psychiatry’?

Baigent, Michael; Lloyd, Chris; Kavanagh, Steve; Ben-Tovim, David I.; Yellowlees, Peter Mackinlay; Kalucy, Ross S.; Bond, Malcolm J.

doi:10.1258/1357633971930346

Cited by 81 publications

(73 citation statements)

References 3 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Reviews (CCTR), Cochrane Controlled Trial Registry (CCTR), Database of Abstracts of Reviews of Effectiveness (DARE), unpublished abstracts through NEXUS and internet search engines (Google/Google scholar) was conducted.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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“…[16][17][18] Telepsychiatry has been proven to be reliable and acceptable to both patients and providers for non-urgent care and has great potential for emergency care. [19][20][21][22][23][24] The initial evaluation of the MHEC-RAP during the establishment phase concluded that the program was helpful for both providers and patients. 25,26 The present study is part of a further evaluation and was designed to document longer-term changes in service use, identify gaps in services use and inform further service development.…”

Section: Introductionmentioning

confidence: 99%

Successful provision of emergency mental health care to rural and remote New South Wales: an evaluation of the Mental Health Emergency Care–Rural Access Program

Saurman

Lyle

Perkins

et al. 2014

Aust. Health Review

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Objective. To evaluate a rural emergency telepsychiatry program, the Mental Health Emergency Care-Rural Access Program (MHEC-RAP), which aims to improve access to emergency mental health care for communities throughout western New South Wales (NSW).Methods. A descriptive analysis of service activity data from the introduction of the MHEC-RAP in 2008 to 2011 using Chi-squared tests and linear regression modelling to assess change and trends over time.Result. There were 55 959 calls to the MHEC-RAP, 9678 (17%) of these calls initiated an MHEC-RAP service (~2500 each year). The use of video assessment increased over 18 months, then levelled off to an average of 65 each month. Health care provider use increased from 54% to 75% of all contacts, and 49% of MHEC-RAP patients were triaged 'urgent'. Most (71%) were referred from the MHEC-RAP for outpatient care with a local provider. The proportion of MHEC-RAP patients admitted to hospital initially increased by 12%, then declined over the next 2 years by 7% (by 28% for admissions to a mental health inpatient unit (MHIPU)).Conclusion. The MHEC-RAP is well established. It has achieved acceptable levels of service activity and continues to be as used as intended. Further research is required to confirm how the MHEC-RAP works in terms of process and capacity, how it has changed access to mental health care and to document its costs and benefits.

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“…The majority of literature in telepsychiatry includes accounts of novel clinical demonstrations and descriptions of program projects, with a handful of empirical evaluations. 6 Several studies have compared psychiatric evaluation of the same patient face-to-face and over telemedicine [7][8][9][10][11] and have found high agreement between face-to-face and telemedicine. No such comparison has been reported in the jail setting.…”

Section: Introduction Rmentioning

confidence: 99%

A Comparison of Psychiatrist Evaluation and Patient Symptom Report in a Jail Telepsychiatry Clinic

Nelson¹,

Zaylor²,

Cook³

2004

Telemedicine Journal and e-Health

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The effectiveness of a jail telepsychiatry service was evaluated by comparing psychiatrist and inmate report of psychopathology. Sixty-two inmates completed a total of 107 consultations at a rural county jail via interactive televideo. The inmates completed the Symptom Rating Checklist-90-Revised (SCL-90-R), and the psychiatrist completed a Psychiatrist Evaluation Form including the Clinical Global Impression Scale-Severity Index (CGI) after each teleconsultation. Most inmates were rated mild to moderately ill on the CGI. There was a significant, high correlation between telepsychiatrist evaluation on the CGI and inmate report of overall symptoms on the SCL-90-R [r(101) ϭ 0.35, p Ͻ 0.05]. The findings support the effectiveness of telepsychiatric evaluation for the jail population. The patterns of telepsychiatric use in the county jail as well as future directions in this setting are described.

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Telepsychiatry: ‘tele’ yes, but what about the ‘psychiatry’?

Cited by 81 publications

References 3 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

Successful provision of emergency mental health care to rural and remote New South Wales: an evaluation of the Mental Health Emergency Care–Rural Access Program

A Comparison of Psychiatrist Evaluation and Patient Symptom Report in a Jail Telepsychiatry Clinic

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