The benefits of implementing telepsychiatry in the Brazilian Mental Health System

Guzman, Carlos Simón; Pignatiello, Antonio

doi:10.1590/s1516-44462008000300026

Cited by 6 publications

(5 citation statements)

References 3 publications

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“…Cultural acceptance of telepsychiatry is important, especially in cultures that emphasize personal relationships. 30 It is imperative for any clinician to have cultural competency in the population he or she is working with. 38 This should include understanding of the health beliefs and practices of the local community and clients from different cultural backgrounds.…”

Section: Question 5: Is Telepsychiatry Culturally Acceptable?mentioning

confidence: 99%

“…Generally the literature of telepsychiatry is characterised by descriptive and poor evaluation studies, with few high quality evidence studies regarding the effectiveness of telepsychiatry to be found. [26][27][28] In addition, there are only a handful of reported telepsychiatry papers from the developing world [29][30][31][32] and only one reported out of Africa. 33 Before considering the implementation of telepsychiatry in South Africa, it is important to assess the existing evidence for telepsychiatry before making recommendations for the application of telepsychiatry to this environment 34 based on the level of evidence found.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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Reviews (CCTR), Cochrane Controlled Trial Registry (CCTR), Database of Abstracts of Reviews of Effectiveness (DARE), unpublished abstracts through NEXUS and internet search engines (Google/Google scholar) was conducted.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: Question 5: Is Telepsychiatry Culturally Acceptable?mentioning

confidence: 99%

Section: Introductionmentioning

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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“…23,24 As internet penetration in South Africa is estimated at only 13.9% 25 , health care practitioners may have limited exposure to and knowledge of information and communication technologies and a lack of comfort with technology. 26 Psychiatry is also viewed as a specialty reliant on interpersonal contact and with a limited need for technology. This may contribute to a lack of champions for the technology.…”

Section: Human Factorsmentioning

confidence: 99%

A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

2012

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The access of rural Mental Health Care Users in South Africa to specialist psychiatrists and quality mental health care is currently sub-optimal. Health professionals and planners working in psychiatry lack a well-defined and feasible outreach model to facilitate the delivery of services to remote and rural areas. In response to this challenge, a three-year action research telepsychiatry study was undertaken by the Departments of Psychiatry and TeleHealth at the University of KwaZulu-Natal, to develop a telepsychiatry outreach model based on local research and international evidence. The Model draws on needs and infrastructure assessments of the designated psychiatric hospitals in the province, a review of the published international evidence on telepsychiatry and videoconference-based education, and an evaluation of local clinical and educational telepsychiatry implementations in KwaZuluNatal. The Model proposed is "virtual", i.e. not bound to provincial or district referral patterns, aims not to add to the burden on the current workforce and is intended to be integrated into psychiatry outreach services and policy. The Model should be subjected to in situ testing for validation and implementation. It is hoped that an implementation of this Model will improve the access of Mental Health Care Users to specialist psychiatry care.

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“…After initial skepticism, the experience was incorporated in daily practice activity, reducing the number of hospitalizations 15 . In 2008, the first papers about TMH in Brazil were published, stressing the future impact of Telepsychiatry in Brazil 16 and the relevance of internetbased strategies to deliver effective mental health interventions for children 17 , and a tele-education program for primary care teams using webconferencing 18 …”

Section: Telemental Health In Brazilmentioning

confidence: 99%

Telemental health in Brazil: past, present and integration into primary care

Dias

Marques

Diniz

et al. 2015

Arch. Clin. Psychiatry (São Saulo)

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Background: Telemental Health Care has reported very good results and is included within mental health priorities by the World Health Organization. Objective: To provide an overview of the current situation of the integration of Brazilian telemedicine activities into primary health care. Methods: Critical review based on MEDLINE database, using the keywords "telemedicine", "primary health care" "mental health" and "telemental health", on websites of the Brazilian Ministry of Health and Brazilian Telehealth Network Program, and on personal communication. Results: The Brazilian Telehealth Network Program is well positioned and connects primary health care with academic centers. Regulations standards allow a broader scope of activities for psychologists, however, are more restrictive for physicians. In Brazil most of telemental health activities are focused on education and second opinion consulting. A huge challenge must be overcome considering the regional differences and the telehealth implementation experience. Research initiatives have been initiated both in the implementation and evaluation of the mental health assistance into primary health care. Discussion: Brazilian Telemental Health initiatives into Primary Care are aligned with other examples around the world, have a great potential for improving mental health care service delivery, and access to proper mental health care, especially if articulated in a national program and coordinated research.

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The benefits of implementing telepsychiatry in the Brazilian Mental Health System

Cited by 6 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

A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

Telemental health in Brazil: past, present and integration into primary care

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