The e-Mental Health Consultation Service: Providing Enhanced Primary-Care Mental Health Services Through Telemedicine

Neufeld, Jonathan; Yellowlees, Peter Mackinlay; Hilty, Donald M.; Cobb, Hattie C.; Bourgeois, James A.

doi:10.1176/appi.psy.48.2.135

Cited by 51 publications

(26 citation statements)

References 24 publications

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“…Likewise, telepsychiatry consultations are well established; guidelines exist for both adult and child psychiatry; 14 and such consultations have been demonstrated to be diagnostically valid and associated with substantial patient satisfaction. 24 Early clinical outcome studies are positive, but more are needed. 25 It is likely that as telepsychiatry usage continues to expand, we will see increased use of asynchronous, or store-and-forward, telepsychiatry, where data, including videos and photographs, are collected and sent via the Internet to another provider, who gives an opinion in asynchronous time.…”

Section: What Online Mental Health Services Are Currently Being Offered?mentioning

confidence: 99%

The Psychiatrist-Patient Relationship of the Future: Anytime, Anywhere?

Yellowlees

Nafiz

2010

Harvard Review of Psychiatry

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The core doctor-patient relationship is changing and becoming more fluid. Many factors are causing the changes, but they are being underpinned by the current technological revolution, which has spawned terms such as e-patients, health 2.0, participatory medicine, and virtual medicine in cyberspace. The Internet is being used so creatively and commonly by both patients and doctors that it has become literally a "part" of the doctor-patient relationship. To explore how the psychiatrist-patient relationship is changing, five simple questions are examined: How are patient expectations and behaviors changing? Who is using the Internet for mental health care? What online mental health services are currently being offered? How are current and past models of the psychiatrist-patient relationship being affected by these changes? And what is the psychiatrist-patient relationship of the future likely to be? Psychiatrists working in this environment will need to make changes to their practices over time. It is likely that their relationships with patients will continuously change, gradually becoming more participatory and ubiquitous, as care is provided both face-to-face and online-and literally anytime, anywhere.

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Section: What Online Mental Health Services Are Currently Being Offered?mentioning

confidence: 99%

The Psychiatrist-Patient Relationship of the Future: Anytime, Anywhere?

Yellowlees

Nafiz

2010

Harvard Review of Psychiatry

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“…The push for changes comes from different sources in various locales, but some of the results are similar. States are changing payment and policy to support a greater role for primary care physicians in early screening of children for mental disorders, greater assessment and management fees for primary care, and long distance consultation support from mental health specialists 90, 98-99. By necessity, most of these services will be organized at a regional or community level and will require pediatricians to help coordinate regional mapping of specialty resources such as developing airline resource guides for pediatric psychotherapy and standardized referral processes.…”

Section: Phase 4: Next Steps--implementing the Medical Homementioning

confidence: 99%

Evolution of Child Mental Health Services in Primary Care

Kelleher

Stevens

2009

Academic Pediatrics

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Objective While the importance of mental health assessment and treatment in primary care is increasingly recognized, the research that underlies current practices largely stems from a considerable body of non-mental health primary care studies. Our purpose was to describe trends in research over the past two decades and suggest further key items for the research agenda. Methods We reviewed the literature broadly on health services research in pediatrics, especially studies of changes in primary care practice, and examined recent articles in primary care mental health services. Results The evolution of primary care mental health services for children has been slow, but the focus of research has changed with the development of clinical improvements. Proposals to deliver more effective services have evolved over the past forty years in a series of approaches that paralleled initiatives in the broader fields of medicine and pediatrics. Current trends in electronic technology, practice consolidation and coordination, and personalized medicine are likely to increase the pace of change in mental health services for primary care. Conclusion The evolution of pediatric mental health services in primary care suggests a continuing expansion from a focus initially on provider behavior and quality to a growing attention to patient and systems' behavior over time and within communities.

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“…These include in-home monitoring technologies, email (40), web-based symptom tracking, remote safety support groups, as well as old fashioned telephone management (41). The information presented in this paper has potential limitations.…”

Section: Discussionmentioning

confidence: 99%

Emergency management guidelines for telepsychiatry

Shore¹,

Hilty²,

Yellowlees³

2007

General Hospital Psychiatry

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Objective-Telepsychiatry, in the form of live-interactive videoconferencing, is an emerging application for emergency psychiatric assessment and treatment, can improve the quality and quantity of mental health services, particularly for rural, remote and isolated populations. Despite the potential of emergency telepsychiatry, the literature has been fairly limited in this area.Method-Drawing on the combined clinical and administrative experiences of its authors this article reviews the common administrative, legal/ethical and clinical issues that arise in emergency telepsychiatry.Results-An initial set of guidelines for emergency telepsychiatry is presented to generate further discussion to assist those who are considering establishing general telepsychiatry and/or emergency telepsychiatry services. Conclusion-The practices and techniques of emergency telepsychiatry are relatively new and require further examination, modification and refinement so that they may be fully utilized within comprehensive mental health service systems.

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The e-Mental Health Consultation Service: Providing Enhanced Primary-Care Mental Health Services Through Telemedicine

Cited by 51 publications

References 24 publications

The Psychiatrist-Patient Relationship of the Future: Anytime, Anywhere?

The Psychiatrist-Patient Relationship of the Future: Anytime, Anywhere?

Evolution of Child Mental Health Services in Primary Care

Emergency management guidelines for telepsychiatry

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