Training Residents in the Use of Telepsychiatry: Review of the Literature and a Proposed Elective

Saeed, Sy Atezaz; Johnson, Toni L.; Bagga, Mandeep; Glass, Oliver

doi:10.1007/s11126-016-9470-y

Cited by 48 publications

(59 citation statements)

References 20 publications

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“…13 In addition to their use for communication, such programs may one day play a crucial role in facilitating access to psychiatric care. 48 Further research is needed to determine best practices for using these technologies to support mental health recovery in people with SMI.…”

Section: Discussionmentioning

confidence: 99%

Beyond Social Media: A Cross-Sectional Survey of Other Internet and Mobile Phone Applications in a Community Psychiatry Population

Carras

Mojtabai

Cullen

2018

Journal of Psychiatric Practice

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Objective Popular media applications have been shown to benefit people with severe mental illness by facilitating communication and social support, helping patients cope with or manage symptoms, and providing a way to monitor or predict mental health states. While many studies of technology use by individuals with severe mental illness have focused primarily on use of social media, this study provides additional information about use of Internet applications such as blogs, wikis (websites that allow collaborative editing of content and structure by users), video games, and Skype by a community psychiatry population. Methods All English-speaking patients attending an outpatient program during a 4-week period in 2011 (N=274) were surveyed about their technology use and demographic information; 189 patients provided demographic data and comprised the sample. Results Among Internet users (n=112), rates of use of message boards, wikis, Skype, role-playing games, and blogs ranged from 26.8% to 34.8%. Among mobile phone users (n=167), 41.4% used their phones to access the Internet and 25.3% used Twitter on their phones. In multivariate analysis, patients who had attended or completed college had much greater odds of accessing the Internet on mobile phones. Older patients were much less likely to access the Internet or use Twitter. Conclusions Our findings indicate that use of several popular forms of media is not uncommon in a community psychiatry population, but that rates of use differ on the basis of age and education. As the digital divide between people with severe mental illness and the general population is lessening, further research is needed to determine how to best leverage various types of media to support mental health recovery and complement clinical care.

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Section: Discussionmentioning

confidence: 99%

Beyond Social Media: A Cross-Sectional Survey of Other Internet and Mobile Phone Applications in a Community Psychiatry Population

Carras

Mojtabai

Cullen

2018

Journal of Psychiatric Practice

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“…Telepsychiatry through video encounters is also becoming more mainstream. However, many clinicians are forced to learn about this system in an ad hoc fashion, such as county, state, and federal rules and regulations [59][60][61]. Social media is another digital ecosystem that has infiltrated our lives and is becoming an alternate avenue for medical professionals to reach out to the masses.…”

Section: Recognizing Current Clinical Challengesmentioning

confidence: 99%

Developing a Digitally Informed Curriculum in Psychiatry Education and Clinical Practice

Kim

Torous

Chan³

et al. 2018

Acad Psychiatry

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Technology is rapidly permeating the lives of our patients and influencing the clinical practice of psychiatry [1]. From electronic health record (EHR) systems to patient-focused smartphone apps, the way healthcare professionals communicate information with other professionals and with patients have been reshaped dramatically in the last decade [2]. This is partly due to increased access to smartphones [3], and partly due to nationwide initiatives to modernize the healthcare system with a goal to increase accuracy and efficiency. With increased access to technology, patients and their families have become proactive in obtaining information, rather than relying solely on education from their healthcare providers. Social media use also serves as an alternate avenue in obtaining medical information, including subscribing to interest groups and connecting to others with similar medical conditions [4,5].Millennial students and trainees in medicine have also developed proficiency and, even more so, preference for incorporating technology in their practice, learning, and daily lives [6]. However, they cite lack of guidance in education as a major barrier in incorporating technology fully in their practice [7]. Elements of teaching technology for child and adolescent psychiatry [8], rural and underserved psychiatry [9], and general adult psychiatry have been described. Despite demonstrated efficacy and desire among the early career physicians to incorporate technology in their practice, there is a notable discrepancy in culture and expectation of restraint around use of technology in various settings between generations [10].To further formalize the practice of incorporating technology in health systems and clinical practice, the Accreditation Council for Graduate Medical Education (ACGME) has accredited a new fellowship, named Clinical Informatics. To date, there are currently 26 Clinical Informatics fellowships across the country [11]. This new subspecialty enables candidates from any medical specialty to become experts in the informatics and analytics of medical care [12]. Despite the clear trend of increased technology use and need for defined competencies on this topic, there remains a lack of education in technology in general psychiatry and other psychiatry subspecialty trainings despite the rising number of issues associated with rapid infiltration of technology in our daily lives and thus our daily practice.In this article, we aim to explore the current state of technology education and the impact of technology on mental health, and discuss a pilot curriculum in providing a framework for evaluating various technologies in practice. To achieve such aims, the objectives of this article include (a) to develop a conceptual approach related to technology for clinical care, (b) to grasp the factors that drive the use of technology services and expected outcomes of its many users related to health, communication, and care, and (c) to discuss case examples of technology use utilizing the conceptualized approach.The Cha...

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“…Peer support services are recovery and wellness support services provided by an individual with a lived experience of recovery from a mental health condition [ 5 ]. Most existing telemental health training is designed for individuals who have professional clinical degrees and licensures, such as psychiatrists, psychologists, registered nurses, and social workers [ 6 , 7 ]. These training sessions are short in duration [ 6 ], build on already existing skill sets, and focus on rapid attainment of skills and concepts [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Most existing telemental health training is designed for individuals who have professional clinical degrees and licensures, such as psychiatrists, psychologists, registered nurses, and social workers [ 6 , 7 ]. These training sessions are short in duration [ 6 ], build on already existing skill sets, and focus on rapid attainment of skills and concepts [ 6 ]. Digital peer support is quickly expanding worldwide in the wake of the COVID-19 pandemic [ 3 ]; therefore, telemental health training developed for peer support specialists is currently needed.…”

Section: Introductionmentioning

confidence: 99%

Strategies to Increase Peer Support Specialists’ Capacity to Use Digital Technology in the Era of COVID-19: Pre-Post Study

Fortuna¹,

Myers²,

Walsh³

et al. 2020

JMIR Ment Health

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Background Prior to the outbreak of coronavirus disease (COVID-19), telemental health to support mental health services was primarily designed for individuals with professional clinical degrees, such as psychologists, psychiatrists, registered nurses, and licensed clinical social workers. For the first the time in history, peer support specialists are offering Medicaid-reimbursable telemental health services during the COVID-19 crisis; however, little effort has been made to train peer support specialists on telehealth practice and delivery. Objective The aim of this study was to explore the impact of the Digital Peer Support Certification on peer support specialists’ capacity to use digital peer support technology. Methods The Digital Peer Support Certification was co-produced with peer support specialists and included an education and simulation training session, synchronous and asynchronous support services, and audit and feedback. Participants included 9 certified peer support specialists between the ages of 25 and 54 years (mean 39 years) who were employed as peer support specialists for 1 to 11 years (mean 4.25 years) and had access to a work-funded smartphone device and data plan. A pre-post design was implemented to examine the impact of the Digital Peer Support Certification on peer support specialists’ capacity to use technology over a 3-month timeframe. Data were collected at baseline, 1 month, 2 months, and 3 months. Results Overall, an upward trend in peer support specialists’ capacity to offer digital peer support occurred during the 3-month certification period. Conclusions The Digital Peer Support Certification shows promising evidence of increasing the capacity of peer support specialists to use specific digital peer support technology features. Our findings also highlighted that this capacity was less likely to increase with training alone and that a combinational knowledge translation approach that includes both training and management will be more successful.

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Training Residents in the Use of Telepsychiatry: Review of the Literature and a Proposed Elective

Cited by 48 publications

References 20 publications

Beyond Social Media: A Cross-Sectional Survey of Other Internet and Mobile Phone Applications in a Community Psychiatry Population

Beyond Social Media: A Cross-Sectional Survey of Other Internet and Mobile Phone Applications in a Community Psychiatry Population

Developing a Digitally Informed Curriculum in Psychiatry Education and Clinical Practice

Strategies to Increase Peer Support Specialists’ Capacity to Use Digital Technology in the Era of COVID-19: Pre-Post Study

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