Allison Elliott, Our Health
“Somewhere in Kentucky, a patient checks in at the front desk of her local hospital’s memory or behavioral health clinic. The patient is concerned she may be having memory problems and, at the encouragement of family and friends, has booked an evaluation.
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Live interactive videoconferencing and other technologies offer innovative opportunities for effective delivery of specialized child and adolescent mental health services. In this article, an example of a comprehensive telepsychiatry program is presented to highlight a variety of capacity-building initiatives that are responsive to community needs and cultures; these initiatives are allowing children, youth and caregivers to access otherwise-distant specialist services within their home communities.
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Randall Stross, The New York Times
“Today, even with the rise of the Internet, virtual therapy hasn’t been widely adopted. But several start-up companies are trying to make Dr. Dwyer’s decades-old vision a workaday reality.
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Technology for Doctors Online
“A six-month telepsychiatry pilot program was launched in April at the Douglas Memorial Hospital in Fort Erie to serve patients throughout the Niagara region. Dubbed the Rapid Referral Outpatient Program (RROP), the services are being offered to help residents struggling with cognitive disorders and dementia. The program will be evaluated at the end of the trial period.
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Audrey Dutton, Idaho Statesman
“A few years ago, if a father in Cottonwood noticed symptoms of depression in his son, he would have had to drive hours to the nearest child psychiatrist in Spokane or Boise. And that’s if the waiting list was short enough to get an appointment.
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Odor A et al, Telemedicine and e-Health, 17(4)
Objective:
To describe the technical development of an asynchronous telepsychiatry application, the Psychiatric Video Archiving and Communication System.
Methods:
A client-server application was developed in Visual Basic.Net with Microsoft(®) SQL database as the backend. It includes the capability of storing video-recorded psychiatric interviews and manages the workflow of the system with automated messaging.
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Thomas CR et al, Telemedicine and e-Health, 11(5)
Domestic violence is a significant public health problem and is correlated with serious mental and physical disorders. Victims’ fear and isolation seriously limit access to psychiatric evaluation and treatment. Telemedicine provides a means to overcome these obstacles. This article describes a telemedicine program that provides psychiatric screening, evaluation, treatment, and referral for ongoing care to clients of a rural women’s crisis center. Psychiatric evaluation and treatment were provided to a rural women’s shelter program using telepsychiatry. The shelter program had difficulty accessing traditional mental health service. All new clients entering the program were screened for mental health problems.
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John Farrell, The Mobility Blog
“About 200 clients at Muskogee, Okla.-based Green Country Behavioral Health Services are benefitting from the addition of a telehealth program aimed at pairing psychiatrists and patients throughout Muskogee County. Since the service was launched on April 2, telehealth technology has been enabling clients to have private audio-visual meetings with a psychiatrist in another city to help regulate their medications.
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NECN
“A service called Telehealth is being used to help clients at Green Country Behavioral Services. CEO Joy Sloan said approximately 200 clients have joined the program since it was launched April 2.
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Yellowlees P et al, Telemedicine and e-Health, 17(3)
The traditional face-to-face doctor-patient relationship is the core of conventional medical practice. One key aspect of this changing relationship is the increasing dependency on asynchronous data collection in clinical consultations. Such electronic communications and data streams may be numeric, text-based, audio, digitized still pictures, video and radiologic, as well as emanating from multiple medical devices. While asynchronous medicine may be established in specialties like radiology and dermatology, there is little research regarding the use of asynchronous medicine in areas of medicine that traditionally rely on the physical doctor-patient interaction such as primary care, internal medicine, geriatrics, and psychiatry.
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Kerry Best, See Hello
“When they looked recently into their crystal balls, some Houston doctors saw a future of less face time with patients and more technology in the hospital or office. But the oracle didn’t show them the HD telepresence technology actually facilitating doctor-patient face time in a medical center in their very own city.
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Mike Wiser, The Gazette
“Both the Iowa House and Senate moved legislation last week that has the state taking a greater role in taking care of the mentally ill.
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Amarendran V et al, Telemedicine and e-Health, 2011
Objective:
To determine whether or not the Abnormal Involuntary Movement Scale (AIMS), an examination that relies on visual judgments, can be reliably measured via video conferencing equipment.
Methods:
AIMS scores were assessed by two independent raters in face-to-face contact with the subject and two raters observing remotely via audio-visual transmission. We determined inter-rater reliabilities using the Intraclass Correlation Coefficient (ICC). We assessed if the condition of the rater influenced the ICC. We distinguished between whether the rater was physically in the room with the subject or was connected via video. We then statistically compared the differences between these conditions.
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Sara Jackson, FierceMobileHealthcare
“Want to know where psychiatric care is going in the mHealth environment? The military may be giving us a glimpse. With soldiers stationed around the globe, and only so many counseling resources to go around, the Departments of Defense and Veterans Affairs, as well as other agencies are testing out a number of variations on mobile mental health services.
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Glueck DA. Child and Adolescent Psychiatric Clinics of North America, 20(1)
Telepsychiatry is being increasingly adopted in private practice and is predicted to play an important role in increasing access to care in rural communities and other underserved areas. With the current level of need, it is unlikely that all of the required services can be fully met through existing telepsychiatry practitioners.
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Spaulding R et al, Telemedicine and e-Health, 16(8)
The costs of pediatric telemedicine services remain underreported and understudied; however, there is evidence that telepediatric services can be cost competitive with traditional ones. For 15 years, the University of Kansas Center for Telemedicine and Telehealth has been providing telemental health outreach from the University of Kansas Medical Center (KUMC). One service site is located in Crawford County, Kansas, which provides telepsychiatry services to children and adolescents. The purpose of this study was to examine the costs of operating the Crawford County site relative to accessing services at KUMC, the likely alternative service location. The cost of travel time to parents who accompanied a dependent to either location also was estimated. Patients and parents were examined over a 6-month period in 2006.
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Diamond JM, Bloch RM. Telemedicine and e-Health, 16(6)
BACKGROUND:
The limited number of mental health specialists for children has led to an increased need for child and adolescent psychiatrists to provide primary care consultations and treatment recommendations. Psychiatric assessments and treatments provided via two-way videoconferencing (telepsychiatry) have been used to increase the availability of child psychiatrists. This article reviews the literature on telepsychiatry assessment of children and adolescents.
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Kate Ackerman, iHealthBeat
“As of September 2008, 77 million residents lived in the country’s 3,059 mental health professional shortage areas, or HPSAs, according to the Kaiser Family Foundation. The foundation reported that it would take an additional 5,145 mental health care providers to meet a population to practitioner ratio of 10,000 to 1.
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Yellowlees PM et al, Psychiatric Services, 61(8)
OBJECTIVE:
This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, video-based telepsychiatry.
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OWNI
“Selon le docteur Jacques Lucas, vice-président du Conseil National de l’Ordre des Médecins (Cnom), en charge des technologies de l’information et de la communication, Internet constitue “un virage majeur dans la relation médecins/patients”.
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