A Feasibility Study of the Use of Asynchronous Telepsychiatry for Psychiatric Consultations

Yellowlees, M.B.B.S. Peter M.; Odor, Alberto M; Parish, Brooke; Iosif, Ana‐Maria; Haught, Karen; Hilty, Donald M.

doi:10.1176/ps.2010.61.8.838

Cited by 77 publications

(28 citation statements)

References 8 publications

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“…In an Indian study, the telepsychiatry diagnoses made were schizophrenia (36%), other psychosis (11%), bipolar (9%)[8] while in a western study the telepsychiatry diagnosis were mood disorders −85%, substance use disorders −32%, anxiety disorders −53% and other axis I diagnoses −5%. [9] In the present study, anxiety disorder was present in two patients (2%). Experiences with telemedicine in India could have far-reaching benefits for poorer communities in developed countries as well as for developing countries.…”

Section: Discussionsupporting

confidence: 46%

“…The demographic and diagnostic profile of this sample was consistent with routine psychiatry out-patient sample. [10] In other telepsychiatry studies, more female patients were present (55.34%,[8] 67%[9]). In an Indian study, the telepsychiatry diagnoses made were schizophrenia (36%), other psychosis (11%), bipolar (9%)[8] while in a western study the telepsychiatry diagnosis were mood disorders −85%, substance use disorders −32%, anxiety disorders −53% and other axis I diagnoses −5%.…”

Section: Discussionmentioning

confidence: 95%

“…This demonstrates that asynchronous telepsychiatry is possible. Yellowlees et al ., in an article in 2010[9] conducted psychiatric consultations using asynchronous, video based telepsychiatry and concluded that it is feasible. In this study majority were males (60 out of 94, 64%), married (57 out of 78, 73%) and 76% (68 out of 89) diagnoses included schizophrenia and other psychotic disorders, mood disorders and substance related disorders.…”

Section: Discussionmentioning

confidence: 99%

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Asynchronous Telepsychiatry in Maharashtra, India: Study of Feasibility and Referral Pattern

Balasinorwala¹,

Shah

Chatterjee³

et al. 2014

Indian Journal of Psychological Medicine

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Context:There is a paucity of published telepsychiatry results in India.Aims:This study was conducted to assess the feasibility of asynchronous telepsychiatry and to study the referral patterns.Settings and Design:This study was conducted in the telemedicine unit of a tertiary care center and design was retrospective analysis of 94 cases, which were diagnosed and treated by telepsychiatry.Materials and Methods:All 94 patients who were referred between January 2007 and August 2013 for telepsychiatry consultations were retrospectively analyzed to assess the referral pattern and feasibility.Statistical Analysis Used:Comparisons between demographic parameters and psychiatric diagnosis was done using Chi-square test.Results:In 89 out of 94 (95%) patients it was possible to make a definitive diagnosis and recommend appropriate treatment only on the basis of data received from the primary care physician by telepsychiatry. This indicates the feasibility of telepsychiatry. The most common problems for which referrals were made included schizophrenia and other psychotic disorders, mood disorders and substance related disorders.Conclusions:This study demonstrates the feasibility of Asynchronous telepsychiatry. Additional Indian studies should be conducted to build the evidence base for the best use of asynchronous telepsychiatry.

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Asynchronous Telepsychiatry in Maharashtra, India: Study of Feasibility and Referral Pattern

Balasinorwala¹,

Shah

Chatterjee³

et al. 2014

Indian Journal of Psychological Medicine

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“…Some telemedicine programs have specifically excluded children with DD or challenging behaviors because it is simply too difficult or requires too much time to perform a (real-time) telemedicine visit with an uncooperative child. 11 Recently, Yellowlees et al 12 described the feasibility and benefits of asynchronous telepsychiatry visits. School-based telemedicine can serve as a tool to complement and expand access to children's health services.…”

mentioning

confidence: 99%

Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care

Langkamp

McManus²,

Blakemore³

2015

Telemedicine and e-Health

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Background: The literature on the use of telemedicine for children with developmental disabilities (DD) is limited and mostly describes telemedicine being used to link patients with distant subspecialty multidisciplinary care. Parents generally have reported satisfaction with such care and have perceived it to be equally effective as inperson care. Here we report on the use of school-based asynchronous telemedicine to connect children with DD with primary care providers. Materials and Methods: We developed Tele-Health-Kids, a school-based program using asynchronous telemedicine to connect children with DD with their primary care physician for the care of minor illnesses. We surveyed parents at enrollment and after the child's first telemedicine visit to assess satisfaction. We describe 4 cases that illustrate benefits, particularly for children with DD and challenging behaviors, suggesting that asynchronous telemedicine may actually be superior to traditional in-office visits in some circumstances. Results: Most parents expressed a high level of satisfaction with the program. Benefits identified include decreased stress to the child and the parents as well as increasing the likelihood of a successful medical examination due to greater cooperation by the child. Visits using asynchronous or ''store and forward'' telemedicine technology may be superior in some situations by allowing the visit to be performed at a pace that can be adjusted to the needs of the child with DD. Conclusions: More research in the use of asynchronous telemedicine for children and youth with DD, particularly for children with DD and challenging behaviors, is needed.

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“…The psychiatrist remains available to further consult on the treatment via e-mail, phone, or as clinically warranted follow-up with the patient for a telepsychiatry or in-person appointment. An initial pilot on S & F telepsychiatry in California Central Valley managed 60 consultations demonstrating its feasibility (Yellowlees, Odor, et al, 2010). S & F telepsychiatry is a great example of how telepsychiatry can be applied creatively to change models of delivery to address and contribute to solving greater health system issues of access, cost and workforce availability of psychiatric treatments.…”

Section: Current and Future Trends Impacting Telepsychiatrymentioning

confidence: 99%

The evolution and history of telepsychiatry and its impact on psychiatric care: Current implications for psychiatrists and psychiatric organizations

Shore

2015

International Review of Psychiatry

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We have reached a critical convergence in psychiatry between the changing systems of health care structure and funding, our evolution into a technology-based society, and growth in the science and delivery of psychiatric treatments. Fostered by this convergence is the maturation over the past two decades of telepsychiatry, in the form of live interactive video conferencing, as a critical tool to improve access, increase quality and reduce costs of psychiatric treatment. This article reviews the history and evolution of telepsychiatry including implications for the field in order to provide individual psychiatrists and psychiatric organizations guidance on how to formulate current and strategic directions. This article begins with a broad overview of the history of medicine providing contextualization of the development of the field of telepsychiatry. It concludes with projected trends and recommendations.

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A Feasibility Study of the Use of Asynchronous Telepsychiatry for Psychiatric Consultations

Cited by 77 publications

References 8 publications

Asynchronous Telepsychiatry in Maharashtra, India: Study of Feasibility and Referral Pattern

Asynchronous Telepsychiatry in Maharashtra, India: Study of Feasibility and Referral Pattern

Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process Than Office-Based Care

The evolution and history of telepsychiatry and its impact on psychiatric care: Current implications for psychiatrists and psychiatric organizations

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