An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments

Fairchild, Roseanne; Ferng-Kuo, Shiaw-Fen; Rahmouni, Hicham; Hardesty, Daniel

doi:10.1089/tmr.2020.0005

Cited by 8 publications

(9 citation statements)

References 29 publications

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“…Vakkalanka et al [29] collected data from administrative claims, telemedicine provider logs, and chart reviews of hospital records. Fairchild et al [30] collected data from hospital patient records and analyzed the data using independent t-test, ANOVA, and logistic regression. Godleski et al [31] summarized the U. S. Department of Veterans Affairs' (VA) current practices of conducting suicide assessments via telehealth.…”

Section: Resultsmentioning

confidence: 99%

Telehealth Suicide Assessment and The Emergency Order of Detention (EOD) Process: A Systematic Review

Diebold,

Graham,

Laventure

et al. 2023

JMHSB

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Background: Emergency orders of detention (EOD) are used to hold potential suicidal individuals against their will. The COVID-19 pandemic altered the way these evaluations are conducted as virtual telehealth conferences became more frequently utilized. The purpose of this review is to identify screening practices of telehealth providers, describe assessment discrepancies used in telehealth versus in-person visits, and identify variance in EOD hospital admission rates. Methods: A systematic review of literature was conducted utilizing the PRISMA model. Five electronic databases were searched for articles related to suicide, EOD, and telehealth spanning from 2001 to 2021. Of the eight (n=8) articles returned by the search, three (n=3) met inclusion criteria. Results: Findings of this review reveal that there is virtually no research on standardized suicide screening tools used to make EOD determinations. Additionally, the research does not comment on discrepancies between suicide evaluations via telehealth or in-person. Research on telehealth evaluation and involuntary hospitalization rates is limited. Discussion: Little is described in the current research about the types of assessment tools used in the EOD process when conducted via telehealth. Overall, this review found that protecting citizens by telehealth EOD is noticeably under-researched.

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Section: Resultsmentioning

confidence: 99%

Telehealth Suicide Assessment and The Emergency Order of Detention (EOD) Process: A Systematic Review

Diebold,

Graham,

Laventure

et al. 2023

JMHSB

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“…Doing so in the context of widespread changes to the workplace and society at large can make the challenge even more significant. The COVID‐19 pandemic precipitated a dramatic shift to telehealth services (Haque, 2021; Park et al., 2021; Weinberg, 2020), including various service delivery methods and technology, and caused many daily interactions to exist in virtual spaces (Arnberg et al., 2014; Comer, 2015; Dell'Osso et al., 2013; Fairchild et al., 2020; Myers & Comer, 2016; Rousseau & Gunia, 2016; Stewart et al., 2017). Telehealth is rapidly growing, improves access, and reduces costs (Gentry et al., 2019; Madigan et al., 2021).…”

Section: Importance Of Work‐related Soft Skills Trainingmentioning

confidence: 99%

Conversational skills at work: Teaching small talk via telehealth to individuals with disabilities

Lu,

Oursler,

Herrick

et al. 2023

Journal of Employment Couns

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Employment can provide numerous benefits to quality of life, mental health, and social inclusion, which can be particularly important for people with disabilities. In a pilot study, the feasibility of Conversing with Others, a direct skills teaching (DST) group intervention to teach individuals with disabilities a work‐related soft skill focused on conversational skills, was assessed. This mixed methods study delivered the Conversing with Others curriculum in‐person or via telehealth to 119 participants. The intervention was based on the DST method of teaching skills through smaller, digestible, structured lessons. Both modalities showed improvement in participants’ perceptions of their conversational skills. A non‐inferiority test indicated that the telehealth and in‐person group interventions were comparable. Overall, the study supported the feasibility of in‐person and telehealth interventions for teaching workplace conversational skills.

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“…Brenner et al demonstrated that 97% of the patients surveyed were satisfied with the EDTP services provided in non-psychiatric EDs [24]. Two studies of an EDTP intervention in rural EDs by Fairchild et al argued that telepsychiatry was efficacious, allowing patients to have increased access, enhanced responsiveness, and better expertise from their care teams [28,29]. Meyer et al also surveyed ED providers in a rural-and community-based health system operating 21 EDs (none of which has direct access to psychiatric consultation) and reported that "on a rating scale of 0-100 with 0 representing 'Very Uncomfortable' and 100 representing 'Very Comfortable,' the average reported comfort level with the concept of ED telepsychiatry consultation was ∼80" [30].…”

Section: Provider and Patients/user Experiencesmentioning

confidence: 99%

Beam Me Out: Review of Emergency Department Telepsychiatry and Lessons Learned During COVID-19

Natafgi

Childers

Pollak

et al. 2021

Curr Psychiatry Rep

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Purpose of ReviewThe aim of this review is to critically evaluate recent literature on the use of telepsychiatry in emergency departments (EDTP) and synthesize the evidence on telepsychiatry during public health emergencies. We also report on experiences and success stories from a state-wide EDTP program in South Carolina during the COVID-19 pandemic. Recent Findings We identified 12 peer-reviewed articles published between January 2019 and February 2021 that evaluated EDTP interventions and their impact on patient outcomes. The recent evidence on EDTP shows a significant association between EDTP implementation or use and decreased patients' wait time in emergency department (ED), shorter length of stay in certain settings, reduced ED revisit rates, improved ED patient disposition (e.g., more discharge to home, less observational stays, and decreased inpatient admissions), and reduced follow-up encounters involving self-harm diagnosis. Summary The EDTP virtual delivery model can help healthcare systems reduce burden of public health emergencies on providers, staff, and patients alike. While a disruption of magnitude seen by COVID-19 may be infrequent, strategies used during the pandemic may be implemented to enhance care in rural settings, and/or enhance preparedness of communities and healthcare systems during more commonly occurring natural disasters.

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An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments

Cited by 8 publications

References 29 publications

Telehealth Suicide Assessment and The Emergency Order of Detention (EOD) Process: A Systematic Review

Telehealth Suicide Assessment and The Emergency Order of Detention (EOD) Process: A Systematic Review

Conversational skills at work: Teaching small talk via telehealth to individuals with disabilities

Beam Me Out: Review of Emergency Department Telepsychiatry and Lessons Learned During COVID-19

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