Incorporation of Telepsychiatry for Patients with Developmental Disorders into Routine Clinical Practice—A Survey of Specialty Clinics Adapting to Telepsychiatry During the COVID-19 Pandemic

Verma, Shikha; Vandana, Pankhuree; Soda, Takahiro; Koth, Kathleen A.; Aguayo, Patricia; Shaffer, Rebecca C.; Hellings, Jessica A.; Muhle, Rebecca

doi:10.1007/s10803-022-05593-0

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…In this paper, we focus exclusively on 2-way communication using a real-time video link. There is evidence for the feasibility and effectiveness of telepsychiatry in certain settings, including for children and adolescents [ 3 ], adults and older adults [ 4 ], postpartum depression [ 5 ], developmental disorders like autism [ 6 ], and bipolar disorder [ 7 ]. Telepsychiatry can be used in different cultures [ 8 ] and health settings [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Enabling Expedited Disposition of Emergencies Using Telepsychiatry in Israel: Protocol for a Hybrid Implementation Study

Shalev,

Bistre,

Lubin

et al. 2023

JMIR Res Protoc

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Background Telepsychiatry is the use of virtual communication, such as a video link, to deliver mental health assessment, treatment, and follow-up. Previous studies have shown telepsychiatry to be feasible, accurate compared with in-person practice, and satisfying for psychiatrists and patients. Telepsychiatry has also been associated with reduced waiting times for evaluation and, in some studies, lower admission rates. However, most previous studies focused on using telepsychiatry in community settings and not on involuntary admission. Objective The aim of this study is to examine the effectiveness and implementation process of patient assessment for involuntary admissions in the psychiatric emergency department (ED) using a video link. Methods This type 1 hybrid implementation study will examine telepsychiatry effectiveness and the implementation process, by comparing telepsychiatry (n=240) with historical controls who had a face-to-face evaluation (n=240) during the previous, usual care period in 5 psychiatric EDs in Israel. A temporary waiver of the standing policy requiring in-person evaluations only, for the purpose of research, was obtained from the Israeli Ministry of Health. During the telepsychiatry phase, clinical staff and patients will join a video call from the ED, while the attending physician will log in elsewhere. The Promoting Action on Research Implementation in Health Services (PARIHS) framework will guide the evaluation of the telepsychiatry implementation process in the ED. PARIHS has the following 3 constructs: (1) evidence: staff's opinions regarding the innovation’s viability and practicality, their satisfaction levels with its use, and patients' perceptions of the change; (2) context: level of approval of new strategies in the ED, decision-making processes, and the manner in which clinical teams converse and work together; (3) facilitation: adequacy of the facilitation efforts using champions reports. Primary clinical outcomes include ED length of stay and violent incidents obtained from medical records. Results This study received Helsinki approval from the Ethics Committee of Abarbanel Mental Health Center (174; March 13, 2023), Jerusalem Mental Health Center (22-21; November 6, 2022), Lev-Hasharon Mental Health Medical Center (LH12023; February 12, 2023), Tel-Aviv Medical Center (TLV-22-0656; January 3, 2023), and Sha'ar Menashe (1-4-23; April 18, 2023). Data collection began in July 2023 in 2 study sites and will begin soon at the others. Conclusions Telepsychiatry could have significant benefits for patients in the psychiatric ED. Examining telepsychiatry effectiveness in the ED, in addition to identifying the facilitators and barriers of implementing it in different emergency settings, will facilitate better policy decisions regarding its implementation. Trial Registration ClinicalTrials.gov NCT05771545; https://clinicaltrials.gov/study/NCT05771545 International Registered Report Identifier (IRRID) DERR1-10.2196/49405

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Section: Introductionmentioning

confidence: 99%

Enabling Expedited Disposition of Emergencies Using Telepsychiatry in Israel: Protocol for a Hybrid Implementation Study

Shalev,

Bistre,

Lubin

et al. 2023

JMIR Res Protoc

View full text Add to dashboard Cite

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Peril and Promise

Belfort,

MacMillan,

Weigle

2024

Child and Adolescent Psychiatric Clinics of North America

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Using Virtual Care to Assess the Health Needs of People With Intellectual Disabilities: A Scoping Review

Devitt,

Nott,

Nelson

et al. 2024

Research Intellect Disabil

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BackgroundThe COVID‐19 pandemic precipitated a rapid roll‐out of virtual health care services to people with intellectual disabilities. Limited evidence is available for clinicians to guide virtual care delivery.MethodTwenty‐three studies were identified through systematic searching of 16 databases. Extracted data were mapped to the NSW Virtual Health Strategy.ResultsEvidence exists to support the use of virtual care for screening, diagnosis, assessment, and review of people with intellectual disabilities, with benefits for clients, carers, and clinicians. Evidence mapped well to the priority areas of the NSW Virtual Health Strategy, highlighting the need for clinician training and specific supports and adaptations to ensure accessibility for people with intellectual disabilities.ConclusionsThe use of virtual care to assess the health needs of people with intellectual disabilities across the lifespan is nascent. An opportunity exists for co‐design with people with intellectual disabilities to reduce barriers to accessing and engaging in virtual care.

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Incorporation of Telepsychiatry for Patients with Developmental Disorders into Routine Clinical Practice—A Survey of Specialty Clinics Adapting to Telepsychiatry During the COVID-19 Pandemic

Cited by 4 publications

References 16 publications

Enabling Expedited Disposition of Emergencies Using Telepsychiatry in Israel: Protocol for a Hybrid Implementation Study

Enabling Expedited Disposition of Emergencies Using Telepsychiatry in Israel: Protocol for a Hybrid Implementation Study

Peril and Promise

Using Virtual Care to Assess the Health Needs of People With Intellectual Disabilities: A Scoping Review

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