Telerehabilitation in Psychiatry

Jayarajan, Deepak; Sivakumar, Thanapal; Torous, John; Thirthalli, Jagadisha

doi:10.1177/0253717620963202

Cited by 21 publications

(46 citation statements)

References 24 publications

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“…At the broader system level, several articles pointed to changes in regulation and reimbursements that have enabled clinicians practicing in a wide range of settings to quickly adopt e-mental health solutions for both existing and new patients struggling with the pandemic’s impact [ 29 - 31 , 52 , 67 ]. Patel et al identified a number of local and national collaborative approaches to care that have been developed since COVID-19, such as “Webinars for Nursing Homes” that have linked palliative care, geriatrics, and psychiatric old-age services in Ireland through Project ECHO AIIHPC (Extension for Community Healthcare Outcomes, All Ireland Institute of Hospice and Palliative Care) to help nursing home staff improve their knowledge of e-mental health tools [ 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…Various countries have also introduced new legal and practice guidelines to assure patient privacy and quality of care [ 26 , 27 ]. In India, the Medical Council released the Telemedicine practice guidelines in May 2020 to help remove some of the administrative and legal concerns present in practicing virtual care [ 27 - 29 ]. The COVID‑19 pandemic has also pushed some governments to make online or digital mental health resources widely available to the general population.…”

Section: Introductionmentioning

confidence: 99%

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The Application of e-Mental Health in Response to COVID-19: Scoping Review and Bibliometric Analysis

Ellis¹,

Meulenbroeks²,

Churruca³

et al. 2021

JMIR Ment Health

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Background The COVID-19 pandemic and its mitigation measures and impacts, such as shelter-in-place orders, social isolation, restrictions on freedoms, unemployment, financial insecurity, and disrupted routines, have led to declines in mental health worldwide and concomitant escalating demands for mental health services. Under the circumstances, electronic mental health (e-mental health) programs and services have rapidly become the “new normal.” Objective The aim of this study was to assess key characteristics and evidence gaps in the e-mental health literature published in relation to the COVID-19 pandemic via a scoping review and bibliometric analysis. Methods We conducted a search of four academic databases (ie, MEDLINE, Embase, PsycInfo, and CINAHL) for documents published from December 31, 2019, to March 31, 2021, using keywords for e-mental health and COVID-19. Article information was extracted that was relevant to the review objective, including journal, type of article, keywords, focus, and corresponding author. Information was synthesized by coding these attributes and was then summarized through descriptive statistics and narrative techniques. Article influence was examined from Altmetric and CiteScore data, and a network analysis was conducted on article keywords. Results A total of 356 publications were included in the review. Articles on e-mental health quickly thrived early in the pandemic, with most articles being nonempirical, chiefly commentaries or opinions (n=225, 63.2%). Empirical publications emerged later and became more frequent as the pandemic progressed. The United States contributed the most articles (n=160, 44.9%), though a notable number came from middle-income countries (n=59, 16.6%). Articles were spread across 165 journals and had above-average influence (ie, almost half of the articles were in the top 25% of output scores by Altmetric, and the average CiteScore across articles was 4.22). The network analysis of author-supplied keywords identified key topic areas, including specific mental disorders, eHealth modalities, issues and challenges, and populations of interest. These were further explored via full-text analysis. Applications of e-mental health during the pandemic overcame, or were influenced by, system, service, technology, provider, and patient factors. Conclusions COVID-19 has accelerated applications of e-mental health. Further research is needed to support the implementation of e-mental health across system and service infrastructures, alongside evidence of the relative effectiveness of e-mental health in comparison to traditional modes of care.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Application of e-Mental Health in Response to COVID-19: Scoping Review and Bibliometric Analysis

Ellis¹,

Meulenbroeks²,

Churruca³

et al. 2021

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…When we delivered interventions through telephone, there were no national guidelines about telepsychotherapy, but our telephone-based session delivery and documentation match the latest guidelines for Tele-psychotherapy services [2,7]. Telephonebased intervention is a step to enhance the reach of psychosocial intervention to more people in the community who otherwise might struggle to engage in these services as the pandemic has shown the need for modifying the healthcare delivery system and the importance of telerehabilitation [17].…”

Section: Discussionmentioning

confidence: 99%

Does Telephone Based Intervention Combined with Face to Face Contact Improve Socio-Occupational Functioning of Persons with Schizophrenia? A Retrospective Chart Review

Juliet

Joseph

Sims

et al. 2021

J. Psychosoc. Rehabil. Ment. Health

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Psychosocial rehabilitation (PSR) interventions help individuals with schizophrenia and severe mental disorders learn/relearn skills to deal with social and occupational difficulties. Some patients cannot engage in face-to-face sessions for all intervention sessions due to factors like distance, time and cost. Hence, the study aimed to assess the effectiveness of additional contact through telephonic sessions on social and occupational functioning among persons with schizophrenia receiving face-toface psychosocial interventions. Case records of patients in the PSR (psychosocial rehabilitation) program who received either weekly face-to-face interventions (n = 40) or a combination of monthly face to face with interim weekly telephonically delivered sessions (n = 43) were selected. Baseline and 6 months data on socio-demographic and SOFS scores were retrieved. The reasons for adding telephonic intervention were the distance from home (46.5%), financial constraints (23.3%), lack of motivation (13.9%) and lack of family support to attend sessions (16.3%). At baseline, there were no differences between the two groups in their socio-demographic profiles. There was a significant reduction in the SOFS scores at 6-months in both groups compared to baseline but no difference between the two groups. Combining regular telephonic interventions to face-to-face PSR sessions is as effective as more frequent face-to-face only interventions to those patients who cannot attend for interventions in person. Further research needs to examine the effectiveness of the adjunct telephone interventions using a more robust study design.

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“…Type of article 30 (49) Experience feedback [5,7,[42][43][44][45][46][47][48][49][50][51][52][53] 14 (23) Literature review [54][55][56][57][58][59][60][61][62] 9 (15) Study [63][64][65][66][67][68][69][70] 8 (13) Reflection Location of study [5,13,14,18,19,26,27,29,31,33,36,38,40,42,44,50,54,…”

Section: References Studies (N=61) N (%) Characteristicsmentioning

confidence: 99%

Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

Kane¹,

Baumgart²,

El‐Hage³

et al. 2022

JMIR Hum Factors

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Background The COVID-19 pandemic has required psychiatric and mental health professionals to change their practices to reduce the risk of transmission of SARS-CoV-2, in particular by favoring remote monitoring and assessment via digital technologies. Objective As part of a research project that was cofunded by the French National Research Agency (ARN) and the Centre-Val de Loire Region, the aim of this systematic literature review was to investigate how such uses of digital technologies have been developing. Methods This systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The search was carried out in the MEDLINE (ie, PubMed) and Cairn databases, as well as in a platform specializing in mental health, Ascodocpsy. The search yielded 558 results for the year 2020. After applying inclusion and exclusion criteria, first on titles and abstracts and then on full texts, 61 articles were included. Results The analysis of the literature revealed a heterogeneous integration of digital technologies, not only depending on countries, contexts, and local regulations, but also depending on the modalities of care. Notwithstanding these variations, the use of videoconferencing has developed significantly, affecting working conditions and therapeutic relationships. For many psychiatric and mental health professionals, the pandemic has been an opportunity to build up their experience of remote care and, thus, better identify the possibilities and limits of these digital technologies. Conclusions New uses of such technologies essentially consist of a transition from the classic consultation model toward teleconsultation and make less use of the specific potential of artificial intelligence. As professionals were not prepared for these uses, they were confronted with practical difficulties and ethical questions, such as the place of digital technology in care, confidentiality and protection of personal data, and equity in access to care. The COVID-19 health crisis questions how the organization of health care integrates the possibilities offered by digital technology, in particular to promote the autonomy and empowerment of mental health service users.

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Telerehabilitation in Psychiatry

Cited by 21 publications

References 24 publications

The Application of e-Mental Health in Response to COVID-19: Scoping Review and Bibliometric Analysis

The Application of e-Mental Health in Response to COVID-19: Scoping Review and Bibliometric Analysis

Does Telephone Based Intervention Combined with Face to Face Contact Improve Socio-Occupational Functioning of Persons with Schizophrenia? A Retrospective Chart Review

Opportunities and Challenges for Professionals in Psychiatry and Mental Health Care Using Digital Technologies During the COVID-19 Pandemic: Systematic Review

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