The effectiveness of telepsychiatry measured using the Health of the                Nation Outcome Scale and the Mental Health Inventory

Kennedy, Craig; Yellowlees, Peter Mackinlay

doi:10.1258/135763303321159639

Cited by 38 publications

(33 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Kennedy and Yellowlees [12] examined clinical outcomes in the use of VC with 124 patients entering mental health treatment in rural Queensland, Australia. All patients were offered the option of being treated by a psychiatrist using a VC system at 128 kbps and 32 patients (3 of whom were diagnosed with psychotic disorders) chose the VC option.…”

Section: Resultsmentioning

confidence: 99%

The use of videoconferencing with patients with psychosis: a review of the literature

Sharp¹,

Kobak

Osman³

2011

Ann Gen Psychiatry

View full text Add to dashboard Cite

Videoconferencing has become an increasingly viable tool in psychiatry, with a growing body of literature on its use with a range of patient populations. A number of factors make it particularly well suited for patients with psychosis. For example, patients living in remote or underserved areas can be seen by a specialist without need for travel. However, the hallmark symptoms of psychotic disorders might lead one to question the feasibility of videoconferencing with these patients. For example, does videoconferencing exacerbate delusions, such as paranoia or delusions of reference? Are acutely psychotic patients willing to be interviewed remotely by videoconferencing? To address these and other issues, we conducted an extensive review of Medline, PsychINFO, and the Telemedicine Information Exchange databases for literature on videoconferencing and psychosis. Findings generally indicated that assessment and treatment via videoconferencing is equivalent to in person and is tolerated and well accepted. There is little evidence that patients with psychosis have difficulty with videoconferencing or experience any exacerbation of symptoms; in fact, there is some evidence to suggest that the distance afforded can be a positive factor. The results of two large clinical trials support the reliability and effectiveness of centralized remote assessment of patients with schizophrenia.

show abstract

Section: Resultsmentioning

confidence: 99%

The use of videoconferencing with patients with psychosis: a review of the literature

Sharp¹,

Kobak

Osman³

2011

Ann Gen Psychiatry

View full text Add to dashboard Cite

show abstract

“…24, 25 Several early studies with small samples that used early technologies reported patient outcomes in terms of rates of hospitalization, 26 global assessment of functioning, 27 and general health status. 28 In a study of 495 outpatients with a variety of psychiatric disorders, O’Reilly and colleagues compared outcomes of those randomly assigned to consultation in person or by videoconferencing. 29 Both groups showed comparable decreases in general ratings of symptomatology and distress, levels of “caseness,” and rates of hospitalization and reported moderate satisfaction with care.…”

Section: Introductionmentioning

confidence: 99%

Methodology for conducting the Children’s Attention-deficit Hyperactivity Disorder Telemental Health Treatment Study in multiple underserved communities

Stoep

Myers

2013

Clinical Trials

View full text Add to dashboard Cite

Background Children who live in non-metropolitan communities are underserved by evidence-based mental health care and underrepresented in clinical trials of mental health services. Telemental Health (TMH), the use of videoteleconferencing (VTC) to provide care that is usually delivered in person, shows promise for helping to rectify these service disparities. Purpose The Children’s ADHD Telemental Health Treatment Study (CATTS) is a randomized controlled trial designed to test the effectiveness of TMH in providing treatment to children diagnosed with attention-deficit hyperactivity disorder (ADHD) who are living in underserved communities. In this paper we describe the methodologies we developed for the trial and lessons learned. Methods Children ages 5.5-12 years of age with ADHD were referred to CATTS by their primary care physicians (PCP’s). The test intervention group (Group A) received six telepsychiatry sessions followed by in-person caregiver behavioral training delivered by a local therapist who was trained and supervised remotely. A secure website was used to support decision-making by the telepsychiatrists, to facilitate real-time collaboration between the telepsychiatrists and community therapists, and communication with the PCP’s. The control group (Group B) received a single telepsychiatry consultation followed by treatment with their PCP’s who implemented the telepsychiatrists’ recommendations at their discretion. Caregivers completed five sets of questionnaires about children’s symptoms and functioning and their own levels of distress. Older children (aged 10-12 years) completed questionnaires about their symptoms and functioning. Teachers completed ADHD rating scales. Questionnaires were completed online through a secure portal from personal computers. Results Eighty-eight PCP’s in seven communities referred the 223 children who participated in the trial. Attrition was low (3%). Children in Group A completed an average of 5.3 of 6 scheduled sessions; 96% of children in Group B completed their telepsychiatry consultation. Parents in both groups completed an average of 4.8 of 5 assessments. Telepsychiatrists and therapists showed high adherence to treatment protocols. Lessons Learned TMH proved to be a viable means of providing evidence-based pharmacological services to children and of training local therapists in evidence-based caregiver behavioral management. Recruitment was enhanced by offering the control group a telepsychiatry consultation. To meet recruitment targets across multiple dispersed sites, we developed community-specific strategies. A dedicated scheduler was a critical staff role to coordinate the multiple sites, sessions, and clinicians. Trial implementation was easier with sites that shared an electronic medical record system with our research hub. Conclusions The CATTS study used methods and procedures to optimize inclusion of children living in multiple dispersed and underserved areas. These experiences should advance the development of technologies needed to recruit ...

show abstract

“…16,17,[21][22][23][24] There has been only one previous report on the use of telepsychiatry for the assessment of emergency patients where the first contact with the psychiatrist was by teleconference. 25 That program found the use of telepsychiatry with patients referred to an acute psychiatric hospital unit was comparable to telepsychiatry programs with nonacute patients.…”

Section: Discussionmentioning

confidence: 99%

Telepsychiatry Program for Rural Victims of Domestic Violence

Thomas

Miller

Hartshorn

et al. 2005

Telemedicine and e-Health

View full text Add to dashboard Cite

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. Those requiring further evaluation received a physical examination with medical history and initial psychological interview on site, followed by psychiatric evaluation by videoconference. Appropriate treatment was initiated, and referral for ongoing psychiatric care through the local community mental health clinic was arranged. Of the 38 women referred for mental health services by clinic staff, 35 completed a psychiatric evaluation using telepsychiatry and 31 entered treatment. The most commonly identified disorders were anxiety and major affective disorders, followed by substance use disorders. Telepsychiatry can provide rapid crisis intervention and effective mental health services to victims of domestic violence in a rural setting.

show abstract

The effectiveness of telepsychiatry measured using the Health of the Nation Outcome Scale and the Mental Health Inventory

Cited by 38 publications

References 9 publications

The use of videoconferencing with patients with psychosis: a review of the literature

The use of videoconferencing with patients with psychosis: a review of the literature

Methodology for conducting the Children’s Attention-deficit Hyperactivity Disorder Telemental Health Treatment Study in multiple underserved communities

Telepsychiatry Program for Rural Victims of Domestic Violence

Contact Info

Product

Resources

About