The Evolution of a Community-Based Telepsychiatry Program in Rural Alabama: Lessons Learned—A Brief Report

Ulzen, Thaddeus; Williamson, Lloyda Broomes; Foster, Pamela Payne; Parris-Barnes, Kelley

doi:10.1007/s10597-012-9493-2

Cited by 11 publications

(10 citation statements)

References 2 publications

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“…When searching the literature for other important considerations, the primary topic that surfaced was partnerships with communities when implementing effective task‐sharing programs. Partnerships when developing and implementing interventions allow for plans that are suitable to the local context and meet local needs . For example, a “soft entry” program in which community‐based substance abuse counselors offered themselves as a resource to a program led by the aboriginal communities in Australia improved the engagement of aboriginal women in treatment .…”

Section: Resultsmentioning

confidence: 99%

“…Partnerships when developing and implementing interventions allow for plans that are suitable to the local context and meet local needs. 57 For example, a "soft entry" program in which community-based substance abuse counselors offered themselves as a resource to a program led by the aboriginal communities in Australia improved the engagement of aboriginal women in treatment. 58 This partnership approach creates a shift in the power dynamic that may be particularly important for indigenous communities that have faced a history of colonization.…”

Section: Partnerships With Communitiesmentioning

confidence: 99%

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Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Hoeft

Fortney

Patel

et al. 2017

The Journal of Rural Health

407

268

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Purpose Rural areas persistently face a shortage of mental health specialists. Task shifting, or task sharing, is an approach in global mental health that may help address unmet mental health needs in rural and other low‐resource areas. This review focuses on task‐shifting approaches and highlights future directions for research in this area. Methods Systematic review on task sharing of mental health care in rural areas of high‐income countries included: (1) PubMed, (2) gray literature for innovations not yet published in peer‐reviewed journals, and (3) outreach to experts for additional articles. We included English language articles published before August 31, 2013, on interventions sharing mental health care tasks across a team in rural settings. We excluded literature: (1) from low‐ and middle‐income countries, (2) involving direct transfer of care to another provider, and (3) describing clinical guidelines and shared decision‐making tools. Findings The review identified approaches to task sharing focused mainly on community health workers and primary care providers. Technology was identified as a way to leverage mental health specialists to support care across settings both within primary care and out in the community. The review also highlighted how provider education, supervision, and partnerships with local communities can support task sharing. Challenges, such as confidentiality, are often not addressed in the literature. Conclusions Approaches to task sharing may improve reach and effectiveness of mental health care in rural and other low‐resource settings, though important questions remain. We recommend promising research directions to address these questions.

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Section: Resultsmentioning

confidence: 99%

Section: Partnerships With Communitiesmentioning

confidence: 99%

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Hoeft

Fortney

Patel

et al. 2017

The Journal of Rural Health

407

268

View full text Add to dashboard Cite

show abstract

“…Using new audio-video technology to remove the barriers of time and distance for individuals who are most in need of medical and health care services is not a new idea, yet it has become increasingly popular in recent years (Wilson and Maeder, 2015). In the realm of psychiatry, diagnoses and treatment decisions are frequently based on record review, patient interview, and observation, enabling telepsychiatry to quickly evolve as an alternative to office visits for patients who do not have easy access to mental health services (Deslich et al, 2013; Ulzen et al, 2013). This could be a particularly attractive option for rural patients for whom face-to-face treatment access is limited.…”

Section: Introductionmentioning

confidence: 99%

Treatment Outcome Comparison Between Telepsychiatry and Face-to-face Buprenorphine Medication-assisted Treatment for Opioid Use Disorder: A 2-Year Retrospective Data Analysis

Wang

Nickasch

Lander

et al. 2017

Journal of Addiction Medicine

102

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Objectives To retrospectively review clinic records to assess the difference between face-to-face and telepsychiatry buprenorphine Medication-assisted treatment (MAT) programs for the treatment of opioid use disorder on three outcomes: additional substance use, average time to achieve 30 and 90 consecutive days of abstinence, and treatment retention rates at 90 and 365 days. Methods Medical records of patients (N=100) who were participating in telepsychiatry and in face-to-face group-based outpatient buprenorphine MAT programs were reviewed and assessed using descriptive statistical analysis. Results In comparison with the telepsychiatry MAT group, the face-to-face MAT group showed no significant difference in terms of additional substance use, time to 30 days (p=0.09) and 90 days of abstinence (p=0.22), or retention rates at 90 and 365 days (p = 0.99). Conclusions We did not find any significant statistical difference between telepsychiatry buprenorphine MAT intervention through videoconference and face-to-face MAT treatment in our Comprehensive Opioid Addiction Treatment (COAT) model for individuals diagnosed with Opioid Use Disorder in terms of additional substance use, average time to 30 and 90 days of abstinence, and treatment retention rates.

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“…While one recent pilot study compared telemedicine and face-to-face testing (24) and demonstrated that these were comparable, our study looked at interactions over two testing sessions, and included within-subject comparisons. Our study also adds to the growing evidence of applicability of telemedicine-based services for psychiatric care in rural areas (25;26). …”

Section: Discussionmentioning

confidence: 62%

Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults

Vahia

Camacho

et al. 2015

The American Journal of Geriatric Psychiatry

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As the population of older Latinos in the U.S. increases, availability of culturally-adapted geriatric psychiatry services is becoming a growing concern. This issue is exacerbated for rural Latino populations. In this study, we assessed whether neurocognitive assessment via telepsychiatry (TP) using a Spanish-language battery would be comparable to in-person (IP) testing using the same battery in a sample of Spanish-speaking older adults in a rural setting. Patients (N=22) received IP and TP testing 2 weeks apart. The order of IP and TP test administrations in individual subjects was determined randomly. Comparison of scores indicated that there were no significant differences between IP and TP test performance though both groups scored non-significantly higher at the second visit. This study demonstrates feasibility and utility of neurocognitive testing in Spanish using TP among older rural Latinos.

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The Evolution of a Community-Based Telepsychiatry Program in Rural Alabama: Lessons Learned—A Brief Report

Cited by 11 publications

References 2 publications

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings: A Systematic Review

Treatment Outcome Comparison Between Telepsychiatry and Face-to-face Buprenorphine Medication-assisted Treatment for Opioid Use Disorder: A 2-Year Retrospective Data Analysis

Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults

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