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Telepsychiatry

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Telepsychiatry is the application of Telemedicine to the field of Psychiatry.

It has been the most successful of all the telemedicine applications so far, because of its need for only a good videoconferencing facility between the patient and the psychiatrist, especially for follow-up. There are sub-specialties like forensic telepsychiatry,[1] in which the patient is typically an inmate accessing the psychiatrist who is from a supporting institution, and home-based telepsychiatry,[citation needed] whereby the patient is in his own home or office, accessing the physician via webcam and high-speed internet. Another common application is for patients in rural or underserved areas, and there are a large number of grass roots telepsychiatry programs springing up in the United States and elsewhere to address this problem. In the U.S., Medicare and the various state Medicaids, as well as nearly all private health insurance providers, pay equally for telepsychiatry as for face to face psychiatric medication management visits.

A recent innovation is the development of the subspecialty of emergency psychiatry via telemedicine. Research is currently on-going to develop the unique guidelines required to provide consultation for emergency psychiatric patients such as the evaluation of the suicidal, homidical, violent, psychotic, depressed, manic, and acutely anxious patient.[2] Emergency telepsychiatry services are being provided to hospital emergency departments, jails, community mental health centers, substance abuse treatment facilities, and schools.[citation needed]

References

  1. ^ http://www.telepsychiatry.slam.nhs.uk/Home/ForensicTP/tabid/332/Default.aspx
  2. ^ Shore JH, Hilty DM, Yellowlees P (2007). "Emergency management guidelines for telepsychiatry". General Hospital Psychiatry. 29 (3): 199–206. doi:10.1016/j.genhosppsych.2007.01.013. PMC 1986661. PMID 17484936.{{cite journal}}: CS1 maint: multiple names: authors list (link)

Further reading

  • Frueh BC, Monnier J, Elhai JD, Grubaugh AL, Knapp RG (2004). "Telepsychiatry treatment outcome research methodology: efficacy versus effectiveness". Telemedicine Journal and E-health. 10 (4): 455–8. doi:10.1089/tmj.2004.10.455. PMID 15689650.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  • Hilty DM, Marks SL, Urness D, Yellowlees PM, Nesbitt TS (2004). "Clinical and educational telepsychiatry applications: a review". Canadian Journal of Psychiatry. 49 (1): 12–23. PMID 14763673. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
  • Frueh BC, Monnier J, Elhai JD, Grubaugh AL, Knapp RG (2004). "Telepsychiatry treatment outcome research methodology: efficacy versus effectiveness". Telemedicine Journal and E-health. 10 (4): 455–8. doi:10.1089/tmj.2004.10.455. PMID 15689650.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  • Monnier J, Knapp RG, Frueh BC (2003). "Recent advances in telepsychiatry: an updated review". Psychiatric Services. 54 (12): 1604–9. doi:10.1176/appi.ps.54.12.1604. PMID 14645799. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)
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