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Telemedicine systems and telecommunications
Published in Richard Wootton, John Craig, Victor Patterson, Introduction to Telemedicine, 2017
Different clinical situations generate very different types of clinical information (Table 2.1). Hence, there are many possible sources of data that can be used in telemedicine applications. In some cases this can be relatively simple information, such as concentrations of a metabolite (e.g. a high blood glucose concentration may suggest diabetes), whereas in others more qualitative and subtle information is needed, as in psychiatric assessments, where observations of posture, speech and mental state are required. Not all information will be needed at every site. For example, a telepsychiatry application will probably require ordinary commercial videoconferencing equipment instead of very high-quality audio or video signals and a telemonitoring service will require only data and text transfer, without audio and video.
Mental health
Published in Liam J. Donaldson, Paul D. Rutter, Donaldsons' Essential Public Health, 2017
Liam J. Donaldson, Paul D. Rutter
Information technology can be used to good effect. Cognitive behavioural therapy is usually delivered by a therapist, often one to one. Computerized cognitive behavioural therapy allows those who can benefit from this type of therapy to do so at a much reduced cost, and therefore makes it available within populations where healthcare resources are severely limited. Telepsychiatry allows specialist psychiatric services to penetrate into remote areas, providing consultations through videoconferencing.
Innovations in psychiatric criminology
Published in John A. Liebert, William J. Birnes, Psychiatric Criminology, 2016
John A. Liebert, William J. Birnes
Internet connectivity also enables specialists to diagnose and treat many of their patients at virtually any point on the globe from a fixed position. Geography, for the most part, is no longer a barrier to many highly specialized clinical services, such as neurology, ophthalmology, dermatology, clinical psychology, and psychiatry. Only political and legal barriers obstruct taking many valuable services, such as psychiatric diagnosis and treatment, to patients in remote locations. The ability to take health care to the consumer, rather than having the consumer come to health care, is part of the change in ACA. Prisons and colleges alike are experimenting with secure video screens in cells and dorm rooms, respectively, to facilitate the prompt assessment of at-risk populations profiled in this book. Patient satisfaction also becomes “meaningful use” for which providers are rewarded. The younger patient wants to connect with health care using his cell phone. Now, for many channels of care, such as psychiatry, such delivery of care is feasible via telepsychiatry and teleneurology.
Lessons for psychiatrists from the COVID pandemic: the need for expanded roles and additional competencies
Published in International Review of Psychiatry, 2021
Vinay K. Parekh, Karen L. Swartz
The effectiveness of telepsychiatry in emergency settings specifically has a strong evidence base that is well established (Hilty et al., 2013; Hubley et al., 2016; Reinhardt et al., 2019; Seehusen & Azrak, 2019). Prior to the pandemic, the utility of video based telepsychiatry in civilian medicine was clearly seen in rural settings where psychiatric specialty resources were limited and for those populations that had difficulty with mobility. However, the uptake with these populations prior to the pandemic continued to remain low and physician training and clinical workflows were slow to adapt (Saeed et al., 2017). Prior to the pandemic, the limited uptake of telepsychiatry services was mostly attributed to providers’ unwillingness to adopt telehealth (Wade et al., 2014; Cowan et al., 2019). Telepsychiatry required learning new workflows, examination skills, and was seen as potentially unsafe and difficult to get reimbursed at parity with in-person care.
Beyond non-inferior: how telepsychiatry technologies can lead to superior care
Published in International Review of Psychiatry, 2021
John Zulueta, Olusola A. Ajilore
In what is probably the most common usage of the term, telepsychiatry refers to the use of videoconferencing technology to enable two way, real-time interaction between a psychiatric clinician and his or her patient (Hilty et al., 2020; Monnier et al., 2003). It has been recognized, however, that there are other technologies which can also support the remote provision of healthcare services. The Office of the National Coordinator for Health Information Technology has sought to distinguish between these concepts by using the term ‘telehealth’ to refer to the more broad concept and ‘telemedicine’ to refer the more specific use of video conferencing technologies (The Office of the National Coordinator for Health Information Technology, 2020), but the terms are often used interchangeably. For lack of a better term, in this article we use the term telepsychiatry in the broad ‘telehealth’ sense – referring not just to the use of video conferencing to replace in person psychiatric visits but also to the use of other technologies such as real-time monitoring to remotely collect and analyse data to support psychiatric care.
Telemental health and student veterans: A practice perspective through voices from the field
Published in Journal of Technology in Human Services, 2020
Alyson Pompeo-Fargnoli, Amanda Lapa, Courtney Pellegrino
Mental health professionals utilize telemental health through email counseling, chat room counseling, video counseling, and phone counseling (Maples & Han, 2008; National Board for Certified Counselors (NBCC), 2016). E-mail counseling occurs when clients send emails to counselors and counselors respond via email (Maples & Han, 2008). Chat room counseling is an instantaneous online dialog between the counselor and client that occurs in either one-on-one or group sessions (Maples & Han, 2008). Recently, the field of psychiatry has begun utilizing telemental health, through the growing area of telepsychiatry, in which clients may consult with psychiatrists remotely through technology and even partake in medication management (Shore, 2015). Recently, school counselors have begun implementing telemental health for high school students in an effort to attract more students to counseling by reducing stigma and making use of the current generation’s preference for technology (Glasheen, Shochet, & Campbell, 2015). Many college students also tend to gravitate towards telemental health via technology because they have grown up with technology and feel comfortable using it (Maples & Han, 2008).