OBJECTIVE: This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, video-based telepsychiatry. METHODS: Video-recorded 20- to 30-minute assessments of 60 nonemergency, English-speaking adult patients in a medically underserved county in California were uploaded along with other patient data to a Web-based record. Two psychiatrists then used the record to provide psychiatric consultations to the referring primary care providers. RESULTS: Eighty-five percent of patients received diagnoses of mood disorders, 32% diagnoses of substance use disorders, 53% diagnoses of anxiety disorders, and 5% other axis I diagnoses. Psychiatrists recommended short-term medication changes for 95% of the patients and provided guidelines for possible future changes. CONCLUSIONS: This study-the first study of asynchronous telepsychiatry to be published-demonstrated the feasibility of this approach. This type of assessment should not replace the face-to-face psychiatric interview, but it may be a very helpful additional process that improves access to care and expertise.
OBJECTIVE: This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, video-based telepsychiatry. METHODS: Video-recorded 20- to 30-minute assessments of 60 nonemergency, English-speaking adult patients in a medically underserved county in California were uploaded along with other patient data to a Web-based record. Two psychiatrists then used the record to provide psychiatric consultations to the referring primary care providers. RESULTS: Eighty-five percent of patients received diagnoses of mood disorders, 32% diagnoses of substance use disorders, 53% diagnoses of anxiety disorders, and 5% other axis I diagnoses. Psychiatrists recommended short-term medication changes for 95% of the patients and provided guidelines for possible future changes. CONCLUSIONS: This study-the first study of asynchronous telepsychiatry to be published-demonstrated the feasibility of this approach. This type of assessment should not replace the face-to-face psychiatric interview, but it may be a very helpful additional process that improves access to care and expertise.
Authors: Amy M Bauer; Pedro Bonilla; Matthew W Grover; Fremonta Meyer; Carleen Riselli; Laura White Journal: Curr Psychiatry Rep Date: 2011-02 Impact factor: 5.285
Authors: Peter M Yellowlees; Alberto Odor; Ana-Maria Iosif; Michelle Burke Parish; Najia Nafiz; Kesha Patrice; Glen Xiong; Robert McCaron; Richard Sanchez; Enrique Ochoa; Donald Hilty Journal: Telemed J E Health Date: 2013-03-01 Impact factor: 3.536
Authors: Donald M Hilty; Daphne C Ferrer; Michelle Burke Parish; Barb Johnston; Edward J Callahan; Peter M Yellowlees Journal: Telemed J E Health Date: 2013-06 Impact factor: 3.536