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On-Call Telepsychiatry Services: Interventions, Outcomes, and Innovations

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On-Call Geriatric Psychiatry

Abstract

Contemporary healthcare is patient centered with respect to quality care, access, and affordable options. Stepped and integrated care models emphasize tailored care, interdisciplinary teamwork, and integration of services based on co-location, shared responsibility, and funding. Telepsychiatry (TP) is as effective as in-person care. The literature was reviewed for core concepts and recent developments related to three themes: (1) how TP leverages a wide range of treatments at a distance to clinics, nursing homes, and patient homes, with outcomes as good as in-person care; (2) how geriatric TP is similar to or different from that for other age groups; and (3) telemedicine innovations, in general, that may be inroads for TP services for patients, clinicians, and caregivers. There is steady growth of the TP evidence base that demonstrates that older adult patients are as open to using TP as other populations and report high satisfaction. TP-positive preliminary outcomes compare favorably to in-person care, and TP enables more patient points of entry, addresses patient-provider needs-skill mismatches, and leverages resources. Telemedicine and TP have the potential to eliminate geographical, physical limitations and access to care obstacles. More formal TP research studies and health service effectiveness studies are needed for older adult patients in culturally diverse populations, team-based or interdisciplinary care, and stepped or integrated care interprofessional models.

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Acknowledgements

American Telemedicine Association Telemental Health Interest Group

Author information

Authors and Affiliations

  1. Department of Psychiatry & Addiction Medicine, Kaweah Delta Medical Center and Keck School of Medicine at USC, 400 West Mineral King Avenue, Visalia, CA, 93291, USA

    Donald M. Hilty MD

  2. Division of Consultation Psychiatry and Psychosomatic Medicine, Psychiatry and Family Medicine, Telemedicine, University of Vermont College of Medicine, University of Vermont Medical Center, Burlington, VT, USA

    Terry Rabinowitz MD, DDS

Authors
  1. Donald M. Hilty MD
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  2. Terry Rabinowitz MD, DDS
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Corresponding author

Correspondence to Donald M. Hilty MD .

Editor information

Editors and Affiliations

  1. Dept. of Psychiatry & Behavioural Neuros, McMaster University, Hamilton, Ontario, Canada

    Ana Hategan

  2. Dept. of Psychiatry/Langley Porter Psych, University of California San Francisco, San Francisco, New York, USA

    James A. Bourgeois

  3. Dept.of Internal Med.,Div of General Med, University of California Davis, Sacramento, California, USA

    Calvin H. Hirsch

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© 2016 Springer International Publishing Switzerland

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Hilty, D.M., Rabinowitz, T. (2016). On-Call Telepsychiatry Services: Interventions, Outcomes, and Innovations. In: Hategan, A., Bourgeois, J., Hirsch, C. (eds) On-Call Geriatric Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-30346-8_24

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  • DOI: https://doi.org/10.1007/978-3-319-30346-8_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-30344-4

  • Online ISBN: 978-3-319-30346-8

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