Advertisement

Psychiatric Quarterly

, Volume 77, Issue 4, pp 335–342 | Cite as

Telepsychiatry and e-Mental Health Services: Potential for Improving Access to Mental Health Care

  • Kaye L. McGinty
  • Sy Atezaz Saeed
  • Scott C. Simmons
  • Yilmaz Yildirim
Original Paper

Abstract

Reforming mental health care is a focus of many ongoing initiatives in the United States, both at the national and state levels. Access to adequate mental health care services is one of the identified problems. Telepsychiatry and e-mental health services could improve access to mental health care in rural, remote and underserved areas. The authors discuss the required technology, common applications and barriers associated with the implementation of telepsychiatry and e-mental health services.

Keywords:

Telepsychiatry E-mental health Interactive videoconferencing Mental health care access Mental health care 

References

  1. 1.
    New Freedom Commission on Mental Health. Achieving the promise: Transforming mental health care in America. Final report. Rockville, MD, DHHS Pub. No. SMA-03–3832, 2003.Google Scholar
  2. 2.
    Yellowless P, Miller EA, McLaren P, et al: Introduction, in Wootton R, Yellowless P, McLaren P (Eds). Telepsychiatry and e-Mental Health. London, Royal Society of Medicine Press, pp. 3–13, 2003.Google Scholar
  3. 3.
    Bashshur RL, Mandil SH, Shannon GW: Telemedicine/telehealth: An international perspective. Executive summary. Telemedicine Journal and e-Health 8:95–107, 2002.PubMedCrossRefGoogle Scholar
  4. 4.
    Rothchild E: Telepsychiatry: why do it? Psychiatric Annals 29:394–401, 1999.Google Scholar
  5. 5.
    Zimnik PR: A brief summary of department of defense telemedicine. Telemedicine Journal 2(3):241–246, 1996.PubMedGoogle Scholar
  6. 6.
    Hilty DM, Servis ME, Nesbitt TS, et al: The use of telemedicine to provide consultation-liaison service to the primary care setting. Psychiatric Annals 29:421–427, 1999.Google Scholar
  7. 7.
    Hilty DM, Luo JS, Morach C, et al: Telepsychiatry: An overview for psychiatrists. CNS Drugs 16(8):527–548, 2002.PubMedCrossRefGoogle Scholar
  8. 8.
    Simpson S: The use of videoconferencing in clinical psychology, in Wootton R, Yellowless P, McLaren P (Eds). Telepsychiatry and e-Mental Health. London, Royal Society of Medicine Press, pp 171–182, 2003.Google Scholar
  9. 9.
    Simpson S, Morrow E, Jones M, et al: The delivery of a tele-psychiatry service to Shetland. Clinical Psychology and Psychotherapy 8:130–135, 2001.CrossRefGoogle Scholar
  10. 10.
    King R, Spooner D, Reid W: Online counselling and psychotherapy, in Wootton R, Yellowless P, McLaren P (Eds). Telepsychiatry and e-Mental Health. London, Royal Society of Medicine Press, pp 245–264, 2003.Google Scholar
  11. 11.
    Broder E: Program consultation and pediatric telepsychiatry. Toronto, CA, Paper presented at the Annual Meeting of the American Academy of Child and Adolescent Psychiatry, 2005.Google Scholar
  12. 12.
    Craig J, Loane M, Wootton R: Does telemedicine have a role to play in disease management? Disease Management Health Outcomes 6(3):121–30, 1999.CrossRefGoogle Scholar
  13. 13.
    D’Souza R: A pilot study of an educational service for rural mental health practitioners in South Australia using telemedicine. J Telemed Telecare 6(Suppl. 1):187–189, 2000.CrossRefGoogle Scholar
  14. 14.
    Urness D, Weisser L, Campbell R, et al: Telepsychiatry in Canada and the United States, in Wootton R, Yellowless P, McLaren P (Eds). Telepsychiatry and e-Mental Health. London, Royal Society of Medicine Press, pp 97–111, 2003.Google Scholar
  15. 15.
    Buist A: Telepsychiatry in Australia, in Wootton R, Yellowless P, McLaren P (Eds). Telepsychiatry and e-Mental Health. London, Royal Society of Medicine Press, pp 113–123, 2003.Google Scholar
  16. 16.
    Gammon D, Sorlie T, Bergvik S, et al: Psychotherapy supervision conducted by videoconferencing: A qualitative study of users’ experiences. J Telemed Telecare 4(Suppl. 1):33–35, 1998.PubMedCrossRefGoogle Scholar
  17. 17.
    McLaren P, O’Kane M: Remote psychotherapy. J Telemed Telecare 4:122, 1998.PubMedCrossRefGoogle Scholar
  18. 18.
    Teshima J: Telepsychiatry education: Success and challenges in a continuing education program. Toronto, CA, Paper presented at the Annual Meeting of American Academy of Child and Adolescent Psychiatry, 2005.Google Scholar
  19. 19.
    Hilty DM, Marks SL, Urness D, et al: Clinical and educational telepsychiatry applications: A review. Canadian Journal of Psychiatry 49:12–23, 2004.Google Scholar
  20. 20.
    Demiris G, Donghua T: An analysis of the specialized literature in the field of telemedicine. J Telemed Telecare 11:316–319, 2005.PubMedCrossRefGoogle Scholar
  21. 21.
    Ball CJ, McLaren PM, Summerfield AB: A comparison of communication modes in adult psychiatry. J Telemed Telecare 1:22–26, 1995.PubMedGoogle Scholar
  22. 22.
    Blackmon LA, Kaak HO, Ranseen J: Consumer satisfaction with telemedicine child psychiatry consultation in rural Kentucky. Psychiatric Services 48:1464-1466, 1997.PubMedGoogle Scholar
  23. 23.
    Dongier M, Tempier R, Lalinec-Michaud M, et al: Telepsychiatry: Psychiatric consultation through two-way television. A controlled study. Canadian Journal of Psychiatry 31:32–34, 1986.Google Scholar
  24. 24.
    Elford R, White H, Bowering R: A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing. J Telemed Telecare 6:73–82, 2000.PubMedCrossRefGoogle Scholar
  25. 25.
    Montani C, Billaud N, Tyrell J, et al: Psychological impact of a remote psychometric consultation with hospitalized elderly people. J Telemed Telecare 3:140–145, 1997.PubMedCrossRefGoogle Scholar
  26. 26.
    Hilty DM, Nesbitt TS, Kuenneth TA: Development of a successful telepsychiatry program: A look at the first 200 consultations at UC Davis. Palm Springs, CA, Poster presented at Academy of Psychosomatic Medicine, November 2000.Google Scholar
  27. 27.
    Hailey D, Jacobs P, Simpson J, et al: An assessment framework for telemedicine applications. J Telemed Telecare 5:162–170, 1999.PubMedCrossRefGoogle Scholar
  28. 28.
    McLaren, Yellowless P, Wootton R: Conclusion, in Wootton R, Yellowless P, McLaren P (Eds). Telepsychiatry and e-Mental Health. London, Royal Society of Medicine Press, pp 349–354, 2003.Google Scholar
  29. 29.
    Whitten PS, Mackert MS: Addressing telehealth’s foremost barrier: Provider as initial gatekeeper. Int J Technol Assess Health Care 21(4):517–521, 2005.PubMedCrossRefGoogle Scholar
  30. 30.
    Coleman J: HMOs and the future of telemedicine and telehealth. The Case Manager 13(4):38–43, 2002.PubMedCrossRefGoogle Scholar
  31. 31.
    Puskin DS: Letter to the Federal Communications Commission. April 1, 1999. Available at: http://telehealth.hrsa.gov/pubs/fccfil.htm.
  32. 32.
    American Telemedicine Association: Report on reimbursement. April 2003. Available at: http://www.atmeda.org/news/Reimbursement%20White%20paperfinal.pdf.
  33. 33.
    American Psychiatric Association: APA Resource Document on Telepsychiatry via Videoconferencing. July 1998. Available at: http://www.psych.org/psych_pract/tp_paper.cfm?pf=y.
  34. 34.
    Centers for Medicare and Medicaid Services: Report on Telemedicine Services. December 2005. Available at: http://www.cms.hhs.gov/Telemedicine/03_StateProfiles.asp.
  35. 35.
    Fishbein M: Developing effective behavioral change interventions: Some lessons learned from behavioral research. in: Reviewing the Behavioral Science Knowledge Base on Technology Transfer. NIDA Research Monograph 155, 1995.Google Scholar
  36. 36.
    Sanders JH: Telemedicine: Challenges to implementation. Washington, DC, Paper presented at the Rural Telemedicine Workshop, November 4, 1993.Google Scholar
  37. 37.
    Kumekawa JK: Health information privacy protection: crisis or common sense? Online Journal of Issues in Nursing 6(3), Sep. 30, 2001. Available at: http://www.nursingworld.org/ojin/topic16/tpc16_2.htm.
  38. 38.
    Puskin DS: Telemedicine: Follow the money. Online Journal of Issues in Nursing 6(3), Manuscript 1, September 30, 2001. Available at: http://www.nursingworld.org/ojin/topic16/tpc16_1.htm.

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Kaye L. McGinty
    • 1
  • Sy Atezaz Saeed
    • 1
  • Scott C. Simmons
    • 2
  • Yilmaz Yildirim
    • 1
  1. 1.Department of Psychiatric MedicineBrody School of Medicine at East Carolina UniversityGreenvilleUSA
  2. 2.Telemedicine Center at East Carolina UniversityGreenvilleUSA

Personalised recommendations