A feasibility study of the use of asynchronous telepsychiatry for psychiatric consultations

Peter Mackinlay Yellowlees, Alberto M Odor, Michelle Burke Parish, Ana-Maria Iosif, Karen Haught, Donald Hilty

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Objective: This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, videobased 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 Webbased 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.

Original languageEnglish (US)
Pages (from-to)838-840
Number of pages3
JournalPsychiatric Services
Volume61
Issue number8
DOIs
StatePublished - Aug 2010

Fingerprint

Feasibility Studies
Psychiatry
Referral and Consultation
Anxiety Disorders
Mood Disorders
Substance-Related Disorders
Primary Health Care
Guidelines
Interviews

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

A feasibility study of the use of asynchronous telepsychiatry for psychiatric consultations. / Yellowlees, Peter Mackinlay; Odor, Alberto M; Parish, Michelle Burke; Iosif, Ana-Maria; Haught, Karen; Hilty, Donald.

In: Psychiatric Services, Vol. 61, No. 8, 08.2010, p. 838-840.

Research output: Contribution to journalArticle

@article{8507bd33044a49fea7d8dbc3eeb15c04,
title = "A feasibility study of the use of asynchronous telepsychiatry for psychiatric consultations",
abstract = "Objective: This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, videobased 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 Webbased 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.",
author = "Yellowlees, {Peter Mackinlay} and Odor, {Alberto M} and Parish, {Michelle Burke} and Ana-Maria Iosif and Karen Haught and Donald Hilty",
year = "2010",
month = "8",
doi = "10.1176/appi.ps.61.8.838",
language = "English (US)",
volume = "61",
pages = "838--840",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "8",

}

TY - JOUR

T1 - A feasibility study of the use of asynchronous telepsychiatry for psychiatric consultations

AU - Yellowlees, Peter Mackinlay

AU - Odor, Alberto M

AU - Parish, Michelle Burke

AU - Iosif, Ana-Maria

AU - Haught, Karen

AU - Hilty, Donald

PY - 2010/8

Y1 - 2010/8

N2 - Objective: This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, videobased 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 Webbased 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.

AB - Objective: This study examined the feasibility of conducting psychiatric consultations using asynchronous, or store-and-forward, videobased 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 Webbased 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.

UR - http://www.scopus.com/inward/record.url?scp=77955366460&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955366460&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.61.8.838

DO - 10.1176/appi.ps.61.8.838

M3 - Article

VL - 61

SP - 838

EP - 840

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 8

ER -