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.
ASJC Scopus subject areas
- Psychiatry and Mental health