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Chapter 16 - Telemental Health Care

An Update

Published online by Cambridge University Press:  01 February 2024

By
Umberto Volpe ,
Defne Eraslan  and
Laura Orsolini
Edited by
Andrea Fiorillo ,
Peter Falkai  and
Philip Gorwood
Andrea Fiorillo
Affiliation:
University of Campania “L. Vanvitelli”, Naples
Peter Falkai
Affiliation:
Ludwig-Maximilians-Universität München
Philip Gorwood
Affiliation:
Sainte-Anne Hospital, Paris
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Summary

Advances in technology have virtually transformed communication and interaction modalities. Telemental health provides the advantages to reach those patients who may otherwise have limited mental health care delivery due to the lack of specialty professionals, limited financial resources to face costs and lost wages for travel to distant clinics, or go without services altogether. Remote technologies, including telemental health and telepsychiatry, broadly became a cost-effective and complementary tool to overcome restricted clinical practices, safely engage, and manage patients suffering with mental disorders who need care, support, and treatment. Although most research to date has demonstrated adequate comparability to traditional in-person modalities to deliver mental health care, there remain some concerns among professionals regarding the implementation of telemental health and telepsychiatry in routine clinical practice, as there may be a set of technological and logistic barriers as well as safety, privacy, and confidentiality issues to be addressed.

Keywords

telemedicinetelemental healthtelepsychiatryvirtualvideoconferencing
Type
Chapter
Information
Mental Health Research and Practice
From Evidence to Experience
 , pp. 277 - 292
Publisher: Cambridge University Press
Print publication year: 2024

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References

Dwyer, TF. Telepsychiatry: Psychiatric consultation by interactive television. Am J Psychiatry. 1973;130(8):865–9.CrossRefGoogle ScholarPubMed
Chakrabarti, S. Usefulness of telepsychiatry: A critical evaluation of videoconferencing-based approaches. World J Psychiatry. 2015;5(3):286–304.CrossRefGoogle ScholarPubMed
Shore, JH, Yellowlees, P, Caudill, R, et al. Best practices in videoconferencing-based telemental health April 2018. Telemed J E Health. 2018;24(11):827–32.CrossRefGoogle ScholarPubMed
WHO. Telemedicine: Opportunities and developments in Member States: Report on the second global survey on eHealth 2009. Geneva: WHO Press, 2010.Google Scholar
Hilty, DM, Ferrer, DC, Parish, MB, et al. The effectiveness of telemental health: A 2013 review. Telemed J E Health. 2013;19(6):444–54.CrossRefGoogle Scholar
Shore, J. The evolution and history of telepsychiatry and its impact on psychiatric care: Current implications for psychiatrists and psychiatric organizations. Int Rev Psychiatry. 2015;27(6):469–75.CrossRefGoogle ScholarPubMed
Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US), 2001.Google Scholar
Batastini, AB, Paprzycki, P, Jones, ACT, MacLean, N. Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clin Psychol Rev. 2021;83:101944.CrossRefGoogle ScholarPubMed
Hariman, K, Ventriglio, A, Bhugra, D. The future of digital psychiatry. Curr Psychiatry Rep. 2019;21(9):88.CrossRefGoogle ScholarPubMed
Hilty, D, Yellowlees, PM, Parrish, MB, Chan, S. Telepsychiatry: Effective, evidence-based, and at a tipping point in health care delivery? Psychiatr Clin North Am. 2015;38(3):559–92.CrossRefGoogle Scholar
García-Lizana, F, Muñoz-Mayorga, I. What about telepsychiatry? A systematic review. Prim Care Companion J Clin Psychiatry. 2010;12(2):PCC.09m00831.Google ScholarPubMed
Michalski, D, Mulvey, T, Kohout, J. 2008 APA Survey of Psychology Health Service Providers. American Psychological Association: Washington(DC), 2010. www.apa.org/workforce/publications/08-hsp/report.pdf.CrossRefGoogle Scholar
Liu, S, Yang, L, Zhang, C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e17–e18.CrossRefGoogle Scholar
Fagiolini, A, Cuomo, A, Frank, E. COVID-19 diary From a psychiatry department in Italy. J Clin Psychiatry. 2020;81(3):20com13357.CrossRefGoogle ScholarPubMed
Abramowitz, MZ, Vinokur, S, Heresco-Levy, U. The use of telepsychiatry in psychiatric disability committees during the COVID-19 pandemic. Harefuah. 2020;159(8):618–19.Google ScholarPubMed
Sanchez, T, Peña, E, Ng, B. Mental health in the age of COVID-19, a Mexican experience. Indian J Psychiatry. 2020;62(Suppl 3):S377–s379.CrossRefGoogle ScholarPubMed
Fischman, P, Irarrazaval, M. Debate: Mental health, social crisis and the COVID-19 pandemic in Chile. Child Adolesc Ment Health. 2020;25(4):256–7.CrossRefGoogle ScholarPubMed
Mari, JJ, Gadelha, A, Kieling, C, et al. Translating science into policy: Mental health challenges during the COVID-19 pandemic. Braz J Psychiatry. 2021;43(6):638–49.CrossRefGoogle ScholarPubMed
El Hayek, S, Nofal, M, Abdelrahman, D, et al. Telepsychiatry in the Arab world: A viewpoint before and during COVID-19. Neuropsychiatr Dis Treat. 2020;16:2805–15.CrossRefGoogle ScholarPubMed
Karim, MA, Wadoo, O, Reagu, SM, Amro, R, Abdulla, MA. Telepsychiatry in the Arabian Gulf region: Implications beyond the Covid-19 pandemic. Asian J Psychiatr. 2020;54:102397.CrossRefGoogle ScholarPubMed
Corruble, E. A viewpoint from Paris on the COVID-19 pandemic: A necessary turn to telepsychiatry. J Clin Psychiatry. 2020;81(3).CrossRefGoogle ScholarPubMed
Gómez-Ramiro, M, Fico, G, Anmella, G, et al. Changing trends in psychiatric emergency service admissions during the COVID-19 outbreak: Report from a worldwide epicentre. J Affect Disord. 2021;282:26–32.CrossRefGoogle ScholarPubMed
Kounou, KB, Guédénon, KM, Dogbe Foli, AA, Gnassounou-Akpa, E. Mental health of medical professionals during the COVID-19 pandemic in Togo. Psychiatry Clin Neurosci. 2020;74(10):559–60.CrossRefGoogle ScholarPubMed
Šago, D, Martić, V, Šmida, D, et al. Telepsychiatry in the time of the COVID-19 and earthquake in Zagreb as Odysseus between Scylla and Charybdis. Psychiatr Danub. 2020;32(3–4):478–81.Google Scholar
Pajević, I, Hasanović, M, Avdibegović, E, et al. Organization of mental healthcare in Bosnia and Herzegovina during coronavirus disease 2019 pandemic. Indian J Psychiatry. 2020;62(Suppl 3):S479–s491.Google ScholarPubMed
O’Brien, M, McNicholas, F. The use of telepsychiatry during COVID-19 and beyond. Ir J Psychol Med. 2020;37(4):250–5.CrossRefGoogle ScholarPubMed
Olwill, C, Mc Nally, D, Douglas, L. Psychiatrist experience of remote consultations by telephone in an outpatient psychiatric department during the COVID-19 pandemic. Ir J Psychol Med. 2021;38(2):132–9.CrossRefGoogle Scholar
Dave, S, Abraham, S, Ramkisson, R, et al. Digital psychiatry and COVID-19: The Big Bang effect for the NHS? BJPsych Bull. 2020:1–5.CrossRefGoogle Scholar
Rosic, T, Lubert, S, Samaan, Z. Virtual psychiatric care fast-tracked: Reflections inspired by the COVID-19 pandemic. BJPsych Bull. 2020:1–4.CrossRefGoogle Scholar
Chen, JA, Chung, WJ, Young, SK, et al. COVID-19 and telepsychiatry: Early outpatient experiences and implications for the future. Gen Hosp Psychiatry. 2020;66:89–95.CrossRefGoogle ScholarPubMed
Yellowlees, P, Nakagawa, K, Pakyurek, M, et al. Rapid conversion of an outpatient psychiatric clinic to a 100% virtual telepsychiatry clinic in response to COVID-19. Psychiatr Serv. 2020;71(7):749–52.CrossRefGoogle ScholarPubMed
Shore, JH, Schneck, CD, Mishkind, MC. Telepsychiatry and the coronavirus disease 2019 pandemic: Current and future outcomes of the rapid virtualization of psychiatric care. JAMA Psychiatry. 2020;77(12):1211–12.CrossRefGoogle ScholarPubMed
Gentry, MT, Puspitasari, AJ, McKean, AJ, et al. Clinician satisfaction with rapid adoption and implementation of telehealth services during the COVID-19 pandemic. Telemed J E Health. 2021;27(12):1385–92.CrossRefGoogle ScholarPubMed
Hilty, DM, Luo, JS, Morache, C, Marcelo, DA, Nesbitt, TS. Telepsychiatry: An overview for psychiatrists. CNS Drugs. 2002;16(8):527–48.CrossRefGoogle ScholarPubMed
Simpson, SG, Reid, CL. Therapeutic alliance in videoconferencing psychotherapy: A review. Aust J Rural Health. 2014;22(6):280–99.CrossRefGoogle ScholarPubMed
Simpson, S, Richardson, L, Pietrabissa, G, Castelnuovo, G, Reid, C. Videotherapy and therapeutic alliance in the age of COVID-19. Clin Psychol Psychother. 2021;28(2):409–21.CrossRefGoogle ScholarPubMed
Uscher-Pines, L, Sousa, J, Raja, P, et al. Suddenly becoming a “virtual doctor”: Experiences of psychiatrists transitioning to telemedicine during the COVID-19 pandemic. Psychiatr Serv. 2020;71(11):1143–50.CrossRefGoogle ScholarPubMed
Coughtrey, AE, Pistrang, N. The effectiveness of telephone-delivered psychological therapies for depression and anxiety: A systematic review. J Telemed Telecare. 2018;24:65–74.CrossRefGoogle ScholarPubMed
O’Keefe, M, White, K, Jennings, JC. Asynchronous telepsychiatry: A systematic review. J Telemed Telecare. 2021;27(3):137–45.CrossRefGoogle ScholarPubMed
Pham, KT, Nabizadeh, A, Selek, S. Artificial intelligence and chatbots in psychiatry. Psychiatr Q. 2022;93(1):249–53.CrossRefGoogle ScholarPubMed
Batastini, AB, Paprzycki, P, Jones, ACT, MacLean, N. Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clin Psychol Rev. 2021;83:101944.CrossRefGoogle ScholarPubMed
Psychiatrist RCo. PIPSIG Guidelines for the use of telepsychiatry 2015.Google Scholar
Ramalho, R, Adiukwu, F, Gashi Bytyçi, D, et al. Telepsychiatry during the COVID-19 pandemic: Development of a protocol for telemental health care. Front Psychiatry. 2020;11:552450.CrossRefGoogle ScholarPubMed
Smith, K, Ostinelli, E, Macdonald, O, Cipriani, A. COVID-19 and telepsychiatry: Development of evidence-based guidance for clinicians. JMIR Ment Health. 2020;7(8):e21108.CrossRefGoogle ScholarPubMed
ATA. Evidence-based practice for telemental health, 2009.Google Scholar
ATA. Practice guidelines for videoconferencing-based telemental health, 2009.Google Scholar
ATA. Practice guidelines for video-based online mental health services, 2013.Google Scholar
APAAaATA. Best practices in videoconferencing-based telemental health, 2018.Google Scholar
WPA. Telepsychiatry. Global guidelines, 2021.Google Scholar
AAoCaAP. Practice parameter for telepsychiatry with children and adolescents, 2008.Google Scholar
American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Telepsychiatry and AACAP Committee on Quality Issues. Clinical update: Telepsychiatry with children and adolescents. J Am Acad Child Adolesc Psychiatry. 2017;56(10):875–93.Google Scholar
AAoCaAP. Tips for clinicians treating patients diagnosed with neurodevelopmenta disorders via telepsychiatry, 2021.Google Scholar
AAoCaAP. Tips for parents of patients diagnosed with neurodevelopmental disorders to make the most out of a telepsychiatry session, 2021.Google Scholar
Naik, SS, Manjunatha, N, Kumar, CN, Math, SB, Moirangthem, S. Patient’s perspectives of telepsychiatry: The past, present and future. Indian J Psychol Med. 2020;42(5 Suppl):102s–107s.CrossRefGoogle ScholarPubMed
Eichenberg, C, Wolters, C, Brähler, E. The internet as a mental health advisor in Germany – results of a national survey. PLoS One. 2013;8(11):e79206.CrossRefGoogle ScholarPubMed
Das, S, Manjunatha, N, Kumar, CN, Math, SB, Thirthalli, J. Tele-psychiatric after care clinic for the continuity of care: A pilot study from an academic hospital. Asian J Psychiatr. 2020;48:101886.CrossRefGoogle ScholarPubMed
Klein, B, Cook, S. Preferences for e-mental health services amongst an online Australian sample? E-J Appl Psychol. 2010;6(1):27–38.CrossRefGoogle Scholar
Bradford, S, Rickwood, D. Adolescent’s preferred modes of delivery for mental health services. Child Adolesc Ment Health. 2014;19(1):39–45.CrossRefGoogle ScholarPubMed
Moirangthem, S, Rao, S, Kumar, CN, et al. Telepsychiatry as an economically better model for reaching the unreached: A retrospective report from South India. Indian J Psychol Med. 2017;39(3):271–5.CrossRefGoogle ScholarPubMed
Boydell, KM, Volpe, T, Pignatiello, A. A qualitative study of young people’s perspectives on receiving psychiatric services via televideo. J Can Acad Child Adolesc Psychiatry. 2010;19(1):5–11.Google ScholarPubMed
Severe, J, Tang, R, Horbatch, F, et al. Factors influencing patients’ initial decisions regarding telepsychiatry participation during the COVID-19 pandemic: Telephone-based survey. JMIR Form Res. 2020;4(12):e25469.CrossRefGoogle ScholarPubMed
Steidtmann, D, McBride, S, Mishkind, MC. Experiences of mental health clinicians and staff in rapidly converting to full-time telemental health and work from home during the COVID-19 pandemic. Telemed J E Health. 2020.CrossRefGoogle Scholar
Whitten, PS, Mackert, MS. Addressing telehealth’s foremost barrier: Provider as initial gatekeeper. Int J Technol Assess Health Care. 2005;21(4):517–21.CrossRefGoogle ScholarPubMed
Brooks, E, Turvey, C, Augusterfer, EF. Provider barriers to telemental health: Obstacles overcome, obstacles remaining. Telemed J E Health. 2013;19(6):433–7.CrossRefGoogle ScholarPubMed
Wagnild, G, Leenknecht, C, Zauher, J. Psychiatrists’ satisfaction with telepsychiatry. Telemed J E Health. 2006;12(5):546–51.CrossRefGoogle ScholarPubMed
Feijt, M, de Kort, Y, Bongers, I, et al. Mental health care goes online: Practitioners’ experiences of providing mental health care during the COVID-19 pandemic. Cyberpsychol Behav Soc Netw. 2020;23(12):860–4.CrossRefGoogle ScholarPubMed
Jameson, JP, Farmer, MS, Head, KJ, Fortney, J, Teal, CR. VA community mental health service providers’ utilization of and attitudes toward telemental health care: The gatekeeper’s perspective. J Rural Health. 2011;27(4):425–32.CrossRefGoogle ScholarPubMed
Gibson, K, O’Donnell, S, Coulson, H, Kakepetum-Schultz, T. Mental health professionals’ perspectives of telemental health with remote and rural First Nations communities. J Telemed Telecare. 2011;17(5):263–7.CrossRefGoogle ScholarPubMed
Soron, TR, Shariful Islam, SM, Ahmed, HU, Ahmed, SI. The hope and hype of telepsychiatry during the COVID-19 pandemic. Lancet Psychiatry. 2020;7(8):e50.CrossRefGoogle ScholarPubMed
Wind, TR, Rijkeboer, M, Andersson, G, Riper, H. The COVID-19 pandemic: The “black swan” for mental health care and a turning point for e-health. Internet Interv. 2020;20:100317.CrossRefGoogle Scholar
Sousa, A, Karia, S. Telepsychiatry during COVID-19: Some clinical, public health, and ethical dilemmas. Indian J Public Health. 2020;64(Supplement):S245–s246.CrossRefGoogle ScholarPubMed
Grover, S, Chakrabarti, S, Sahoo, S, Mehra, A. Bridging the emergency psychiatry and telepsychiatry care: Will COVID–19 lead to evolution of another model? Asian J Psychiatr. 2020;53:102429.CrossRefGoogle ScholarPubMed
Reinhardt, I, Gouzoulis-Mayfrank, E, Zielasek, J. Use of telepsychiatry in emergency and crisis intervention: Current evidence. Curr Psychiatry Rep. 2019;21(8):63.CrossRefGoogle ScholarPubMed
Kannarkat, JT, Smith, NN, McLeod-Bryant, SA. Mobilization of telepsychiatry in response to COVID-19: Moving toward 21st century access to care. Adm Policy Ment Health. 2020;47(4):489–91.CrossRefGoogle ScholarPubMed
Bach, MC. Attachments: The colliding worlds of telepsychiatry, social media, and COVID-19. J Am Acad Child Adolesc Psychiatry. 2021;60(4):426–8.CrossRefGoogle ScholarPubMed
Bhaskar, S, Bradley, S, Sakhamuri, S, et al. Designing futuristic telemedicine using artificial intelligence and robotics in the COVID-19 era. Front Public Health. 2020;8:556789.CrossRefGoogle ScholarPubMed
Bhaskar, S, Bradley, S, Chattu, VK, et al. Telemedicine across the globe: Position paper from the COVID-19 pandemic health system REsilience PROGRAM (REPROGRAM) international consortium (Part 1). Front Public Health. 2020;8:556720.CrossRefGoogle Scholar
Bhaskar, S, Bradley, S, Chattu, VK, et al. Telemedicine as the new outpatient clinic gone digital: Position paper from the pandemic health system REsilience PROGRAM (REPROGRAM) international consortium (Part 2). Front Public Health. 2020;8:410.CrossRefGoogle Scholar
Saeed, SA, Johnson, TL, Bagga, M, Glass, O. Training residents in the use of telepsychiatry: Review of the literature and a proposed elective. Psychiatr Q. 2017;88(2):271–83.CrossRefGoogle Scholar
Sunderji, N, Crawford, A, Jovanovic, M. Telepsychiatry in graduate medical education: A narrative review. Acad Psychiatry. 2015;39(1):55–62.CrossRefGoogle ScholarPubMed
Richards, M, DeBonis, K. Psychiatric training during a global pandemic: How COVID-19 has affected clinical care, teaching, and trainee well-being. Psychiatr Serv. 2020;71(12):1300–2.CrossRefGoogle ScholarPubMed
Hoffman, P, Kane, JM. Telepsychiatry education and curriculum development in residency training. Acad Psychiatry. 2015;39(1):108–9.CrossRefGoogle ScholarPubMed
Glover, JA, Williams, E, Hazlett, LJ, Campbell, N. Connecting to the future: Telepsychiatry in postgraduate medical education. Telemed J E Health. 2013;19(6):474–9.CrossRefGoogle Scholar
Oesterheld, JR, Travers, H, Kofoed, L, Hacking, M. An introductory curriculum on telepsychiatry for psychiatric residents. Acad Psychiatry. 2014;23(3):165–7.Google Scholar
Crawford, A, Sunderji, N, López, J, Soklaridis, S. Defining competencies for the practice of telepsychiatry through an assessment of resident learning needs. BMC Med Educ. 2016;16:28.CrossRefGoogle ScholarPubMed
Hilty, DM, Crawford, A, Teshima, J, et al. A framework for telepsychiatric training and e-health: Competency-based education, evaluation and implications. Int Rev Psychiatry. 2015;27(6):569–92.CrossRefGoogle ScholarPubMed
Malhotra, S, Chakrabarti, S, Shah, R. Telepsychiatry: Promise, potential, and challenges. Indian J Psychiatry. 2013;55(1):3–11.CrossRefGoogle ScholarPubMed
Stanberry, B. Legal ethical and risk issues in telemedicine. Comput Methods Programs Biomed. 2001;64(3):225–33.CrossRefGoogle ScholarPubMed
Bennett, K, Bennett, AJ, Griffiths, KM. Security considerations for e-mental health interventions. J Med Internet Res. 2010;12(5):e61.CrossRefGoogle ScholarPubMed
Dong, L, Bouey, J. Public mental health crisis during COVID-19 pandemic, China. Emerg Infect Dis. 2020;26(7):1616–8.CrossRefGoogle ScholarPubMed
Chauhan, V, Galwankar, S, Arquilla, B, et al. Novel coronavirus (COVID-19): Leveraging telemedicine to optimize care while minimizing exposures and viral transmission. J Emerg Trauma Shock. 2020;13(1):20–4.CrossRefGoogle ScholarPubMed
Ho, CS, Chee, CY, Ho, RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singap. 2020;49(3):155–60.Google ScholarPubMed
Chin, HP, Palchik, G. Telepsychiatry in the age of COVID: Some ethical considerations. Camb Q Healthc Ethics. 2021;30(1):37–41.CrossRefGoogle ScholarPubMed

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