Hello
Evidence suggest that technical knowledge and accessibility both for patient and therapist are essential to the effectiveness of tele-psychiatric treatment. The questions as I see it arises when discussing patient characteristics.
Do anyone have experience with what kind of patient characteristics modulates positive effects of web-based or tele-psychiatric treatment, particularly videoconferencing, for
patients with psychiatric diseases?
This article answers your question quite succinctly.
https://www.psychiatrictimes.com/view/telepsychiatry-vulnerable-and-underserved-populations
When we use tele-heath, it is important to know the belief system that the recipients of the tele-heath intervention hold. What this means is that effective tele-health interventions should be more than a 15 minute dose of psychotherapy. The assessment , planning intervention and evaluation should seldom be less than one hour if working with populations that have not had the exposure to talk therapy and may not believe in its viability in solving complex psychological problems.
Thank you Bobbie!
I guess one needs to rethink how the sessions are structured when delivering treatment through tele-health versus traditional therapy. It may not be as simple as doing the same thing in front of the camera/computer as you do in traditional therapy.
I also think the belief system of the therapist are an important factor. What is the therapist`s attitude towards tele-health?
Tele- medicine can be beneficial to psychiatric patients but such a patient must have insight into his problem, must have been seeing a psychiatrist or have seen a psychiatrist for proper diagnosis and treatment initiation.
Irrespective of diagnosis, as long as that patient has an insight in his problem and is willing to work through it
Thank you Nneka.
During the Covid-19 restrictions our clinic has done some of the first-sessions and early diagnostics digitally (video conference and digital forms/screening). What could be done to provide a qualitative and effective delivery of tele-medicine in those early stages of treatment when physical appearance is difficult? And what are the risk factors of such early digital interventions?
Telepsychiatry is used in a variety of different settings, including private practice, outpatient clinics, hospitals, schools, nursing homes, and military treatment facilities.and tele psychiatric medicine beneficial to people are living in remote ares where transportation is not possible etc..especially in this pandemic.
In the Covid 19 pandemic process, tele-psychiatric treatment can be preferred, especially for those with virus transmission anxiety, risk groups, those who do not want to leave the house and do not want to go to the hospital.
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