Asynchronous Telepsychiatry Interviewer Training Recommendations: A Model for Interdisciplinary, Integrated Behavioral Health Care
| Autor: | Donald M. Hilty, Ana-Maria Iosif, Debra R. Kahn, Lorin M Scher, Jay H. Shore, Andres F Sciolla, Robert M McCarron, Glen Xiong, Michelle Burke Parish, David Liu, Alvaro Gonzalez, Steven Chan, Peter Mackinlay Yellowlees |
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| Rok vydání: | 2021 |
| Předmět: |
Technology
Interview Biomedical Engineering telepsychiatry Health Informatics Primary care primary care Health services Library and Information Studies Health Information Management Clinical Research Behavioral and Social Science Health care Humans Referral and Consultation Original Research Psychiatry asynchronous education Medical education training Primary Health Care business.industry Telepsychiatry General Medicine Health Services Telemedicine Variety (cybernetics) Mental Health Good Health and Well Being Asynchronous communication Public Health and Health Services Psychology business Medical Informatics |
| Zdroj: | Telemedicine journal and e-health : the official journal of the American Telemedicine Association, vol 27, iss 9 Telemed J E Health |
| ISSN: | 1556-3669 1530-5627 |
| DOI: | 10.1089/tmj.2020.0076 |
| Popis: | Objective: Asynchronous telepsychiatry (ATP) is an integrative model of behavioral health service delivery that is applicable in a variety of settings and populations, particularly consultation in primary care. This article outlines the development of a training model for ATP clinician skills. Methods: Clinical and procedural training for ATP clinicians (n = 5) was provided by master's-level, clinical mental health providers developed by three experienced telepsychiatrists (P.Y. D.H., and J.S) and supervised by a tele-psychiatrist (PY, GX, DL) through seminar, case supervision, and case discussions. A training manual and one-on-one sessions were employed for initial training. Unstructured expert discussion and feedback sessions were conducted in the training phase of the study in year 1 and annually thereafter over the remaining 4 years of the study. The notes gathered during those sessions were synthesized into themes to gain a summary of the study telepsychiatrist training recommendations for ATP interviewers. Results: Expert feedback and discussion revealed three overarching themes of recommended skill sets for ATP interviewers: (1) comprehensive skills in brief psychiatric interviewing, (2) adequate knowledge base of behavioral health conditions and therapeutic techniques, and (3) clinical documentation, integrated care/consultation practices, and e-competency skill sets. The model of training and skill requirements from expert feedback sessions included these three skill sets. Technology training recommendations were also identified and included: (1) awareness of privacy/confidentiality for electronic data gathering, storage, management, and sharing; (2) technology troubleshooting; and (3) video filming/retrieval. Conclusions: We describe and provide a suggested training model for the use of ATP integrated behavioral health. The training needs for ATP clinicians were assessed on a limited convenience sample of experts and clinicians, and more rigorous studies of training for ATP and other technology-focused, behavioral health services are needed. Clinical Trials number: NCT03538860. |
| Databáze: | OpenAIRE |
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