Improved access to mental health evaluation for patients with developmental disabilities using telepsychiatry
| Autor: | Roxy Szeftel, Miriam R. Jacobson, Rashelle Hakak, Zara Szeftel, Christina Federico |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty Adolescent Developmental Disabilities Population Health Informatics Health Services Accessibility Young Adult Intellectual disability Pervasive developmental disorder medicine Humans Cooperative Behavior Child education Retrospective Studies Psychiatry education.field_of_study business.industry Mental Disorders Telepsychiatry Primary care physician Retrospective cohort study Middle Aged medicine.disease Mental health Telemedicine Child Preschool Family medicine Physical therapy Anxiety Female medicine.symptom business |
| Zdroj: | Journal of Telemedicine and Telecare. 18:317-321 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1258/jtt.2012.111113 |
| Popis: | The Cedars-Sinai Telepsychiatry Clinic uses a collaborative-care model to treat patients with developmental disabilities. We examined its practice in four areas: patient characteristics, clinical care, symptom severity and diagnostic outcomes to describe the care provided and the population seen in the telepsychiatry clinic. In a chart review, 45 out of 126 cases were selected and evaluated at three times: initial evaluation, year one and year three. Most of the patients (84%) had an intellectual disability, 55% had a pervasive developmental disorder and 71% spoke approximately 50 words or less. Prior to the initial assessment, none of the patients were diagnosed with anxiety or mood disorders, while almost one-third of patients received one of these diagnoses in the telepsychiatry clinic. Patients were seen six times on average in the first year and three times in the second and third years. The telepsychiatrist recommended a change in the patient's medication for 82% of patients at initial assessment, 41% at year one and 46% at year three. The review suggests that telepsychiatry evaluations can be valuable for patients with developmental disabilities, providing diagnostic clarity and specific recommendations that can be implemented by the primary care physician. |
| Databáze: | OpenAIRE |
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