Telepsychiatry .

29
• Telepsychiatry https://store.theartofservice.com/the-telepsychiatry- toolkit.html

Transcript of Telepsychiatry .

Page 1: Telepsychiatry .

• Telepsychiatry

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 2: Telepsychiatry .

Telemedicine - Telepsychiatry

1 Telepsychiatry, another aspect of telemedicine, also utilizes

videoconferencing for patients residing in underserved areas to access psychiatric

services. It offers wide range of services to the patients and providers, such as

consultation between the psychiatrists, educational clinical programs, diagnosis and

assessment, medication therapy management, and routine follow-up

meetings.https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 3: Telepsychiatry .

Telemedicine - Telepsychiatry

1 As of 2011, the following are some of the model programs and projects

which are deploying telepsychiatry in rural areas in the United States:

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 4: Telepsychiatry .

Telemedicine - Telepsychiatry

1 3. In 2009, the South Carolina Department of Mental Health established a partnership

with the University of South Carolina School of Medicine and the South Carolina Hospital Association to form a statewide

telepsychiatry program that provides access to psychiatrists 16 hours a day, 7

days a week, to treat patients with mental health issues who present at rural

emergency departments in the network.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 5: Telepsychiatry .

Telemedicine - Telepsychiatry

1 There are a growing number of HIPAA compliant technologies for

performing telepsychiatry. There is an independent comparison site of

current technologies

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 6: Telepsychiatry .

Telemedicine - Telepsychiatry

1 Links for several sites related to telemedicine, telepsychiatry policy,

guidelines, and networking are available at the website for the

American Psychiatric Association.[http://www.telementalhealthcompari

sons.com]

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 7: Telepsychiatry .

Telemedicine - Telepsychiatry

1 The momentum of telemental health and telepsychiatry is growing. In June 2012 the

United States Department of Veterans Affairs|U.S. Veterans Administration announced

expansion of the successful telemental health pilot. Their target was for 200,000 cases in

2012.[http://www.marketwatch.com/story/va-to-increase-mental-health-care-access-

through-200000-telemental-health-consultations-in-2012-2012-06-20 Telemental

Health Consultations in 2012]

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 8: Telepsychiatry .

Rural health - Telemedicine and rural health

1 In 2009, the South Carolina Department of Mental Health established a

partnership with the University of South Carolina School of Medicine and the

South Carolina Hospital Association to form a statewide telepsychiatry program that provides access to psychiatrists to treat patients with mental health issues who present at emergency departments

in the network.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 9: Telepsychiatry .

Telepsychiatry

1 'Telepsychiatry', which can also be known as e-psychiatry or telemental

health. Telepsychiatry delivers an Online Psychiatrist through Telemedicine in the field of

Psychiatry via Video Conferencing for

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 10: Telepsychiatry .

Telepsychiatry

1 Most commonly, telepsychiatry encounters take place at medical facilities under the supervision of

onsite staff, though at-home models are becoming accepted as long as they are in compliance with HIPAA

standards.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 11: Telepsychiatry .

Telepsychiatry

1 For 2014, the Center for Medicare (United States)|Medicare (CMS)

services does cover telemedicine services, including telepsychiatry in

many areas.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 12: Telepsychiatry .

Telepsychiatry - Sub-specialties

1 Telepsychiatry includes a variety of sub-specialties based on different

contexts of service delivery.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 13: Telepsychiatry .

Telepsychiatry - In-home Telepsychiatry

1 Psychiatric treatment of patients who are at home or in another private setting is called

home-based telepsychiatry, and it can require only a webcam and high-speed

internet service. However, in order to avoid the risk of violating the patient-provider

relationship, issues of security and possible HIPAA violations, providers who wish to practice in-home telepsychiatry are best

served doing so from within a secure, HIPPA compliant online platform.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 14: Telepsychiatry .

Telepsychiatry - In-home Telepsychiatry

1 Led by psychiatrist Dr. Jill Afrin, South Carolina Department of Health Deaf Services Program has used home-

based telepsychiatry as a part of its services since the mid-1990s.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 15: Telepsychiatry .

Telepsychiatry - In-home Telepsychiatry

1 Individual psychiatrists are adopting this method more and more with willing,

interested patients, and it is an especially useful tool for consumers with limited mobility

included the elderly and the disabled. Unfortunately, in-home telepsychiatry is not

typically reimbursed by private payors or Medicaid, though many states are adopting measures into their legislation in the form of

parity laws that would allow for it to be reimbursed in the future.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 16: Telepsychiatry .

Telepsychiatry - Forensic telepsychiatry

1 Forensic telepsychiatry is the use of a remote psychiatrist or nurse practitioner for psychiatry in a prison or correctional facility,

including psychiatric assessment, medication consultation, suicide watch, pre-parole evaluations and more. Telepsychiatry

can deliver significant cost savings to correctional facilities by eliminating the

need for prisoners to be escorted to off-site appointments and psychiatric interventions.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 17: Telepsychiatry .

Telepsychiatry - Crisis telepsychiatry

1 Rather than employ expensive, short-term locum tenens doctors or have

emergency room physicians evaluate the psychiatric stability of their

patients, hospitals can use telepsychiatry to decrease costs and increase patient access to behavioral

health evaluations by psychiatric specialists

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 18: Telepsychiatry .

Telepsychiatry - Crisis telepsychiatry

1 Psychiatric boarding is when a mentally ill resident is detained, often in a hospital

emergency department, while waiting for proper psychiatric treatment.title=Alleviate Psychiatric

Boarding in Washington with Telepsychiatry | author=James Varrell, MD| source=Insight

Bulletin http://insightbulletin.com/alleviate-psychiatric-boarding-in-washington-with-

telepsychiatry/ With the increased throughput offered by telepsychiatry, psychiatric consumers

enjoy reduced wait times and faster access to care.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 19: Telepsychiatry .

Telepsychiatry - Routine Telepsychiatry

1 Many facilities that offer behavioral health care are turning to telepsychiatry providers to allow for an increased care capacity. With routine telepsychiatry, a consistent provider or small group of providers serve a regular

caseload of consumers in previously scheduled blocks of time. Remote providers

can be consulted for medication management, treatment team meetings,

supervision, or to offer traditional psychiatric assessment and consultations.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 20: Telepsychiatry .

Telepsychiatry - Routine Telepsychiatry

1 Facilities that use routine telepsychiatry include:

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 21: Telepsychiatry .

Telepsychiatry - HIPAA compliance in the United States

1 There are also a growing number of HIPAA-compliant technologies available for

telepsychiatry.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 22: Telepsychiatry .

Telepsychiatry - Telepsychiatry in India

1 India's large population and relatively small number of psychiatrists makes telepsychiatric service a good option for expanding access to mental health care. Telepsychiatry in India is

still a young industry, but it is gradually growing, led by institutes such as the Post

Graduate Institute of Medical Education and Research in Chandigarh and the Schizophrenia

Research Foundation in Chennai. Private players like Mindcares and Online Psychiatrist

are also increasing telepsychiatry's availability.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 23: Telepsychiatry .

Telehealth - Real-time

1 * Telebehavioral Health—includes

telepsychiatry

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 24: Telepsychiatry .

Telehealth - State specific Medicare Reimbursement

1 States have the option/flexibility to determine whether or not to cover telemedicine under the Medicaid

assistance program.http://insighttelepsychiatry.c

om/will-medicaid-cover-my-telehealth/ They may also decide:

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 25: Telepsychiatry .

Telemental health

1 'Telemental health' (or 'telebehavioral health',

'Telepsychiatry') is the use of telecommunications technology to provide behavioral health services

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 26: Telepsychiatry .

Telemental health - Reimbursement by Private Payor

1 There are usually two types of events that are billed with a telepsychiatry visit: a provider fee and a facility fee to help offset costs. Telepsychiatry providers can panel with up to 2

major commercial payers as well as Medicare and Medicaid, if beneficial

to the program.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 27: Telepsychiatry .

Jill Afrin

1 'Jill Afrin' (born 1962) is a psychiatrist who specializes in

working with deaf populations in South Carolina, and is also credited

as the first telepsychiatry|telepsychiatrist in the state.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html

Page 28: Telepsychiatry .

Jill Afrin - Career

1 This method of telemedicine|treating patients using

telecommunication, called telepsychiatry, was therefore

initiated through Afrin's efforts, making her the first telepsychiatrist

in the state.

https://store.theartofservice.com/the-telepsychiatry-toolkit.html