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By Edwin Kim Addiction Psychiatrist
Christine Grady, Steven R Cummings, Michael C Rowbotham, Michael V McConnell, Euan A Ashley, Gagandeep Kang
This multipart review provides an overview of innovative approaches to improving and expanding the informed consent process for researchers and participants, along with short essays covering specific areas of innovation. The Changing Face of Informed Consent. Christine Grady, R.N. Ph.D. In the..
March 2, 2017: New England Journal of Medicine
R Iniesta, D Stahl, P McGuffin
Psychiatric research has entered the age of 'Big Data'. Datasets now routinely involve thousands of heterogeneous variables, including clinical, neuroimaging, genomic, proteomic, transcriptomic and other 'omic' measures. The analysis of these datasets is challenging, especially when the number of measurements exceeds the number of individuals, and may be further complicated by missing data for some subjects and variables that are highly correlated. Statistical learning-based models are a natural extension of classical statistical approaches but provide more effective methods to analyse very large datasets...
September 2016: Psychological Medicine
Hannah Sims, Harpreet Sanghara, Daniel Hayes, Symon Wandiembe, Matthew Finch, Hanne Jakobsen, Elias Tsakanikos, Chike Ify Okocha, Eugenia Kravariti
OBJECTIVE: Forgetting is commonly stated as a reason for missing mental health appointments. The authors examined the effect of short message service (SMS), or text message, reminders on the attendance of appointments at four community mental health clinics in London. METHODS: Attendance of outpatient appointments roughly between March and June of 2008 (N=648), 2009 (N=1,081), and 2010 (N=1,088) was examined. Reminder messages were sent seven and five days before an appointment in 2009 and seven and three days before an appointment in 2010; patients in the 2008 sample received no reminder messages...
February 1, 2012: Psychiatric Services: a Journal of the American Psychiatric Association
Honor Hsin, John Torous, Laura Roberts
No abstract text is available yet for this article.
February 2016: JAMA Psychiatry
John Torous, Patrick Staples, Jukka-Pekka Onnela
Smartphones are now ubiquitous and can be harnessed to offer psychiatry a wealth of real-time data regarding patient behavior, self-reported symptoms, and even physiology. The data collected from smartphones meet the three criteria of big data: velocity, volume, and variety. Although these data have tremendous potential, transforming them into clinically valid and useful information requires using new tools and methods as a part of assessment in psychiatry. In this paper, we introduce and explore numerous analytical methods and tools from the computational and statistical sciences that appear readily applicable to psychiatric data collected using smartphones...
August 2015: Current Psychiatry Reports
Steven Chan, Michelle Parish, Peter Yellowlees
The use of video-based telepsychiatry is increasing in response to consumer demand for convenient, inexpensive, and readily accessible services; improved financial reimbursement; and a robust body of evidence-based literature. Telepsychiatry leads to high patient and provider satisfaction ratings, and outcomes equivalent to in-person care, while younger generations often prefer telepsychiatry over face-to-face encounters. The evidence base for telepsychiatry is especially strong with respect to the treatment of post-traumatic stress disorder (PTSD), depression, and ADHD, while its use in underserved ethnic groups is well described in the American Indian, Hispanic, and Asian populations...
November 2015: Current Psychiatry Reports
Gerd Flodgren, Antoine Rachas, Andrew J Farmer, Marco Inzitari, Sasha Shepperd
BACKGROUND: Telemedicine (TM) is the use of telecommunication systems to deliver health care at a distance. It has the potential to improve patient health outcomes, access to health care and reduce healthcare costs. As TM applications continue to evolve it is important to understand the impact TM might have on patients, healthcare professionals and the organisation of care. OBJECTIVES: To assess the effectiveness, acceptability and costs of interactive TM as an alternative to, or in addition to, usual care (i...
September 7, 2015: Cochrane Database of Systematic Reviews
Tracy D Gunter, Jagannathan Srinivasaraghavan, Nicolas P Terry
No abstract text is available yet for this article.
2003: Journal of the American Academy of Psychiatry and the Law
Kathleen Myers, Ann Vander Stoep, Chuan Zhou, Carolyn A McCarty, Wayne Katon
OBJECTIVE: To test the effectiveness of a telehealth service delivery model for the treatment of children with attention-deficit/hyperactivity disorder (ADHD) that provided pharmacological treatment and caregiver behavior training. METHOD: The Children's ADHD Telemental Health Treatment Study (CATTS) was a randomized controlled trial with 223 children referred by 88 primary care providers (PCPs) in 7 communities. Children randomized to the experimental telehealth service model received 6 sessions over 22 weeks of combined pharmacotherapy, delivered by child psychiatrists through videoconferencing, and caregiver behavior training, provided in person by community therapists who were supervised remotely...
April 2015: Journal of the American Academy of Child and Adolescent Psychiatry
Babak Tofighi, Ellie Grossman, Emily Buirkle, Jennifer McNeely, Marc Gourevitch, Joshua D Lee
BACKGROUND: Integrating mobile phone technologies in addiction treatment is of increasing importance and may optimize patient engagement with their care and enhance the delivery of existing treatment strategies. Few studies have evaluated mobile phone and text message (TM) use patterns in persons enrolled in addiction treatment, and none have assessed the use in safety net, office-based buprenorphine practices. METHODS: A 28-item, quantitative and qualitative semistructured survey was administered to opiate-dependent adults in an urban, publicly funded, office-based buprenorphine program...
May 2015: Journal of Addiction Medicine
Jonathan S Thiele, Charles R Doarn, Jay H Shore
BACKGROUND: There is a national shortage of psychiatrists, and according to nationally available data, it is projected to get worse. Locum tenens psychiatry and telepsychiatry are two ways to fill the shortages of psychiatric providers that exist in many areas in the United States. Employment and salary data in these areas can be used to illuminate current trends and anticipate future solutions to the problem of increasing demand for, and decreasing supply of, psychiatrists in the United States...
June 2015: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Cathaleene Macias, Trishan Panch, Yale M Hicks, Jason S Scolnick, David Lyle Weene, Dost Öngür, Bruce M Cohen
This pilot study tested the acceptability and usability of a prototype app designed to promote the physical well-being of adults with psychiatric disorders. The application under evaluation, WellWave, promoted walking as a physical exercise, and offered a variety of supportive non-physical activities, including confidential text-messaging with peer staff, and a digital library of readings and videos on recovery from psychiatric illness. Study participants engaged strongly in the app throughout the 4-week study, showing a 94 % mean daily usage rate, and a 73 % mean response rate across all electronic messages and prompts, which approximates the gold standard of 75 % for momentary ecological assessment studies...
December 2015: Psychiatric Quarterly
(no author information available yet)
Many states are having success turning to telepsychiatry-based solutions to connect mental health patients with needed care while also decompressing crowded EDs. Just one year into a statewide telepsychiatry initiative in North Carolina (NC-STeP), administrators say the approach has saved as much as $7 million, and hospital demand for the service is higher than anticipated. In Texas, mental health emergency centers (MHEC) that use telepsychiatry to connect patients in rural areas with needed psychiatric care are freeing up EDs to focus on medical care...
February 2015: ED Management: the Monthly Update on Emergency Department Management
Richard W Seidel, Mark D Kilgus
We compared psychiatrists' evaluations of Emergency Department (ED) mental health patients made face-to-face or by telemedicine. In a 39-month study, 73 patients presenting in the ED were enrolled after initial screening. Patients were interviewed by a psychiatrist either face-to-face in the ED or remotely by video. A second psychiatrist, acting as an observer, was in the room with the patient and independently completed the assessment. Based on the primary diagnosis of the interviewer, 48% of patients had a depressive disorder, 18% a substance use disorder, 14% a bipolar disorder, 11% a psychotic disorder, 6% an anxiety disorder and 4% other disorders...
March 2014: Journal of Telemedicine and Telecare
Emily Saurman, Jarret Johnston, James Hindman, Sue Kirby, David Lyle
The Mental Health Emergency Care-Rural Access Programme (MHEC) aims to improve access to specialist emergency mental health care in rural and remote communities in New South Wales. It provides a range of services including emergency telephone triage and video assessment. The present report provides a detailed description of the structure and function of the MHEC model, and identifies matters concerning adaptation and transferability. Structure: the MHEC can be contacted 24 hours/day, every day of the year; no caller is refused assistance...
October 2014: Journal of Telemedicine and Telecare
Marta Valdagno, Arianna Goracci, Silvia di Volo, Andrea Fagiolini
Telepsychiatry, thanks to the continuous advance of technologies, is an area with excellent prospects to become an effective tool for assistance in psychiatry. Many studies evaluated the effectiveness of telepsychiatry in different psychiatric disorders like anxiety disorders, psychotic disorders and depression. Results showed that telepsychiatry seems to be promising in anxiety and depressive disorders, especially in the maintenance phase, and also for psychotic disorders, especially for these cases with a poor compliance...
December 2014: CNS Spectrums
Juliet A Glover, Emily Williams, Linda J Hazlett, Nioka Campbell
OBJECTIVE: This study characterized and examined factors influencing psychiatry residents' and fellows' interest, exposure, and future plans to use telepsychiatry. SUBJECTS AND METHODS: A 17-item electronic survey was distributed to 485 psychiatry residency and fellowship programs in the United States. Each program director or administrator was asked to voluntarily distribute the survey to his or her trainees. Chi-squared tests were performed to test differences in proportions...
June 2013: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Jay H Shore
The provision of psychiatric treatment via live interactive videoconferencing, frequently termed telepsychiatry, is a viable option for psychiatrists to provide care to individual patients, populations, and communities faced with limited access and to move the point of care delivery into patients' living environments. Psychiatric providers new to videoconferencing should not be intimidated by the technology or its encompassing logistics, but they do need to develop an awareness of the salient regulatory, administrative, and clinical issues that arise in the practice of videoconferencing-based telepsychiatry...
March 2013: American Journal of Psychiatry
Frances J Kay-Lambkin, Amanda L Baker, Terry J Lewin, Vaughan J Carr
AIMS: To evaluate computer- versus therapist-delivered psychological treatment for people with comorbid depression and alcohol/cannabis use problems. DESIGN: Randomized controlled trial. SETTING: Community-based participants in the Hunter Region of New South Wales, Australia. PARTICIPANTS: Ninety-seven people with comorbid major depression and alcohol/cannabis misuse. INTERVENTION: All participants received a brief intervention (BI) for depressive symptoms and substance misuse, followed by random assignment to: no further treatment (BI alone); or nine sessions of motivational interviewing and cognitive behaviour therapy (intensive MI/CBT)...
March 2009: Addiction
Jay H Shore, Spero M Manson
Telepsychiatry represents a promising means to increase access to care for rural American Indian communities. This article describes rural telepsychiatry clinics operated by the American Indian and Alaska Native Programs at the University of Colorado Health Sciences Center through a partnership with the Department of Veterans Affairs, the Indian Health Service, and local tribal health services that target American Indian veterans with posttraumatic stress disorder. A six-stage model for developing such services is presented...
August 2005: Psychiatric Services: a Journal of the American Psychiatric Association
2015-02-12 23:56:18
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