Concept

Telepsychiatry

Summary
Telepsychiatry or telemental health refers to the use of telecommunications technology (mostly videoconferencing and phone calls) to deliver psychiatric care remotely for people with mental health conditions. It is a branch of telemedicine. Telepsychiatry can be effective in treating people with mental health conditions. In the short-term it can be as acceptable and effective as face-to-face care. It can improve access to mental health services for some but might also represent a barrier for those lacking access to a suitable device, the internet or the necessary digital skills. Factors such as poverty that are associated with lack of internet access are also associated with greater risk of mental health problems, making digital exclusion an important problem of telemental health services. During the COVID-19 pandemic mental health services were adapted to telemental health in high-income countries. It proved effective and acceptable for use in an emergency situation but there were concerns regarding its long-term implementation. Telepsychiatry or telemental health means the use of telecommunications (videoconferencing, voice call, text messages) to provide mental health services from a distance. This can include a wide range of services from different forms of traditional therapy (individual, group, family) to psychiatric evaluations and managing medications. Telemental health is a branch of telemedicine which is the process of using telecommunications technology to deliver medical services. Telemental health services can be effective in improving symptoms and quality of life among people with mental health disorders. People who choose to receive services in this way, or for whom it would otherwise be difficult to receive care, tend to view these services positively as it improves their access to mental health care. Compared to face-to-face care, telemental health services delivered via video-call can be as acceptable and effective in the short term as the former, and are sometimes reported to result in lower rates of missed appointments.
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