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| http://dx.doi.org/10.1016/j.ajp.2020.102234 | DOI Listing |
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Technological barriers to providing pediatric mental and behavioral healthcare in emergency departments.
Appl Ergon
December 2024
Pediatrics and Emergency Medicine, School of Medicine, University of South Carolina, United States; Department of Neuropsychiatry & Behavioral Science, School of Medicine, University of South Carolina, United States. Electronic address:
In the United States, about 5% of pediatric Emergency Department (ED) visits involve mental and behavioral health (MBH) emergencies, and EDs are often ill-equipped to provide timely, appropriate care, leading to prolonged stays and increased risks of trauma and harm for these children and their families. This study investigated technological barriers affecting safe and effective pediatric mental and behavioral healthcare in emergency departments through observational studies and semi-structured interviews with 55 medical professionals across four ED settings: pediatric MBH unit, pediatric ED, and adult ED. A total of 12 barrier themes were identified through the thematic analysis of the interviews relating to technology use that impacts the care of pediatric MBH patients.
View Article and Find Full Text PDFDigitally Driven Short- and Intermediate-term Courses of Primary Care Psychiatry for Doctors: A Theme-based Analysis and Performance Audit.
Indian J Psychol Med
December 2024
Dept. of Psychiatry, National Institute of Mental Health & Neurosciences (NIMHANS), Bangalore, Karnataka, India.
Background: The National Mental Health Survey of India 2015-2016 identified a substantial treatment gap in mental healthcare, emphasizing the urgent need for improved training of primary care doctors (PCDs) in managing psychiatric disorders. This study aimed to evaluate the effectiveness of three digitally delivered primary care psychiatry courses offered by the department of psychiatry in a tertiary neuropsychiatric center: the Certificate Course in Primary Mental Healthcare (CCPMH), the Diploma in Community Mental Health (DCMH), and the Diploma in Primary Care Psychiatry (DPCP).
Methods: Based on the board of studies documents, including curriculum, delivery methods, accreditation criteria, and outcomes, a comparative and thematic analysis of the courses was conducted.
Digital Health Interventions for Informal Family Caregivers of People With First-Episode Psychosis: Systematic Review on User Experience and Effectiveness.
JMIR Ment Health
November 2024
Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Background: First-episode psychosis (FEP) imposes a substantial burden not only on the individual affected but also on their families. Given that FEP usually occurs during adolescence, families overtake a big part of informal care. Early family interventions, especially psychoeducation, are crucial for informal family caregivers to best support the recovery of their loved one with FEP and to reduce the risk of a psychotic relapse as much as possible, but also to avoid chronic stress within the family due to the burden of care.
View Article and Find Full Text PDFThe Association Between Telehealth Use During Buprenorphine Treatment for Opioid Use Disorder and Clinical Outcomes: A Retrospective Cohort Study.
Telemed J E Health
November 2024
Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa, USA.
Patients with opioid use disorder (OUD) represent a high-risk population due to increased rates of adverse health outcomes and death. To evaluate whether telehealth utilization during OUD treatment compared with in-person encounters alone was associated with emergency department (ED) utilization, inpatient admissions, and mortality within three years of initiating buprenorphine. We conducted a retrospective cohort study within the Veterans Health Administration among Veterans treated for OUD between 2012 and -2022.
View Article and Find Full Text PDFTELEPSYCHIATRY VS IN-PERSON CONSULTATION DURING COVID-19 PANDEMIC: A COMPARISON ACROSS DIAGNOSIS.
Psychiatr Danub
May 2024
Associate Professor, Department of Psychiatry, All India Institute of Medical Sciences, Bhubaneswar, India.
Since the onset of COVID-19 pandemic, telepsychiatry is being used at a massive scale, but without assessing its edge over traditional in-person consultation. The aim of this study was to compare the sociodemographic and clinical profile of cases seeking online consultations with those seeking in-person consultations when the second wave of COVID-19 pandemic hit India. In this record based cross-sectional study, we compared age, gender and clinical profile 6048 patients seeking in-person consultation with 2446 patients seeking teleconsultation.
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