Exploratory Study Providing Telepsychiatry in the Home With a Clinician Present
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 50 - Any |
| Updated: | 2/28/2019 |
| Start Date: | February 1, 2019 |
| End Date: | December 2020 |
Team-based Telemedicine
Telemedicine can expand access to behavioral health services for people who have difficulty
traveling to clinics. Travel can be especially challenging for older adults with mobility
issues or access to reliable transportation. Assessment in the home can uncover factors
impacting patient's physical and behavioral health. The goals of this project to document
benefits and barriers to expanding reimbursement for telemedicine to older patient's home as
the originating site.
traveling to clinics. Travel can be especially challenging for older adults with mobility
issues or access to reliable transportation. Assessment in the home can uncover factors
impacting patient's physical and behavioral health. The goals of this project to document
benefits and barriers to expanding reimbursement for telemedicine to older patient's home as
the originating site.
The goal of this project is to document the benefits and barriers to expanding reimbursement
for telemedicine to older patient's home as the originating site. The objectives are:
- Develop training module for midlevel clinicians to be ready for dissemination
- Improved patient outcomes measures on satisfaction with care; functioning and symptoms
(anxiety, depression, traumatic stress, sleep apnea, alcohol use and problems)
- Reductions in emergency healthcare utilization and medications prescribed as obtained
from electronic health record (EHR) at the Federally Qualified Health Center (FQHC) and
self-reports
- Summarize activities and barriers, including communication with primary care provider,
identification and improvement of home environmental risks, and assistance to support
system
This is an observational study of team-based telepsychiatry in the home for one group and
team-based psychiatry in the clinic for the comparison group. The initial assessment will
include information and informed consent for treatment, biopsychosocial assessment, summary
for the psychiatrist, psychiatric evaluation and recommendations (all standard of care). To
that the investigators are adding informed consent for program evaluation with 6 month
follow-up with information for re-contacting (3 sources, addresses, email-telephone numbers),
and brief administration of selected instruments before informed consent for treatment. If an
eligible patient does not want to participate in the research study, the patient would still
receive services.
Additional telemedicine sessions and/or therapy sessions will be conducted as medically
needed in accordance with quality care. At six months (with one month window on either side)
the evaluation packet will be re-administered by the clinician if convenient or by the
research assistant either in person or by phone.
The sample size was selected to provide robust indicators of barriers to home based
assessments. The comparison group was included to provide a context for the findings. It is
anticipated that the home group will have greater problems at baseline than the clinic based
comparison group but both will show improvements.
for telemedicine to older patient's home as the originating site. The objectives are:
- Develop training module for midlevel clinicians to be ready for dissemination
- Improved patient outcomes measures on satisfaction with care; functioning and symptoms
(anxiety, depression, traumatic stress, sleep apnea, alcohol use and problems)
- Reductions in emergency healthcare utilization and medications prescribed as obtained
from electronic health record (EHR) at the Federally Qualified Health Center (FQHC) and
self-reports
- Summarize activities and barriers, including communication with primary care provider,
identification and improvement of home environmental risks, and assistance to support
system
This is an observational study of team-based telepsychiatry in the home for one group and
team-based psychiatry in the clinic for the comparison group. The initial assessment will
include information and informed consent for treatment, biopsychosocial assessment, summary
for the psychiatrist, psychiatric evaluation and recommendations (all standard of care). To
that the investigators are adding informed consent for program evaluation with 6 month
follow-up with information for re-contacting (3 sources, addresses, email-telephone numbers),
and brief administration of selected instruments before informed consent for treatment. If an
eligible patient does not want to participate in the research study, the patient would still
receive services.
Additional telemedicine sessions and/or therapy sessions will be conducted as medically
needed in accordance with quality care. At six months (with one month window on either side)
the evaluation packet will be re-administered by the clinician if convenient or by the
research assistant either in person or by phone.
The sample size was selected to provide robust indicators of barriers to home based
assessments. The comparison group was included to provide a context for the findings. It is
anticipated that the home group will have greater problems at baseline than the clinic based
comparison group but both will show improvements.
Inclusion Criteria:
- patient at FQHC
- referred for psychiatric services
- 50 or older
Exclusion Criteria:
- does not speak English
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Wayne State University Founded in 1868, Wayne State University is a nationally recognized metropolitan research...
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