Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 7 de 7
Filter
1.
Telemed J E Health ; 2023 Dec 06.
Article in English | MEDLINE | ID: mdl-38054938

ABSTRACT

Background: This document represents an updated collaboration between the American Psychiatric Association (APA) and the American Telemedicine Association (ATA) to create a consolidated update of the previous APA and ATA official documents and resources in telemental health, to provide a single guide on clinical best practices for providing mental health services through synchronous videoconference. Methods: A joint writing committee drawn from the APA Committee on Telepsychiatry and the ATA TMH Special Interest Group (TMH SIG). was convened to draft and finalize the guidelines. This document draws directly from the 2018 APA/ATA guide and the ATA s previous guidelines, selecting from key statements/guidelines, consolidating them across documents, and then updating them where indicated. Guideline approval was provided following internal review by the APA, the ATA, the Board of Directors of the ATA, and the Joint Reference Committee of the APA. Results: The guidelines contain requirements, recommendations, and actions that are identified by text containing the keywords "shall," "should," or "may." Conclusions: Compliance with these recommendations will not guarantee accurate diagnoses or successful outcomes. The purpose of this guide is to assist providers in providing effective and safe medical care founded on expert consensus, research evidence, available resources, and patient needs.

2.
Psychol Trauma ; 12(7): 756-764, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32338946

ABSTRACT

OBJECTIVE: A key symptom of posttraumatic stress disorder (PTSD) is hyperreactivity to trauma-relevant stimuli. Though physiological arousal is reliably elevated in PTSD, the question remains whether this arousal responds to treatment. Virtual reality (VR) has been posited to increase emotional engagement during prolonged exposure therapy (PE) for PTSD by augmenting imaginal exposures with trauma-relevant sensory information. However, the comparative effects of VR exposure therapy (VRE) have received limited empirical inquiry. METHOD: Ninety active-duty soldiers with combat-related PTSD participating in a randomized-controlled trial to receive PE, VRE, or a waitlist-control (WL) condition had their physiological reactivity, indexed by galvanic skin response (GSR), to their trauma memories assessed at pre-, mid-, and posttreatment. RESULTS: Although both VRE and PE conditions showed reduced GSR reactivity to trauma memories from pre- to posttreatment, only the VRE group differed significantly from WL. Across the sample, reductions in GSR were significantly correlated with reductions in self-reported PTSD and anxiety symptoms. CONCLUSIONS: This was the first study comparing effects of VRE and PE on psychophysiological variables. Given previous research finding limited differences between VRE and PE in PTSD symptom reduction, these findings lend support to the rationale for including VR in exposure therapy protocols while raising important questions about the potential benefits of VRE. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Combat Disorders/therapy , Galvanic Skin Response/physiology , Implosive Therapy/methods , Military Personnel , Stress Disorders, Post-Traumatic/therapy , Virtual Reality Exposure Therapy/methods , Adult , Combat Disorders/physiopathology , Combat Disorders/psychology , Female , Humans , Male , Memory , Stress Disorders, Post-Traumatic/physiopathology , Stress Disorders, Post-Traumatic/psychology , Treatment Outcome , Young Adult
3.
Telemed J E Health ; 20(3): 282-92, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24476192

ABSTRACT

BACKGROUND: The purpose of this document is to provide initial recommendations to telemental health (TMH) professionals for the selection of assessment and outcome measures that best reflect the impacts of mental health treatments delivered via live interactive videoconferencing. MATERIALS AND METHODS: The guidance provided here was created through an expert consensus process and is in the form of a lexicon focused on identified key TMH outcomes. RESULTS: Each lexical item is elucidated by a definition, recommendations for assessment/measurement, and additional commentary on important considerations. The lexicon is not intended as a current literature review of the field, but rather as a resource to foster increased dialogue, critical analysis, and the development of the science of TMH assessment and evaluation. The intent of this lexicon is to better unify the TMH field by providing a resource to researchers, program managers, funders, regulators and others for assessing outcomes. CONCLUSIONS: This document provides overall context for the key aspects of the lexicon.


Subject(s)
Mental Health Services , Outcome and Process Assessment, Health Care , Telemedicine , Terminology as Topic , Consensus , Humans , Mental Disorders/therapy
4.
Telemed J E Health ; 19(9): 722-30, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23909884

ABSTRACT

Table of Contents PREAMBLE SCOPE INTRODUCTION Internet-Based Telemental Health Models of Care Today CLINICAL GUIDELINES A. Professional and Patient Identity and Location 1. Provider and Patient Identity Verification 2. Provider and Patient Location Documentation 3. Contact Information Verification for Professional and Patient 4. Verification of Expectations Regarding Contact Between Sessions B. Patient Appropriateness for Videoconferencing-Based Telemental Health 1. Appropriateness of Videoconferencing in Settings Where Professional Staff Are Not Immediately Available C. Informed Consent D. Physical Environment E. Communication and Collaboration with the Patient's Treatment Team F. Emergency Management 1. Education and Training 2. Jurisdictional Mental Health Involuntary Hospitalization Laws 3. Patient Safety When Providing Services in a Setting with Immediately Available Professionals 4. Patient Safety When Providing Services in a Setting Without Immediately Available Professional Staff 5. Patient Support Person and Uncooperative Patients 6. Transportation 7. Local Emergency Personnel G. Medical Issues H. Referral Resources I .Community and Cultural Competency TECHNICAL GUIDELINES A. Videoconferencing Applications B. Device Characteristics C. Connectivity D. Privacy ADMINISTRATIVE GUIDELINES A. Qualification and Training of Professionals B. Documentation and Record Keeping C. Payment and Billing REFERENCES.


Subject(s)
Mental Health Services , Societies , Telemedicine , Videoconferencing , United States
5.
Telemed J E Health ; 18(4): 309-13, 2012 May.
Article in English | MEDLINE | ID: mdl-22424077

ABSTRACT

The telehealth field has advanced historic promises to improve access, cost, and quality of care. However, the extent to which it is delivering on its promises is unclear as the scientific evidence needed to justify success is still emerging. Many have identified the need to advance the scientific knowledge base to better quantify success. One method for advancing that knowledge base is a standard telemental health evaluation model. Telemental health is defined here as the provision of mental health services using live, interactive video-teleconferencing technology. Evaluation in the telemental health field largely consists of descriptive and small pilot studies, is often defined by the individual goals of the specific programs, and is typically focused on only one outcome. The field should adopt new evaluation methods that consider the co-adaptive interaction between users (patients and providers), healthcare costs and savings, and the rapid evolution in communication technologies. Acceptance of a standard evaluation model will improve perceptions of telemental health as an established field, promote development of a sounder empirical base, promote interagency collaboration, and provide a framework for more multidisciplinary research that integrates measuring the impact of the technology and the overall healthcare aspect. We suggest that consideration of a standard model is timely given where telemental health is at in terms of its stage of scientific progress. We will broadly recommend some elements of what such a standard evaluation model might include for telemental health and suggest a way forward for adopting such a model.


Subject(s)
Mental Health Services/organization & administration , Telemedicine/organization & administration , Health Services Accessibility , Humans , Maryland , Models, Organizational , Models, Psychological , Telemedicine/standards , Telemedicine/statistics & numerical data , Time Factors , Videoconferencing
6.
J Trauma Stress ; 23(2): 248-54, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20419733

ABSTRACT

This retrospective study examined the effects of childhood physical abuse (CPA) and combat-related trauma on postdeployment psychiatric symptoms in an outpatient clinical sample of 1,045 U.S. service members. The authors conducted hierarchical multiple regression analyses to examine the impact of CPA and combat-related trauma on alcohol use, anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms. Analyses revealed significant main effects for CPA and combat-related trauma on anxiety, depression, and PTSD. In contrast, no interactive effects were observed. Findings support and expand current knowledge about the roles that CPA and combat trauma play in the development of psychiatric symptoms and suggest a more complex etiology for postdeployment symptomatology. Clinical implications and future research opportunities are discussed.


Subject(s)
Adaptation, Psychological , Adult Survivors of Child Abuse/psychology , Combat Disorders/psychology , Iraq War, 2003-2011 , Military Personnel/psychology , Adult , Female , Humans , Male , Models, Psychological , Multivariate Analysis , Regression Analysis , Retrospective Studies , United States , Veterans/psychology
7.
Cyberpsychol Behav ; 11(6): 767-9, 2008 Dec.
Article in English | MEDLINE | ID: mdl-18991533

ABSTRACT

Technology-based treatments (e.g., video teleconferencing, Internet-based treatments, and virtual reality) are promising approaches to reducing some barriers that Soldiers often face to receiving necessary mental health care. However, Soldiers' knowledge and experiences with such technologies are unknown, and there is no research on their acceptability for use in military mental health care. The current study examined 352 U.S. Soldiers' knowledge of and attitudes toward using technology to access mental health care. Results indicated that Soldiers were quite experienced with a wide variety of technology-based tools commonly proposed to facilitate mental health care. In addition, the majority of participants stated that they would be willing to use nearly every technology-based approach for mental health care included in the survey. Notably, 33% of Soldiers who were not willing to talk to a counselor in person were willing to utilize at least one of the technologies for mental health care. These results support the feasibility of using technology-based approaches as a means to overcome barriers to care.


Subject(s)
Attitude to Health , Biomedical Technology , Internet/instrumentation , Mental Disorders/therapy , Mental Health Services/organization & administration , Military Personnel/psychology , User-Computer Interface , Videoconferencing , Adolescent , Adult , Female , Humans , Male , Middle Aged , Surveys and Questionnaires , United States , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL