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Telepsychiatry: An Electronic Alternative
Shinu Kuriakose*
Department of Physician Assistant Studies, USA
Introduction
One of the major issues facing the patient population in the
United States (US) is the problem of effective and timely mental
health care. As we have, unfortunately, seen in the last few decades,
there have been a myriad of socially devastating events occurring in
our schools, workplaces, campuses, and other public areas where
individuals are harming their fellow humans, and it all boils down
to the perpetrators being mentally ill and thus hurting others. It
is estimated that 26.2% of Americans over the age of 18 meet the
criteria for a psychiatric disorder with 6% of this population being
classified as severely mentally ill, a condition affecting their quality
of life [1]. The core of this issue is that these folks were unable to
see a mental health provider in a timely manner to be screened for
psychiatric illness, be competently diagnosed, and subsequently
treated in an evidence-based manner [2]. Approximately 56% of
adults in the United States with mental health maladies have been
unable to receive treatment in a timely manner with certain states
only having one psychiatric provider per 1,000 individuals [1].
Additionally, 8.47% of the US population suffers from alcohol and/
or drug dependence without access to timely and effective care
[1]. Often, we hear stories from their family members that these
patients have been progressively decompensating for a relatively
long period (weeks to even years) and were unable to be seen by a
psychiatric provider due to lack of clinicians in the area; financial
cost of seeing providers, which the patients could not overcome;
and the fact that this discrepancy has also led to a supply and
demand problem: providers only seeing patients who pay cash and
not accepting private and public insurance because the cash pay for
service is so much more lucrative [2].
This psychiatric problem in the US has engulfed this country
into a crisis in the mental health field, an issue, which not only deals
with internal family problems in having patients see providers in
a cost-effective timely manner, but also external disparities about
having mental health providers be accessible within a reasonable
geographical distance. This mental health crisis has also been
exacerbated by the decrease in the number of psychiatrists from
37,968 to 37,889 which is a 10.2% reduction in the amount of
psychiatrists per 100,000 people from 2003-2013 [2]. Additionally,
the stigma associated with societal judgment regarding a patient
receiving psychiatric care has influenced patients, including war
veterans suffering from Post-Traumatic Stress Disorder (PTSD) in
seeking care [3]. Moreover, families are also reluctant to encourage
their loved ones from accessing much needed mental health
*Corresponding author: Shinu Kuriakose, Department of Physician Assistant
Studies, USA.
Received Date: September 27, 2019
Published Date: October 30, 2019
ISSN: 2694-1767 DOI: 10.33552/WJYPR.2019.01.000518
World Journal of
Yoga, Physical Therapy and Rehabilitation
Research Article Copyright © All rights are reserved by Shinu Kuriakose
This work is licensed under Creative Commons Attribution 4.0 License WJYPR.MS.ID.000518.
Abstract
One of the major issues facing the patient population in the United States is the problem of effective and timely mental health care. The core
of this issue is that patients are unable to see a mental health provider in a timely manner to be screened for psychiatric illness, be competently
diagnosed and subsequently treated in an evidence-based manner. In a bid to mitigate this issue, the field of telepsychiatry has slowly evolved in the
last couple of decades into a system which allows face-to-face quality psychiatric assessment, diagnosis and treatment modalities delivered through
electronic mediums, primarily video-teleconferencing. This electronic, cost effective mechanism allows access to a mental health provider in a timely
manner, enhancing psychiatric care due to early intervention and follow-up, leading to positive outcomes. There is a dire need for mental health
providers to be taught the skills required to evaluate patients who are not geographically present in their vicinity due to various circumstances and
the optimal ways to assess their mental health conditions. There is a need for clinicians to learn this new and evolving technology and gain expertise
to identify underlying emotional issues via technological means and help patients in achieving positive mental health outcomes.
Keywords: Psychiatry; Telepsychiatry; Electronic diagnosis; Mental health challenges; Positive psychiatric outcomes; Telepsychiatry challenges