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Beam Me Out: Review of Emergency Department Telepsychiatry and Lessons Learned During COVID-19.
Natafgi, Nabil; Childers, Casey; Pollak, Amanda; Blackwell, Shanikque; Hardeman, Suzanne; Cooner, Stewart; Bank, Robert; Ratliff, Brenda; Gooch, Victoria; Rogers, Kenneth; Narasimhan, Meera.
  • Natafgi N; Health Services Policy & Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
  • Childers C; Department of Neuropsychiatry and Behavioral Science, School of Medicine, University of South Carolina, Columbia, SC, USA.
  • Pollak A; Prisma Health - Midlands, SC, Columbia, USA.
  • Blackwell S; Department of Neuropsychiatry and Behavioral Science, School of Medicine, University of South Carolina, Columbia, SC, USA.
  • Hardeman S; Prisma Health - Midlands, SC, Columbia, USA.
  • Cooner S; Health Services Policy & Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
  • Bank R; Department of Neuropsychiatry and Behavioral Science, School of Medicine, University of South Carolina, Columbia, SC, USA. Suzanne.Hardeman@uscmed.sc.edu.
  • Ratliff B; Prisma Health - Midlands, SC, Columbia, USA. Suzanne.Hardeman@uscmed.sc.edu.
  • Gooch V; South Carolina Department of Mental Health, Columbia, SC, USA.
  • Rogers K; South Carolina Department of Mental Health, Columbia, SC, USA.
  • Narasimhan M; South Carolina Department of Mental Health, Columbia, SC, USA.
Curr Psychiatry Rep ; 23(11): 72, 2021 10 06.
Article in English | MEDLINE | ID: covidwho-1453878
ABSTRACT
PURPOSE OF REVIEW The aim of this review is to critically evaluate recent literature on the use of telepsychiatry in emergency departments (EDTP) and synthesize the evidence on telepsychiatry during public health emergencies. We also report on experiences and success stories from a state-wide EDTP program in South Carolina during the COVID-19 pandemic. RECENT

FINDINGS:

We identified 12 peer-reviewed articles published between January 2019 and February 2021 that evaluated EDTP interventions and their impact on patient outcomes. The recent evidence on EDTP shows a significant association between EDTP implementation or use and decreased patients' wait time in emergency department (ED), shorter length of stay in certain settings, reduced ED revisit rates, improved ED patient disposition (e.g., more discharge to home, less observational stays, and decreased inpatient admissions), and reduced follow-up encounters involving self-harm diagnosis. The EDTP virtual delivery model can help healthcare systems reduce burden of public health emergencies on providers, staff, and patients alike. While a disruption of magnitude seen by COVID-19 may be infrequent, strategies used during the pandemic may be implemented to enhance care in rural settings, and/or enhance preparedness of communities and healthcare systems during more commonly occurring natural disasters.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychiatry / Telemedicine / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: Curr Psychiatry Rep Journal subject: Psychiatry Year: 2021 Document Type: Article Affiliation country: S11920-021-01282-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Psychiatry / Telemedicine / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: Curr Psychiatry Rep Journal subject: Psychiatry Year: 2021 Document Type: Article Affiliation country: S11920-021-01282-4