Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Current Psychiatry Reports
Erschienen in: Current Psychiatry Reports 5/2021

01.05.2021 | Psychiatry in the Digital Age (J Shore, Section Editor)

Telemental Health and the Management of Psychosis

verfasst von: Amy L. Donahue, Jennifer Rodriguez, Jay H. Shore

Erschienen in: Current Psychiatry Reports | Ausgabe 5/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purpose of this paper is to review the application of telehealth in the assessment and treatment of psychotic illnesses. We present the contextual factors which make this approach to clinical care compelling, and review existing evidence about feasibility, acceptability, and effectiveness.

Recent Findings

The use of telehealth with individuals that suffer from serious mental illness and psychosis has been demonstrated to be feasible and acceptable, with effectiveness that is comparable to in-person clinical care. Telehealth holds the additional promises of expanding access, connecting patients, families, and the general public to behavioral health resources, and reducing overall health care costs.

Summary

We provide two case examples which demonstrate the successful use of technology for the delivery and coordination of effective patient care for individuals with psychotic illnesses.
Literatur
1.
Sullivan SA, Kounali D, Cannon M, David AS, Fletcher PC, Holmans P, et al. A population-based cohort study examining the incidence and impact of psychotic experiences from childhood to adulthood, and prediction of psychotic disorder. Am J Psychiatry. 2020;177:308–17.CrossRef
2.
3.
4.
5.
Liu NH, Daumit GL, Dua T, Aquila R, Charlson F, Cuijpers P, et al. Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas. World Psychiatry. 2017;16:30–40.CrossRef
6.
Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2015;72(4):334–41.CrossRef
7.
Oliver D, Davies C, Crossland G, Lim S, Gifford G, McGuire P, et al. Can we reduce the duration of untreated psychosis? A systematic review and meta-analysis of controlled interventional studies. Schizophr Bull. 2018;44(6):1362–72.CrossRef
8.
Penttila M, Jaaskelainen E, Hirvonen N, Isohanni, Miettunen J. Duration of untreated psychosis as predictor of long-term outcome in schizophrenia: systematic review and meta-analysis. Br J Psychiatry. 2014;205:88–94.CrossRef
9.
Maximo JO, Nelson EA, Armstrong WP, Kraguljac NV, Lahti AC. Duration of untreated psychosis correlates with brain connectivity and morphology in medication-Naïve patients with first-episode psychosis. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020;5:231–8.PubMed
10.
Sullivan SA, Carroll R, Peters TJ, Amos T, Jones PB, Marshall M, et al. Duration of untreated psychosis and clinical outcomes of first episode psychosis: an observational and an instrumental variables analysis. Early Interv Psychiatry. 2019;13:841–7.CrossRef
11.
Cotter J, Zabel E, French P, Yung AR. Early intervention in the real world. Prolonged duration of untreated psychosis: a problem that needs addressing. Early Interv Psychiatry. 2017;11:263–8.CrossRef
12.
Wang MY, Ho NF, Sum MY, Collinson SL, Sim K. Impact of duration of untreated psychosis and premorbid intelligence on cognitive functioning in patients with first-episode schizophrenia. Schizophr Res. 2016;175:97–102.CrossRef
13.
14.
15.
Gardner JS, Plaven BE, Yellowlees P, Shore JH. Remote telepsychiatry workforce: a solution to psychiatry’s workforce issues. Curr Psychiatry Rep. 2020;22(8).
16.
17.
The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary. Institute of Medicine of the National Academies; 2012.
18.
Tuckson RV, Edmunds M, Hodgkins M. Telehealth. N Engl J Med. 2017;377(16):1585–92.CrossRef
19.
AMA Digital Health Research: Physicians’ motivations and requirements for adopting digital health. Adoption and attitudinal shifts from 2016 to 2019. American Medical Association, February 2020.
20.
Harvey JB, Valenta S, Simpson K, Lyles M, McElligott J. Utilization of outpatient telehealth services in parity and nonparity states 2010-2015. Telemed J E Health. 2019;25(2):132–6.CrossRef
21.
Portnoy J, Waller M, Elliott T. Telemedicine in the era of COVID-19. J Allergy Clin Immunol Pract. 2020;8:1489–91.CrossRef
22.••
Shore JH, Yellowlees P, Caudill R, Johnston B, Turvey C, et al. Best practices in videoconferencing-based telemental health April 2018. Telemed J E Health. 2018;24(11):1–6 Best practice guidelines for telemental health.CrossRef
23.
Bashshur RL, Shannon GW, Bashshur N, Yellowlees PM. Original research: The empirical evidence for telemedicine interventions in mental disorder. Telemed J E Health. 2016;22(2):87–113.CrossRef
24.
Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J Psychiatry. 2016;6(2):269–82.CrossRef
25.
Lawes-Wickwar S, McBain H, Mulligan K. Application and effectiveness of telehealth to support severe mental illness management: systematic review. JMIR Ment Health. 2018;5(4):e62.CrossRef
26.
Kasckow J, Felmet K, Appelt C, Thompson R, Rotondi A, Haas G. Telepsychiatry in the assessment and treatment of schizophrenia. Clin Schizophr Relat Psychoses. 2014;8(1):21–7.CrossRef
27.
•• Santesteban-Echarri O, Piskulic D, Nyman RK, Addington JM. Telehealth interventions for schizophrenia-spectrum disorders and clinical high-risk for psychosis individuals: a scoping review. J Telemed Telecare. 2018;0(0):1–7 Updated review of the use of telehealth for individuals with psychotic illness.
28.
Sharp IR, Kobak KA, Osman DA. The use of videoconferencing with patients with psychosis: a review of the literature. Ann General Psychiatry. 2011;10:14.CrossRef
29.•
Gaebel W, Grossimlinghaus I, Kerst A, Cohen Y, Hinsche-Bockenholt A, et al. European Psychiatric Association (EPA) guidance on the quality of eMental health interventions in the treatment of psychotic disorders. Eur Arch Psychiatry Clin Neurosci. 2016;266:125–37 Evidence-based recommendations for telehealth interventions.CrossRef
30.
Gire N, Farooq S, Naeem F, Duxbury J, McKeown M, et al. mHealth based interventions for the assessment and treatment of psychotic disorders: a systematic review. mHealth. 2017;3:33.CrossRef
31.
Amarendran V, George A, Gersappe V, Krishnaswamy S, Warren C. The reliability of telepsychiatry for a neuropsychiatric assessment. Telemed e-Health. 2011;17(3):223–5.CrossRef
32.
Yellowlees P, Shore JH (2018) Telepsychiatry and health technologies: a guide for mental health professionals. American Psychiatric Pub
33.
Biagianti B, Schlosser D, Nahum M, Woolley J, Vinogradov S. Creating Live Interactions to Mitigate Barriers (CLIMB): a mobile intervention to improve social functioning in people with chronic psychotic disorders. JMIR Ment Health. 2016;3(4):e52.CrossRef
34.
Bell HI, Lim MH, Rossell SL, Thomas N. Ecological momentary assessment and intervention in the treatment of psychotic disorders: a systematic review. Psychiatr Serv. 2017;68:1172–81.CrossRef
35.
Folsom DP, Hawthorne W, Lindamer L, Gilmer T, Bailey A, Golshan S, et al. Prevalence and risk factors for homelessness and utilization of mental health services among 10,340 patients with serious mental illness in a large public mental health system. Am J Psychiatry. 2005;162:370–6.CrossRef
36.
Werner S, Malaspina D, Rabinowitz J. Socioecenomic status at birth is associated with risk of schizophrenia: population-based multilevel study. Schizophr Bull. 2007;33(6):1373–8.CrossRef
37.
Zhai Y. A call for addressing barriers to telemedicine: health disparities during the COVID-19 pandemic. Psychother Psychosom 2020.
38.
The American Psychiatric Association Practice Guideline For The Treatment of Patients with Schizophrenia, Third Edition. Copyright @ 20201 American Psychiatric Association.
39.
Schueller SM, Glover AC, Rufa AK, Dowdle CL, Gross GD, et al. A mobile phone-based intervention to improve mental health among Homeless young adults: pilot feasibility trial. JMIR Mhealth Uhealth. 2019;7(7):e12347.CrossRef
40.
Kasckow J, Gao S, Hanusa B, Rotondi A, Chinman M, Zickmund S, et al. Telehealth monitoring of patients with schizophrenia and suicidal ideation. Suicide Life Threat Behav. 2015;45(5):600–11.CrossRef
41.
Grover S, Mishra E, Chakrabarti S, Mehra A, Sahoo S. Telephonic monitoring of patients on clozapine in the resource-poor setting during the COVID-19 pandemic. Schizophr Res. 2020;222:489–90.CrossRef
42.•
Treisman GJ, Jayaram G, Margolis RL, Pearlson GD, Schmidt CW, et al. Perspectives on the use of eHealth in the management of patients with schizophrenia. J Nerv Ment Dis. 2016;204:620–9 Interesting perspective paper on the potential uses of telehealth from an expert panel of diverse stakeholders.CrossRef
43.
Melek SP, Norris DT, Paulus J, Matthews K, Waever A et al. Potential economic impact of integrated medical-behavioral healthcare. Milliman Research Report January 2018. Available at : file:///C:/Users/AXDonahue/Downloads/Milliman-Report-Economic-Impact-Integrated-Implications-Psychiatry.pdf.
44.
De Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen DAN, Asai I, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World J Psychiatry. 2011;10(1):52.CrossRef
Metadaten
Titel
Telemental Health and the Management of Psychosis
verfasst von
Amy L. Donahue
Jennifer Rodriguez
Jay H. Shore
Publikationsdatum
01.05.2021
Verlag
Springer US
Erschienen in
Current Psychiatry Reports / Ausgabe 5/2021
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-021-01242-y

Weitere Artikel der Ausgabe 5/2021

Current Psychiatry Reports 5/2021 Zur Ausgabe

Sleep Disorders (P Gehrman, Section Editor)

The Emerging Circadian Phenotype of Borderline Personality Disorder: Mechanisms, Opportunities and Future Directions

Child and Adolescent Disorders (TD Benton, Section Editor)

Social Determinants of Health: the Impact of Racism on Early Childhood Mental Health

Sleep Disorders (P Gehrman, Section Editor)

The Evolutionarily Mismatched Impact of Urbanization on Insomnia Symptoms: a Short Review of the Recent Literature

Complex Medical-Psychiatric Issues (MB Riba, Section Editor)

Aggressive Behavior and Psychiatric Inpatients: a Narrative Review of the Literature with a Focus on the European Experience

Anxiety Disorders (A Pelissolo, Section Editor)

Understanding the Connection Between the Gut–Brain Axis and Stress/Anxiety Disorders

Psychiatry in Primary Care (BN Gaynes, Section Editor)

Neuropsychiatric Complications of COVID-19

Neu im Fachgebiet Psychiatrie

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

So wirken verschiedene Alkoholika auf den Blutdruck

23.05.2024 Störungen durch Alkohol Nachrichten

Je mehr Alkohol Menschen pro Woche trinken, desto mehr steigt ihr Blutdruck, legen Daten aus Dänemark nahe. Ob es dabei auch auf die Art des Alkohols ankommt, wurde ebenfalls untersucht.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise