Home-Based Telepsychiatry in US Urban Area
Telepsychiatry expands access to psychiatric care. However, telepsychiatry for elderly adults is only reimbursed in the US if the patient is assessed while in a clinical setting. This case study presents a homebound older woman previously hospitalized for schizophrenia who had not seen a psychiatris...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2017/6296423 |
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| _version_ | 1850105891555115008 |
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| author | Alireza Amirsadri Jaclynne Burns Albert Pizzuti Cynthia L. Arfken |
| author_facet | Alireza Amirsadri Jaclynne Burns Albert Pizzuti Cynthia L. Arfken |
| author_sort | Alireza Amirsadri |
| collection | DOAJ |
| description | Telepsychiatry expands access to psychiatric care. However, telepsychiatry for elderly adults is only reimbursed in the US if the patient is assessed while in a clinical setting. This case study presents a homebound older woman previously hospitalized for schizophrenia who had not seen a psychiatrist in over 20 years. Care was provided with hybrid telepsychiatry (team-based practice with social worker traveling to the home with electronic tablet for connection with psychiatrist). The intervention resulted in detecting unrecognized depression and complex trauma. The treatment plan included adding an antidepressant and therapy plan, eliminating one psychiatric medication, and reducing dosage of pain medication. The outcomes were improved function and quality of life. The patient and caregiver were both highly satisfied with the services. This hybrid telepsychiatry is a reasonable option for homebound elderly patients living in urban areas and less expensive than nursing home admission. |
| format | Article |
| id | doaj-art-3840986c8b5a4dcab06fabb204e9d30d |
| institution | OA Journals |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-3840986c8b5a4dcab06fabb204e9d30d2025-08-20T02:38:58ZengWileyCase Reports in Psychiatry2090-682X2090-68382017-01-01201710.1155/2017/62964236296423Home-Based Telepsychiatry in US Urban AreaAlireza Amirsadri0Jaclynne Burns1Albert Pizzuti2Cynthia L. Arfken3Department of Psychiatry and Behavioral Neurosciences, Wayne State University, 3901 Chrysler Service Drive, Detroit, MI 48201, USADepartment of Psychiatry and Behavioral Neurosciences, Wayne State University, 3901 Chrysler Service Drive, Detroit, MI 48201, USADepartment of Psychiatry and Behavioral Neurosciences, Wayne State University, 3901 Chrysler Service Drive, Detroit, MI 48201, USADepartment of Psychiatry and Behavioral Neurosciences, Wayne State University, 3901 Chrysler Service Drive, Detroit, MI 48201, USATelepsychiatry expands access to psychiatric care. However, telepsychiatry for elderly adults is only reimbursed in the US if the patient is assessed while in a clinical setting. This case study presents a homebound older woman previously hospitalized for schizophrenia who had not seen a psychiatrist in over 20 years. Care was provided with hybrid telepsychiatry (team-based practice with social worker traveling to the home with electronic tablet for connection with psychiatrist). The intervention resulted in detecting unrecognized depression and complex trauma. The treatment plan included adding an antidepressant and therapy plan, eliminating one psychiatric medication, and reducing dosage of pain medication. The outcomes were improved function and quality of life. The patient and caregiver were both highly satisfied with the services. This hybrid telepsychiatry is a reasonable option for homebound elderly patients living in urban areas and less expensive than nursing home admission.http://dx.doi.org/10.1155/2017/6296423 |
| spellingShingle | Alireza Amirsadri Jaclynne Burns Albert Pizzuti Cynthia L. Arfken Home-Based Telepsychiatry in US Urban Area Case Reports in Psychiatry |
| title | Home-Based Telepsychiatry in US Urban Area |
| title_full | Home-Based Telepsychiatry in US Urban Area |
| title_fullStr | Home-Based Telepsychiatry in US Urban Area |
| title_full_unstemmed | Home-Based Telepsychiatry in US Urban Area |
| title_short | Home-Based Telepsychiatry in US Urban Area |
| title_sort | home based telepsychiatry in us urban area |
| url | http://dx.doi.org/10.1155/2017/6296423 |
| work_keys_str_mv | AT alirezaamirsadri homebasedtelepsychiatryinusurbanarea AT jaclynneburns homebasedtelepsychiatryinusurbanarea AT albertpizzuti homebasedtelepsychiatryinusurbanarea AT cynthialarfken homebasedtelepsychiatryinusurbanarea |