Telepsychiatry in intellectual disability psychiatry: literature review
Madhavan, Giri
Madhavan, Giri
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Affiliation
Coventry and Warwickshire Partnership NHS Trust
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Publication date
2019-03-07
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Abstract
Aims and Method
The aims of this review were to explore the effectiveness and patient and provider acceptability of telepsychiatry consultations in intellectual disability, contrasting this with direct face-to-face consultations and proposing avenues for further research and innovation. Computerised searches of databases including AMED and EMBASE were conducted.
Results
Four USA studies of intellectual disability telepsychiatry services have been reported. The majority (75%) focused on children with intellectual disability. Sample sizes ranged from 38 to 900 participants, with follow-up from 1 to 6 years. Outcome measures varied considerably and included cost savings to patients and healthcare providers, patient and carer satisfaction and new diagnoses.
Clinical implications
The innovations summarised suggest a requirement to further explore telepsychiatry models. Despite some promising outcomes, there is a relative dearth in the existing literature. Further studies in other healthcare systems are required before concluding that telepsychiatry in intellectual disability is the best approach for providing psychiatric services to this population.
Citation
Madhavan G. Telepsychiatry in intellectual disability psychiatry: literature review. BJPsych Bulletin. 2019;43(4):167-173. doi:10.1192/bjb.2019.5
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Article