A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings

Background: The use of telepsychiatry (TP) for inpatient service delivery is still an emerging field and there is limited literature on its practice and evidence. This review was conducted with the objectives of (a) exploring the models of TP for inpatient service delivery, (b) qualitative synthesis...

Full description

Bibliographic Details
Main Authors: Abhishek Ghosh, Meha Verma, Shalini Lal
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Indian Journal of Psychological Medicine
Online Access:https://doi.org/10.1177/0253717620958168
_version_ 1818915955034554368
author Abhishek Ghosh
Meha Verma
Shalini Lal
author_facet Abhishek Ghosh
Meha Verma
Shalini Lal
author_sort Abhishek Ghosh
collection DOAJ
description Background: The use of telepsychiatry (TP) for inpatient service delivery is still an emerging field and there is limited literature on its practice and evidence. This review was conducted with the objectives of (a) exploring the models of TP for inpatient service delivery, (b) qualitative synthesis of the efficacy of TP in inpatient settings, and (c) proposing a best-fit model of TP-based inpatient care for Indian settings. Methods: An electronic database search was conducted on July 22, 2020, in PubMed, Directory of Open Access Journals, and Google Scholar for relevant articles. Seventeen articles were included in the review. Results: The review revealed three models for TP-based inpatient care; direct care model, teleconsultation model, and the collaborative care model. Preliminary evidence suggests that TP is cost-effective and reliable, and that patients and service providers are highly satisfied with this approach. Evidence gaps were seen for some diagnostic categories such as psychosis and for extremes of age groups. Based on the existing models, we propose an Indian model for implementing TP in inpatient settings. Conclusion: Promising initial results and the evidence gaps highlight the need for further research in this area.
first_indexed 2024-12-20T00:10:30Z
format Article
id doaj.art-24c73b120ec8456094426ad9e7854031
institution Directory Open Access Journal
issn 0253-7176
0975-1564
language English
last_indexed 2024-12-20T00:10:30Z
publishDate 2020-10-01
publisher SAGE Publishing
record_format Article
series Indian Journal of Psychological Medicine
spelling doaj.art-24c73b120ec8456094426ad9e78540312022-12-21T20:00:31ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642020-10-014210.1177/0253717620958168A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian SettingsAbhishek Ghosh0Meha Verma1Shalini Lal2 Dept. of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Dept. of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India. PEPP Montreal and ACCESS Open Minds, Douglas Mental Health University Institute, Montreal, QC, Canada.Background: The use of telepsychiatry (TP) for inpatient service delivery is still an emerging field and there is limited literature on its practice and evidence. This review was conducted with the objectives of (a) exploring the models of TP for inpatient service delivery, (b) qualitative synthesis of the efficacy of TP in inpatient settings, and (c) proposing a best-fit model of TP-based inpatient care for Indian settings. Methods: An electronic database search was conducted on July 22, 2020, in PubMed, Directory of Open Access Journals, and Google Scholar for relevant articles. Seventeen articles were included in the review. Results: The review revealed three models for TP-based inpatient care; direct care model, teleconsultation model, and the collaborative care model. Preliminary evidence suggests that TP is cost-effective and reliable, and that patients and service providers are highly satisfied with this approach. Evidence gaps were seen for some diagnostic categories such as psychosis and for extremes of age groups. Based on the existing models, we propose an Indian model for implementing TP in inpatient settings. Conclusion: Promising initial results and the evidence gaps highlight the need for further research in this area.https://doi.org/10.1177/0253717620958168
spellingShingle Abhishek Ghosh
Meha Verma
Shalini Lal
A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
Indian Journal of Psychological Medicine
title A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
title_full A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
title_fullStr A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
title_full_unstemmed A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
title_short A Review of Models and Efficacy of Telepsychiatry for Inpatient Service Delivery: Proposing a Model for Indian Settings
title_sort review of models and efficacy of telepsychiatry for inpatient service delivery proposing a model for indian settings
url https://doi.org/10.1177/0253717620958168
work_keys_str_mv AT abhishekghosh areviewofmodelsandefficacyoftelepsychiatryforinpatientservicedeliveryproposingamodelforindiansettings
AT mehaverma areviewofmodelsandefficacyoftelepsychiatryforinpatientservicedeliveryproposingamodelforindiansettings
AT shalinilal areviewofmodelsandefficacyoftelepsychiatryforinpatientservicedeliveryproposingamodelforindiansettings
AT abhishekghosh reviewofmodelsandefficacyoftelepsychiatryforinpatientservicedeliveryproposingamodelforindiansettings
AT mehaverma reviewofmodelsandefficacyoftelepsychiatryforinpatientservicedeliveryproposingamodelforindiansettings
AT shalinilal reviewofmodelsandefficacyoftelepsychiatryforinpatientservicedeliveryproposingamodelforindiansettings