Skip to main content Accessibility help
×
×
Home

Telepsychiatry in intellectual disability psychiatry: literature review

  • Giri Madhavan (a1)
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.

Declaration of interest

None.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Telepsychiatry in intellectual disability psychiatry: literature review
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Telepsychiatry in intellectual disability psychiatry: literature review
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Telepsychiatry in intellectual disability psychiatry: literature review
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Corresponding author
Correspondence to Dr Giri Madhavan (girimadhavan@gmail.com)
References
Hide All
1Whittle, EL, Fisher, KR, Reppermund, S, Lenroot, R, Trollor, J. Barriers and enablers to accessing mental health services for people with intellectual disability: a scoping review. J Ment Health Res Intellect Disabil 2017; 11(1): 69102.
2World Health Organization. Global Resources for Persons with Intellectual Disabilities. WHO, 2007. Available at: http://www.who.int/mental_health/evidence/atlas_id_2007.pdf (accessed 11 June 2018).
3NHS England, Care Quality Commission, Health Education England, Monitor, Public Health England, Trust Development Authority. NHS Five Year Forward View. NHS England, 2014. Available at: https://www.england.nhs.uk/publication/nhs-five-year-forward-view/ (accessed 10 June 2018).
4Department of Health. Transforming Care: A National Response to Winterbourne View Hospital: Department of Health Review Final Report, Department of Health, 2012. Available at: www.gov.uk/government/publications/winterbourne-view-hospital-department-of-health-review-and-response (accessed 10 June 2018).
5Naylor, C, Appleby, J. Environmentally sustainable health and social care: scoping review and implications for the English NHS. J Health Serv Res Policy 2013; 18(2): 114–21.
6World Health Organization. Towards Environmentally Sustainable Health Systems in Europe: A Review of the Evidence. WHO, 2016. Available at: http://www.euro.who.int/en/health-topics/environment-and-health/Climate-change/publications/2016/towards-environmentally-sustainable-health-systems-in-europe.-a-review-of-the-evidence-2016 (accessed 11 June 2018).
7NHS England. Securing Healthy Returns: Realising the Financial Value of Sustainable Development. NHS England, 2016. Available at: https://www.sduhealth.org.uk/policy-strategy/engagement-resources/fnancial-value-of-sustainable-development.aspx (accessed 10 June 2018).
8American Psychiatric Association. What is telepsychiatry? APA, 2017. Available at: https://www.psychiatry.org/patients-families/what-is-telepsychiatry (accessed 10 June 2018).
9Bashshur, RL, Shannon, GW, Bashshur, N, Yellowlees, PM. The empirical evidence for telemedicine interventions in mental disorders. Telemed J E-health 2015.
10Malhotra, S, Chakrabarti, S, Shah, R. Telepsychiatry: promise, potential, and challenges. Indian J Psychiatry 2013; 55: 311.
11García-Lizana, F, Muñoz-Mayorga, I. What about telepsychiatry? A systematic review. Prim Care Companion J Clin Psychiatry 2010; 12: 831–41.
12Europe Economics. Regulatory Approaches to Telemedicine. GMC, 2018. Available at: https://www.gmc-uk.org/about/what-we-do-and-why/data-and-research/research-and-insight-archive/regulatory-approaches-to-telemedicine (accessed 8 December 2018).
13American Psychiatric Association. Best Practices in Videoconferencing-Based Telemental Health. APA, 2018. Available at: https://www.psychiatry.org/psychiatrists/practice/telepsychiatry/blog/apa-and-ata-release-new-telemental-health-guide (accessed 8 December 2018).
14Boisvert, M, Lang, R, Andrianopoulos, M, Boscardin, ML. Telepractice in the assessment and treatment of individuals with autism spectrum disorders: a systematic review. Dev Neurorehabil 2010; 13: 423–32.
15Aresti-Bartolome, N, Garcia-Zapirain, B. Technologies as support tools for persons with autistic spectrum disorder: a systematic review. Int J Environ Res Public Health 2014; 11: 7767–802.
16Oberleitner, R, Laxminarayan, S. Information technology and behavioral medicine: impact on autism treatment & research. Stud Health Technol Inform 2004; 103: 215–22.
17Matson, JL, Shoemaker, M. Intellectual disability and its relationship to autism spectrum disorders. Res Dev Disabil 2009; 30(6): 1107–14.
18Krysta, K, Krzystanek, M, Cubała, WJ, Wiglusz, MS, Jakuszkowiak-Wojten, K, Gałuszko-Węgielnik, M, et al. Telepsychiatry and virtual reality in the treatment of patients with intellectual and developmental disabilities. Psychiatr Danub 2017; 29: 656–9.
19Antonacci, DJ, Bloch, RM, Saeed, SA, Yildirim, Y, Talley, J. Empirical evidence on the use and effectiveness of telepsychiatry via videoconferencing: implications for forensic and correctional psychiatry. Behav Sci Law 2008; 26: 253–69.
20Doyen, CM, Oreve, MJ, Desailly, E, Goupil, V, Zarca, K, L'Hermitte, Y, et al. Telepsychiatry for children and adolescents: a review of the PROMETTED project. Telemed J E Health 2018; 24: 310.
21Hilty, DM, Ferrer, DC, Parish, MB, Johnston, B, Callahan, EJ, Yellowlees, PM. The effectiveness of telemental health: a 2013 review. Telemed J E Health 2013; 19(6): 444–54.
22Sales, CP, McSweeney, L, Saleem, Y, Khalifa, N. The use of telepsychiatry within forensic practice: a literature review on the use of videolink – a ten-year follow-up. J Forens Psychiatry Psychol 2017; 29(3): 387402.
23Gentile, JP, Cowan, AE, Harper, B, Mast, R, Merrill, B. Reaching rural Ohio with intellectual disability psychiatry. J Telemed Telecare 2017; 24(6): 434–9.
24Harper, DC. Telemedicine for children with disabilities. Child Health Care 2006; 35: 1127.
25Langkamp, DL, McManus, MD, Blakemore, SD. Telemedicine for children with developmental disabilities: a more effective clinical process than office-based care. Telemed J E Health 2015; 21: 110–14.
26Szeftel, R, Federico, C, Hakak, R, Szeftel, Z, Jacobson, M. Improved access to mental health evaluation for patients with developmental disabilities using telepsychiatry. J Telemed Telecare 2012; 18: 317–21.
27Richardson, LK, Frueh, BC, Grubaugh, AL, Egede, L, Elhai, JD. Current directions in videoconferencing tele-mental health research. Clin Psychol 2009; 16(3): 323–38.
28Greenhalgh, T, Shaw, S, Wherton, J, Vijayaraghavan, S, Morris, J, Bhattacharya, S, et al. Real-world implementation of video outpatient consultations at macro, meso, and micro levels: mixed-method study. J Med Internet Res 2018; 20(4): 150–72.
29O'Reilly, R, Bishop, J, Maddox, K, Hutchinson, L, Fisman, M, Takhar, J. Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. Psychiatr Serv 2007; 58: 836–43.
30Pakyurek, M, Yellowlees, P, Hilty, D. The child and adolescent telepsychiatry consultation: can it be a more effective clinical process for certain patients than conventional practice? Telemed J Health 2010; 16: 289–92.
31National Institute for Health and Care Excellence. Care and Support of People Growing Older with Learning Disabilities. NICE guideline (NG96). NICE, 2018.
32General Medical Council. Psychiatry of Learning Disability Curriculum. GMC, 2016. Available at: https://www.gmc-uk.org/education/standards-guidance-and-curricula/curricula/psychiatry-of-learning-disability-curriculum (accessed 11 June 2018).
33Mencap. https://www.mencap.org.uk/ (accessed 10 June 2018).
34Challenging Behaviour Foundation. http://www.challengingbehaviour.org.uk/ (accessed 11 June 2018).
35‘Annual Estimates of the Population for the United States, Regions, States, and Puerto Rico: April 1, 2010 to July 1, 2015’. 2015 Population Estimates. United States Census Bureau, Population Division. December 2015. Available at: https://www.census.gov/data.html (archived version accessed 8 December 2018).
36Office for National Statistics. 2017. Population Estimates. Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates (accessed on 08 December 2018).
37Department for Environment, Food & Rural Affairs. Official Statistics: Rural Population 2014/15 (updated 29 November 2018). Available at: https://www.gov.uk/government/publications/rural-population-and-migration/rural-population-201415 (accessed 08 December 2018).
38Clarke, S, Sloper, P, Moran, N, Cusworth, L, Franklin, A, Beecham, J. Multi-agency transition services: greater collaboration needed to meet the priorities of young disabled people with complex needs as they move into adulthood. J Integr Care 2011; 19(5): 3040.
39Singh, SP, Anderson, B, Liabo, K, Ganeshamoorthy, T. Supporting young people in their transition to adults’ services: summary of NICE guidance. BMJ 2016; 353: i2225.
40Lopez, AM, Cruz, M, Lazarus, S, Webster, P, Jones, EG, Weinstein, RS. Case report: use of American sign language in telepsychiatry consultation. Telemed J E Health 2004; 10(3): 389–91.
41Mucic, D. Transcultural telepsychiatry and its impact on patient satisfaction. J Telemed Telecare 2010; 16(5): 237–42.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 2056-4694
  • EISSN: 2056-4708
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Telepsychiatry in intellectual disability psychiatry: literature review

  • Giri Madhavan (a1)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *