Telepsychiatry Service Delivery to Trauma Victims

描述：存在严重的劳动力短缺问题 为公共部门消费者提供临床心理健康服务。在精神上 在健康领域，“心灵感应”引入了一种价格合理的手段 解决这些长期存在的劳动力问题。这是一件特殊的事 负责提供服务的公共部门服务体系的意义 为居住在医疗服务提供者专家所在地理区域的人们提供医疗保健 不容易得到的。对现有经验数据的全面回顾 表明通过心灵感应进行的精神病学面谈似乎 通常是可靠的，患者和临床医生通常报告说 通过以下途径获得的精神卫生服务的满意度 心灵感应。虽然这项早期的研究令人鼓舞，而且很明显 展示了可以通过使用心灵感应来满足的广泛需求，它 对于心理健康治疗是否能有效地 通过电话会议技术交付。特别是，目前还不知道 是否针对特定障碍(例如，创伤后应激障碍， 抑郁症、恐慌症、精神分裂症)可以有效地传播。因此， 在这种情况下，文学的主体是惊人的不发达。因为 心灵感应项目正迅速在世界各地兴起(例如， 澳大利亚、美国国防部)，这项研究涉及 这种服务提供方式的有效性是迫切需要的。 心灵感应研究需要包括前瞻性、随机化的研究 对特定治疗方法的临床结果进行评估 人群，例如患有创伤后应激障碍的个人。具体地说，这位申请人 目的：检验一种新的精神卫生服务模式的假设 使用视频会议技术(“Telepsychiatry”)的交付将是 与传统的精神卫生服务提供模式同样有效 (“同一个房间”)为退伍军人提供心理健康干预 创伤后应激障碍患者。本申请中提出的研究将允许 直接比较向退伍军人提供的每种服务方式 通过退伍军人事务部(VA)创伤后应激障碍门诊治疗两类 结果变量：1)临床结果，如症状严重程度和社会状况 功能；以及2)过程结果，如患者 满意度/接受度、治疗可信度、出席率、治疗 坚持治疗和退出治疗。

DESCRIPTION: There are serious workforce shortage problems in providing clinical mental health services for public sector consumers. In the mental health field, "telepsychiatry" has introduced a reasonably priced means of solving these long-standing workforce problems. This is of special significance for the public sector service system charged with providing healthcare to people living in geographical areas where provider experts are not readily available. A comprehensive review of extant empirical data indicates that psychiatric interviews conducted via telepsychiatry appear to be generally reliable, and that patients and clinicians generally report high levels of satisfaction with mental health services received via telepsychiatry. While this early research is encouraging and clearly demonstrates wide-ranging needs that might be met by using telepsychiatry, it is remarkably silent on whether mental health treatments can be effectively delivered via teleconferencing technology. In particular, it is not known whether specialty mental health treatments for specific disorders (e.g., PTSD, depression, panic disorder, schizophrenia) can be effectively delivered. Thus, the body of literature is strikingly undeveloped in this way. Because telepsychiatry programs are rapidly springing up all over the world (e.g., Australia, the U.S. Department of Defense), research that addresses the effectiveness of this mode of service delivery is desperately needed. Telepsychiatry research is needed that includes prospective, randomized evaluation of clinical outcomes for specific treatments with specific populations, such as individuals with PTSD. Specifically, this applicant aims: To test the hypothesis that a novel mode of mental health service delivery, using videoconferencing technology ("Telepsychiatry"), will be equally effective to a traditional mode of mental health service delivery ("Same-Room") for providing a mental health intervention to veterans who are trauma victims with PTSD. The study proposed in this application will allow a direct comparison of each mode of service delivery provided to veterans through a Veterans Affairs (VA) outpatient PTSD clinic on two categories of outcome variables: 1) clinical outcomes, such as symptom severity and social functioning; and 2) process outcomes, such as patient satisfaction/acceptance, treatment credibility, session attendance, treatment adherence, and treatment dropout.