Telepsychiatry Service Delivery to Trauma Victims

描述：有严重的劳动力短缺的问题，在提供 为公共部门消费者提供临床心理健康服务。在精神 健康领域，“远程精神病学”已经推出了一种价格合理的手段， 解决这些长期存在的劳动力问题。这是特别 公共部门服务体系的重要性， 向生活在提供者专家所在地理区域的人们提供医疗保健服务 不容易获得。对现有经验数据的全面审查 表明通过远程精神病学进行的精神病学访谈似乎 通常是可靠的，患者和临床医生通常报告高 对通过以下途径获得的精神卫生服务的满意度 远程精神病学虽然这项早期研究令人鼓舞， 证明了广泛的需求，可能会满足使用远程精神病学，它 对心理健康治疗是否能有效地 通过电话会议技术提供。尤其是， 对于特定疾病的专业心理健康治疗（例如，创伤后应激障碍， 抑郁症、恐慌症、精神分裂症）可以有效地递送。因此，在本发明中， 文学的主体在这方面显然是不发达的。因为 远程精神病学程序在全世界迅速兴起（例如， 澳大利亚，美国国防部），研究，解决 这种服务提供模式的有效性是迫切需要的。 远程精神病学研究是必要的，包括前瞻性，随机 特定治疗的临床结局评价 人群，如PTSD患者。具体而言，本申请人 目的：验证一种新的精神卫生服务模式 使用视频会议技术（“远程精神病学”）， 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， 创伤后应激障碍的受害者本申请中提出的研究将允许 直接比较为退伍军人提供的每种服务提供模式 通过退伍军人事务部（VA）门诊PTSD诊所对两类 结果变量：1）临床结果，如症状严重程度和社会 功能; 2）过程结果，如患者 满意度/接受度、治疗可信度、会议出席率、治疗 依从性和治疗脱落。

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.