Download - ã - King's Fund
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TAP: TECHNOLOGY ASSISTED PSYCHIATRYIntroducing telepsychiatry into an Emergency Department service
Dr Kezia Lange and Dr Kathleen Kelly, Oxford Health NHS Foundation Trust
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Quantifying the reluctance
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Patients MH staff ED staff
How likely are you to recommend using this sort of technology to patients?
Extremelyunlikely/Unlikely
Likely/Extremelylikely
Neither unlikelyor likely/Don'tknow
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ED staff
MH staff
Patients
How confident do you think you would be that the EDPS clinician had gathered sufficient information
from the video assessment, as compared to a face-to-face assessment?
Not at all confidentNot very confidentQuite confidentVery confident
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Confronting our fears
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I was comfortable with using thetechnology, once we got started
I could clearly hear the otherclinician's voice.
I could clearly see the otherclinician.
I felt that the other clinician wasable to express his/her thoughts
and concerns well enough
Strongly AgreeAgreeDisagreeStrongly Disagree
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Cake, trial and error
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Success!
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Success!
44 new assessments• 10 follow-up sessions done via TAP
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16-24 25-34 35-44 45-54 55+
Age distribution of new assessment patients seen via telepsychiatry (n=44)
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Anxiety Eatingdisorder
Low mood Psychosis Suicidalideation
Self-harm
Reason for referral: new assessment patients seen via telepsychiatry (n=44)
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30%
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5%
5% 0%
How would you rate your overall experience of using telepsychiatry?
Excellent
Good
Fair
Poor
Extremely Poor
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It’s brilliant that there is no travel or expense involved. I was nervous as to how this would be but I was really surprised as to how effective it was and how you almost forget that the other person isn't in the same room as you.
Just that it was a great new experience!
Was generally ‘good’ & image & audio were both clear.
I found this extremely useful, convenient and actually enjoyed my session. Thank you.
It really helped me cope with my emotions better
None, really just surprised how personal the experience, was. I was very sceptical when the Doctor told me how they were going to conduct the assessment.
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36%
64%
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Follow-up patients: How would you rate your overall experience of using telepsychiatry?
Excellent
Good
Fair
Poor
Extremely Poor
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How likely are you torecommend using this
technique to friends andfamily?
How likely would you bewilling to use this
technology again?
Clinician feedback new assessments and follow-ups n=50
Extremely likely
Likely
Neither likely norunlikely/Don't know
Unlikely
Extremely unlikely
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The patient was not fazed by it at all! I was able to still establish a good rapport with her, which had been one of my concerns.
Efficient system; well thought out and convenient.
This was the first time I really felt comfortable with using this technology, before this I had to brace myself a bit before starting, but this time it felt completely comfortable and easy (I think I am used to it now!) and felt like it was just as good as a face-to-face assessment. It saved me over 2 hours of driving time (when I can't do any other work) and the patient was seen far more quickly, and discharged promptly from ED. Many thanks to the ED staff who facilitated the interview.
I do not understand why we are not using more of this technology.
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Self-harm Suicidal ? Psychosis Other
Reason for referral
TAP
F2F
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Where patient discharged to after assessment
TAP
F2F
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persuading others to ‘give it a go'
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