Using Academic Consultation-Liaison Telepsychiatry to Meet the Mental Health Needs of Complex, Medically Ill Patients in Underserved Areas: A Case Report

被引：0

作者：

Goodman, Zachary S. ^{[1
,2
]}

Gardner, Spencer M. ^{[3
]}

Rustad, James K. ^{[1
,4
,5
]}

Finn, Christine T. ^{[1
,2
]}

Landsman, H. Samuel ^{[1
,2
]}

Ho, Patrick A. ^{[1
,2
]}

机构：

[1] Geisel Sch Med Dartmouth, Dept Psychiat, 1 Med Ctr Dr, Lebanon, NH 03756 USA

[2] Dartmouth Hitchcock Med Ctr, Dept Psychiat, Lebanon, NH USA

[3] Univ Cincinnati, Coll Med, Dept Psychiat & Behav Neurosci, Cincinnati, OH USA

[4] Univ Vermont, Larner Coll Med, Dept Psychiat, Burlington, VT USA

[5] White River Junct VA Med Ctr, Dept Mental Hlth & Behav Sci, White River Jct, VT USA

来源：

TELEMEDICINE AND E-HEALTH | 2024年 / 30卷 / 03期

关键词：

consultation-liaison; telepsychiatry; rural; case report; Wernicke encephalopathy; capacity; EMERGENCY; TELEMEDICINE; SHORTAGE; DELIVERY; SERVICES;

D O I：

10.1089/tmj.2023.0352

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: The nationwide shortage of mental health resources often disproportionately affects rural areas. As innovative strategies are required to address mental health resource shortages in rural areas, telepsychiatry consultation (TPC) may represent a population health-oriented approach to bridge this gap. In this case report, we examine the use of TPC from an academic consultation-liaison psychiatry service to a rural community hospital.Case Report: We describe the case of a woman with Wernicke encephalopathy seeking to leave the hospital against medical advice and the role that the TPC service played in the patient's evaluation and management, including assessing decision-making capacity.Discussion: We then examine benefits and limitations of the service, including a narrative review of the relevant, but limited, available literature as well as suggestions for how the service may be improved and incorporated into psychiatry residency and fellowship training in the future.

引用

页码：895 / 898

页数：4