Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers

Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists...

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Published inIndian journal of psychological medicine Vol. 42; no. 5_suppl; pp. 41S - 46S
Main Authors Sivakumar, Palanimuthu Thangaraju, Mukku, Shiva Shanker Reddy, Kar, Nilamadhab, Manjunatha, Narayana, Phutane, Vivek Haridas, Sinha, Preeti, Kumar, Channaveerachari Naveen, Math, Suresh Bada
Format Journal Article
LanguageEnglish
Published New Delhi, India SAGE Publications 01.10.2020
Sage Publications, New Delhi India
SAGE Publishing
Subjects
COVID-19
Geriatric psychiatry
Geriatrics
Mental disorders
Mental health
Older people
Telemedicine
Viewpoints
India
older adults
operational guidelines
Telepsychiatry
mental health care
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Abstract Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.
AbstractList Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.
Author Mukku, Shiva Shanker Reddy
Kar, Nilamadhab
Sivakumar, Palanimuthu Thangaraju
Phutane, Vivek Haridas
Kumar, Channaveerachari Naveen
Sinha, Preeti
Manjunatha, Narayana
Math, Suresh Bada
AuthorAffiliation 1 Dept. of Psychiatry, Geriatric Clinic and Services, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
3 Tele Medicine Centre, Dept. of Psychiatry, NIMHANS, Bengaluru, India
2 Black Country Healthcare NHS Foundation Trust, Wolverhampton, England, United Kingdom
4 Goulburn Valley Area Mental Health Services (GVAMHS), Goulburn Valley Health, Shepparton and Melbourne Medical School, The University of Melbourne, Victoria, Australia
AuthorAffiliation_xml – name: 1 Dept. of Psychiatry, Geriatric Clinic and Services, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
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Issue 5_suppl
Keywords older adults
operational guidelines
Telepsychiatry
mental health care
Language English
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Geriatric psychiatry
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Mental disorders
Mental health
Older people
Telemedicine
Viewpoints
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Title Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers
URI https://journals.sagepub.com/doi/full/10.1177/0253717620958380
https://www.ncbi.nlm.nih.gov/pubmed/33354062
https://www.proquest.com/docview/2583091160/abstract/
https://search.proquest.com/docview/2473415459
https://pubmed.ncbi.nlm.nih.gov/PMC7736734
https://doaj.org/article/6973f66bc20244c5859cc855cc421cfa
Volume 42
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