"Help us learn more about new approaches to providing psychiatric consultations in Skilled nursing facilities (SNFs)"
18 to 100 years old
There is a critical shortage of psychiatric services to people with mental illness who live in Skilled Nursing Facilities (SNFs), especially those in rural settings. Although real-time video conferencing psychiatric consultation, termed Synchronous Telepsychiatry (STP), has been around for almost 3 decades, its adaptation is met with logistic and other challenges. This study looks at video taped interviews of patients, viewed at a later time by psychiatrists, called asynchronous telepsychiatry (ATP) compared to live video conferencing evaluation, (synchronous psychiatry).
This study requires
There will be a total of 6 study assessments over 12-months which means that you will have an assessment at the first visit, then in 1, 2, 3, 6 and 12 months Satisfaction survey after each study assessment
Who can participate?
Participants must be residents of SNF that has been approved by University of California, Davis IRB, and adults aged ≥18, with non-emergent psychiatric issues, including:
depression, schizophrenia, bipolar disorder, PTSD, dementia behavioral problems, management of psychiatric medications, and others mental health problems. Chronic medical disorders are not excluded. Study PI or co-PI will be available by phone to help with screening.
1. Residents with imminent suicidal and/or violence risks that require emergency psychiatric referrals or patients who cannot wait until the next ATP/STP evaluation,
2. Residents with imminent risks will be referred to the local emergency department as is the current practice at both SNFs, and 3) Residents who are unable to consent to the study and who do not have surrogate decisional makers to provide informed consent will not be able to participate.