通过创新的远程精神病学模式推进抑郁症和其他情绪障碍的治疗。
Advancing Treatment of Depression and Other Mood Disorders Through Innovative Models of Telepsychiatry.
作者信息
Shore Jay H, Schneck Christopher D, Mishkind Matthew, Caudill Robert, Thomas Marshal
机构信息
Helen and Arthur E Johnson Depression Center, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora (Shore, Schneck, Mishkind, Thomas); AccessCare, Aurora, Colorado (Shore, Thomas); Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, Louisville, Kentucky (Caudill).
出版信息
Focus (Am Psychiatr Publ). 2020 Apr;18(2):169-174. doi: 10.1176/appi.focus.20190039. Epub 2020 Apr 23.
Rapid changes in health care technology are advancing mental health care. Telepsychiatry, in the form of live interactive videoconferencing, has demonstrated its ability to improve access to high-quality mental health care, specifically in the treatment of patients with depression and mood disorders. This article reviews the advances in telepsychiatry in the treatment of depression and mood disorders. Telepsychiatry is significantly reconfiguring the structures and models of psychiatric care delivery. Such changes include direct-to-home services, blending telepsychiatry with other technologies, and using a team-based care approach. This article also examines the evolving and innovative models of care, synthesizes literature and lessons learned about telehealth, and considers current and future pragmatic implications for the treatment of depression and mood disorders in various clinical settings. Telepsychiatry has an important and expanding role in addressing the individual and societal psychiatric burdens of depression and mood disorders.
医疗保健技术的快速变革正在推动精神卫生保健的发展。以实时交互式视频会议形式开展的远程精神病学，已证明其有能力改善获得高质量精神卫生保健的机会，特别是在治疗抑郁症和情绪障碍患者方面。本文综述了远程精神病学在治疗抑郁症和情绪障碍方面的进展。远程精神病学正在显著地重新构建精神科护理服务的结构和模式。这些变化包括直接上门服务、将远程精神病学与其他技术相结合，以及采用基于团队的护理方法。本文还探讨了不断演变和创新的护理模式，综合了有关远程医疗的文献和经验教训，并考虑了在各种临床环境中治疗抑郁症和情绪障碍的当前和未来实际影响。远程精神病学在应对抑郁症和情绪障碍给个人和社会带来的精神负担方面发挥着重要且不断扩大的作用。
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