Tag Archives: technology

InSight Telepsychiatry Supports Creativity and Innovation During Psychiatry Innovation Lab Event

Oct. 19, 2016 | InSight Telepsychiatry was proud to support three awards during the Psychiatry Innovation Lab at IPS: The Mental Health Services Conference organized by the American Psychiatric Association.

Washington, D.C. — InSight Telepsychiatry awarded three finalists for innovative ideas in the advancement of behavioral health care during the Psychiatry Innovation Lab at IPS: The Mental Health Services Conference organized by the American Psychiatric Association.

Chaired by psychiatrist and author Dr. Nina Vasan, the Psychiatry Innovation Lab is an educational workshop that fosters the advancement of health care delivery. The lab offers the opportunity for professionals in technology, business, medicine, government and nonprofits to connect and collaborate with psychiatrists and mental health professionals.

On Oct. 8, participants pitched ideas for the advancement of behavioral health care delivery by way of entrepreneurship, policy, systems redesign, education, collaboration, technology and more. InSight awarded a total of three of the six awards presented at the event.

A team of neuropsychiatry-minded high school students was awarded Outstanding Progress for their work on AlzHelp, an augmented-reality and intelligent personal assistant app that keeps individuals living with Alzheimer’s disease safe. The app was designed by Akanksha Jain, Michelle Koh and Priscilla Siow.

Presented by mental health care entrepreneur April Koh, Spring.com was awarded the Most Promising Innovation for enabling the prediction of treatment outcomes for depression by way of machine-learning and big data.

The last award supported by InSight went to a group called Beacon led by Shrenik Jain for the Most Disruptive Innovation. Beacon is a mobile application for chat-based group therapy that has participated in a diverse selection of health care technology initiatives. A consistent group of anonymous users come together in judgement-free communities with this group therapy app.

Other winners included: The grand prize winner Joseph Insler for his “overdose recovery bracelet” and the audience choice Swathi Krishna for SPECTRUM, an app for children with autism spectrum disorder.

As the leading national telepsychiatry organization, InSight is proud to support a workshop that cultivates the advancement of behavioral health care through innovative applications of technology. InSight provides psychiatric care through innovative applications of technology by providing telepsychiatry services to hospitals, outpatient clinics and other health care organizations nationwide.

New Psychiatric Practice in New York Allows Individuals to Get Their Mental Wellness On(line)

Telebehavioral health allows individuals to attend sessions with behavioral and mental health providers online through secure videoconferencing. Inpathy is a division of InSight Telepsychiatry, the largest telebehavioral health organization in the nation.

Inpathy providers include adult and child and adolescent psychiatrists and psychiatric nurse practitioners that are available for psychiatric assessments, medication management and prescriptions when appropriate. Therapists and counselors are also available for talk therapy sessions through telehealth.

Many of the Inpathy telebehavioral health providers offer night and weekend appointments, which can be accessed through the internet from home using a smartphone, tablet or a computer with a webcamera. This makes managing behavioral health care more convenient by eliminating the need to travel to in-person appointments and sit in waiting rooms. Another benefit of telebehavioral health is that it is a more private way to access behavioral health services, which makes it a good option for individuals who are worried about a stigma on behavioral or mental health care.

Just like in an in-person office, the telebehavioral health providers who deliver services through Inpathy are fully supported by a clinical and administrative staff that handles their scheduling, billing, intake, general operations and clinical oversight.
Inpathy accepts insurance from several major insurance companies, including Aetna. For in-network telebehavioral health sessions, individuals are only charged their co-pay just like they would be for an in-person session. Inpathy providers are also available for out-of-network and cash-pay appointments.

“There is a huge shortage of psychiatrists across the nation,” says Geoffrey Boyce, executive director at InSight. “Telepsychiatry and telebehavioral health offer a unique solution for making psychiatry appointments easier to book and attend.”

Inpathy has telebehavioral health appointments available with many New York-licensed providers, including the following:

  • Doug Ikelheimer, MD- an extremely experienced telepsychiatrist with expertise in the psychopharmacologic management of mood disorders, anxiety disorders, chronic mental illness and addictions
  • Catherine Newton, LCSW – a licesnsed clinical social worker who specializes in working with individuals who have experienced trauma and is trained in Eye Movement Desensitiazation and Reprocessing (EMDR)
  • Ragy Girgis, MD – a board certified psychiatrist with an interest in the psychopharmalcologic management of schizophrenia, mood disorders, anxiety disorders and eating disorders in adults
  • Hinna Shah, MD – a board certified adult and child and adolescent psychiatrist with experience working with individuals who have depression, bipolar disorder, anxiety disorders, autism spectrum disorder and ADHD
  • Liz Espinoza, LCSW – a Spanish-speaking licensed clinical social worker who is interested in helping individuals achieve life goals and specializes in anger management, relationship, communication and life transition issues

Telehealth is a rapidly growing industry and more and more insurance companies and providers are offering this form of care. Numerous studies have shown telebehavioral health to be as effective as in-person behavioral health services in most situations.

To get started as an individual using telebehavioral health care, individuals can visit http://www.inpathy.com to search the Inpathy provider directory, sign up, select an appropriate provider and schedule a session. Inpathy has a 24-hour technical support line and care navigation team that can be reached at 1.800.442.8938.

InSight is also in the process of developing referral relationships with a number of New York organizations that could benefit from additional behavioral health services for their clients. To learn more about this or connect individuals you know to care, visit http://www.inpathy.com.

Cathy Newton

Telepsychiatry: The New Frontier in Mental Health

January 15, 2015 | By Kristen Crane
View this story on U.S. News and World Report.
How technology is helping ‘bring’ psychiatrists to people in underserved areas.

When Hind Benjelloun, a District of Columbia–based crisis psychiatrist with InSight Telepsychiatry, works an overnight shift, there’s never a dull moment. Even when the emergency room empties out, Benjelloun still has patients waiting for her on her computer screen. Whether they’re from the inner city or rural Virginia, they have to be seen remotely, and advances in technology have made it possible for them to get the help they need at all hours of the day.Picture4

Like telemedicine, telepsychiatry relies on technology to bring clinical medicine to patients, rather than the other way around. Patients typically videoconference with doctors using computers or videoconferencing equipment. Telepsychiatric services are growing, and the advantage is that such technology opens access to care, particularly for those in remote areas where there are fewer psychiatrists.

The disadvantage, Benjelloun says, is that the human touch is missing. “A caring touch or handing a patient a tissue can never be possible,” she says, adding that this can also lead to missed cues on her part. “I am unable to clearly see self-inflicted wounds or tears.”

But many experts agree that despite the challenges of delivering care remotely, the advantages of telepsychiatry far outweigh the disadvantages.

South Carolina Transforms Psychiatric Care

In South Carolina, a steady decline of hospital beds for psychiatric patients in the 1980s and ‘90s due to downsizing at hospitals led to waiting lists in the early 2000s, says Mark Binkley, general counsel at the South Carolina Department of Mental Health.

This hit the community hospitals particularly hard. “When somebody needs a hospital bed, they usually wind up in a hospital emergency room,” Binkley says. And if you don’t have a psychiatrist on staff, he adds, “the tendency for the small ER was to hold onto the patient.” This led to prolonged hospital stays, which became a drain on already strapped hospital budgets.

In 2006, the state’s new health director, John McGill, proposed a solution: technology. With funding from The Duke Endowment, one of the nation’s largest private foundations, he was able to “deploy” psychiatrists to people living in underserved, rural areas via the Internet. This enabled psychiatrists, many of whom were (and still are) clustered in the state’s capital, Charleston, to consult with patients in real-time, irrespective of location, Binkley adds.

The results of this pilot study have been promising. Since the program started in March of 2009, there have been 21,900 total consultations, an average of about 400 per month. While only available to those admitted to emergency departments, patients at participating hospitals have experienced shorter stays, yielding $1,400 in savings per episode of care, Binkley says. Furthermore, patients who came through the program are 200 percent more likely to show up for aftercare, he adds.

Telemedicine vs. Telepsychiatry

Although telepsychiatry has developed on the heels of telemedicine, which uses technology to do things such as take patients’ vital signs and send the results remotely, studies have shown that telepsychiatry might actually benefit psychiatric patients more. That’s because their propensity to use the ER may be greater, Binkley says, so helping them avoid that visit through remote care is particularly advantageous.

Also, psychiatric patients may be more willing to open up from the comfort of their home. “Very rarely do patients have a problem talking to a psychiatrist on a big video screen,” Binkley says.

Jim Varrell, a New Jersey–based psychiatrist and medical director of Insight Telepsychiatry, which provides telepsychiatry services to clinics and private users of telepsychiatry services, adds that patients with behavioral problems are more often compliant with remote consultations. “They do better in response to this service, as opposed to being in a room with one to two adults who are pointing out what’s wrong with them,” Varrell says. “They open up more through this medium.”

The profile of patients using telepsychiatry is wide-ranging and includes everyone from children to geriatric patients; English to foreign-language speakers; and people experiencing mild depression to those in the midst of a psychotic episode. “Ultimately people are absolutely able to do it,” Varrell says. “We haven’t had any group unable to do it.”

Sound quality can be more important than picture quality, he adds, especially in older patients with hearing problems. And while the major disadvantage of remote services is the absence of personal contact, which limits a psychiatrist’s ability to use all senses when evaluating the patient, the equipment (a computer and video camera) has a number of features that can help offset that limitation. For example, it can allow the camera to zoom in on the face to visualize the dilation of eyeballs and any tics, Binkley says. There are extensive security protocols for protecting patient privacy as well, Varrell adds.

Expanding Across the Country

While South Carolina is a leader in the nation’s adoption of telepsychiatry, thousands of programs have been launched in all 50 states, says Geoffrey Boyce, executive director of InSight Telepsychiatry. More than 1 million consultations are estimated to occur in the United States this year, he adds – many of which will be in underserved populations that extend beyond just rural pockets. “When you’re talking about the weekends and after hours, that’s where it can make a lot of sense in the urban areas,” he says.

“In a more rural area, nobody has access [to psychiatric care],” he says. Telepsychiatry is “enormously more affordable at that point,” Boyce says, since people who otherwise might have had to take a whole day off work to travel to see a doctor can now be seen in the comfort of their community hospital or home.

So far, California, Texas and Colorado have been the biggest adopters of telepsychiatry, apart from South Carolina. Regulatory and insurance reimbursement issues have held other states back from wide adoption of these services, Boyce says.

Many psychiatrists have begun to embrace the concept of serving patients remotely, Varrell says.

Several, like Benjelloun, find it gratifying to reach patients who were once out of reach. “[Telepsychiatry] allows for patients to be examined by a psychiatrist within an hour, as opposed to waiting for days in an emergency room,” she says.

View this story on U.S. News and World Report.