TY - JOUR KW - Adult KW - Aged KW - behavioral health KW - Costs and Cost Analysis KW - Humans KW - Mental Disorders/therapy KW - Middle Aged KW - Patient Satisfaction KW - Primary Health Care/organization & administration KW - Psychiatry/organization & administration KW - Referral and Consultation/organization & administration KW - Research Design KW - Socioeconomic Factors KW - telehealth KW - Telemedicine KW - Telemedicine/organization & administration KW - Telepsychiatry KW - Treatment Outcome AU - P. Yellowlees AU - Burke Parish AU - A. Gonzalez AU - S. Chan AU - D. Hilty AU - A. M. Iosif AU - R. McCarron AU - A. Odor AU - L. Scher AU - A. Sciolla AU - J. Shore AU - G. Xiong A1 - AB - OBJECTIVE: Integrated behavioral healthcare models typically involve a range of consultation options for mental healthcare. Asynchronous telepsychiatry (ATP) consults may be an additional potential choice, so we are conducting a 5-year clinical trial comparing ATP with synchronous telepsychiatry (STP) consultations. METHODS: Patients referred by primary care providers are randomly assigned to one of the two treatment groups, ATP or STP. Clinical outcome, satisfaction, and economic data are being collected from patients for 2 years at 6-month intervals. RESULTS: Baseline characteristics for the first 158 patients and case examples of ATP are presented. CONCLUSION: Implementing ATP in existing integrated behavioral healthcare models could make mental healthcare more efficient. BT - Telemedicine journal and e-health : the official journal of the American Telemedicine Association C5 - Financing & Sustainability; HIT & Telehealth CP - 5 CY - United States DO - 10.1089/tmj.2017.0103 IS - 5 JF - Telemedicine journal and e-health : the official journal of the American Telemedicine Association N2 - OBJECTIVE: Integrated behavioral healthcare models typically involve a range of consultation options for mental healthcare. Asynchronous telepsychiatry (ATP) consults may be an additional potential choice, so we are conducting a 5-year clinical trial comparing ATP with synchronous telepsychiatry (STP) consultations. METHODS: Patients referred by primary care providers are randomly assigned to one of the two treatment groups, ATP or STP. Clinical outcome, satisfaction, and economic data are being collected from patients for 2 years at 6-month intervals. RESULTS: Baseline characteristics for the first 158 patients and case examples of ATP are presented. CONCLUSION: Implementing ATP in existing integrated behavioral healthcare models could make mental healthcare more efficient. PP - United States PY - 2018 SN - 1556-3669; 1530-5627 SP - 375 EP - 378 EP - T1 - Asynchronous Telepsychiatry: A Component of Stepped Integrated Care T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association TI - Asynchronous Telepsychiatry: A Component of Stepped Integrated Care U1 - Financing & Sustainability; HIT & Telehealth U2 - 29024612 U3 - 10.1089/tmj.2017.0103 VL - 24 VO - 1556-3669; 1530-5627 Y1 - 2018 ER -