TY - JOUR
KW - asynchronous
KW - Education
KW - primary care
KW - Telepsychiatry
KW - training
AU - M. B. Parish
AU - A. Gonzalez
AU - D. Hilty
AU - S. Chan
AU - G. Xiong
AU - L. Scher
AU - D. Liu
AU - A. Sciolla
AU - J. Shore
AU - R. McCarron
AU - D. Kahn
AU - A. M. Iosif
AU - P. Yellowlees
A1 - 
AB - Objective: Asynchronous telepsychiatry (ATP) is an integrative model of behavioral health service delivery that is applicable in a variety of settings and populations, particularly consultation in primary care. This article outlines the development of a training model for ATP clinician skills. Methods: Clinical and procedural training for ATP clinicians (n = 5) was provided by master's-level, clinical mental health providers developed by three experienced telepsychiatrists (P.Y. D.H., and J.S) and supervised by a tele-psychiatrist (PY, GX, DL) through seminar, case supervision, and case discussions. A training manual and one-on-one sessions were employed for initial training. Unstructured expert discussion and feedback sessions were conducted in the training phase of the study in year 1 and annually thereafter over the remaining 4 years of the study. The notes gathered during those sessions were synthesized into themes to gain a summary of the study telepsychiatrist training recommendations for ATP interviewers. Results: Expert feedback and discussion revealed three overarching themes of recommended skill sets for ATP interviewers: (1) comprehensive skills in brief psychiatric interviewing, (2) adequate knowledge base of behavioral health conditions and therapeutic techniques, and (3) clinical documentation, integrated care/consultation practices, and e-competency skill sets. The model of training and skill requirements from expert feedback sessions included these three skill sets. Technology training recommendations were also identified and included: (1) awareness of privacy/confidentiality for electronic data gathering, storage, management, and sharing; (2) technology troubleshooting; and (3) video filming/retrieval. Conclusions: We describe and provide a suggested training model for the use of ATP integrated behavioral health. The training needs for ATP clinicians were assessed on a limited convenience sample of experts and clinicians, and more rigorous studies of training for ATP and other technology-focused, behavioral health services are needed. Clinical Trials number: NCT03538860.
AD - Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Northern California Veterans Administration, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; School of Medicine, Stanford University, Palo Alto, California, USA.; Addiction Treatment Services, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; University of Colorado Anschutz Medical Campus, Denver, Colorado, USA.; Department of Psychiatry, University of California, Irvine, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Department of Public Health Sciences, University of California, Davis, Sacramento, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California, USA.; Division of Clinical Affairs, University of California, Davis, Sacramento, California, USA.
BT - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
C5 - Education & Workforce; HIT & Telehealth
CY - United States
DO - 10.1089/tmj.2020.0076
JF - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
LA - eng
M1 - Journal Article
N2 - Objective: Asynchronous telepsychiatry (ATP) is an integrative model of behavioral health service delivery that is applicable in a variety of settings and populations, particularly consultation in primary care. This article outlines the development of a training model for ATP clinician skills. Methods: Clinical and procedural training for ATP clinicians (n = 5) was provided by master's-level, clinical mental health providers developed by three experienced telepsychiatrists (P.Y. D.H., and J.S) and supervised by a tele-psychiatrist (PY, GX, DL) through seminar, case supervision, and case discussions. A training manual and one-on-one sessions were employed for initial training. Unstructured expert discussion and feedback sessions were conducted in the training phase of the study in year 1 and annually thereafter over the remaining 4 years of the study. The notes gathered during those sessions were synthesized into themes to gain a summary of the study telepsychiatrist training recommendations for ATP interviewers. Results: Expert feedback and discussion revealed three overarching themes of recommended skill sets for ATP interviewers: (1) comprehensive skills in brief psychiatric interviewing, (2) adequate knowledge base of behavioral health conditions and therapeutic techniques, and (3) clinical documentation, integrated care/consultation practices, and e-competency skill sets. The model of training and skill requirements from expert feedback sessions included these three skill sets. Technology training recommendations were also identified and included: (1) awareness of privacy/confidentiality for electronic data gathering, storage, management, and sharing; (2) technology troubleshooting; and (3) video filming/retrieval. Conclusions: We describe and provide a suggested training model for the use of ATP integrated behavioral health. The training needs for ATP clinicians were assessed on a limited convenience sample of experts and clinicians, and more rigorous studies of training for ATP and other technology-focused, behavioral health services are needed. Clinical Trials number: NCT03538860.
PP - United States
PY - 2021
SN - 1556-3669; 1530-5627
T1 - Asynchronous Telepsychiatry Interviewer Training Recommendations: A Model for Interdisciplinary, Integrated Behavioral Health Care
T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association
TI - Asynchronous Telepsychiatry Interviewer Training Recommendations: A Model for Interdisciplinary, Integrated Behavioral Health Care
U1 - Education & Workforce; HIT & Telehealth
U2 - 33434453
U3 - 10.1089/tmj.2020.0076
VO - 1556-3669; 1530-5627
Y1 - 2021
Y2 - Jan 12
ER -