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Telepsychiatry: An Opportunity to Expand Access to Psychiatric Care

Posted by VISTA Staffing on Dec 15, 2014 11:32:00 AM

In most cases, in-person consultation with a psychiatrist would be preferable to a video conference. However, when patients have limited access to in-person visits, telepsychiatry can fill a pressing need – a need that is already quite large, and likely to grow.

According to U.S. Department of Health and Human Services data, in 2013 over 90 million Americans lived in areas where it was difficult to get psychiatric treatment, and in early 2014 “55% of the nation's 3,100 counties [had] no practicing psychiatrists, psychologists or social workers.”1 Meanwhile, the bulk of the current population of psychiatrists is approaching retirement, with 70% of practitioners age 50 and older.2

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Benefits of telepsychiatry include:

  • Supports patients whose location limits their access to psychiatric care (in remote or underserved areas, on military front lines, at correctional facilities, or on ships and oil rigs)
  • Reduces time and money spent on travel by both patients and doctors
  • Addresses patient concerns about privacy (they won’t be seen visiting the office)
  • Provides fast access to expert psychiatric opinion in emergency or on-call situations
  • Enables psychiatrists to continue working who might otherwise retire, thus increasing availability of care

Telepsychiatry is not a new practice. The earliest known use dates back to 1959, at the Nebraska Psychiatric Institute in Omaha.3 But what used to be a rare exception is becoming more common, especially since Internet-based video conferencing has become more widely available, cost-effective, and secure.

In recent years, states such as North Carolina and Alaska have launched telepsychiatry programs to meet the needs of remote and underserved communities. And correctional facilities in Arizona, California, Georgia, Kansas, Ohio, Texas, and West Virginia have found success using telepsychiatry to treat their inmates. Telepsychiatry has also proven useful in emergency rooms, enabling patients to receive psychiatric consults much sooner than if they had to wait for a local psychiatrist to arrive.

Video conferencing technology can facilitate telepsychiatry in a number of ways. Patients and doctors can participate in sessions from home, or from medical facilities or offices. Typically, all the hardware required is an Internet-connected computer, a webcam, a monitor or television screen, and an audio connection – and often a laptop can provide all of the above.4 To allay security concerns, video conferencing software that encrypts transmissions end to end is recommended.

The key limitation to telepsychiatry is the reimbursement issue. While Medicare, Medicaid and some third-party payers cover telepsychiatry in specific circumstances, regulations vary from state to state.5 However, as evidence showing the effectiveness of telepsychiatry continues to mount, it seems likely that insurance coverage for remote psychiatric treatment will increase, 


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VISTA Staffing Solutions has over thirty years of experience providing award-winning customer service to clients and providers alike. Headquartered in Salt Lake City with additional offices in Atlanta and Houston, and employs approximately 1,000 people between corporate staff and field clinicians and contracts with over 2,500 physicians across 60+ specialties and subspecialties. VISTA helps U.S. hospitals, medical practices, and government agencies optimize their physician staffing, ensure quality and continuity of care for patients, and maintain financial stability. As a leading provider of U.S. Locum Tenens and Permanent Physician Search Services, VISTA also operates VISTA Select, a first-of-its-kind technology and services solution utilizing advanced data and analytics to provide healthcare organizations with customizable workforce optimization solutions.