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61 Services for telepsychiatry – indicator for mobbing

Published online by Cambridge University Press:  24 June 2014

Milan Stojakovic
Milan Stojakovic*
Affiliation:
Department Of Psychiatry & Clinic For Psychiatry, Clinical Center, Banjaluka School Of Medicine, University Of Banjaluka, Macvanska 10, 78000 Banjaluka, Bosnia-Herzegovina, E-mail: misos@blic.net
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Abstract

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Type
Posters – Psychiatry
Information
Acta Neuropsychiatrica , Volume 21 , Issue S2: Special Issue: Abstracts of 49th Neuropsychiatric Pula Congress, 17-20 June 2009, Pula, Croatia , June 2009 , pp. 92 - 93
Copyright
Copyright © 2009 John Wiley & Sons A/S

Introduction/Objectives:

Telepsychiatry, as a branch of telemedicine, may be defined as the delivery of psychiatric treatment remotely, using live two-way video-teleconferencing equipment. Telepsychiatry and e-mental health services primarily involve videoconferencing over high speed (broadband) networks to enable natural interactions between patients and providers. The term “telepsychiatry” refers to the use of telecommunication technologies with the aim of providing psychiatric services from a distance. Services for telepsychiatry provided include:

1) Mental health Consultation services

2) Medication Review

3) Follow-Up Visits to Monitor Patient Progress

4) Individual and Family Therapy

5) Emergency Consultation

6) Patient Care

7) Medication management without travel

8) Employee Assistance Program

In this paper, we showed the experience, application and effect of various treatment models, including telepsychiatry use for psychometric instruments, tests and scales. Clients' examinees have given their consent to participate in the research and treatment of mobbing phenomena.

Participants, Materials/Methods:

Total sample data is 220 examinees, in the age of 18–65 years, of both sexes, all working people, of different social status and cultural habits. They have been treated in Center for telepsychiatry in virtual psychiatry Ambulance for various psychiatric syndromes all having the same denominator-mobbing, as ethiopathogenetic factor. In the research, the following instruments were used: Questionnaire of socio-demographical, Telepsychiatric interview (with teleconsultation), Beck's scale for self-esteem of depression, Hamilton's scale for depression (HAM-D) and Hamilton's scale for anxiety (HAM-A).

Results:

Upon evaluation, it was identified that major proportion of examinees shows:

1) Mental health and psychiatric diagnosis 142 (64, 55%)

2) And other Different somatic diagnosis 74 (33, 64%)

3) And only 4 (1, 81%) without any diagnosis.

4) From 142 (64, 55%) Mental health and psychiatric diagnosis major 110 (77, 46%) include symptoms of depression; that is statistically important P < 0.01.

Conclusions:

With treatment by telepsychiatry with teleconsultation result is significantly reduces consequences to mental health. These facts are best confirmed by measurement instruments used during this research: HAM-D, Beck's scale and ICD 10. Phenomena of abuse on workplace should be continuously researched, and all gained results could have significant clinical, public health and research implications.