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Telepsychogeriatrics: a new horizon in the care of mental health problems in the elderly

Published online by Cambridge University Press:  12 June 2012

Ramón Ramos-Ríos ,
Raimundo Mateos ,
David Lojo ,
David K. Conn  and
Tim Patterson
Ramón Ramos-Ríos
Affiliation:
Psychogeriatric Unit, Psychiatry Department, Complejo Hospitalario Universitario de Santiago de Compostela (CHUS), Santiago de Compostela, Spain
Raimundo Mateos*
Affiliation:
Psychogeriatric Unit, Psychiatry Department, Complejo Hospitalario Universitario de Santiago de Compostela (CHUS), Santiago de Compostela, Spain Department of Psychiatry, Universidad de Santiago de Compostela (USC), Santiago de Compostela, Spain
David Lojo
Affiliation:
Higher Systems and Information Technology Government Body, CHUS, Santiago de Compostela, Spain
David K. Conn
Affiliation:
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada Telehealth Services, Baycrest Centre for Geriatric Care, Toronto, Ontario, Canada
Tim Patterson
Affiliation:
Telehealth Services, Baycrest Centre for Geriatric Care, Toronto, Ontario, Canada
*
Correspondence should be addressed to: Prof. Raimundo Mateos, Department of Psychiatry, School of Medicine, ES 15782 Santiago de Compostela, Spain. Phone: +34 981 950 901; Fax: +34 981 951 901. Email: raimundo.mateos@usc.es.
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Abstract

Background: The use of telemedicine for the care of mental health problems has developed significantly over the last decade thanks to the emergence of a number of stable telepsychiatry programs in many countries. Parallel to this development, this care modality has also targeted specific populations with higher difficulty in gaining access to mental health services such as the elderly. Telepsychogeriatrics is expected to have an increasing role in providing care to geographically isolated rural communities, with a particular focus on long-term care facilities, in light of the high prevalence of psychiatric disorders in these centers and the lack of available specialized care.

Methods: A thorough search of the literature was conducted using Medline, Web of Science, and PsychINFO databases in order to gather available evidence on the applicability of telepsychiatry, specifically the use of videoconferencing for remote consultation, in the elderly population with mental disorders. A succinct description of the selected studies is given along with a general reflection on the state-of-the-art in the field of psychogeriatric clinical practice and research.

Results: Research on the use of telemedicine in this age group has taken into account their special characteristics, and has focused on demonstrating its applicability, the acceptance and satisfaction of elderly users and their healthcare providers, the possibility of carrying out cognitive and diagnostic assessments, and the efficiency of these programs.

Conclusions: Despite limited experience, telepsychogeriatrics appears to be a viable option, well accepted by patients, including those having dementia. More systematized studies are needed in this new field based on larger sample sizes, including comparison with traditional consultations and assessment of the clinical outcomes.

Keywords

telemedicinetelehealthe-healthe-medicineremote consultationvideo consultationvideoconferencingtelepsychiatrytelepsychogeriatrics
Type
Review Article
Information
International Psychogeriatrics , Volume 24 , Issue 11 , November 2012 , pp. 1708 - 1724
Copyright
Copyright © International Psychogeriatric Association 2012

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