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Abstract

Rapid changes in health care technology are advancing mental health care. Telepsychiatry, in the form of live interactive videoconferencing, has demonstrated its ability to improve access to high-quality mental health care, specifically in the treatment of patients with depression and mood disorders. This article reviews the advances in telepsychiatry in the treatment of depression and mood disorders. Telepsychiatry is significantly reconfiguring the structures and models of psychiatric care delivery. Such changes include direct-to-home services, blending telepsychiatry with other technologies, and using a team-based care approach. This article also examines the evolving and innovative models of care, synthesizes literature and lessons learned about telehealth, and considers current and future pragmatic implications for the treatment of depression and mood disorders in various clinical settings. Telepsychiatry has an important and expanding role in addressing the individual and societal psychiatric burdens of depression and mood disorders.

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History

Published in print: Spring 2020
Published online: 24 April 2020

Keywords

  1. Telepsychiatry
  2. technology
  3. mood disorders
  4. Depression

Authors

Details

Jay H. Shore, M.D., M.P.H. [email protected]
Helen and Arthur E Johnson Depression Center, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora (Shore, Schneck, Mishkind, Thomas); AccessCare, Aurora, Colorado (Shore, Thomas); Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, Louisville, Kentucky (Caudill).
Christopher D. Schneck, M.D.
Helen and Arthur E Johnson Depression Center, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora (Shore, Schneck, Mishkind, Thomas); AccessCare, Aurora, Colorado (Shore, Thomas); Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, Louisville, Kentucky (Caudill).
Matthew Mishkind, Ph.D.
Helen and Arthur E Johnson Depression Center, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora (Shore, Schneck, Mishkind, Thomas); AccessCare, Aurora, Colorado (Shore, Thomas); Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, Louisville, Kentucky (Caudill).
Robert Caudill, M.D.
Helen and Arthur E Johnson Depression Center, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora (Shore, Schneck, Mishkind, Thomas); AccessCare, Aurora, Colorado (Shore, Thomas); Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, Louisville, Kentucky (Caudill).
Marshal Thomas, M.D.
Helen and Arthur E Johnson Depression Center, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora (Shore, Schneck, Mishkind, Thomas); AccessCare, Aurora, Colorado (Shore, Thomas); Department of Psychiatry and Behavioral Sciences, University of Louisville, School of Medicine, Louisville, Kentucky (Caudill).

Notes

Send correspondence to Dr. Shore ([email protected]).

Funding Information

Dr. Shore is chief medical officer of AccessCare, a provider of telemental health services, and has received royalties from Springer Publishing and from American Psychiatric Association Publishing. Dr. Mishkind reports serving on an advisory board for MetaPro. The other authors report no financial relationships with commercial interests.

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