This proposal addresses the use of an innovative Health IT application which great potential to improve the efficiency and reach of mental health services to individuals in need by improving the quality and outcomes of care, reducing costs and increasing access to care. This application proposes the use of an innovative, novel technological solution (Asynchronous Telepsychiatry) to mental health care shortages. To assess the impact of this novel approach, this randomized controlled trial of clinical outcomes seeks to evaluate the superiority of asynchronous telepsychiatry (ATP) consultation model on access, quality, cost and outcomes of care over the usual face-to-face telepsychiatry consultation model for adults referred from primary care clinics for psychiatric evaluation and treatment. In this proposed project we will refine the different process and technological approaches that can be used to deliver ATP as part of daily clinical practice, which patient groups find it most useful and effective, and what clinical styles of training and interaction work best with the ATP process. We intend to demonstrate how the health IT system, ATP, can better support clinical practice across a variety of care settings (i.e. primary care, out-patient mental health settings) and with diverse patient populations.

Public Health Relevance

This project addresses a critical public mental health problem: the need to improve access to high quality, mental health services for diverse populations through improving the flow of clinical work across care settings(primary care and specialty care) by implementing efficient, provider compatible, administratively simple health IT solution: Asynchronous Telepsychiatry.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Project (R01)
Project #
1R01HS021477-01A1
Application #
8631668
Study Section
Health Care Technology and Decision Science (HTDS)
Program Officer
Mullican, Charlotte
Project Start
2013-09-30
Project End
2018-09-29
Budget Start
2013-09-30
Budget End
2018-09-29
Support Year
1
Fiscal Year
2013
Total Cost
Indirect Cost
Name
University of California Davis
Department
None
Type
Organized Research Units
DUNS #
047120084
City
Davis
State
CA
Country
United States
Zip Code
95618