Videoconferencing in Mental Health Care
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1 Videoconferencing in Mental Health Care etelemed conference, April 2016, Venice, Italy Marijke Span Marike Hettinga, Annemarie van Hout, Aranka Dol, Ruud Janssen
2 Introduction Telecare: opportunity to reduce costs (COM, 2012) Adoption of telecare is slower than has been anticipated (Taylor et al 2015) Lack of acceptance is key barrier (Brewster et al 2012) Mental healthcare organizations embrace videoconferencing (Shore 2013) Mental healthcare professionals experience many issues and dilemma s in using videoconferencing (Janssen et al. 2015) Mental healthcare professionals are in need for support
3 Aim and Research Questions Aim: To support mental healthcare professionals in using videoconferencing in mental healthcare RQ 1. What support do mental healthcare professionals need in using videoconferencing? 2. Which tools may be supportive in using videoconferencing?
4 Methods 45 observations and interviews (130h) with 30 mental healthcare professionals of FACT (flexible assertive community treatment) teams Critical incidents method Field notes Transcriptions: transcribed verbatim Thematic Analysis
5 Setting
6 Results RQ1: Need of support
7 Type of videoconferencer Embracer Hands shaker Greeter
8 Embracer Sees only added value for client and professional Seems aware of benefits Practises videoconferencing easily: natural contact Offers videoconferencing to all clients
9 Greeter Says hello to new things but shows no commitment. Sees home visits as most important way of contacting clients Cannot start en does not know how to start videoconferencing (all kind of tresholds) Videoconferencing is not offered to clients
10 Hands shaker Positive attitude but videoconferencing needs to be more integrated in care Uses videoconferencing with few clients. Open attitude towards support for using videoconferencing Videoconferencing is not offered to new clients, no daily routine
11 RQ1:Need of support Care-related Insight into the added value of videoconferencing Clearness about inclusion/exclusion criteria Evaluating use of videoconferencing Organisational Time to familiarize Technical support Seducing vs imposing
12 Added value Accessible Tailored care Chitchat Nearness vs distance Efficiency Flexible
13 Possible supportive digital tools Support with starting Roadmap Clients help clients Best practices Serious game to exercise Creating awareness Screening instrument (added value and goals) Video s with experiences Reflection game Intervision
14 Conclusion Support for mental healthcare professionals: At start Awareness Focus on care-related goals Future research: Developing tailored tools Focus on partnership: involving mental health professionals and clients
15 References European Commission. Communication from the commission to the European Parliament, the Council, the Europlian Economic and Social Committee and the Committee of the regions. ehealth Action Plan Innovative Healthcare for the 21st century. COM (2012) 736. Taylor, J., Coates, E., Wessels, B., Mountain, G. and Hawley M. (2015) Implementing solutions to improve and expand telehealth adoption: participatory action research in four community healthcare settings. BMC Health Services Research 15: 529. Brewster, L., Mountain, G., Wessels, B., Kelly, C. and Hawley, M (2013) Factors affecting frontline staff acceptance of telehealth technologies: a mixed-method systematic review. Journal of Advanced Nursing 70(1) doi: /jan12196 J. H. Shore, Telepsychiatry: videoconferencing in the delivery of psychiatric care, Am J Psychiatry, vol. 170, no. 3, March 2013, pp R. Janssen, H. Prins, A. van Hout, J. Nauta, L. van der Krieke, S. Sytema and M. Hettinga, Videoconferencing in Mental Health Care: Professional Dilemmas in a Changing Health Care Practice. In: Proceedings etelemed 2015: The Seventh International Conference on ehealth, Telemedicine, and Social Medicine, Lisbon, Portugal, February 2015, pp. 1-5.
16 Thank you for your attention!
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