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S. Gulati

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  • OS28 - Bringing Mental Health to the Forefront (ID 46)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
    • OS28.04 - Telemedicine and Its Growing Usage (ID 137)

      S. Gulati, Forensic, Secure Treatment Unit; Brockville/CA

      • Abstract
      • Slides

      Purpose/Objectives: To demonstate the adoption, applicability and benefits of using telemedicine.The intended outcomes were to prove an improvement in the accessibility and timelines of specialized mental health services for patients at the receiving institution, improving clinical outcomes for the recepients of the service and to reduce costs associated with the provision of mental health service.

      Methodology/Approach: We piloted the use of telemedine in a correctional setting over a 12 month period. The clinic was held once weekly with a mean of four clinics or sixteen hours per month. Pre and post case discussions were facilitated with staff in addition to seeing the patient. Inclusion and exclusion criteria were applied. Patients were seen following screening done by in reach staff at the correctional institute. Patients referred included, male or female, adult or Youth offenders with documented or suspected serious mental disorders in need of assessment and/or treatment. Treatment was provided in the form of Pharmacological and Psychological interventions.

      Finding/Results: We found that there was an increased level of understanding of the criminal justice system and the inmate population. Appropriate and efficient use of the inpatient hospital beds with some referrals being initiated, some being averted and others being expedited for clinical reasons. From the receiving institution point of view, patients expressed satisfaction and comfort using Telemdicine. Enhanced access to specialist service was reported through decreased wait time, timely follow up, reduction in wait time for urgent assessments for those on suicide watch.

      Conclusion/Implications/Recommendations: The improvement in the services and mutual satsfaction between the service provider and the receiving institution in addition to improved outcomes have resulted in more contracts being awarded. We are now a dedicated service in the province of Ontario who are providing service to at least six correctional institutions many of which are remote. Some of these institutions have had very little Mental Health Support over the years. The team has a team of Physicians who are supported by excellent staff from the Learning and Development team who coordinate and ensure the smooth running of the clinics.

      140 Character Summary: The rise of the machines: Telemedicine allows timely access to care with reduction in costs and inconvenience associated in providing in person care.

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