Home telemental health implementation and outcomes using electronic messaging

In 2007, the VA Connecticut Healthcare System began a home electronic messaging programme for mental health patients. During the first two years, 76 patients with diagnoses of schizophrenia, post traumatic stress disorder, depression and substance-use disorders received a home messaging device, whic...

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Bibliographic Details
Published in:Journal of telemedicine and telecare 2012-01, Vol.18 (1), p.17-19
Main Authors: Godleski, Linda, Cervone, Dana, Vogel, Donna, Rooney, Meghan
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Community Mental Health Services - methods
Community Mental Health Services - standards
Depression - therapy
Electronic Mail
Feasibility Studies
Female
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Patient Satisfaction
Schizophrenia - therapy
Stress Disorders, Post-Traumatic - therapy
Substance-Related Disorders - therapy
Surveys and Questionnaires
Telemedicine - methods
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Summary:In 2007, the VA Connecticut Healthcare System began a home electronic messaging programme for mental health patients. During the first two years, 76 patients with diagnoses of schizophrenia, post traumatic stress disorder, depression and substance-use disorders received a home messaging device, which was connected via an ordinary telephone line. There were daily questions, which were based on disease management protocols, and included alerts, data and educational components. Patient data were sent to a nurse practitioner each day for triage and follow-up. Patients used the device for at least six months. In the six months prior to enrolment, 42 patients were hospitalized for 46 admissions. In the following six months, six patients were hospitalized for nine admissions (P < 0.0001). In the six months prior to enrolment, 47 patients had a total of 80 ER visits. In the following six months, 16 patients had a total of 32 ER visits (P < 0.0001). Questionnaire responses indicated a high level of satisfaction with the home messaging programme.
ISSN:1357-633X
1758-1109
DOI:10.1258/jtt.2011.100919