Clinical Lessons from Virtual House Calls in Mental Health: The Doctor Is in the House

Julianna Hogan; Derrecka Boykin; Christopher D Schneck; Anthony H Ecker; Terri L Fletcher; Jan A Lindsay; Jay H Shore

doi:10.1016/j.psc.2019.08.004

Clinical Lessons from Virtual House Calls in Mental Health: The Doctor Is in the House

Psychiatr Clin North Am. 2019 Dec;42(4):575-586. doi: 10.1016/j.psc.2019.08.004. Epub 2019 Oct 1.

Authors

Julianna Hogan¹, Derrecka Boykin², Christopher D Schneck³, Anthony H Ecker⁴, Terri L Fletcher⁴, Jan A Lindsay⁴, Jay H Shore⁵

Affiliations

¹ Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC152), 2002 Holcombe Boulevard, Houston, TX 77030, USA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA; VA South Central Mental Illness Research, Education and Clinical Center (a Virtual Center), Houston, TX, USA; Department of Veterans Affairs, 2450 Holcombe Boulevard, Suite 01Y, Houston, TX 77021, USA. Electronic address: Julianna.Hogan@va.gov.
² Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA; VA South Central Mental Illness Research, Education and Clinical Center (a Virtual Center), Houston, TX, USA; Michael E. DeBakey VA Medical Center, 2002 Holcombe Boulevard (152), Houston, TX 77030, USA.
³ Helen and Arthur E. Johnson Depression Center, University of Colorado Hospital Infectious Disease/HIV Group Practice, 13199 East Montview Boulevard, Suite 330, Aurora, CO 80045, USA; Department of Psychiatry and Family Medicine, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO 80045, USA.
⁴ Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center (MEDVAMC152), 2002 Holcombe Boulevard, Houston, TX 77030, USA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA; VA South Central Mental Illness Research, Education and Clinical Center (a Virtual Center), Houston, TX, USA; Department of Veterans Affairs, 2450 Holcombe Boulevard, Suite 01Y, Houston, TX 77021, USA.
⁵ Department of Psychiatry and Family Medicine, School of Medicine, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, Telemedicine Helen and Arthur E. Johnson Depression Center, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO 80045, USA.

Abstract

Video-to-home (VTH) is a patient-centered approach to delivering mental health care that has increased the reach of care to patients who face considerable logistical and sociocultural barriers. Despite high rates of patient satisfaction and acceptance of VTH, scholarly resources for expanding providers' comfort and competence using VTH are limited to emergency preparedness or remotely managing higher risk patients. This article highlights other potential benefits, adaptations, and considerations for providers interested in expanding their use of VTH to engage patients who are difficult to reach or who have complex presentations.

Keywords: Case study; Technology; Telehealth; Video-to-home.

Publication types

Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Review

MeSH terms

House Calls*
Humans
Mental Health Services / organization & administration*
Telemedicine / organization & administration*

Grants and funding

R56 MH117131/MH/NIMH NIH HHS/United States