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Telepsychiatry in correctional facilities: using technology to improve access and decrease costs of mental health

Stacie Anne Deslich1, Timothy Thistlethwaite, Alberto Coustasse

  • 1Master of Science in Healthcare Administration, Graduate School of Business at Marshall University in South Charleston, West Virginia.

The Permanente Journal
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Telepsychiatry significantly improves mental health care access for inmates and reduces correctional facility costs, saving facilities between $12,000 and over $1 million. This technology enhances inmate well-being and facility safety.

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Area of Science:

  • Corrections and Public Health
  • Telemedicine and Mental Healthcare
  • Inmate Health Services

Background:

  • Access to mental health care for inmates in correctional facilities is often limited.
  • The cost-effectiveness and impact of telepsychiatry in this setting remain unclear.

Purpose of the Study:

  • To determine the effect of telepsychiatry on mental health care access for inmates.
  • To assess the impact of telepsychiatry on the costs of providing mental health services in correctional facilities.

Main Methods:

  • A comprehensive literature review of 49 sources was conducted.
  • A semistructured interview with a telepsychiatry practitioner was included.
  • Research focused on telepsychiatry implementation in correctional facilities across seven US states.

Main Results:

  • Telepsychiatry demonstrably improved access to a continuum of mental health services for inmates.
  • Correctional facilities experienced cost savings ranging from $12,000 to over $1 million.
  • Practitioner interviews corroborated the benefits of telepsychiatry for access and cost reduction.

Conclusions:

  • Implementing telepsychiatry can enhance living conditions and safety within correctional facilities.
  • Increased utilization of telepsychiatry is expected to yield significant financial savings for providers, facilities, and government entities.