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A Resident-Based Telepsychiatry Supervision Pilot Program in Liberia.
Craig L Katz1, F Boffa Washington1, Megan Sacco1
1Mount Sinai Program in Global Mental Health (Katz, Sacco, Schuetz-Mueller) and the Department of Psychiatry (Katz and Schuetz-Mueller), Icahn School of Medicine at Mount Sinai, New York; Liberia Ministry of Health, Monrovia (Washington). Kathleen M. Pike, Ph.D., and Pamela Scorza, Sc.D., M.P.H., are editors of this column.
Mental health professionals are scarce globally. A pilot program in Liberia trained nurses and physician assistants as mental health clinicians (MHCs), bridging the treatment gap with remote supervision from US psychiatry residents.
Area of Science:
- Global mental health
- Healthcare professional training
- Telemedicine
Background:
- Mental disorders cause significant global morbidity, yet attention and resources lag.
- Low-resource settings face a severe shortage of mental health professionals, leading to a large treatment gap.
- Liberia trains nurses, midwives, and physician assistants as mental health clinicians (MHCs) through a 6-month program.
Purpose of the Study:
- To describe a pilot program providing remote posttraining supervision to Liberian mental health clinicians (MHCs).
- To assess the feasibility of utilizing senior American psychiatry residents for tele-supervision.
Main Methods:
- A pilot program involved senior American psychiatry residents.
- Live teleconferencing was used for remote, posttraining supervision.
- Supervision was provided to newly trained mental health clinicians (MHCs) in Liberia.
Main Results:
- The program facilitated remote supervision for MHCs in Liberia.
- Teleconferencing enabled US residents to support African mental health practitioners.
- This approach addresses the shortage of mental health professionals in low-resource settings.
Conclusions:
- Remote supervision via teleconferencing is a viable strategy to support mental health clinicians in low-resource settings.
- This model can help bridge the mental health treatment gap by leveraging international expertise.
- Further development of such programs can enhance global mental healthcare accessibility.
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