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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
[Psychiatric emergencies in teleconsultation: legal and practical aspects]
Marion Eck1, Valériane Dujardin-Lascaux2, Lina Williatte-Pellitteri3
1Université de Lille, Inserm, U1172-Lille Neurosciences & Cognition (LilNCog), CHU de Lille, 2 avenue Oscar-Lambret, 59000 Lille, France; Unité hospitalière spécialement aménagée, 10 chemin du Bois-de-l'Hôpital, 59113 Seclin, France.
Abstract:
In the context of the Covid-19 pandemic, teleconsultation is an obvious solution in psychiatry to ensure continuity of care and facilitate access. However, the digitisation of ambulatory practices raises a certain number of reservations, in particular concerning the remote management of psychiatric emergencies. These situations, because of the specific aspects they cover, are in fact upsetting texts and recommendations of good practice in terms of teleconsultation. Thus, the questions of eligibility of people suffering from psychiatric disorders, the identification of an immediate self- or hetero-aggressive risk during teleconsultation and the establishment of a measure of psychiatric care without consent at the end of a teleconsultation require specific reflection in order to allow the practitioner to anticipate and manage the situation in the best possible way.
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