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The Practice of Psychiatric E-Consultation: Current State and Future Directions
Thomas C E Adams1, Christopher T Lim, Hsiang Huang
1From Harvard Medical School; Cambridge Health Alliance, Cambridge, MA.
Harvard Review of Psychiatry
|April 22, 2022
Summary
Psychiatric electronic consultations (e-consults) improve primary care provider satisfaction and access to mental health care. Further research is needed to evaluate clinical outcomes of these e-consults.
Area of Science:
- Digital Health
- Psychiatry
- Health Services Research
Background:
- Access to psychiatric specialty care is limited.
- Primary care providers (PCPs) often manage mental health conditions without specialist support.
- Psychiatric electronic consultations (e-consults) offer a potential solution.
Purpose of the Study:
- To summarize the literature on psychiatric e-consults.
- To provide guidance for psychiatric e-consult practice.
- To identify future research directions for psychiatric e-consults.
Main Methods:
- A narrative review of existing literature.
- Searches conducted in PubMed and Google Scholar using relevant terms.
Main Results:
- Psychiatric e-consults are asynchronous consultations between PCPs and psychiatric specialists.
- E-consults are linked to PCP satisfaction and improved access to mental health guidance.
- Key themes include implementation factors, outcomes, and practical considerations.
Conclusions:
- Psychiatric e-consults can help mitigate the shortage of psychiatric care.
- Further research is required to assess the clinical outcomes of psychiatric e-consults.
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