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Remote consultations in mental health: collaborative evaluation applying learning health systems thinking.
Lucy Goulding1, Julie Williams1, Alison White2
1King's College London, London, UK.
Bjpsych Bulletin
|December 2, 2024
Summary
Remote consultations in mental health services are acceptable but raise digital exclusion concerns. Tailored choices are essential for effective implementation, with downloadable tools available for assessment.
Area of Science:
- Healthcare delivery innovation
- Mental health services research
- Digital health evaluation
Background:
- Collaborative evaluation of remote mental health consultations in South London, UK.
- Application of 'learning healthcare systems' principles.
- Involvement of service providers, experts by experience, academic institutions, and a Health Innovation Network.
Purpose of the Study:
- To evaluate the implementation and impact of remote consultations in mental health services.
- To inform healthcare providers on embedding or adapting remote delivery models.
- To develop practical tools for assessing remote consultation services.
Main Methods:
- Systematic review of international published evidence on remote consultations.
- Synthesis of findings from three surveys on staff, patient, and carer perceptions and experiences.
- An electronic survey focused on local remote consultation projects.
Main Results:
- Remote consultations demonstrate acceptability among patients and healthcare staff.
- Improved access for certain patient groups, contrasted with restricted access for others.
- Digital exclusion identified as a significant barrier, necessitating tailored choices in service delivery.
Conclusions:
- The collaborative effort yielded valuable insights for healthcare providers regarding remote consultation strategies.
- A key outcome is the provision of freely downloadable survey instruments.
- These tools facilitate the assessment of the quantity and quality of remote (phone/video) versus face-to-face appointments.
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