This was a presentation done in a symposium on tele-psychiatry at Annual Conference of Indian Psychiatric Society South Zone, held at Chennai on 15 October 2016

1. TELE PSYCHIATRY
OPPORTUNITIES
Dr. Jayaprakashan K.P.,
Associate Professor of Psychiatry,
Govt. Medical College,
Thiruvananthapuram.

2. PREVIOUSLY
• Dedicated centers
• Satellite network

3. HOSPITAL FACILITY
Tele-medicine centere

4. NETWORK
• K-SWAN
• Land network

5. WHERE THERE IS NO
PSYCHIATRIST

6. TELE-PSYCHIATRY OR NO
PSYCHIATRY
• No psychiatrist in the whole Ladak region
• No way of transporting the patient to the valley
• Choice is between
• TELEPSYCHIATRY and NO PSYCHIATRY

7. TRIVANDRUM TO LEH
10 years ago
SNM Hospital Leh- Dpt. of Psychiatry,MC,Tvm.
Health Inc. Ladakh

8. TRAINING THROUTH
TELEMEDICINE
• Training in psychiatric case taking
• Case based learning
• Theoretical learning based on patient management
• Help in decision making and treatment planning

9. TRAINING THE COMMUNITY
HEALTH WORKERS
• 126 pages
• Helping to identify all
common psychiatric
problems and refer

10. Camps across the region

11. Tfor health workers

12. With doctors and staff of SNM Hospital Leh, Ladakh

13. CAMP APPROACH

14. Camp at Nyoma

15. MOBILE TELE PSYCHIATRY
• SCARF
• In rural areas of Tamil Nadu
• Uses broad band internet
connections
• On board pharmacy

16. INSTITUTIONS
• Jails
• Old age homes
• Destitute homes
• Rehabilitation
centres

17. PSYCHOTHERAPY
• Evidence based
• Effective
• Good patient
acceptance
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18. NOW
• Band width available
• Secure connection
possible
• Data storage?
• Documentation?

19. WHOLE HOSPITAL IN THE WEB
• Different specialties
• Different system
• Round the clock service

20. PSYCHIATRIST’S CLINIC

21. TELE MEDICINE FROM ROOM
TO WHOLE HOSPITAL
• Secure wifi
• Consultation from ICU
• Consultation from
Emergency Department
• Between various
specialities
• Bedside tele-medicine
• Robotic consultation
Commercial promotional video

22. ROBOTIC TELEMEDICINE
• You can attend your ward rounds
before you attend the conference
• A robot can substitute different
consultants at different time as per
requirement
• FDA Approved
http://www.medscape.com/viewarticle/778672

23. GONE MOBILE
• At fingertips
• At anywhere at anytime
• Apps for
• The consultant
• The patient
• No hustles for the doctor

24. IS AVAILABLE TO YOU
p. s. - Look into the legal aspects of the contract

25. BENEFITS
Benefits for
Health Care
Delivery System
Benefits to
patients
Benefits to Health
Care Professionals

26. ALSO WHERE THERE IS
PSYCHIATRIST
• Accessibility
• Availability
• Convenience

27. FOR THE PATIENT
• At home
• Elderly/
Children/Disabled
• VIPs
• Away /abroad/on
travel
• Can reach out
anywhere
• At ED/ Ward/ICU

28. FOR THE PSYCHIATRIST
• Follow up his patients
anywhere
• Clients all over the world
• More flexible work schedule
• Saving time

29. IMPROVED DECISION MAKING
• ICU
• emergency consolations
• Casualty
• Ward

30. ADVANTAGES
• Frequent travel
avoided
• Reduces stigma
• Convenient taking
an opinion or
consultation
• Supplemented
recorded information

31. HOW CAN YOU START?

32. FREE SOFTWARE
Large number of our patients use them regularly
Problem with payment and privacy

33. ONLINE TELEPSYCHIATRY

34. LEGAL HURDLE
• According to drugs and
cosmetics act, the prescription
should be signed.
• Legal status of digital copy of
prescriptions is not clear.
• SOLUTION: Online pharmacy
• Prescription will be sent to
the pharmacy and the
medicine will be delivered to
the patient.

35. SELECT A SERVICE PROVIDER
US- expensive INDIAN- affordable and secure

36. MUST FOR EVERY PSYCHIATRIST
teleconsultation
On your visiting card add on to the
list of services you provide

37. ACKNOWLEDGMENTS
1. Dr Gulam Mohammed, SNM Hospital Leh
2. Dr. Iqbal Ahmed, SNM Hospital, Leh.
3. Ms. Cynthia Hunt, Health Inc.
4. Telemedicine unit, Medical college,Trivandrum.
5. Department of Psychiatry, Medical college,
Trivandrum

38. THANKS