Improving the quality of patient care, including improving access to care for certain patient groups with poor engagement, within an outpatient setting Mental and Behavioural Disorders
Conditions
Interventions
1. Each patient alternates between both interventions i.e., regular face to face contact and teleconsultation, to help both patients and clinicians evaluate the risks and benefits effectively
2. Parti
Sponsors
Research and Development Office, Leicestershire Partnership NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with a psychiatric disorder and who are looked after by the community mental health team 2. Patients between the age of 18 and 65 years 3. Patients who have been known to a Community Psychiatric Nurse for duration of at least 3 months 4. Patients who have not had any acute episodes (admission) for one year 5. Patients who are clinically stable with no significant risk to themselves or others 6. Patients should have access to internet and wifi at home and should have basic computer literacy (as judged by the CPN)
Exclusion criteria
Exclusion criteria: 1. Patients who are acutely unwell with a diagnosis of a major mental disorder such as psychosis or bipolar disorder requiring significant community care or immediate hospital admission 2. Patients requiring urgent assessment and intervention or a home visit 3. Patient not capable of consenting 4. Patients with no wifi at home 5. Patients who are at moderate to severe risk of self harm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To assess the feasibility of the method (teleconsultation) with this group of patients (Service user Satisfaction Questionnaire), the recruitment and application of the clinical care using telemedicine 2. To ascertain the number of non attendances and/or cancellations 3. To ascertain the reason for dropouts in this study. This will be explored via short interviews with therapists 4. Numbers of participants recruited in this feasibility study 5. Time saved from travelling 6. Clinical feedback after sessions | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinician satisfaction on teleconsultation as measured on Clinician Experience Form 2. Cost analysis based on Clinician time sheets for service users and clinicians | — |
Countries
United Kingdom
Outcome results
None listed