Implementation of Early Psychosis Intervention Program ... - EENet

65Summary of Results:o About ¼ of program sites are using OTN to support care delivery, with use higher amongsmall sites and those with community agency sponsorship.o Telemedicine is used more often with psychiatrists (25% of sites) than family physicians(17%), and for one time assessments than ongoing client treatment.o Other uses for telemedicine include consultations with allied health providers andeducational events.Table 25: When and how often telemedicine usedSurvey Question Response All Large Small Hospital CommunitySitesQ111: Use OTN % yes 28 20 38 23 33Q112: When and with One time client Psychiatrist 25 19 33 23 27whom is OTN used assess. Physician 4 7 0 3 5Ongoing client Psychiatrist 17 19 14 17 18treat. Physician 0 0 0 0 0Large: catchment area population > 100,000 population (31 program sites)Small: catchment area population < 100,000 population (21 program sites)Hospital: hospital is parent organization (30 program sites)Community: community agency is parent organization (22 program sites).Main challenges to using telemedicine noted by programs:o Client and family access, especially for community agency sponsored sites, in part due tolocation and availability after-hours.o Some sites reported discomfort for clients with the approach.What would help programs to use telemedicine?o Available and reliable equipment, with staff trained to use it.o Dedicated psychiatric resources that could be accessed via OTN for better continuity of care.