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A Pilot Survey of Inmate Preferences for On-Site, Visiting Consultant, and Telemedicine Psychiatric Services

Published online by Cambridge University Press:  07 November 2014

Abstract

Objective

To assess inmate preferences for in-prison mental health services, outside psychiatric consultants, and telemedicine psychiatric consultation for 16 mental health services.

Methods

Structured interviews were conducted of the service modality preferences of 28 inmates who received psychiatric telemedicine consultations in NewYork State Department of Corrections facilities.

Results

For five of the 16 mental health services assessed, a significantly larger proportion of inmates preferred delivery of mental services by their on-site mental health team to an outside psychiatric consultant, whether visiting or using telemedicine. For another eight services, inmate preferences were approximately equal. For three services (treatment progress, evaluation of childhood sexual abuse, and sexual concerns), inmates reported a trend toward preference for out-side consultation (visiting and telemedicine combined). For no service did inmates prefer telemedicine to a visiting consultant.

Conclusion

Although inmates prefer the use of on-site mental health professionals for many mental health services, some inmates prefer visiting or telemedicine consultants for the evaluation of safety and sexual issues. Because telemedicine is efficient and readily available, its role in these areas requires further evaluation.

Type
Original Research
Copyright
Copyright © Cambridge University Press 2006

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References

REFERENCES

1. Shea, S, Weinstock, RS, Starren, J, et al. A randomized trial comparing telemedicine case management with usual care in older, ethnically diverse, medically underserved patients with diabetes mellitus. J Am Med Inform Assoc. 2006;13:4051.Google Scholar
2. Hooper, GS, Yellowlees, P, Marwick, TH, Currie, PJ, Bidstrup, BP. Telehealth and the diagnosis and management of cardiac disease. J Telemed Telecare. 2001;7:249256.Google Scholar
3. Romano, MJ, Hernandez, J, Gaylor, A, Howard, S, Knox, R. Improvement in asthma symptoms and quality of life in pediatric patients through specialty care delivered via telemedicine. Telemed J E Health. 2001;7:281286.Google Scholar
4. Ditton, P. Mental Health and Treatment of Inmates and Prisoners. Bureau of Justice Statistics special report no. NCJ 174463. Washington, DC: US Department of Justice; 1999.Google Scholar
5. Tucker, WM, Segal, G, Hyler, SE. Psychiatric telemedicine for rural New York. J Psychiatr Pract. 2001;7:279281.Google Scholar
6. Profile of Inmate Population Under Custody [annual report], Albany, NY: New York State Department of Corrections; 2005.Google Scholar
7. Brodey, BB, Claypoole, KH, Motto, J, et al. Satisfaction of forensic psychiatric patients with remote telepsychiatric evaluation. Psychiatr Serv. 2000;51;13051307.Google Scholar
8. Leonard, S. The successes and challenges of developing a prison telemedicine service. J Telemed Telecare. 2004;10(suppl 1):6971.Google Scholar
9. Steadman, HJ, Holohean, EJ Jr, Dvoskin, J. Estimating mental health needs and service utilization among prison inmates. Bull Am Acad Psychiatry Law. 1991;19:297303.Google Scholar