ArticlePsychiatric services (Washington, D.C.)2022
Association Between Telepsychiatry Capability and Treatment of Patients With Mental Illness in the Emergency Department.
Article in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Article
- Effect of a dual-boarded emergency-psychiatry physician on psychiatric consultations in the emergency department: A pre-post study in Japan.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Adapting to the digital age in psychiatry: evaluating change in emergency department nurses and psychiatrists' views toward telepsychiatry for involuntary hospitalization.Frontiers in digital health · 2026Article
- Predicting quality measure completion among 14 million low-income patients enrolled in medicaid.NPJ digital medicine · 2025Article
- Patient and Health Care Provider Experiences With Suicide-Related Tele-Mental Health Evaluations in the Emergency Department: Multiphase Qualitative Study.JMIR mental health · 2025Article
- Procedural Prescription Denials and Risk of Acute Care Utilization and Spending Among Medicaid Patients.JAMA network open · 2025Article
- Enhancing Emergency Room Mental Health Crisis Response: A Systematic Review of Integrated Models.Cureus · 2024Review
- The Use of Telepsychiatry Services in Emergency Settings: Scoping Review.Journal of medical Internet research · 2024Article
- Prediction of non emergent acute care utilization and cost among patients receiving Medicaid.Scientific reports · 2024Article
- Trends in Acute Care Use for Mental Health Conditions Among Youth During the COVID-19 Pandemic.JAMA psychiatry · 2023Article
- U.S. Emergency Department Telepsychiatry Use in 2019.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveBecause of limited access to psychiatrists, patients with acute mental illness in some emergency departments (EDs) may wait days for a consultation in the ED or as a medical-surgical admission. The study assessed whether telepsychiatry improves access to care and decreases ED wait times and hospital admissions.
methodsED visits with a primary diagnosis of mental illness were identified from 2010-2018 Medicare claims. A total of 134 EDs across 22 states that implemented telepsychiatry between 2013 and 2016 were matched 1:1 with control EDs without telepsychiatry on several characteristics, including availability of in-person psychiatrist consultations. Outcomes included patients' likelihood of admission to a medical-surgical or psychiatric bed, mental illness spending, prolonged ED length of stay (LOS) (two or more midnights in the ED), 90-day mortality, and outpatient follow-up care. Using a difference-in-difference design, changes in outcomes between the 3 years before telepsychiatry adoption and the 2 years after were examined.
resultsThere were 172,708 ED mental illness visits across the 134 matched ED pairs in the study period. Telepsychiatry adoption was associated with increased admissions to a psychiatric bed (differential increase, 4.3 percentage points; p<0.001), decreased admissions to a medical-surgical bed (differential decrease, 2.0 percentage points; p<0.001), increased likelihood of a prolonged ED LOS (differential increase, 3.0 percentage points; p<0.001), and increased mental illness spending (differential increase, $292; p<0.01).
conclusionsTelepsychiatry adoption was associated with a lower likelihood of admission to a medical-surgical bed but an increased likelihood of admission to a psychiatric bed and a prolonged ED LOS.
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