Mental Health Care

Please provide feedback for the following post. Thank you! ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Clinical Interest Area I chose telepsychiatry as my clinical issue of interest.  With the quarantine requirements of COVID and all the other changes necessary (Jull & Moore, 2020) the physicians and therapists that I work with had to transition to telehealth options.  Many had not planned to ever use telehealth, and others are struggling with the technology.  My question revolves around whether telepsychiatry is as effective as traditional therapy modalities.  PICOT Question (P)atient- People receiving mental health care (I)ntervention- Telepsychiatry (C)omparison- Traditional psychiatric therapy (O)utcome- Equivalent efficacy [(T)ime- 6 months to a year] (Melnyk & Fineout-Overholt, 2019) PITCOT Question:  In people receiving mental health care is telepsychiatry as effective in managing symptoms as traditional psychiatric therapies [over a 6-month to 1-year period]?             Search Terms and Databases Utilized with Results A combined search of CINAHL and Medline databases of the single search term, “telepsychiatry” returned 983 articles.  When I added in the additional term of “traditional therapy,” the number dropped to 9.  Searching for “systematic reviews” of telepsychiatry reveals 40 results.  These basic searches reveal adequate results for me to conclude that there are enough resources available to complete the necessary coursework over the entire quarter.  Database Strategies to Increase Rigor and Effectiveness To increase the rigor of my searches, I would do a “NOT” search to exclude adolescents and an “OR” search to include telemedicine and telemental health.  I would also be sure to limit my search to the past 5 years to remain current.  Other strategies that I will utilize include “Medical Subject Headings, truncations and wildcards, search limits, and index browsing…” (Majid, et al., 2013).  I will incorporate these into advance searches that will help hone in on the appropriate research for my topic.

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