Reduction of medical hospitalizations in veterans with schizophrenia using home telehealth.

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Abstract

This study tested the hypothesis that addition of telehealth to Intensive Case Monitoring (ICM) would reduce hospital admissions in Veterans with schizophrenia or schizoaffective disorder admitted for psychiatric care in response to suicidal behavior. Participants (n =51) were randomized to ICM or ICM plus telehealth monitoring. Telehealth participants responded to daily electronic queries about depression, suicidality, and medication adherence. Comparisons revealed that participants in the telehealth group had significantly less medical hospitalizations than the control group. This study found that telehealth augmentation is related to decreased number and length of medical hospitalizations in Veterans with schizophrenia and schizoaffective disorder.

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Author and article information

Journal

Journal ID (iso-abbrev): Psychiatry Res

Title: Psychiatry research

Publisher: Elsevier BV

ISSN (Electronic): 1872-7123

ISSN (Print): 0165-1781

Publication date (Electronic): May 16 2017

Volume: 255

Affiliations

[1 ] Department of Psychology, Carlow University, 3333 Fifth Ave, Pittsburgh, PA 15213, United States. Electronic address: lmrussellflaherty@carlow.edu.

[2 ] VISN 4 Center for Health Equity and Research, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240, United States.

[3 ] VISN 4 Mental Illness Research Education Clinical Center, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240, United States.

[4 ] VISN 4 Mental Illness Research Education Clinical Center, VA Pittsburgh Healthcare System, University Drive C, Pittsburgh, PA 15240, United States; University of Pittsburgh Medical Center Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213, United States.

[5 ] University of Pittsburgh Medical Center Western Psychiatric Institute and Clinic, 3811 O'Hara Street, Pittsburgh, PA 15213, United States; Beckley VA Medical Center, 200 Veterans Ave, Beckley, WV 25801, United States. Electronic address: john.kasckow2@va.gov.

Article

Publisher Item ID: S0165-1781(16)31651-1

DOI: 10.1016/j.psychres.2017.05.024

PubMed ID: 28550756

SO-VID: e7fc3645-4712-428c-bb99-f08410e74845

History

Keywords: Schizophrenia,Suicide,Telehealth

Data availability:

Keywords: Schizophrenia, Suicide, Telehealth

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