By helping to treat more than 1,000 mentally disturbed patients in
remote areas of Uttarakhand and Jammu and Kashmir, 'Telepsychiatry', a
computer based system prepared by experts of mental health, is emerging
as an effective substitute of psychiatrists in far-fetched areas.
In India, there are only 0.2 psychiatrists per every one
lakh people, which shows that there is an acute shortage of
psychiatrists. Telepsychistry has helped to fill the gap between the
demand and availability of mental health services in remote areas.
Dr Savita Malhotra, Head of Department, Psychiatry, PGIMER said,
"Under the telepsychiatry project, physicians in remote and rural areas
have been educated and empowered to identify and treat people suffering
from mental disorders. They will use a 'knowledge-based clinical
decision support system' and if required, they can take help through
specialist consultation via telepsychiatry."
She said that the system contains a semi-structured
interview with in-built rules that guides the diagnoses. "There is a
format with a list of questions. A trained physician at a clinic will
ask the questions mentioned in the format and fill the answers as
described by the patients. When the interview gets over, answers will be
automatically accessed by the system and the system will generate the
diagnoses then and there," she said.
She added that every patient is issued a unique identification number and Electronic Medical Record (EMR) is maintained.
When asked if the system is a good substitute for a psychiatrist, the doctor said, "This system is equivalent to a virtual doctor, because years of experience and knowledge of several experts in the field of mental heath have been utilised during the setting up of the system."
Telepsychiatry has been started at the regional hospitals of Bilaspur, Uttarakhand and the Institute of Mental Health and Neurosciences, Srinagar. The nodal centre of telepsychiatry is at PGIMER.
Dr Savita Malhotra said, "This is the last year of the project and so far, more than 1,000 patients have been treated across these four centres. We are planning to extend the project by one more year."
Source : The Indian Express , ; 29th June 2013
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