Our Tax Dollars Reaching Out to the Underserved
Tuesday, November 25th, 2008Today I learned a new word: Telepsychiatry.
If the truth be known, though, it’s much more than a word. Telepsychiatry is a way, a means, a tool—not to mention a cross cultural gap-bridger and a stigma reducing weapon*. If you’ll permit me.
According to those in the know, Telepsychiatry, or telemedicine is a specifically defined form of video conferencing that can provide psychiatric services to patients living in remote locations or otherwise underserved areas.
And now, let’s have an example of an underserved area:
To meet growing demands for mental health treatment, the Army is treating more soldiers with “telepsychiatry” — providing a psychiatrist by video conference on a high-definition television set instead of face-to-face meetings.
Jonathan Berry, a 19-year-old soldier from White Cloud, Michigan, had three televised conversations with a psychiatrist while assigned to an Army behavioral-health clinic in Maryland.
He jumped out of a window after the third, killing himself.
Marla VerDuin (Berry’s finacee) said he told her that all he had to do was “just sit and talk to someone over a TV” once a week.
VerDuin went on to say that Berry had no roommate in his last days there. Nor was he permitted to socialize with other soldiers. “I know that he was by himself. He sat in his room and played a video game.”
Jeffrey Castro, a spokesman for the Army Criminal Investigation Command, said the command is investigating Berry’s death and will not comment.
Dr. Michael Lynch, the director of Walter Reed Army Medical Center’s telepsychiatry program, also said he could not discuss an individual case.
But they agreed the Army is increasing its use of telepsychiatry as a treatment tool, particularly when soldiers are stationed in places where psychiatric care is not readily available.
“Telepsychiatry is not a magic bullet,” Col. Elspeth C. Ritchie (psychiatry consultant to the Army’s surgeon general and director of the Proponency for Behavioral Health) said. There are disadvantages. For one, doctor-patient relationships are “a little harder to maintain or develop.”
Here’s what I wonder. Did Jonathan Berry know the difference between a video game and his weekly screen visits with the psychiatrist? And how does a health clinic in the state of Maryland qualify as a place where “psychiatric care is not readily available”?
*(Army News Service) - In the Army’s recent fight to reduce the stigma of seeking and receiving treatment for combat stress, the latest weapon is telepsychiatry. Telepsychiatry is currently one of the most effective ways to increase access to psychiatric care for individuals living in underserved areas.
Speaking of underserved areas… Jonathan Berry, this sunset’s for you.











