Delivering collaborative care in rural settings: Integrating remote teleconsultation and local supervision in rural Nepal

Sikhar Swar, Pragya Rimal, Bikash Gauchan, Duncan Maru, Yanjie Yang, Bibhav Acharya

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

The collaborative care model can deliver high-quality mental health care. In rural regions, clinical supervision is conducted remotely rather than in person. The authors implemented a remote teleconsultation model in rural Nepal, where the consulting psychiatrist is over 30 hours away. This column describes strategies for several challenges: poor mental health competencies and high turnover among primary care providers; need for urgent consultations; psychiatrist discomfort with lack of direct patient contact; unreliable electricity, technological tools, documentation, and delivery of treatment recommendations; on-site clinicians' low motivation to accept psychiatrist recommendations; and mismatch between the psychiatrist's recommendations and the site's capacity to implement them.

Original languageEnglish
Pages (from-to)78-81
Number of pages4
JournalPsychiatric Services
Volume70
Issue number1
DOIs
StatePublished - Jan 2019

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