Profile of cases discussed in innovative tele-ECHO mentoring program on addiction management.


Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
Aug 2020
Historique:
received: 05 12 2019
revised: 22 03 2020
accepted: 31 03 2020
pubmed: 28 4 2020
medline: 22 6 2021
entrez: 28 4 2020
Statut: ppublish

Résumé

NIMHANS ECHO (Extension for Community Healthcare Outcomes) model uses a video conferencing app to connect multiple community health care teams simultaneously with addiction treatment specialists and builds treatment capacity via mentorship and case-based learning. The aim was to investigate the characteristics of 102 cases discussed by remote community health providers in 28 weekly tele-ECHO addiction clinics between January to July 2019. Among the presented cases, the lifetime and current use of alcohol was 80 % and 71 %, respectively, and that of tobacco was 60 % and 56 %. Results revealed that only 18.6 % of cases fulfilled ICD 10 criteria for alcohol dependence. Among alcohol users, the mean AUDIT score was 20.6. The patients presented to the community health providers earlier than that of the specialist treatment center. Hence this technology-enabled ECHO model can be considered for capacity building and increase access to care, particularly in low and middle-income countries where there is a significant scarcity of trained human resources.

Identifiants

pubmed: 32339918
pii: S1876-2018(20)30171-4
doi: 10.1016/j.ajp.2020.102060
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102060

Informations de copyright

Copyright © 2020 Elsevier B.V. All rights reserved.

Auteurs

Karishma Khan (K)

Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.

Akanksha Mathur (A)

Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.

Sandeepa Kaur (S)

Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.

Aurobind Ganesh (A)

Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.

Prabhat Chand (P)

Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India. Electronic address: chand@nimhans.ac.in.

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