Evaluation of a telepsychiatry pilot project

We assessed a telepsychiatry pilot project in which a psychiatric hospital was linked with mental health clinics in five general hospitals. Informatio n was collected through questionnaires administered to patients, service pr oviders and psychiatric consultants, and by interviews. The technology was considered easy to use by participating health-care professionals and patie nts, and the quality of the sound and picture was adequate. Survey data sug gested acceptance and satisfaction on the part of patients, service provide rs and psychiatric consultants. An economic analysis indicated that at 396 consultations per year the service cost the same as providing a travelling psychiatrist (C$610 per consultation); with more consultations, telepsychia try was cheaper. Information gathered during the evaluation suggested that the use of videoconferencing for psychiatric consultations was a viable opt ion for an integrated, community-based mental health service.