PDF(Pubmed)
Abstract：
Aim: This project sought to ascertain views and experiences of people with intellectual disabilities, their carers\', and specialist intellectual disability psychiatrists as to use of telepsychiatry consultations. Background: During the Covid-19 pandemic specialist psychiatrists in intellectual disability services in the United Kingdom (UK) have explored and adopted use of telepsychiatry for psychiatric consultations. Method: An easy-read co-designed questionnaire was sent to potential respondents N = 590 potential respondents (N = 280 patients, N = 280 carers), and a separate questionnaire was sent electronically to N = 30 specialist intellectual disability psychiatrists. Findings: Responses were received from N = 192 respondents (N = 68 (24%) patients, N = 98 (35%) carers, and N = 26 (90%)) psychiatrists. Advantages of telepsychiatry cited were flexibility, and it being less disruptive to patients\' routines, offering convenient practice and saving travel time and cost. Disadvantages reported included loss of rapport and relationship with patients, and an inability to conduct an effective mental state examination. Conclusion: This survey has produced equivocal evidence as to acceptability of telepsychiatry for all people with intellectual disabilities, carers and psychiatrists cannot be assumed. Some patients may need significant support to enable them to engage with such an approach.
摘要：
目的：该项目旨在确定智障人士的观点和经验，他们的照顾者，和专门的智力残疾精神科医生关于使用心灵感应咨询。背景：在Covid-19大流行期间，英国(英国)智力残疾服务的专业精神科医生探索并采用了心灵感应疗法用于精神病咨询。方法：向潜在受访者发送一份易于阅读的联合设计问卷N=590潜在受访者(N=280名患者，N=280名护理人员)，另一份问卷以电子方式发送给N=30名智力残疾专科医生。调查结果：收到N=192名受访者(N=68(24%)名患者，N=98（35%）护理人员，和N=26（90％））精神科医生。提到的心灵感应的优点是灵活性，它对病人的日常工作影响较小，提供方便的实践和节省旅行时间和成本。报告的缺点包括失去融洽关系和与患者的关系，无法进行有效的精神状态检查。结论：这项调查为所有智障人士的心灵感应提供了模棱两可的证据，不能假设护理人员和精神科医生。一些患者可能需要大量的支持以使他们能够参与这种方法。
