How Telepsychiatry Makes Mental Health Care Accessible for All

Mental health care is inaccessible to many, whether it’s due to transportation barriers, economic opportunity, or obstacles related to race or stigma – getting treatment isn’t always easy.

For healthcare organizations, barriers like these highlight the importance of providing high-quality and accessible care to communities across the country. But, what does genuinely accessible care look like? Truly accessible care meets people where they are, with the right care, at the right time – without concern for location, schedule, or socioeconomic class.

Telepsychiatry meets this demand head-on, creating a bridge between people and the care gaps they encounter when seeking mental health care. Read on to learn more about specific barriers people are facing, how telepsychiatry solves these challenges, and how healthcare organizations can benefit from embracing a truly accessible behavioral health approach.

Addressing language barriers with telepsychiatry

For many patients, deciding to seek mental health treatment is a big decision, and many factors might deter them from getting that help.

The American Psychiatric Association (APA) cites several barriers to care for Hispanic and Latino populations in the U.S., including:

  • Language barriers
  • Lack of culturally tailored services
  • Lack of culturally competent mental professionals
  • Shortage of bilingual or linguistically trained mental health professionals

The APA also reports that only one in 20 Hispanics with a mental disorder receive mental health services from a specialist. For patients who speak another language, having a provider who understands their culture and language can help them feel less hesitant about seeking care. However, only 6% of mental health providers in the U.S. are Hispanic, and only 5.5% provide services in Spanish.

Thankfully, telepsychiatry can help bridge this gap. At Iris Telehealth, we draw from a large provider pool, and our patients can connect with providers outside of their geographic area who may speak their same language or have experience with their culture. This connection is highly beneficial to individuals who may not have a provider they can connect with locally.

However, if no providers are available, interpreters can also help patients communicate during their visit. Interpreters work for telepsychiatry the same way they would during an in-person visit. It just requires some organizational efforts on the clinical side and reassurance to the patient that the support is available. If the facility doesn’t have an in-person interpreter, they can join the virtual call. Whether a patient connects directly with a provider who speaks their language or works with an interpreter, telepsychiatry breaks down barriers to help them get the care they need and deserve.

Reaching people where they are with telepsychiatry

For people in rural areas, getting the mental health care they need can seem next to impossible. Rural Americans face several barriers, including the expense of taking time away from work, coordinating with their child’s school or daycare schedules, and the lack of mental health providers in their geographic region. And, even if there are providers close by, there’s typically an extensive waiting list to get care.

Along with these barriers, transportation is a real issue for people in these communities. In an American Hospital Association (AHA) report, 3.6 million people cannot access medical care due to a lack of transportation, and figuring out a way to help individuals get to and from their appointments is crucial to their health.

Despite these barriers, telepsychiatry can free up schedules, help with the expense of driving, and make it possible for someone in remote parts of the country to get the psychiatric care they need. Telepsychiatry serves as a creative avenue for support, allowing people to connect to a high-quality, specialty mental health provider from the privacy of their homes and enabling them to maintain their anonymity at a community level.

Telepsychiatry connects patients with specialty care

The COVID-19 pandemic has been tremendously difficult on families. From schools opening and closing to wearing masks to children losing caregivers – families have been through many changes. Through it all, people have been doing their best to find support.

Families, or anyone deciding to get help, may find themselves overwhelmed by the complicated system or the lack of available providers. Many patients will call a long list of providers to find out they’re calling the wrong type of provider once they have a conversation and realize they need a particular specialist, like a child psychiatrist.

Telepsychiatry helps healthcare organizations connect these patients with the right specialty providers. This level of access is incredibly beneficial to patients.

Overcoming technology barriers with telepsychiatry

Technology may be a barrier for some individuals who aren’t comfortable with virtual platforms. However, there are many steps organizations can take to help make technology more accessible to their patients, whatever the comfort level.

Here are a few steps providers can take to help increase patient comfort with technology:

  • Establish a rapport and provide education about what the experience will look like
  • Let patients know there is a backup plan if the technology fails
  • Reassure them that their appointment will not be lost if they’re disconnected
  • Remind the patient that they have support so they don’t feel overwhelmed

Taking these steps can help ensure technology doesn’t create a barrier or present itself as a barrier to seeking care.

By partnering with a telepsychiatry vendor that seamlessly integrates into your systems, patients in the community can access providers from across the country at their local clinic, regardless of what personal access they may have at home. Telepsychiatry creates an easy experience that meets people where they are with compassionate providers ready to provide support.

The importance of provider fit for healthcare organizations

With an increased rate of anxiety, depression, and substance use disorder in communities across the U.S., increasing accessibility to specialty care has never been more critical. Healthcare organizations understand this need well, whether they’ve experienced barriers around the provider shortage or have had difficulty finding the right telepsychiatry provider.

At Iris, we work hard to understand your organization’s needs and find the right provider match for your population. This job-matching approach helps organizations find a provider who will be with them for the long term and establish a relationship with the same level of engagement as if they were on the ground.  DOWNLOAD PDF

Where Iris Telehealth fits in

Iris Telehealth works with healthcare organizations across the country to bring high-quality, specialty psychiatry services to people who need them most. If you’re a healthcare organization looking to increase access in your community, Iris Telehealth can work with you to seamlessly integrate behavioral health services. Contact us today.

What to Ask When Selecting a Telepsychiatry Vendor

Delivering quality, sustainable behavioral health care should be a priority for any healthcare organization. However, this goal isn’t always attainable due to resource restraints or the current provider shortage. That’s where telepsychiatry steps in to help facilitate access to high-quality behavioral health care and extend existing behavioral health programs to healthcare organizations across the country.

While navigating the fast-growing and rapidly evolving world of telepsychiatry, finding a partner you trust is essential. The right partner should work with you to support the long-term well-being of both your organization and your patients.

But, how do you find the right fit? Read on to learn all the questions you should ask to ensure you find the most effective and patient-focused telepsychiatry partner for your organization.

General questions to ask a telepsychiatry vendor

With so much growth in the world of telehealth, this basic information has never been more critical in the vendor selection process. By asking the following questions, you can help narrow in on partners who can offer your patients high-quality, long-term care.

Questions to consider:

  • How many dedicated employees does the organization have on staff? If possible, ask if you can see an organizational chart broken down by department, person, and title.
  • How many clinicians do they currently have on staff? How many are W2 employees versus 1099 contractors?
  • Does the company have experience licensing providers through IMLC and ENLC?
  • How many psychiatrists have applied to their organization in the last year?
  • Can they provide 5-6 references? How long have they been working with their current partners?
  • How many of their partner organizations provide similar services to the one your organization offers?

These questions can help you determine which vendor can provide the most compassionate care your patients deserve. For example, you can learn a lot about care quality and provider access by asking how many employees a vendor currently has on staff or whether or not their providers are 1099 contractors or W2 employees. Gathering these insights is key to finding the right fit for your organization.

Telepsychiatry and the importance of job matching

Finding the right provider fit is key to your patients’ well-being and your organization’s success. By working with a telepsychiatry vendor that delivers job matching services, you can find a provider who meets your organization’s needs and fills in care gaps. However, not every telepsychiatry vendor can make successful, long-term matches. That’s why it’s important to know what questions to ask.

Questions to Consider:

  • Does the company have a rigorous provider vetting process?
  • What type of providers does the company have available? PMHNPs? LCSWs? Specialist providers like child psychiatrists or bilingual providers?
  • Does the company get to know your organization’s needs, culture, and values?
  • Will the telepsychiatry provider offer a meet and greet to ensure you and the provider are on the same page?

Getting the answer to these questions is essential for selecting a telepsychiatry vendor. At Iris, we believe job matching is a necessary piece of the puzzle. That’s why we created the Iris Match. We take pride in this approach, and we think it’s a crucial piece of the puzzle. When matching a provider with an organization, we work to ensure the match is mutually beneficial. We guarantee that by the end of our match process, your care team and your patients will love.

Telepsychiatry’s approach to quality control and assurance

Ensuring your patients get the high-quality mental health care they deserve is essential. But, how do you ensure that your potential partner can meet this requirement? One option is to review their recognized third-party accreditations and look into other fundamental aspects of their business model and priorities.

Questions to Consider:

  • Is the company Joint Commission accredited for behavioral health?
  • Does the company have experience meeting HEDIS measures or other quality benchmarks?
  • Is the company a medical group that’s clinician-led and clinically driven?

Joint Commission accreditation enables an organization to credential more quickly and offers assurance that you, as a healthcare organization, will receive high-quality services. At Iris Telehealth, we’re proud to be led by clinicians and healthcare experts and the only telepsychiatry company to receive Joint Commission accreditation for behavioral health.

Questions to ask about telepsychiatry implementation

Implementing telepsychiatry and successfully integrating the services into your organization’s workflow requires focused time, effort, and care about your practice, providers, and patients. Getting specifics on their approach is crucial to getting your service up and running successfully.

Questions to Consider:

  • Is the vendor technology agnostic? Can they seamlessly integrate within your existing platforms?
  • Does the vendor develop custom workflows?
  • Will the vendor’s providers use your existing EMR for notes and documentation?

At Iris, we provide best-in-class support that ensures your organization is set up for long-term success. We work within your existing systems and workflows to ensure a seamless transition for your team. Additionally, we take care of tasks like licensing and credentialing to help relieve the burden on your teams. By making integration as seamless as possible, we help set your organization and your patients up for success.

Where Iris Telehealth fits in

Iris Telehealth is dedicated to improving patient outcomes with exceptional behavioral health care while decreasing the burden on your care team. Contact us today if you’d like to learn more about our approach to job matching, our in-depth expertise, or our best-in-class support.

Clinician Corner: Meet Dr. Mark Miceli, MD

Iris clinicians are at the heart of what makes our organization such a special place to work. That’s why we’re turning the spotlight on the amazing work they’re doing every day. This month, we’re sitting down to talk with Dr. Mark Miceli.

Q: How did you find Iris and decide you wanted to be an Iris provider?

A: Before I joined Iris, I was working at an inpatient hospital in New Jersey as the medical director of my unit and the interim chairperson of the division of psychiatry. I was doing a lot, and it was really hectic. I wasn’t happy at the job.

I was working with another clinician who told me I should look into Iris, and I ended up applying. I went through the interview process, and it went from there.

Q: What does a typical day as an Iris Telehealth provider look like for you?

A: I work for a health system in Minnesota. I’m credentialed at 10 or 12 different hospitals and partial hospital units across that health system and I fill in when they need people. That includes when people are on maternity leave, when organizations are in-between hiring a new psychiatrist, or if someone is taking an extended leave.

Q: What do you love about being a telepsychiatry provider?

A: In my previous job, I was in a little office with no windows and a cold air vent blowing on me – it wasn’t comfortable by any stretch of the imagination. With Iris, I love that I’m in my own environment. I love that I can work with people in different geographical areas. My patients are all in Minnesota, so I get to know the culture that exists there. There’s also a separation where I’m not going to run into patients at the grocery store.

Another thing I love is the flexibility to work from different places. At the height of the COVID-19 pandemic, my family and I were able to rent a beach house in Cape Cod. The beach house had Wi-Fi so that I could work there and my son could enjoy the outdoors and fresh air.

With inpatient, we usually see people early in the day, and then we do documentation. Once I see my patients, I can move my computer anywhere where there’s Wi-Fi. I can take a break to get my son and eat good, hot food at home instead of spending money at a restaurant. I also love that I don’t have to commute 45-minutes or an hour every day. There are a million great things.

Q: How do you foster connection with patients virtually?

A: In my home office, I have things behind me like a guitar or a yoga mat – having these things related to my interests in the background gives my patients and I something to talk about. Another thing I always do is look into the camera, smile, and try to make eye contact. I try to send them really good, positive energy over the internet.

One helpful thing is having the on-site staff really trust and work with me. They’re a major factor for inpatient care, and their extra help makes a significant difference. They help reassure the patient and let them know what I’m doing and that I care about them. One of the most satisfying parts of the job is the people I work with. The teamwork is fantastic.

I work at four or five places steadily where I rotate through, and I look forward to seeing the people, and they look forward to seeing me. It’s a nice thing, and it doesn’t get old after six years of being in the same place. It stays refreshing and diminishes the grind. When you work in an inpatient unit, you’re going to the same place every day and seeing the same people. The specific job I have with Iris is amazing.

Q: As a healthcare professional, how do you manage work-life balance?

A: I don’t have a commute, so I can drop off my son in the morning, go for a walk in Central Park, do my yoga exercises, then work. I can take time to relax, have lunch, then go back to work. I can still get my son in the afternoon. I don’t know if there’s any secret to it. We can travel and have a life outside of being stuck in an apartment.

I have much more time in my life now that I’m a telepsychiatrist. It’s liberating. You’re not trapped in a certain place for that many hours.

Q: What are your biggest learnings from your time at Iris?

A: I learned a lot of new technology that I wasn’t really aware of – like Epic. Getting to know Epic was a great skill to learn, and I love that platform. It’s one thing that I didn’t use before. It’s amazing, and I’m so happy that all my jobs are using it now. It’s powerful, and you can easily learn about the patients.

Q: What is the most rewarding part of your job?

A: Working for Iris has been the most rewarding out of all the jobs I’ve worked since my residency. The people I work with are super positive. I always feel supported and proud to work for Iris.

I also love working in Minnesota. I love the culture and the people. I like making connections with the support staff and the patients there. It’s been gratifying. I live in New York City, and I work on the East Coast, so it’s just a different approach to life. I have more connection with my son, and I’m able to be a big part of his life even though I’m working full time. If I were commuting an hour back and forth every day, that would be two fewer hours to be a part of my son’s life.

Q: Why do you think telepsychiatry is important to the future of mental healthcare?

A: It brings psychiatry to places where it’s not easily accessible for people. Especially where I’m working in some of the smaller towns in Minnesota, it’s hard for people to get quality psychiatry. I know that primary care is doing a lot of medication management. However, that’s not their specialty, it’s one more thing to learn, and they may not be comfortable with it.

I think we can bring more quality, specialty care to people who don’t have access. Even though COVID-19 made it unsafe for people to go out, they can still get their medications refilled, have a connection, have someone check in on them, support them, and help treat their conditions.

Even in Minnesota, they were canceling outpatient programs in the bad snow and cold, but we could still see people in their homes. This type of access varies by state, and some states don’t allow the patient to be at their home. However, Minnesota is really progressive. In the partial hospitals where I’m working, people talk from their own homes instead of having to come into a clinic.

Q: What do you love about working with Iris?

A: Iris makes you feel like you’re part of the team, and they really validate you. I’ve worked so many places where you’re just there, and they expect you to be there and do your job, but you don’t get any appreciation.

After four years, Iris gave me a plaque, and I was employee of the month. Ted Bryant, the Senior Manager of Clinical Operations, is amazing. He’s always positive and is always saying, “You’re a great doctor!” It makes a difference to feel like you’re not just a cog in the machine, but you’re a person. I don’t know what it would be like to work for another telehealth company, but I can’t imagine anything better than working for Iris.

At Iris, we believe our providers should be respected, valued, and applauded for the work they do, and we couldn’t be more proud to say, “thank you” to our very own Dr. Mark Miceli. If you’d like to learn more about working for Iris Telehealth, contact us today.