Table 1.

Asynchronous Telepsychiatry Compared with the Integrated Care Model

COMPONENTS OF INTEGRATED CARE13,20	DESCRIPTION OF THE ASYNCHRONOUS TELEPSYCHIATRY MODEL1,16
1. Meet patients where they seek health care	Psychiatric services are offered in a flexible setting, which can be completed in the patient's home primary care clinic, behavioral health center, or in the home, according to the patient's preference.
2. Identify those at risk and offer preventative or early intervention services for emerging, mild, or moderately severe problems	PCPs identify at-risk patients and refer them for an ATP consultation. The PCP and consulting psychiatrists develop a coordinated care plan, including the level of care needed for the patient (e.g., assess if they need to be followed up and how frequently; referrals for therapy; long-term medication management; and patient education). Those at risk are identified and a stepped care plan is developed to address the patient's care relative to need.
3. For those patients who have problems that are too severe or complex to manage effectively, link or coordinate care with specialists	More severe cases are identified and are referred to be managed directly in the behavioral health setting (either inpatient or outpatient) and mild to moderate cases are managed in the primary care setting with a graduated level of consultation from the psychiatrist relative to patient and PCP need.

ATP, asynchronous telepsychiatry; PCP, primary care provider.