Telepsychiatry — structured clinical viva

Slide 1 diagnosis. A capital video roster without local emergency MOUs is incomplete service design. Effectiveness literature assumes well-designed systems; process standards require emergency planning, privacy, and documentation.^[1][2][3]

Slide 2 critical incident. Unknown address during a mid-call attempt is a process failure, not merely bad luck. Identity, location, contacts, and local dispatch pathway are non-negotiable before high-risk assessment.^[2][3]

Slide 3 opportunity. Adding async primary-care pathways and a care manager aligns with Yellowlees (async viability) and Fortney/SPIRIT (teleintegrated collaborative care) rather than bare telereferral alone.^[4][5][6]