{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:08:16Z","timestamp":1788952096915,"version":"build-2803163510"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Specialist psychiatric access and continuity remain difficult in rural communities, particularly for adults with severe mental illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe 12-month clinical, functional, and risk changes during a family physician-led telepsychiatry model embedded in rural primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective uncontrolled cohort was conducted in rural T\u00fcrkiye in 2018\u20139. Of 37 adults enrolled, six relocated to urban areas. Two of these participants had shown marked clinical improvement and obtained employment before moving. One additional participant with schizophrenia died from myocardial infarction. Thirty completed assessments at baseline and months 3, 6, 9, and 12. A joint home assessment was followed by quarterly mobile visits with synchronous psychiatric consultation. Linear mixed-effects models with Holm adjustment evaluated longitudinal changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Disability, CGI-Severity, PANSS General Psychopathology, and four CMHC risk-domain scores changed significantly over time (all Holm-adjusted P &amp;lt; 0.001). Model-estimated month-12 versus baseline differences were \u221212.63 for the Sheehan Disability Scale [95% confidence interval (CI) \u221214.70 to \u221210.57], \u22122.17 for CGI-Severity (95% CI \u22122.49 to \u22121.85), and \u221229.90 for PANSS General Psychopathology (95% CI \u221234.52 to \u221225.28). Self-harm, harm to others, vulnerability, and relapse risks also decreased. CGI-Improvement and side-effect scores showed no significant overall time effects; Time \u00d7 Diagnosis and Time \u00d7 Gender interactions were not significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Disability, clinical severity, general psychopathology, and risk scores improved over time. Without a control group and standardized, fully recorded treatment components, these findings indicate temporal associations rather than effectiveness and require confirmation in adequately powered controlled studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag076","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:17:42Z","timestamp":1788520662000},"source":"Crossref","is-referenced-by-count":0,"title":["Bringing telepsychiatry to rural primary care: a 12-month observational evaluation in severe mental illness"],"prefix":"10.1093","volume":"43","author":[{"given":"Emre","family":"Yalcintas","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital , Bursa 16310 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