Telemental health for children and adolescents
Date
2015
Journal Title
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Publisher
International Review of Psychiatry
Abstract
Most children and adolescents across the USA fail to receive adequate mental health services,
especially in rural or underserved communities. The supply of child and adolescent psychiatrists is
insufficient for the number of children in need of services and is not anticipated to grow. This calls
for novel approaches to mental health care. Telemental health (TMH) offers one approach to
increase access. TMH programmes serving young people are developing rapidly and available
studies demonstrate that these services are feasible, acceptable, sustainable and likely as effective
as in-person services. TMH services are utilized in clinical settings to provide direct care and
consultation to primary care providers (PCPs), as well as in non-traditional settings, such as schools,
correctional facilities and the home. Delivery of services to young people through TMH requires
several adjustments to practice with adults regarding the model of care, cultural values,
participating adults, rapport-building, pharmacotherapy and psychotherapy. Additional infrastructure accommodations at the patient site include space and staffing to conduct developmentally
appropriate evaluations and treatment planning with parents, other providers, and community
services. For TMH to optimally impact young people’s access to mental health care, collaborative
models of care are needed to support PCPs as frontline mental health-care providers, thereby
effectively expanding the child and adolescent mental health workforce.
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Keywords
Telepsychiatry, telemental health, telemedicine, videoconferencing, e-health, youth, adolescents
Citation
Gloff, N. E., LeNoue, S. R., Novins, D. K., & Myers, K. (2015). Telemental health for children and adolescents. International Review of Psychiatry, 27(6), 513-524.