Clinical Update: Telepsychiatry With Children and Adolescents

Ferguson, Anna

doi:10.1016/j.jaac.2017.07.008

Cited by 107 publications

(46 citation statements)

References 124 publications

(166 reference statements)

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“…An accumulating body of evidence indicates that telebehavioral health is an effective service delivery model for children and adolescents. There are well-established data on the feasibility and acceptability of delivering telebehavioral health services across a variety of clinical settings, and the evidence base for the reliability and clinical outcomes of these services is evolving [ 4 ]. Although telebehavioral health is acknowledged as an important tool to reach the broadest population of youth and families, its adoption is not widespread.…”

Section: How a Pandemic Revealed The Value Of Telebehavioral Healthmentioning

confidence: 99%

Pediatric Telebehavioral Health: A Transformational Shift in Care Delivery in the Era of COVID-19

Ramtekkar¹,

Bridge²,

Thomas³

et al. 2020

JMIR Ment Health

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The use of telebehavioral health has been expanding in the past decade to improve access to psychiatric care and address critical shortages in the psychiatric workforce. The coronavirus (COVID-19) pandemic forced a sudden shift from traditional in-person visits to alternative modalities. There are key factors associated with successful transitional and large-scale implementation of telehealth with existing resources. We describe the experience of a large health care system using telehealth technology, and we identify strategies and discuss considerations for long-term sustainability after the pandemic.

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Section: How a Pandemic Revealed The Value Of Telebehavioral Healthmentioning

confidence: 99%

Pediatric Telebehavioral Health: A Transformational Shift in Care Delivery in the Era of COVID-19

Ramtekkar¹,

Bridge²,

Thomas³

et al. 2020

JMIR Ment Health

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“…First, the Telepsychiatry models are well established and widely used, especially in the remote and rural areas [ 46 ], and may help towards reducing pressure to A&E’s and hospital admissions, by providing timely access to mental health provision. However, several previous reviews have highlighted that there is limited evidence of the effectiveness and efficiency of telepsychiatry or computer-based treatment applications, despite their promising potentials [ 47 – 49 ]. Nevertheless, there is evidence that telepsychiatry is feasible, acceptable and well tolerable for the CYP population [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review

Vusio

Thompson

Birchwood

et al. 2019

Eur Child Adolesc Psychiatry

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Community-based mental health services for children and young people (CYP) can offer alternatives to inpatient settings and treat CYP in less restrictive environments. However, there has been limited implementation of such alternative models, and their efficacy is still inconclusive. Notably, little is known of the experiences of CYP and their parents with these alternative models and their level of satisfaction with the care provided. Therefore, the main aim of this review was to understand those experiences of the accessibility of alternative models to inpatient care, as well as overall CYP/parental satisfaction. A searching strategy of peer-reviewed articles was conducted from January 1990 to December 2018, with updated searches conducted in June 2019. The initial search resulted in 495 articles, of which 19 were included in this review. A narrative synthesis grouped the studies according to emerging themes: alternative models, tele-psychiatry and interventions applied to crisis, and experiences and satisfaction with crisis provision. The identified articles highlighted increased satisfaction in CYP with alternative models in comparison with care as usual. However, the parental experiential data identified high levels of parental burden and a range of complex emotional reactions associated with engagement with crisis services. Furthermore, we identified a number of interventions, telepsychiatric and mobile solutions that may be effective when applied to urgent and emergency care for CYP experiencing a mental health crisis. Lastly, both parental and CYP experiences highlighted a number of perceived barriers associated with help-seeking from crisis services.

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“…Consequently, this increases the burden on patients and caregivers and contributes to the challenges of obtaining and maintaining comprehensive specialized care. In many areas, a severe shortage of needed specialists such as neurologists, psychiatrists, and psychologists further compound the barriers to health care access, equity, and quality (8,9). A recent survey showed that in the United States, as many as 26% of adult patients have found it challenging to find a physician that is knowledgeable about TS (10).…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Telemedicine Care for Tourette Syndrome: Minireview

Cen

Wang

et al. 2020

Front. Neurol.

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Tourette syndrome (TS) is a childhood-onset, chronic neuropsychiatric disorder characterized by multiple motor and vocal tics. TS poses a considerable burden on both patients and health care providers, leading to a major detriment of educational success, occupation, and interpersonal relationships. A multidisciplinary, specialist-driven management approach is required due to the complexity of TS. However, access to such specialty care is often dramatically limited by the patients' locations and the specialists' geographic clustering in large urban centers. Telemedicine uses electronic information and communication technology to provide and support health care when distance separates participants. Therefore, we conducted this mini-review to describe the latest information on telemedicine in the assessment and management of TS and discuss the potential contributions to care for TS patients with a multidisciplinary approach. We believe that telemedicine could be a revolutionary method in improving medical access to patients with TS.

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Clinical Update: Telepsychiatry With Children and Adolescents

Cited by 107 publications

References 124 publications

Pediatric Telebehavioral Health: A Transformational Shift in Care Delivery in the Era of COVID-19

Pediatric Telebehavioral Health: A Transformational Shift in Care Delivery in the Era of COVID-19

Experiences and satisfaction of children, young people and their parents with alternative mental health models to inpatient settings: a systematic review

Multidisciplinary Telemedicine Care for Tourette Syndrome: Minireview

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