Practice Parameter for Telepsychiatry With Children and Adolescents

Myers, Kathleen; Cain, Sharon

doi:10.1097/chi.0b013e31818b4e13

Cited by 146 publications

(62 citation statements)

References 74 publications

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“…Furthermore, an assessment of the feasibility, sustainability, advantages and disadvantages of addressing the needs using telepsychiatry is required. 39 Change Management is central to Implementation Traditionally, psychiatric services are provided around fixed referral patterns in a district/area/regional model. To move from traditional outreach psychiatry to a telepsychiatry outreach service requires a paradigm shift and presents major change management challenges.…”

Section: Model Implementationmentioning

confidence: 99%

A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

2012

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The access of rural Mental Health Care Users in South Africa to specialist psychiatrists and quality mental health care is currently sub-optimal. Health professionals and planners working in psychiatry lack a well-defined and feasible outreach model to facilitate the delivery of services to remote and rural areas. In response to this challenge, a three-year action research telepsychiatry study was undertaken by the Departments of Psychiatry and TeleHealth at the University of KwaZulu-Natal, to develop a telepsychiatry outreach model based on local research and international evidence. The Model draws on needs and infrastructure assessments of the designated psychiatric hospitals in the province, a review of the published international evidence on telepsychiatry and videoconference-based education, and an evaluation of local clinical and educational telepsychiatry implementations in KwaZuluNatal. The Model proposed is "virtual", i.e. not bound to provincial or district referral patterns, aims not to add to the burden on the current workforce and is intended to be integrated into psychiatry outreach services and policy. The Model should be subjected to in situ testing for validation and implementation. It is hoped that an implementation of this Model will improve the access of Mental Health Care Users to specialist psychiatry care.

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Section: Model Implementationmentioning

confidence: 99%

A telepsychiatry model to support psychiatric outreach in the public sector in South Africa

2012

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“…Pharmacotherapy shall comply with the practice parameters for MHCU care. 6,39 In an emergency situation, as per (Act 90 of 1997) Medicines and Related Substances Control Act 101 of 1965 after amendment by the Medicines and Related Substances Control Amendment Act, Schedule 5 medications may be prescribed verbally for 48 hours but needs to be followed up with a prescription within 72 hours. This can be a faxed copy.…”

Section: Medication Managementmentioning

confidence: 99%

“…6 A table and relevant toys should be available for the child, but the table should not interfere with communication or viewing of the child or adolescent's motor skills.…”

Section: Special Groupsmentioning

confidence: 99%

“…6 Videoconference procedures for the evaluation and treatment of children and adolescents shall follow the same guidelines presented for adults with modifications to consider the developmental status, such as motor functioning, speech and language capabilities. Families shall be informed when a Videoconference consultation is scheduled for their child, in order to prepare their child for the consultation.…”

Section: Special Groupsmentioning

confidence: 99%

“…The guidelines and standard operating procedures were developed over a period of four years following a modified guideline development process: 4 Making initial decisions: Establishment of an expert review committee and defining the scope; Reviewing available evidence: Assessment and review of international guidelines 2,[5][6][7] , on technical and clinical appropriateness, policy and ethical issues; Guideline development: Standard operating procedures (SOPs) were developed by the Department of Telehealth; Guideline Document was developed based on a review and adaptation of the 'Guidelines for Telepsychiatry' of the ATA; Consultation: Consultation by the expert review committee with psychiatrists in the public sector in KwaZulu This serves as a model for the development of guidelines for other aspects of telemedicine in South Africa i.e. Practice Guidelines for Videoconference -Based Telepsychiatry in South Africa.…”

Section: Introductionmentioning

confidence: 99%

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