Telepsychiatry with incarcerated youth

Myers, Kathleen; Valentine, Jeanette; Morganthaler, Roxanne; Melzer, Sanford M.

doi:10.1016/j.jadohealth.2005.07.015

Cited by 82 publications

(81 citation statements)

References 13 publications

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“…In the small, but growing, literature, parents (Elford et al 2001;Greenberg et al 2006;Myers et al 2008;Lau et al 2011;Reese et al 2013;Xie et al 2013;, adolescents (Myers et al 2006(Myers et al , 2007Boydell et al 2010) and their referring providers (Greenberg et al 2006;Myers et al 2008) have all reported high levels of satisfaction with care provided through TMH.…”

Section: Evidence Base Supporting the Establishment Of Rapport And A mentioning

confidence: 99%

Developing Rapport and Therapeutic Alliance During Telemental Health Sessions with Children and Adolescents

Goldstein

Glueck

2016

Journal of Child and Adolescent Psychopharmacology

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Objective: The purpose of this study was to describe the special considerations for building rapport and establishing a therapeutic alliance when conducting mental health evaluations for children and adolescents via videoconferencing. Methods: The authors review the literature and describe their experience in conducting mental health evaluations, developing rapport, and establishing a therapeutic alliance during telemental health practice. Results: Clinical need and shortages of clinicians with expertise in evaluating mental conditions for children and adolescents in underserved communities have stimulated the rapid expansion of telemental health programs while the research base continues to develop. The emerging evidence base and clinical experience suggest that teleclinicians can, and do, build rapport and establish a therapeutic alliance during telemental health sessions with youth and families. Families may be more accepting of telemental health approaches than clinicians. The impact that technology, equipment, site staff, community supports, cultural identification, and teleclinicians' characteristics have on building rapport and establishing a therapeutic alliance should be considered when establishing a telemental health service. Staff at the patient site and referring providers have a valuable role in supporting the therapeutic alliance between telemental health providers and their patients, and ultimately supporting the success of a telemental health program. Conclusions: Teleclinicians are creative in transcending the videoconferencing technology to evaluate patients using guideline-based care. Further research is needed to determine how clinicians build rapport and establish a therapeutic alliance during telemental health sessions, and whether the therapeutic alliance is associated with the accuracy of evaluation and outcomes.

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Section: Evidence Base Supporting the Establishment Of Rapport And A mentioning

confidence: 99%

Developing Rapport and Therapeutic Alliance During Telemental Health Sessions with Children and Adolescents

Goldstein

Glueck

2016

Journal of Child and Adolescent Psychopharmacology

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“…Descriptive studies have shown that parents (Elford et al 2001;Greenberg et al 2006;Myers et al 2008), referring physicians (Elford et al 2001;Greenberg et al 2006;Myers et al 2007) and teens (Myers et al 2006;Boydell et al 2010) are highly satisfied with mental health care provided to children through TMH. Elford and colleagues demonstrated the reliability of diagnoses made through TMH (Elford et al 2000).…”

Section: Research In Tmhmentioning

confidence: 99%

Feasibility of Conducting a Randomized Controlled Trial of Telemental Health with Children Diagnosed with Attention-Deficit/Hyperactivity Disorder in Underserved Communities

Myers

Stoep

Lobdell

2013

Journal of Child and Adolescent Psychopharmacology

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Objective: Telemental health (TMH), the use of videoteleconferencing to provide care that is usually delivered in person, is increasingly used to rectify disparities in access to care. Few studies, however, have been conducted to demonstrate the effectiveness of TMH as a service delivery model. The Children's Attention-Deficit/Hyperactivity Disorder (ADHD) Telemental Health Treatment Study (CATTS) is a randomized clinical trial (RCT) of TMH conducted in multiple underserved communities. This article reports on the feasibility of conducting an effectiveness trial of TMH with children. Methods: The CATTS trial used videoteleconferencing to provide guideline-based care and secure web sites to coordinate key aspects of trial implementation, such as participant recruitment and retention, intervention fidelity, and completion of assessments. Results: The CATTS trial engaged seven communities and 150 primary care providers as partners in the study, and enrolled 223 children 5.5-12.9 years old. The intervention group completed an average of 5.3 of 6.0 planned sessions and 96% of controls completed a TMH consultation. Both groups completed an average of 4.8 of the 5.0 assessments. Clinicians demonstrated high fidelity to their treatment protocols. Minor technical difficulties did not interfere with providing care. Conclusions:The CATTS trial demonstrated the feasibility of conducting an RCT of TMH with children living in multiple underserved communities. Telecommunications technologies can facilitate the coordination of research activities across sites and clinicians. Future trials should work closely with study partners to ensure referral of a representative study sample. Further trials are needed to help establish the effectiveness of TMH as a service delivery model. Trial Registration: http://clinicaltrials.gov/show/NCT00830700.

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“…[37][38] Internationally, various methods have been employed to provide this service, including: a) the telepsychiatrist consults to the referring primary care or managing physician (PCP) who prescribes the medications; b) the telepsychiatrist works with a mid-level professional at the MHCU site who writes the prescriptions; and c) the telepsychiatrist directly prescribes. In this last scenario, clear procedures shall be established and communicated to all parties regarding the method for obtaining initial prescriptions and refills and reporting adverse effects.…”

Section: Medication Managementmentioning

confidence: 99%