History of Telepsychiatry in Child & Adolescent Psychiatry
Patricio Fischman, MD, DFAACAP and Deepika Shaligram, MD, FAPA

 

  • The growing unmet mental health needs of youth nationally and globally are increasingly being met through telepsychiatry
  • Telepsychiatry with youth is not new, but the revolution in telecommunications has converged with decreased costs and public mandates for more equitable access to care to make telepsychiatry a feasible alternative to in person treatment for children and adolescents.
  • Families have readily accepted telepsychiatry as an alternative to traditional venues for care. But, providers and training programs have been more slow to adapt their practices to include telepsychiatry.
  • Training in telepsychiatry is needed during residency and fellowship to prepare the next generation of child and adolescent psychiatrists to expand their reach to underserved populations and to create more innovative approaches to psychiatric care in their practices.  

References

  1. American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Telepsychiatry and AACAP Committee on Quality Issues. Clinical Update: Telepsychiatry with Children and Adolescents.  Journal of the American Academy of Child & Adolescent Psychiatry. 2017; 56(10): 875 – 893.
  2. American Academy of Child and Adolescent Psychiatry Council: Best Principles for the integration of child psychiatry into the pediatric health home. Retrieved May 19, 2018, from
    https://www.aacap.org/App_Themes/AACAP/docs/clinical_practice_center/systems_of_care/best_principles_for_integration_of_child_psychiatry_into_the_pediatric_health_home_2012.pdf
  3. Findling RL, Stepanova E. The workforce shortage of child and adolescent psychiatrists: Is it time for a different approach?  Journal of the American Academy of Child & Adolescent Psychiatry, 2018; 57(5): 300–301.
  4. Kriechman A, Salvador M, Adelsheim S. Expanding the vision: the strengths-based, community-oriented child and adolescent psychiatrist working in schools. Child & Adolescent Psychiatric Clinics of North America, 2010;19(1):149-62
  5. Myers K, Cain S and the Work Group on Quality Issues.  Practice parameter for telepsychiatry with children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry. 2008; 47(12): 1468 – 1483
  6. Straker N, Mostyn P & Marshall C.  The use of two-way TV in bringing mental services to the inner city. American Journal of Psychiatry. 1976; 133:1202–1205
  7. Szeftel R, Mandelbaum S, Sulman-Smith H, Naqvi S, Lawrence L, Szeftel Z, Coleman S, Gross L. Telepsychiatry for children with developmental disabilities: applications for patient care and medical education. Child and Adolescent Psychiatric Clinics of North America. 2011;20(1):95-111.
  8. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Administration. (2017). Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health. Retrieved February 16, 2018, from https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm