Skip to main content
Membership & Dues
Facts for Families
Resources for Clinicians
ADHD Resource Center
Anxiety Resource Center
Autism Resource Center
Bipolar Disorder Resource Center
Bullying Resource Center
Trauma and Child Abuse Resource Center
Conduct Disorder Resource Center
Depression Resource Center
Disaster and Trauma Resource Center
Military Families Resource Center
Moving Into Adulthood Resource Center
Obsessive Compulsive Disorder Resource Center
Oppositional Defiant Disorder Resource Center
Physically Ill Child Resource Center
Schools Resource Center
Substance Use Resource Center
Suicide Resource Center
Anti-Racism Resource Library
Asian American and Pacific Islander Resource Library
Coronavirus Resource Library
Disaster Liaison Network Resource Library
Guns and Violence Resource Library
Youth at the Border Resource Library
Parent's Medication Guides
Residents & Fellows
Early Career Psychiatrists
AACAP Mentorship Network
AACAP Psychodynamic Faculty Initiative
Catchers in the Rye Awards
Distinguished Member Awards
Academic Paper Awards
Resident and Early Career Psychiatrists Awards
International Scholar Awards
Online CME Opportunities
Live CME Opportunities
How You Earn CME Credits
2022 Annual Meeting
2023 Pediatric Psychopharmacology Update Institute
Exhibit and Sponsorship Opportunities
Past Meeting Resources and Publications
Clinical Practice Guidelines
Clinical Practice Center
Business of Practice
Clinical Care and Quality Improvement
Systems of Care and Collaborative Models
Systems & Models
Be An Advocate
State Workforce Maps
Advocacy and Collaboration Grants
Major Action Lists
AACAP & Presidential Statements
Coding for Telemedicine Services
Telepsychiatry Clinical Update
Telepsychiatry Guidelines and Policies
Useful Telepsychiatry Websites
AACAP Committee on Telepsychiatry
Clinical Practice Center
Telepsychiatry in a Child’s System of Care
William French, MD, DFAACAP
A system of care is a spectrum of effective, coordinated community-based resources for children with or at the highest risk for mental health disorders and functional decline. Services are geared toward maintaining treatment in the community.
Wraparound is the practice model used to implement a system of care with multiple clinical and non-clinical individuals depending on the child’s needs and resources.
Many communities do not have child and adolescent psychiatrists to participate in the child’s wraparound team. Child and adolescent telepsychiatrists can fill this need.
The child and adolescent telepsychiatris’s role within a wraparound team will vary based on the resources available at patient site. The psychiatrist, including telepsychiatrist, does not lead the team. Child and adolescent telepsychiatrists have to decide their comfort in working within the available resources and the wraparound team’s expectations of their role.
Child and adolescent telepsychiatrists have responsibilities to the wraparound team to collaborate in providing timely interventions that may help prevent children’s functional deterioration and referral to residential treatment. Telepsychiatrists may have to be flexible with their schedules.
Child and adolescent telepsychiatrists have responsibilities to the child and family to work toward optimal treatment that addresses their strengths and weaknesses and minimizes adverse effects. Sessions should focus on the child and family’s goals.
Organizing events in which telepsychiatrists can interact with staff and patients can demonstrate a genuine interest in and build rapport with the wraparound team and the patient. Visits to the community in person are helpful in team buiding; virtual participation is highly valued.
Bruns E, Suter J. Summary of the Wraparound Evidence Base: April 2010. In: Resource Guide to Wraparound. National Wraparound Initiative, Portland, OR (2011). Theory and Research: Chapter 3.5.
Fortney JC, Pyne JM, Turner EE, et al. Telepsychiatry integration of mental health services into rural primary care settings. International Review of Psychiatry. 2015; 27(6): 525-539
McGinty K, Klaehn R, Metz P, et al. Wraparound, system of care, and child psychiatrists. Journal of the American Academy of Child and Adolescent Psychiatry. 2013; 52(11):1124-1127
Stroul, B., Blau, G., & Friedman, R. Updating the system of care concept and philosophy. Washington, DC: Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children’s Mental Health. 2010.