Models of telepsychiatric consultation--liaison service to rural primary care.
New models of psychiatric intervention are needed to improve the accessibility of mental health care in the primary-care setting, particularly in rural areas of the United States. Some models of service delivery have been successful in suburban and urban settings, but they do not always apply to rural settings. "E-health" innovations like videoconferencing, telephone, secure messaging (e-mail), and the Internet are increasingly being used to provide consultation--liaison service to primary care. This article briefly reviews successful models used in primary care, their application to rural sites, new models for rural sites, and suggestions for future e-health research.
Hilty
Donald M
DM
Department of Psychiatry and Behavioral Sciences,the Center for Health and Technology, UC-Davis Medical Center, Sacremeto, CA, USA. dmhilty@ucdavis.edu
Yellowlees
Peter M
PM
Cobb
Hattie C
HC
Bourgeois
James A
JA
Neufeld
Jonathan D
JD
Nesbitt
Thomas S
TS
D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D011320:Primary Health Care / Q000458:organization & administration*; D012017:Referral and Consultation; D019035:Rural Health Services / Q000458:organization & administration*; D017216:Telemedicine / Q000295:instrumentation*; D014481:United States / Q000453:epidemiology