title: Telepsychiatry improves paediatric behavioural health care in rural communities.
abstract: In the US, children with special health care needs are underserved by both the medical and educational systems. This problem is especially serious in rural states. Telemedicine is a technique that can reduce these gaps in service and help connect the two systems. The technology required has become cheaper and more accessible. Progress on reimbursement for such services has also been made. For some years, we have provided telepsychiatry for children in Washington State using videoconferencing. Interviews with families and service providers were conducted in Washington and Missouri. Some parents reported that their child actually preferred telepsychiatry to conventional consultation. The telepsychiatry service model was built on the existing system of outreach clinics, thus involving specialists who were familiar with the community and who were known and trusted by the community. Before starting, we ensured that all relevant service delivery agencies and providers were comfortable about using videoconferencing as a method of service delivery. In the 18-month period ending in March 2003, three providers in Seattle saw 159 patients by telepsychiatry and 210 patients face-to-face at the hospital clinic. The main barrier to further growth of the telepsychiatry service is the absence of reimbursement for telepsychiatry.
authors.affiliation: Department of Psychiatry, University of Washington, Seattle 98105, USA. SIS@u.washington.edu
authors.forename: Stephen
authors.initials: S
authors.lastname: Sulzbacher
authors.forename: Thomas
authors.initials: T
authors.lastname: Vallin
authors.forename: Elizabeth Z
authors.initials: EZ
authors.lastname: Waetzig
mesh_terms: D002648:Child; D003156:Community Mental Health Services / Q000379:methods* / Q000592:standards; D003695:Delivery of Health Care / Q000379:methods* / Q000592:standards; D006801:Humans; D010290:Parents; D017060:Patient Satisfaction; D011613:Psychotherapy / Q000379:methods* / Q000592:standards; D019114:Remote Consultation / Q000379:methods*; D019035:Rural Health Services / Q000458:organization & administration / Q000592:standards; D049269:Videoconferencing