title: Telepsychiatry Today.
abstract: The use of video-based telepsychiatry is increasing in response to consumer demand for convenient, inexpensive, and readily accessible services; improved financial reimbursement; and a robust body of evidence-based literature. Telepsychiatry leads to high patient and provider satisfaction ratings, and outcomes equivalent to in-person care, while younger generations often prefer telepsychiatry over face-to-face encounters. The evidence base for telepsychiatry is especially strong with respect to the treatment of post-traumatic stress disorder (PTSD), depression, and ADHD, while its use in underserved ethnic groups is well described in the American Indian, Hispanic, and Asian populations. Despite this, telepsychiatry barriers still persist. These include personal bias-especially in leadership-and insufficient training; the challenging business environment and legislative processes; and inconsistent reimbursement, licensing, and prescription policies. Technology is now less of a barrier, and it is clear that telepsychiatry overall is flourishing and changing the way that providers are working and patients are being treated.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of California, Davis School of Medicine & Health System, 2230 Stockton Boulevard, Sacramento, CA, 95817, USA. steven@berkeley.edu.
authors.forename: Steven
authors.initials: S
authors.lastname: Chan
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of California, Davis School of Medicine & Health System, 2230 Stockton Boulevard, Sacramento, CA, 95817, USA.|Betty Irene Moore School of Nursing, University of California, Davis, 2230 Stockton Boulevard, Sacramento, CA, 95817, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Parish
authors.affiliation: Department of Psychiatry & Behavioral Sciences, University of California, Davis School of Medicine & Health System, 2230 Stockton Boulevard, Sacramento, CA, 95817, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Yellowlees
mesh_terms: D022126:Access to Information / Q000523:psychology; D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy*; D003863:Depression / Q000628:therapy*; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration / Q000639:trends; D054525:Minority Health / Q000639:trends*; D010346:Patient Care Management / Q000379:methods / Q000639:trends; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D017216:Telemedicine / Q000379:methods / Q000458:organization & administration
keywords: Innovation; Technology; Telemedicine; Telepsychiatry; Video consultation