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Child and adolescent telepsychiatry: utilization and satisfaction
Kathleen M Myers1, Jeanette M Valentine, Sanford M Melzer
1Childrens Hospital and Regional Medical Center (CHRMC), University of Washington School of Medicine, Seattle, WA, USA. kathleen.myers@seattlechildrens.org
Summary
Telepsychiatry effectively delivered psychiatric care to youth in rural Washington. Parents reported high satisfaction with these remote services, indicating its potential to improve access to child mental health care.
Area of Science:
- Child and Adolescent Psychiatry
- Telemedicine
- Rural Health
Background:
- Access to child and adolescent psychiatric care is limited in non-urban areas.
- Telepsychiatry offers a solution to extend mental health services to underserved youth.
- The study addresses the need to evaluate telepsychiatry's effectiveness for pediatric mental health.
Purpose of the Study:
- To investigate the success of telepsychiatry in providing essential psychiatric services to children and adolescents.
- To assess the utilization and parent satisfaction with telepsychiatry services.
- To determine the feasibility of integrating telepsychiatry into existing care systems for youth.
Main Methods:
- Utilized interactive video teleconferencing (384 kbps) for consultations.
- Psychiatrists from a regional children's hospital served 4 remote sites (75-150 miles away).
- Analyzed 12-month billing records for utilization and conducted parent satisfaction surveys.
Main Results:
- Provided 387 telepsychiatry visits to 172 youth (ages 2-21) over one year.
- Demographic and diagnostic profiles matched typical outpatient mental health samples.
- Parents reported high satisfaction, with increasing satisfaction for return appointments.
Conclusions:
- Telepsychiatry, delivered via a regional children's hospital, demonstrated high utilization and parent satisfaction.
- Results support integrating telepsychiatry into systems of care for youth mental health.
- Further controlled studies are needed to confirm telepsychiatry's efficacy in pediatric populations.
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