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Developing home-based telemental health services for youth: Practices from the SUAY Study
Erin Schoenfelder Gonzalez1,2, Kathleen Myers1,2, Ella E Thompson3
1University of Washington School of Medicine; Seattle, WA USA.
Journal of Telemedicine and Telecare
|July 26, 2019
Summary
Developing guidelines for home-based telemental health (TMH) therapy for youth is crucial. This study outlines clinical, logistical, and safety procedures for safe and effective TMH delivery in a home setting.
Area of Science:
- Child and Adolescent Psychiatry
- Digital Health
- Mental Health Services Research
Background:
- No established guidelines exist for home-based telemental health (TMH) therapy for youth.
- Providing TMH to youth at home presents unique challenges and risks compared to clinic settings.
Purpose of the Study:
- To develop and implement clinical, logistical, and safety procedures for home-based TMH with youth.
- To address the lack of procedural and safety guidelines for this specific population and service delivery model.
Main Methods:
- The study involved youth aged 3-17 prescribed second-generation antipsychotics for non-psychotic disorders within a large clinical trial (SUAY study).
- Optimized TMH access by enabling sessions in family homes, with established guidelines for privacy, safety, and crisis management.
- Provided psychopharmacology consultation for physicians and a "navigator" for patient treatment coordination and TMH access.
Main Results:
- Clinical challenges included adapting treatment modalities and ensuring family engagement.
- Logistical hurdles involved remote consenting and managing technological issues.
- Safety protocols focused on pre- and in-session crisis and safety planning with youth and families.
Conclusions:
- Home-based TMH for youth necessitates tailored procedural and safety guidelines.
- Adaptations are vital for optimizing clinical care, technological coordination, and patient safety.
- The study provides a framework for safe and effective home-based TMH delivery to pediatric populations.
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