Addressing Pediatric Mental Health Using Telehealth During Coronavirus Disease-2019 and Beyond: A Narrative Review
Natoshia R Cunningham1, Samantha L Ely1, Brittany N Barber Garcia2
1Department of Family Medicine, Michigan State University (NR Cunningham and SL Ely), Grand Rapids, Mich.
Insights
Pediatricians are using telehealth to provide mental health care to children, especially during the COVID-19 pandemic. Ensuring patient access to technology and provider support is key for successful remote pediatric mental health services.
Area of Science:
- Pediatric Health
- Mental Health Services
- Telemedicine
Background:
- The COVID-19 pandemic has accelerated the adoption of telehealth in pediatric care.
- Pediatricians are increasingly responsible for delivering remote medical and mental health services.
- Existing literature on telehealth for pediatric mental health during the pandemic is rapidly evolving.
Purpose of the Study:
- To review the use of telehealth for pediatric mental health care during the COVID-19 pandemic.
- To identify key areas including primary care, special populations, access, and training.
- To summarize evidence-based tools and future directions for remote pediatric mental health delivery.
Main Methods:
- A narrative review of existing literature was conducted.
- Focused on pediatric primary care settings and special populations (e.g., autism, eating disorders).
- Examined access, engagement, and training for telehealth in pediatric mental health.
Main Results:
- Successful telehealth implementation requires addressing patient needs, such as access to technology.
- Providers face challenges in accessing adequate support tools for telehealth delivery.
- Evidence-based tools and COVID-19 specific resources can improve remote mental health care.
Conclusions:
- Telehealth is a critical modality for delivering pediatric mental health care, particularly post-pandemic.
- Addressing technological and support barriers is essential for equitable access and effective care.
- Ongoing research and trials are vital to optimize future telehealth applications in pediatric mental health.
Abstract:
The pediatrician serves as a frontline provider addressing patients' medical and mental health needs, yet coronavirus disease-2019 (COVID-19) is reshaping the way physicians deliver care. Pediatricians are increasingly faced with the challenge of delivering care, including mental health care, remotely. Given the rapidly evolving literature, we performed a narrative review of the use of telehealth for mental health care for pediatric populations during the COVID-19 pandemic. Areas of focus included 1) pediatric primary care settings, 2) special pediatric populations (eg, eating disorders, autism), 3) access and engagement in telehealth care, and 4) training opportunities available for mental health providers. Themes that emerged across studies included the importance of meeting patients' needs (eg, access to technological resources) to optimize success in using telehealth tools and challenges around provider access to support tools for use during telehealth. Thus, we provided a summary of evidence-based tools (including COVID-19 specific resources) for improving the remote delivery of mental health care by pediatricians. We also reviewed future directions including trials currently underway to enhance understanding of future telehealth applications for pediatric mental health care.
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