对于远程精神病学和注意力缺陷多动障碍的专家共识声明.
Jennifer Hong1, Gregory W Mattingly2,3, Julie A Carbray4
1Department of Psychiatry and Neuroscience, University of California Riverside, Riverside, CA, USA.
新的指导方针支持远程精神病学对注意力缺陷多动症 (ADHD) 兴奋剂处方,平衡增加获取与滥用风险. 建议对要求立即释放兴奋剂的年轻人进行更严格的审查.
科学领域:
- 精神病学是一个精神病学.
- 远程医疗远程医疗
- 药理学 药理学是指药理学的学科.
背景情况:
- 随着COVID-19大流行,临床实践发生了变化,需要通过远程精神病学对注意力缺陷多动症 (ADHD) 处方兴奋剂的最新指南.
- 暂停"瑞安·海特法案"使刺激剂处方能够在不需要亲自访问的情况下进行,导致处方率增加.
研究的目的:
- 通过远程精神病学制定专家共识指导方针,用于通过远程精神病学处方ADHD兴奋剂.
- 为了平衡扩大医疗服务获取的好处与滥用和转移兴奋剂的风险.
主要方法:
- 一个专家共识小组召开会议,制定了指导方针.
- 对影响ADHD治疗远程精神病学的竞争因素的审查.
- 为各种患者亚群制定具体建议.
主要成果:
- 倡导在远程精神病学评估和ADHD治疗中保持灵活性.
- 强调对没有先前ADHD诊断或治疗的年轻成年人进行更严格的审查,寻求立即释放的兴奋剂.
- 优先考虑非兴奋剂,可控释放兴奋剂或危险人群的心理社会干预措施.
结论:
- 电脑精神病学提供了更好的ADHD治疗方法,但需要谨慎管理,以防止滥用.
- 指导方针建议采用混合模式,使用外部告密者,并为更安全的远程精神病医疗提供评级尺度.
- 量身定制的方法至关重要,特别是对于那些处于刺激剂转移或滥用风险较高的人群.
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