Telepharmacotherapy for Child and Adolescent Psychiatric Patients

Cain, Sharon; Sharp, Susan

doi:10.1089/cap.2015.0039

Cited by 24 publications

(15 citation statements)

References 43 publications

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“…A number of barriers have precluded its widespread adoption, including concerns about effectiveness, sufficient financial incentives, connectivity issues, and patient acceptability. 61,62 As the body of evidence develops regarding the potential utility of telehealth, as well as when it is not appropriate to use, additional hybrid models will likely emerge.…”

Section: Recommendation 4: Expand Access To Clinical Services Throughmentioning

confidence: 99%

<p>Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking Back, Looking Forward</p>

Brindis¹,

Decker

Gutmann-Gonzalez

et al. 2020

AHMT

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Attempts to solve the "problem of adolescent pregnancy" have long been a focus of national, state, and local efforts in the United States. This review article summarizes trends and strategies around adolescent pregnancy prevention, provides lessons learned and best practices, and presents ideas for future directions. Over the past decades, a wide variety of policy and programmatic interventions have been implemented-including educational efforts, clinical health services, and community-wide coalitions-accompanied by a growing consensus regarding viable solutions. While notable reductions in adolescent pregnancy and childbearing have occurred across all sociodemographic groups, racial/ethnic, geographic, and socioeconomic disparities persist. Many adolescents who most need sexual health information and services are underserved by current programs and policies. A growing understanding of the role of social determinants of health, the impacts of structural racism, and the need for equity and inclusion must inform the next set of interventions and societal commitments to not only ameliorate the occurrence of unintended adolescent pregnancy but also foster healthy adolescent development. Recommendations for future efforts include improving the content, quality, and sustainability of education programs; actively engaging youth in the design of policies, programs, and clinical services; using technology thoughtfully to improve health literacy; expanding access to services through telehealth and other delivery options; and designing programs and policies that recognize and address structural racism, health equity, and inclusion.

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Section: Recommendation 4: Expand Access To Clinical Services Throughmentioning

confidence: 99%

<p>Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking Back, Looking Forward</p>

Brindis¹,

Decker

Gutmann-Gonzalez

et al. 2020

AHMT

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“…Telepsychiatry has been examined from a variety of perspectives. The types of services offered range from prescribing psychotropic medications (Cain & Sharp, 2016) to psychotherapy (Stubbings, Rees, & Roberts, 2015) for conditions such as posttraumatic stress disorder (Yuen et al, 2015), attention-deficit/hyperactivity disorder (Meyers, Stoep, Zhou, McCarty, & Cayton, 2015), and opioid use disorder (Zheng et al, 2017). Provider (Cunningham, Connors, Lever, & Stephan, 2013) and patient (Campbell, O'Gorman, & Cernovsky, 2015) reactions to telepsychiatry have been, overall, positive.…”

Section: Review Of the Literaturementioning

confidence: 99%

Telehealth in Psychiatric Nursing Education: Lessons From the Field

Tyson

Brammer

McIntosh

2018

J Am Psychiatr Nurses Assoc

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BACKGROUND: This article summarizes the experiences that a Midwest college of nursing had when telepsychiatry was introduced for psychiatric-mental health post-master’s nurse practitioner students to use in a clinical internship. AIMS: Implications for nurse practitioner educators will be identified, and recommendations for future research will be explored. METHOD: Described are the following: (1) policies and procedures the institution considered, (2) challenges that were encountered by faculty and students, and (3) strategies and limitations of these strategies defining best practice, what didactic content should be taught, and how clinical placements needed to be structured. RESULTS: Implications for nurse practitioner educators, practice, and research are identified. CONCLUSIONS: It is clear that telepsychiatry has an important role in the clinical education of psychiatric-mental health nurse practitioners. It is working well as a clinical internship option. The college of nursing is continuing to examine and address issues and is looking forward to enhancing the telepsychiatry experiences for students in the future.

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“…144 Therefore, guidelines for pharmacotherapy with youth are extrapolated from systematic studies with adults 145,146 and youth 23,147 and descriptive reports with youth. 43,63 A psychiatrist might provide pharmacotherapy through various models of care including direct service, consultation to a PCP, collaboration with midlevel mental health providers, or some combination of these. The psychiatrist should ensure that the infrastructure at the patient site supports the chosen model, establish processes that ensure effective communication between the patient and psychiatrist sites, maintain communication with other providers, guide medical record documentation, and maintain compliance with regulatory guidelines.…”

Section: Telepsychiatry Evidence Basementioning

confidence: 99%

“…There are several logistical issues in establishing a telepharmacotherapy service. 63,67,149 Information sharing is best accomplished with a shared electronic medical record, although other approaches that ensure confidentiality and security of data are used. The psychiatrist can address patient education and medication consent during the telepsychiatry encounter and can be assisted by the telepresenter.…”

Section: Telepsychiatry Evidence Basementioning

confidence: 99%

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Clinical Update: Telepsychiatry With Children and Adolescents

Ferguson¹

2017

Journal of the American Academy of Child & Adolescent Psych

106

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This Clinical Update reviews the use of telepsychiatry to deliver psychiatric, mental health, and care coordination services to children and adolescents across settings as direct service and in collaboration with primary care providers or other clinicians. The update defines terms and presents the current status of telepsychiatry as a mode of health service delivery. The update presents procedures for conducting telepsychiatry services and optimizing the clinical experience.

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Telepharmacotherapy for Child and Adolescent Psychiatric Patients

Cited by 24 publications

References 43 publications

<p>Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking Back, Looking Forward</p>

<p>Perspectives on Adolescent Pregnancy Prevention Strategies in the United States: Looking Back, Looking Forward</p>

Telehealth in Psychiatric Nursing Education: Lessons From the Field

Clinical Update: Telepsychiatry With Children and Adolescents

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