Shore Jay H, Hilty Donald M, Yellowlees Peter
American Indian and Alaska Native Programs, University of Colorado Health Sciences Center, Nighthorse Campbell Native Health Building, Aurora, CO 80045-0508, USA.
Gen Hosp Psychiatry. 2007 May-Jun;29(3):199-206. doi: 10.1016/j.genhosppsych.2007.01.013.
Telepsychiatry, in the form of live interactive videoconferencing, is an emerging application for emergency psychiatric assessment and treatment and can improve the quality and quantity of mental health services, particularly for rural, remote and isolated populations. Despite the potential of emergency telepsychiatry, the literature has been fairly limited in this area.
Drawing on the combined clinical and administrative experiences of its authors, this article reviews the common administrative, legal/ethical and clinical issues that arise in emergency telepsychiatry.
An initial set of guidelines for emergency telepsychiatry is presented to generate further discussion to assist those who are considering establishing general telepsychiatry and/or emergency telepsychiatry services.
The practices and techniques of emergency telepsychiatry are relatively new and require further examination, modification and refinement so that they may be fully utilized within comprehensive mental health service systems.
以实时交互式视频会议形式开展的远程精神病学，是紧急精神病评估和治疗的一种新兴应用，可提高精神卫生服务的质量和数量，特别是对农村、偏远和孤立地区的人群。尽管紧急远程精神病学具有潜力，但该领域的文献相当有限。
本文作者结合临床和管理经验，回顾了紧急远程精神病学中出现的常见管理、法律/伦理和临床问题。
提出了一套初步的紧急远程精神病学指南，以引发进一步讨论，帮助那些考虑建立一般远程精神病学和/或紧急远程精神病学服务的人。
紧急远程精神病学的实践和技术相对较新，需要进一步审查、修改和完善，以便在综合精神卫生服务系统中得到充分利用。
