Yellowlees Peter M, Hilty Donald M, Marks Shayna L, Neufeld Jonathan, Bourgeois James A
Drs. Yellowlees, Hilty, and Bourgeois and Ms. Marks are with the University of California, Davis; Dr. Neufeld is with the Indiana Telehealth Advisory Consortium.
Drs. Yellowlees, Hilty, and Bourgeois and Ms. Marks are with the University of California, Davis; Dr. Neufeld is with the Indiana Telehealth Advisory Consortium.
J Am Acad Child Adolesc Psychiatry. 2008 Jan;47(1):103-107. doi: 10.1097/chi.0b013e31815a56a7.
New models of psychiatric intervention are needed to improve the accessibility of mental health care in the primary care setting, particularly in rural areas of the United States and especially for children and adolescents. The aim of this study was to examine the diagnostic characteristics and outcomes for children referred for eMental Health consultations at UC Davis (videoconferencing, telephone, and secure e-mail) from 10 primary care clinics in rural northern California.
: A retrospective analysis was conducted on the diagnostic and clinical outcomes of 139 referred children who received a full psychiatric diagnostic evaluation via videoconferencing. Within the group, a convenience sample of 58 initial and 41 three-month follow-up Child Behavior Checklists (CBCLs) was collected.
Comprehensive eMental Health programs appear to be effective for psychiatric diagnosis and assessment of children. Attention deficit (36.2%) and mood (28.1%) disorders were the most common diagnostic groupings overall. Most children were seen only once, but a statistically significant improvement between initial evaluation and 3-month follow-up in the convenience sample was seen in the Affect and Oppositional domains of the CBCL for girls and boys, respectively.
Versatile eMental Health programs, incorporating standardized checklists, may assist in diagnosis and treatment of rural children.
需要新的精神科干预模式，以提高初级保健机构中精神卫生保健的可及性，尤其是在美国农村地区，特别是针对儿童和青少年。本研究的目的是调查从加利福尼亚州北部农村地区的10家初级保健诊所转诊至加州大学戴维斯分校进行电子心理健康咨询（视频会议、电话和安全电子邮件）的儿童的诊断特征和结果。
对139名通过视频会议接受全面精神科诊断评估的转诊儿童的诊断和临床结果进行回顾性分析。在该组中，收集了58份初始和41份三个月随访的儿童行为清单（CBCL）作为便利样本。
全面的电子心理健康项目似乎对儿童的精神科诊断和评估有效。总体上，注意缺陷（36.2%）和情绪（28.1%）障碍是最常见的诊断类别。大多数儿童仅接受了一次检查，但在便利样本中，女孩和男孩在CBCL的情感和对立领域，初始评估和三个月随访之间分别出现了具有统计学意义的改善。
采用标准化清单的多功能电子心理健康项目可能有助于农村儿童的诊断和治疗。
