Miller Thomas W, Clark James, Veltkamp Lane J, Burton Deborah C, Swope Marian
Department of Psychiatry, College of Medicine, University of Kentucky, Lexington, KY 40509-1810, USA.
Behav Sci Law. 2008;26(3):301-13. doi: 10.1002/bsl.809.
A medical center-based forensic clinic that provides the necessary comprehensive consultation, continuing education, court testimony, and clinical services through an applied model of teleconferencing applications is addressed. Telemedicine technology and services have gained the attention of both legal and clinical practitioners, examining trends and models of health care for underserved populations, and identifying where consultation with a team of professionals may benefit service providers in rural communities. The contribution offered herein provides an understanding of the history of the development of the clinic, a theoretical model that has been applied to a clinical forensic program that employs telepsychiatry services, and the ethical and malpractice liability issues confronted in using teleconferencing services. This model is examined through a child and adolescent forensic evaluation clinic. The goals of this model are offered, as are a number of applications within the broad spectrum of services utilizing telemedicine. Finally, changing patterns are addressed in clinically based health-care delivery for criminal justice, social services, and forensic mental health.
本文探讨了一个以医疗中心为基础的法医诊所,该诊所通过应用远程会议应用模式提供必要的全面咨询、继续教育、法庭证词和临床服务。远程医疗技术和服务已引起法律和临床从业者的关注,他们审视了为服务不足人群提供医疗保健的趋势和模式,并确定了专业团队咨询在哪些方面可能使农村社区的服务提供者受益。本文所做的贡献包括对该诊所发展历史的理解、一个已应用于采用远程精神病学服务的临床法医项目的理论模型,以及使用远程会议服务时面临的伦理和医疗事故责任问题。通过一个儿童和青少年法医评估诊所对该模型进行了研究。文中提出了该模型的目标,以及在利用远程医疗的广泛服务范围内的一些应用。最后,阐述了刑事司法、社会服务和法医心理健康领域基于临床的医疗保健服务提供方面不断变化的模式。