Alicata Daniel, Schroepfer Amanda, Unten Tim, Agoha Ruby, Helm Susana, Fukuda Michael, Ulrich Daniel, Michels Stanton
1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
2 State of Hawaii, Department of Health, Child and Adolescent Mental Health Division , Honolulu, Hawaii.
J Child Adolesc Psychopharmacol. 2016 Apr;26(3):260-5. doi: 10.1089/cap.2015.0036. Epub 2015 Oct 14.
The goal of the University of Hawaii (UH) child and adolescent psychiatry telemental health (TMH) program is to train child and adolescent psychiatry fellows to provide behavioral health services for the children of Hawaii and the Pacific Islands in the cultural context of their rural communities using interactive videoteleconferencing (IVTC). The training experience balances learning objectives with community service. Learning objectives include: Understanding mental health disparities in rural communities, leveraging community resources in ongoing treatment, providing culturally effective care, and improving health care access and delivery through TMH service research and evaluation.
We describe the UH experience. Several UH faculty are experienced with IVTC technology. They are triple-board trained, are recognized for their research in program evaluation and mental health disparities, and are committed to serving Hawaii's rural communities. We demonstrate the role of TMH in linking children and their families living in rural communities with multiple mental health treatment providers. The service-learning curriculum and a unique collaboration with Mayo Clinic provide the opportunity to examine the role of TMH in global service, and training, education, and research.
TMH provides direct services to patients and consultation on Hawaii Island and Maui County. The collaboration with the Mayo Clinic brings further consultation in complex diagnostics, pharmacogenomics, and cross-cultural psychiatry. A curriculum provides trainees experience with IVTC with the goal of potential recruitment to underserved rural communities. The TMH program at UH is unique in its team building and workforce development by joining multiple entities through IVTC and translating expertise from the Mayo Clinic to rural communities, and strengthening collaboration with local child and adolescent psychiatrists, and primary care and other mental health providers.
The UH psychiatry program is a model program to develop an expert mental health workforce in cultural context for children living in rural communities.
夏威夷大学（UH）儿童与青少年精神病学远程心理健康（TMH）项目的目标是培训儿童与青少年精神病学研究员，以便在农村社区的文化背景下，利用交互式视频会议（IVTC）为夏威夷和太平洋岛屿的儿童提供行为健康服务。培训经历将学习目标与社区服务相平衡。学习目标包括：了解农村社区的心理健康差异，在持续治疗中利用社区资源，提供具有文化有效性的护理，以及通过TMH服务研究与评估改善医疗保健的可及性和提供方式。
我们描述了夏威夷大学的经历。几位夏威夷大学教员在IVTC技术方面经验丰富。他们接受了三重委员会认证培训，因其在项目评估和心理健康差异方面的研究而受到认可，并致力于为夏威夷的农村社区服务。我们展示了TMH在将生活在农村社区的儿童及其家庭与多个心理健康治疗提供者联系起来方面的作用。服务学习课程以及与梅奥诊所的独特合作提供了审视TMH在全球服务、培训、教育和研究中作用的机会。
TMH在夏威夷岛和毛伊县为患者提供直接服务并进行咨询。与梅奥诊所的合作在复杂诊断、药物基因组学和跨文化精神病学方面带来了进一步的咨询。一门课程为学员提供了IVTC方面的经验，目标是将他们招募到服务不足的农村社区。夏威夷大学的TMH项目在团队建设和劳动力发展方面独具特色，通过IVTC联合多个实体，将梅奥诊所的专业知识转化到农村社区，并加强与当地儿童与青少年精神病医生、初级保健和其他心理健康提供者的合作。
夏威夷大学精神病学项目是一个在文化背景下为农村社区儿童培养专业心理健康劳动力的模范项目。
