Cain Sharon, Sharp Susan
Department of Psychiatry and Behavioral Sciences, Kansas University Medical Center , Kansas City, Kansas.
J Child Adolesc Psychopharmacol. 2016 Apr;26(3):221-8. doi: 10.1089/cap.2015.0039. Epub 2016 Jan 8.
The purpose of this study is to review and discuss the status of telepsychiatry practice, particularly as applied to treating children and adolescents with psychotropic medications, which is termed "telepharmacotherapy."
The literature pertinent to telepsychiatry practice is reviewed, followed by a presentation of the challenges to implementing telepharmacotherapy, potential solutions, current controversies, and future directions, combining insights from the literature with the authors' own experiences.
Telepsychiatry services for children and adolescents are expanding, and provide needed pharmacotherapy for patients who are underserved by available resources. The evidence base supporting the effectiveness of telepsychiatry practice and telepharmacotherapy is still emerging, and consists mainly of feasibility and satisfaction studies with limited outcome data. Although a number of challenges to this mode of care delivery currently exist, the authors outline potential solutions for those challenges that are consistent with existing guidelines for clinical practice.
Telepsychiatry appears to be a feasible and satisfactory alternative to in-person care, and a valid option for increasing access to psychopharmacotherapy for children and adolescents. Although the evidence base is still emerging, and practitioners may face a number of challenges, solutions are presented that may help to overcome those challenges.
本研究旨在回顾和讨论远程精神病学实践的现状，特别是应用于使用精神药物治疗儿童和青少年的情况，即“远程药物治疗”。
回顾与远程精神病学实践相关的文献，随后结合文献见解和作者自身经验，阐述实施远程药物治疗面临的挑战、潜在解决方案、当前争议及未来方向。
针对儿童和青少年的远程精神病学服务正在扩展，为现有资源服务不足的患者提供了所需的药物治疗。支持远程精神病学实践和远程药物治疗有效性的证据基础仍在形成中，主要包括可行性和满意度研究，结果数据有限。尽管目前这种护理模式存在一些挑战，但作者概述了与现有临床实践指南一致的针对这些挑战的潜在解决方案。
远程精神病学似乎是面对面护理的一种可行且令人满意的替代方案，也是增加儿童和青少年获得精神药物治疗机会的有效选择。尽管证据基础仍在形成中，从业者可能面临一些挑战，但本文提出了有助于克服这些挑战的解决方案。
