Myers Kathleen, Comer Jonathan S
1 Telemental Health Service, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine , Seattle Children's Hospital, Seattle Washington.
2 Mental Health Interventions and Technology (MINT) Program, Center for Children and Families, Department of Psychology, Florida International University , Miami, Florida.
J Child Adolesc Psychopharmacol. 2016 Apr;26(3):186-91. doi: 10.1089/cap.2015.0055. Epub 2016 Feb 9.
Children's mental health problems collectively impose a staggering public health burden. However, the quality of regionally accessible children's mental healthcare varies greatly, with youth in rural and other remote communities particularly underserved. Promoting knowledge and skill in telemental health (TMH) is critical to meaningfully overcoming traditional geographic barriers to children's mental healthcare.
To introduce this special section, we review the increasing need for child and adolescent mental health services, the decreasing child mental health workforce, and the role that TMH can play in new models of care.
Authors in this special edition are experienced TMH innovators and providers, and offer expert perspectives on the current and evolving status of TMH practice in child and adolescent mental health. The articles in this collection draw on leading TMH examples, using a range of interventions implemented across diverse TMH settings, to systematically address the critical technical, ethical, regulatory, clinical, and service delivery aspects of TMH care. These articles strategically outline the key considerations requisite for effectively incorporating TMH into children's mental healthcare Conclusions: TMH is a rapidly developing service delivery model that is already beginning to innovate systems of care to meet the expanding mental healthcare needs of the nation's children.
儿童心理健康问题给公共卫生带来了巨大负担。然而，各地可获得的儿童心理保健服务质量差异很大，农村及其他偏远社区的青少年尤其得不到充分服务。提高远程心理健康（TMH）方面的知识和技能对于切实克服儿童心理保健的传统地理障碍至关重要。
为介绍本特刊，我们回顾了儿童和青少年心理健康服务需求的不断增加、儿童心理健康专业人员数量的减少，以及TMH在新型护理模式中所能发挥的作用。
本特刊的作者都是经验丰富的TMH创新者和提供者，他们就TMH在儿童和青少年心理健康方面的当前及不断发展的现状提供了专业观点。本论文集中的文章借鉴了TMH的主要实例，运用了在不同TMH环境中实施的一系列干预措施，系统地探讨了TMH护理的关键技术、伦理、监管、临床和服务提供方面的问题。这些文章从战略上概述了将TMH有效纳入儿童心理保健所需的关键考虑因素。结论：TMH是一种快速发展的服务提供模式，已经开始创新护理体系，以满足国家儿童不断扩大的心理保健需求。
