Department of Behavioral Medicine and Psychiatry, West Virginia University, Morgantown. Marvin S. Swartz, M.D., is editor of this column.
Psychiatr Serv. 2019 Mar 1;70(3):239-242. doi: 10.1176/appi.ps.201800252. Epub 2018 Dec 17.
In rural communities, primary care providers continue to provide mental health services, and about 70% of children and adolescents identified to have a psychiatric disorder never receive treatment. A telehealth model for providing integrated mental health services in a school-based health clinic has the potential to increase access to specialized care for the most vulnerable youths. This column provides an overview of the strategies used to implement and integrate such a model in West Virginia. Operationalization, barriers, challenges, and judicious resource use are discussed. Appropriate reimbursement for services and state-specific legislation to ensure consistent revenue to sustain the program are considered.
在农村社区，基层医疗服务提供者继续提供心理健康服务，大约 70%被确定患有精神障碍的儿童和青少年从未接受过治疗。在学校卫生诊所提供综合心理健康服务的远程医疗模式有可能增加最脆弱青少年获得专业护理的机会。本专栏概述了在西弗吉尼亚州实施和整合这种模式所使用的策略。讨论了实施、障碍、挑战和合理资源利用。还考虑了适当的服务报销和州特定立法，以确保稳定的收入来维持该计划。
