Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
The George Washington University, Department of Psychiatry and Behavioral Sciences.
Child Adolesc Psychiatr Clin N Am. 2024 Oct;33(4):729-739. doi: 10.1016/j.chc.2024.06.002. Epub 2024 Jul 20.
Children and adolescents in rural communities have statistically more unmet mental health needs and fewer mental health resources than their urban counterparts. The rural population is ill-served by the traditional medical model of hyperspecialization and would benefit more from a population-based approach. By embracing the community, including each area's distinct culture, mental health providers can best affect change in these areas. Increased pediatric integration via telepsychiatry, including clear and codified teleprescribing parameters for controlled substances, can reach more rural youth and eliminate current burdens to primary care providers who currently treat most rural mental illness.
农村社区的儿童和青少年在统计上比城市同龄人有更多未得到满足的心理健康需求和更少的心理健康资源。传统的高度专业化的医疗模式对农村人口服务不足，他们将从基于人群的方法中受益更多。通过接受社区，包括每个地区独特的文化，精神健康提供者可以最好地影响这些地区的变化。通过远程精神病学增加儿科整合，包括明确和编纂的受控物质远程处方参数，可以接触到更多的农村青年，并消除目前治疗大多数农村精神疾病的初级保健提供者的当前负担。
