A statewide child telepsychiatry consult system yields desired health system changes and savings

Telemedicine and e-Health

Volumn 21, Issue 7, 2015, Pages 533-537

  Hilt, Robert J ^a   Barclay, Rebecca P ^a   Bush, James ^b   Stout, Brenda ^b   Anderson, Nichole ^c   Wignall, Julia R ^a  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b Wyoming Department of Health   (United States)

^c Wyoming Department of Family Services   (United States)

Author keywords

behavioral health; pediatrics; pharmacy; telemedicine; Telepsychiatry

Indexed keywords

COST EFFECTIVENESS; DRUG DOSAGE; PEDIATRICS; TELEMEDICINE; TELEPHONE SETS;

BEHAVIORAL HEALTH; CLINICAL EFFICACY; FINANCIAL RETURNS; FOOD AND DRUG ADMINISTRATION; LOCAL COMMUNITY; MULTI-DISCIPLINARY TEAMS; PHARMACY; TELEPSYCHIATRY;

HEALTH INSURANCE;

ADOLESCENT; CHILD; CHILD PSYCHIATRY; COST CONTROL; E-COUNSELING; ECONOMICS; FEMALE; HEALTH CARE DELIVERY; HUMAN; MALE; MEDICAID; ORGANIZATION AND MANAGEMENT; PRESCHOOL CHILD; UNITED STATES; WYOMING;

ADOLESCENT; ADOLESCENT PSYCHIATRY; CHILD; CHILD PSYCHIATRY; CHILD, PRESCHOOL; COST SAVINGS; DELIVERY OF HEALTH CARE; DISTANCE COUNSELING; FEMALE; HUMANS; MALE; MEDICAID; UNITED STATES; WYOMING;

EID: 84936936665     PISSN: 15305627     EISSN: 15563669     Source Type: Journal    
DOI: 10.1089/tmj.2014.0161     Document Type: Article

References (25)

1. Savin D, Glueck DA, Chardavoyne J, Yager J, Novins DK. Bridging cultures: Child psychiatry via videoconferencing. Child Adolesc Psychiatr Clin N Am 2011;20:125-134.
2. Thomas C, Holzer CE. The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry 2006;45:1023-1031.
3. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry 2005;62:593-602.
4. Jensen PS, Goldman E, Offord D, Costello EJ, Friedman R, Huff B, Crowe M, Amsel L, Bennett K, Bird H, et al. Overlooked and underserved: 'Action signs' for identifying children with unmet mental health needs. Pediatrics 2011;128:970-979.
5. Howie LD, Pastor PN, Lukacs SL. Use of medication prescribed for emotional or behavioral difficulties among children aged 6-17 years in the United States, 2011-2012. NCHS Data Brief, No. 148. 2014. Available at www.cdc.gov/nchs/data/databriefs/db148.htm (last accessed February 6, 2015).
6. U.S. Government Accounting Office. Children's mental health, concerns remain about appropriate services for children in Medicaid and foster care. GAO Publications 13(15). 2012. Available at www.gao.gov/products/GAO-13-15 (last accessed February 6, 2015).
7. Hilt RJ, Chaudhari M, Bell JF. Side effects from use of one or more psychiatric medications in a population-based sample of children and adolescents. J Child Adolesc Psychopharmacol 2014;24:83-89.
8. American Academy of Child and Adolescent Psychiatry. Practice parameter on the use of psychotropic medication in children and adolescents. J Am Acad Child Adolesc Psychiatry 2009;48:961-973.
9. McClellan JM, Werry JS. Evidence-based treatments in child and adolescent psychiatry, an inventory. J Am Acad Child Adolesc Psychiatry 2003;42:1388-1400.
10. Child and Family Service Improvement and Innovation Act. Public Law 112-34-SEPT. 30, 2011. 125 STAT. 369. Available at www.gpo.gov/fdsys/pkg/PLAW-112publ34/pdf/PLAW-112publ34.pdf (last accessed February 6, 2015).
11. Petterson SM. Metropolitan-nonmetropolitan differences in amount and type of mental health treatment. Arch Psychiatr Nurs 2003;17:12-19.
12. Romansky JB, Lyons JS, Lehner RK, West CM. Factors related to psychiatric hospital readmission among children and adolescents in state custody. Psychiatr Serv 2003;54:356-362.
13. Laukkanen M, Hakko H, Rasanen P, Riala K. Does the use of health care and special school services, prior to admission for psychiatric inpatient treatment, differ between adolescents housed by child welfare services and those living with their biological parents? Community Ment Health J 2013;49:528-539.
14. Hilty DM, Ferrer DC, Parish MB, Johnston B, Callahan EJ, Yellowlees PM. The effectiveness of telemental health: A 2013 review. Telemed J E Health 2013;19:444-454.
15. Elford DR, Whilte H, St John K, Maddigan B, Ghandi M, Bowering R. A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland. J Telemed Telecare 2001;6:73-82.
16. Spaulding R, Belz N, DeLurgio S, Williams AR. Cost savings of telemedicine utilization for child psychiatry in a rural Kansas community. Telemed J E Health 2010;16:867-871.
17. Shore JH, Brooks E, Savin DM, Manson SM, Libby AM. An economic evaluation of telehealth data collection with rural populations. Psychiatr Serv 2007;58:830-835.
18. Whitacre BE, Hartman PS, Boggs SA, Schott V. A community perspective on quantifying the economic impact of teleradiology and telepsychiatry. J Rural Health 2009;25:194-197.
19. U.S. Census Bureau. State quick facts. 2013. Available at http://quickfacts.census.gov (last accessed February 6, 2015).
20. Anderson N. 2012 update: Wyoming Department of Family Services budget footnote study. 2012. Available at www.wyjuvenilejustice.com/-pdfs/2013/September%202013/DFS-Budget-Footnote-Study-UPDATE-Report-FINAL-12-18-12.pdf (last accessed February 6, 2015).
21. Hilt RJ, Romaire MA, McDonell MG, Sears JM, Krupski A, Thompson JN, Myers J, Trupin EW. The Partnership Access Line, evaluating a child psychiatry consult program in Washington State. JAMA Pediatr 2013;167:162-168.
22. U.S. inflation calculator. Available at www.usinflationcalculator.com (last accessed February 6, 2015).
23. Jonas BS, Gu Q, Albertorio-Diaz JR. Psychotropic medication use among adolescents, United States, 2005-2010. NCHS Data Brief, No. 135. 2013. Available at www.cdc.gov/nchs/data/databriefs/db135.htm (last accessed February 6, 2015).
24. Thompson JN, Varley CK, McClellan J, et al. Second opinions improve ADHD prescribing in a Medicaid-insured community population. J Am Acad Child Adolesc Psychiatry 2009;48:740-748.
25. The Annie E. Casey Foundation. Reconnecting child development and child welfare, evolving perspectives on residential placement. 2013. Available at www.aecf.org/resources/reconnecting-child-development-and-child-welfare/(last accessed February 6, 2015).