The Effectiveness of Telemental Health

Posted on Actualizado enn


Telepsychology is the use of the web technology to provide mental health assessment and treatment at a distance. Its reliability for children and adolescents has been done with the Schedule for the Assessment of Depression and Schizophrenia (K-SADS) and the DIS (DISC), and new studies support the evidence that telepsychology has his own effectiveness (Richardson, Frueh, Grubaugh, Egede, & Elhai, 2009). On the other hand, an effort has been done in recent years in order to systematize and regulate this growing field, and already has its regulations for a good practice (Myers et. al, 2008; American Telemedicine Association, ATA, 2013).

Regarding the advantages over face-to-face therapy, Pakyurek, Yellowlees & Hilty (2010) highlight that telepsychology may be better than in-person service for several reasons: 1. Novelty: the interaction patient-psychologist is perceived as more exciting and less threatening; 2. Direction: the patient (like Autism or ADHD) seem to be directed by the technology and the direct consequences of their behavior (throwing a rubber) are not vested directly on the therapist; 3. Distance: some patients feel more confortable and talk more freely with a distance between them and the psychologist; 4. Authenticity of the family interaction: the psychologist can observe the child-parent interaction in a more naturalistic setting, less likely to be observed in face-to-face settings. Telepsychology can be specially useful for some patients, for example those in rural areas, which can have access to health services and good educational resources online, and also for some disorders like ADHD (Palmer et. al, 2010).

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References

Myers, K., Cain, S., Work Group on Quality Issues, & American Academy of Child and Adolescent Psychiatry Staff. (2008). Practice parameter for telepsychiatry with children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 47(12), 1468-1483. doi:10.1097/CHI.0b013e31818b4e13

Pakyurek, M., Yellowlees, P., & Hilty, D. (2010). The Child and Adolescent Telepsychiatry Consultation: Can It Be a More Effective Clinical Process for Certain Patients Than Conventional Practice? Telemedicine and e-Health, 16(3), 289-292. doi:10.1089/tmj.2009.0130

Palmer, N. B., Myers, K. M., Vander Stoep, A., McCarty, C. A., Geyer, J. R., & DeSalvo, A. (2010). Attention-Deficit/Hyperactivity Disorder and Telemental Health. Current psychiatry reports, 12(5), 409-417. doi:10.1007/s11920-010-0132-8

Richardson, L. K., Frueh, B. C., Grubaugh, A. L., Egede, L., & Elhai, J. D. (2009). Current Directions in Videoconferencing Tele-Mental Health Research. Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association, 16(3), 323-338. doi:10.1111/j.1468-2850.2009.01170.x

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    lectorixblog escribió:
    noviembre 7, 2013 en 12:33 pm

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