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Development of Child and Adolescent Telepsychiatry

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Telepsychiatry was first reported with children and adolescents in 1976 in New York City at Mount Sinai School of Medicine. There was then little activity until the 1990s, when technological improvements led to a rapid growth of telemedicine programs nationally and internationally. Accurate data on the number of telepsychiatry programs are difficult to obtain. Review of reimbursement records suggests that at least 27 states include telemedicine in their Medicaid services (Brown 2006; Center for Telemedicine Law and the Office for the Advancement of Telehealth 2007; Centers for Medicare and Medicaid Services 2007a, 2007b), and 64 states have reported reimbursement by private payers (American Telemedicine Association and AMD Telemedicine, Inc. 2004; Brown 2006; Whitten and Buis 2007). Many of these payers include mental health services. The Telemedicine Information Exchange Web site (http://tie.telemed.org) lists 125 telemedicine programs in the United States and identifies 65 of these as including mental health programs. How many of these programs include child and adolescent psychiatric services is unclear.

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Table Reference Number
TABLE 44–3. Published reports and studies in child and adolescent telepsychiatry

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