Developmental and Clinical Considerations | Optimizing the Virtual Clinical Encounter | Telepsychiatry in a System of Care
Applications of telepsychiatry have been described across
development and most diagnostic categories. Children as young as
3 years old have been treated (Elford et al. 2000; Myers et al. 2004). School-age children comprise the modal age
group (Broder et al. 2004; Hockey et al. 2004; Nelson et al. 2003; Pesamaa et al. 2004), and attention-deficit/hyperactivity
disorder is the most commonly treated disorder, although most diagnostic
groups have been treated (Myers et al. 2004, 2007).
Developmentally impaired children may not be able to provide their
own perspectives, but school records, parents' records,
and telepsychiatrist's observations can readily facilitate
treatment planning. Children who are uncooperative pose challenges,
but they can be treated with assistance at the patient site. The appropriateness
of a youth for telepsychiatry should be individualized to developmental
considerations, parents' preferences, supports at the patient
site, and the telepsychiatrist's resourcefulness.