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首页> 美国卫生研究院文献>Journal of Child and Adolescent Psychopharmacology >Future Directions in the Use of Telemental Health to Improve the Accessibility and Quality of Childrens Mental Health Services
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Future Directions in the Use of Telemental Health to Improve the Accessibility and Quality of Childrens Mental Health Services

机译：利用远程医疗改善儿童心理健康服务的可及性和质量的未来方向

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>Objectives: This concluding commentary offers a brief overview of progress to date in providing telemental health services to children, and then offers a critical vision for future research needed to provide the rigorous empirical foundation for telemental health to be considered a well-established format for the delivery of children's mental health services.>Methods: We review how recent years have witnessed advances in the science and practice of children's telemental health, and the articles in this special series collectively offered a critical step forward in the establishment of a guiding literature to provide informed direction for child providers incorporating remote technologies to extend their practices.>Results: Researchers must be cautious not to develop a “horse race” mentality and a misguided search for a decisive “winner” regarding the ultimate effectiveness of child telemental health versus traditional clinic-based treatments. Instead, research efforts are needed to examine key mediators and moderators of telemental health treatment response. The question should not be simply whether telemental health strategies are supported, but rather when, under what circumstances, and for whom telemental health formats may be most indicated. Barriers to the continued evolution of children's telemental health are discussed, and we consider issues of telemental health reimbursement and matters of cross-state professional jurisdiction.>Conclusions: Continued efforts are needed in order to fully actualize the potential of children's telemental health to optimize the quality and transform the accessibility of mental health services for all children, regardless of income or geography.
机译：>目标：本结论性评论简要概述了迄今为止为儿童提供远程医疗服务的进展，然后为将来的研究提供了重要的愿景，以期为考虑远程医疗提供严格的经验基础>方法：我们回顾了近年来如何见证了儿童远程心理健康的科学和实践的进步，并且本系列特别文章共同提供在建立指导性文献方面迈出了关键的一步，该指导文献旨在为使用远程技术扩展其实践的儿童提供者提供知情的指导。>结果：研究人员必须谨慎，不要养成“赛马”心态，关于儿童远程心理健康与传统的基于临床的治疗的最终有效性的误导性寻找“决定性”赢家ents。取而代之的是，需要进行研究以检查远程保健治疗反应的关键介体和调节者。问题不应该简单地是是否支持远程医疗健康策略，而应该是何时，在什么情况下以及最适合谁使用远程医疗健康格式。讨论了儿童远程心理健康持续发展的障碍，我们考虑了远程心理健康报销和跨州专业管辖权问题。>结论：为了充分实现儿童远程心理健康的潜力，需要继续努力儿童的心理健康，以优化其质量并改变所有儿童的心理健康服务的可获得性，无论其收入或地理位置如何。

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