Models of Telepsychiatric Consultation–Liaison Service to Rural Primary Care

New models of psychiatric intervention are needed to improve the accessibility of mental health care in the primary-care setting, particularly in rural areas of the United States. Some models of service delivery have been successful in suburban and urban settings, but they do not always apply to rur...

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Bibliographic Details
Published in:Psychosomatics (Washington, D.C.) D.C.), 2006-03, Vol.47 (2), p.152-157
Main Authors: Hilty, Donald M., Yellowlees, Peter M., Cobb, Hattie C., Bourgeois, James A., Neufeld, Jonathan D., Nesbitt, Thomas S.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Biological and medical sciences
Humans
Medical sciences
Mental Disorders - diagnosis
Mental Disorders - therapy
Primary Health Care - organization & administration
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Referral and Consultation
Rural Health Services - organization & administration
Somatoform disorders. Psychosomatics
Telemedicine - instrumentation
United States - epidemiology
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Summary:New models of psychiatric intervention are needed to improve the accessibility of mental health care in the primary-care setting, particularly in rural areas of the United States. Some models of service delivery have been successful in suburban and urban settings, but they do not always apply to rural settings. “E-health” innovations like videoconferencing, telephone, secure messaging (e-mail), and the Internet are increasingly being used to provide consultation–liaison service to primary care. This article briefly reviews successful models used in primary care, their application to rural sites, new models for rural sites, and suggestions for future e-health research.
ISSN:0033-3182
1545-7206
DOI:10.1176/appi.psy.47.2.152