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Advances in Asynchronous Telehealth Technologies to Improve Access and Quality of Mental Health Care for Children and Adolescents

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Abstract

Although mental health (MH) disorders are common among children and adolescents, most youth in need of services do not receive care. Among those who do access the mental health care system, quality of care remains poor. Telehealth technologies have the potential to improve access and quality of MH care for this population. In this article, we provide an overview of several promising asynchronous telemental health (A-TMH) technologies that target one or more dimensions of access to MH care, the quality of MH care, or both: (1) patient registries and tracking systems, (2) store and forward telehealth, (3) mobile health (mHealth) interventions, and (4) internet self-administered therapies. Next, we draw on two conceptual frameworks to identify key dimensions of health care access and quality that may be targeted by these A-TMH technologies. There are, however, a number of major challenges to the broader dissemination of these tools including a dearth of available research on their efficacy and effectiveness; the monetary cost associated with developing, acquiring, implementing, and maintaining these technologies; and the time cost associated with training on and implementation of these technologies. As researchers, practitioners, and policymakers may pursue strategies to overcome these challenges, A-TMH technologies have the potential to help create a more accessible, equitable, evidence-based, and patient-centered mental health care system for youth.

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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA

    Kathleen Myers

  2. Department of Psychiatry and Behavioral Medicine, Seattle Children’s Hospital, Seattle, WA, USA

    Kathleen Myers

  3. Department of Health Policy and Management, Emory University, 1518 Clifton Road NE, Suite 650, Atlanta, GA, 30322, USA

    Janet R. Cummings

  4. Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA

    Bonnie Zima

  5. Center for Health Services and Society, David Geffen School of Medicine, University of California, Lost Angeles, CA, USA

    Bonnie Zima

  6. Behavior Imaging Solutions, Inc, 1423 West Franklin St, Boise, ID, USA

    Ron Oberleitner

  7. Mind and Body Works, Inc, 3340 Wauke St, Honolulu, HI, USA

    David Roth

  8. Werry Centre for Child and Adolescent Mental Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand

    Sally M. Merry

  9. Faculty of Health, Department of Psychology, York University, Toronto, ON, Canada

    Yvonne Bohr

  10. Faculty of Medical and Health Sciences, Department of Psychological Medicine, University of Auckland, Auckland City Hospital Support Building, Auckland, New Zealand

    Karolina Stasiak

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Myers, K., Cummings, J.R., Zima, B. et al. Advances in Asynchronous Telehealth Technologies to Improve Access and Quality of Mental Health Care for Children and Adolescents. J. technol. behav. sci. 3, 87–106 (2018). https://doi.org/10.1007/s41347-018-0055-5

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