Telepsychiatry & Mental Health of American Indian & Alaska Native Youth: Program, Cultural, & Curricular Considerations for Psychiatric-Mental Health Advanced Practice Registered Nurses

ABSTRACT

Introduction: COVID-19 has increased the use of telehealth in healthcare. The World Health Organization and the Health Resources and Services Administration have both acknowledged the value of telemedicine in improving access to care for vulnerable populations, including rural youth. Telepsychiatry may be especially beneficial for the three million Native American youth who live in isolated areas. However, due to geography, a scarcity of providers, and cultural stigma, they do not have easy access to primary and mental health care. Aim: The purpose of this paper is to investigate the potential benefits of telepsychiatry for Native American youth living in rural and isolated areas who have limited access to primary and mental health care due to geography, provider shortages, and cultural stigma. In particular, the role of psychiatric-mental health nurse practitioners is investigated. Results: Telepsychiatry via mobile devices is a viable intervention for geographically isolated Native youth with limited access to computers and stable Internet connectivity. Telepsychiatry research outcomes emphasize the potential for improved mental health outcomes among Native American youth and a clear role for psychiatric-mental health nurse practitioners. Conclusion: By engaging in telepsychiatry with Native American populations, psychiatric-mental health nurse practitioners have the opportunity to fill a current void. For the successful implementation of telepsychiatry to address mental health disparities among Native American youth, these practitioners would require training and support.