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J Adolesc Health ; 38(6): 643-8, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16730590

ABSTRACT

PURPOSE: Incarcerated adolescents have a high prevalence of psychiatric disorders but lack psychiatrists to provide ongoing care. Telepsychiatry may provide one solution to treating this underserved population. METHODS: Interactive video conferencing was used to connect a minimum security correctional facility with a regional telemedicine program. Clinical records were reviewed to examine utilization, demographics, diagnoses, pharmacotherapy, and patient satisfaction. RESULTS: During the 29-month study period, 115 youth were treated using 275 telepsychiatry visits. Substance-use, behavioral, and emotional disorders were highly prevalent. Eighty percent (80%) of the youth were successfully prescribed medications. Youth expressed confidence with the psychiatrist's recommendations but expressed concerns about privacy. CONCLUSIONS: Telepsychiatry can successfully deliver services to incarcerated adolescents with a wide range of psychiatric needs. A patient-centered approach that directly assesses adolescents' satisfaction is recommended to ensure youths' optimal involvement in needed services.


Subject(s)
Prisoners/psychology , Psychiatry/methods , Telemedicine , Adolescent , Adult , Affective Symptoms/therapy , Female , Humans , Male , Medically Underserved Area , Mental Disorders/therapy , Retrospective Studies , Substance-Related Disorders/therapy , Videoconferencing
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