Skip to main content

Advertisement

Log in

Pediatric Telepsychiatry in Ontario: Caregiver and Service Provider Perspectives

  • Brief Report
  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

Families in rural areas face significant geographic and economic obstacles to obtaining pediatric mental health services. Telepsychiatry promises the possibility of extending specialized expertise into areas that have no resident psychiatrists. In this study, user perspectives and experiences of a pediatric telepsychiatry program serving rural communities in Ontario, Canada, were explored. Qualitative, exploratory methods were utilized because of the complex nature of mental health services needs and provision in rural communities. Focus groups with rural mental health service providers and interviews with family caregivers of children receiving a telepsychiatry consultation were conducted. The purpose of this research was to evaluate the benefits and limitations of providing pediatric psychiatric services via video-technology to inform future program development and health policy. Whereas participants in the study indicated that their experiences with the telepsychiatry service had been positive, the need for additional local services to support treatment recommendations was emphasized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bishop JE, O’Reilly RL, Maddox K, et al. Client satisfaction in a feasibility study comparing face-to-face interviews with telepsychiatry. Journal of Telemedicine and Telecare. 2002;8(4):217–221.

    Article  PubMed  CAS  Google Scholar 

  2. Williams TL, May CR, Esmail A. Limitations of patient satisfaction studies in telehealthcare: A systematic review of the literature. Telemedicine Journal and E-Health. 2001;7(4):293–316.

    Article  PubMed  CAS  Google Scholar 

  3. Gelber H. The experience in Victoria with telepsychiatry for the child and adolescent mental health service. Journal of Telemedicine and Telecare. 2001;7(Suppl2):32–34.

    Article  PubMed  Google Scholar 

  4. D’Souza R. A pilot study of an educational service for rural mental health practitioners in South Australia using telemedicine. Journal of Telemedicine and Telecare. 2000;6(1):187–189.

    Article  Google Scholar 

  5. Baer L, Elford DR, Cukor P. Telepsychiatry at forty: What have we learned? Harvard Review of Psychiatry. 1997;5(1):7–17.

    Article  PubMed  CAS  Google Scholar 

  6. Alessi N. Child and adolescent telepsychiatry: reliability studies needed. Cyberpsychology and Behavior. 2000;3(6):1009–1015.

    Article  Google Scholar 

  7. Aas IH. A qualitative study of the organizational consequences of telemedicine. Journal of Telemedicine and Telecare. 2001;7:18–26.

    Article  PubMed  CAS  Google Scholar 

  8. May C, Gask L, Ellis N, et al. Telepsychiatry evaluation in the north west of England: preliminary results of a qualitative study. Journal of Telemedicine and Telecare. 2000;6(1):20–22.

    Article  Google Scholar 

  9. Ermer DJ. Experience with a rural telepsychiatry clinic for children and adolescents. Psychiatric Services. 1999;50(2):260–261.

    PubMed  CAS  Google Scholar 

  10. Letvak S. The importance of social support for rural mental health. Issues in Mental Health Nursing. 2002;23:249–261.

    Article  PubMed  Google Scholar 

  11. Starr S, Campbell LR, Herrick CA. Factors affecting use of the mental health system by rural children. Issues in Mental Health Nursing. 2002;23:291–304.

    Article  PubMed  Google Scholar 

  12. McCabe S, Macnee CL. Weaving a new safety net of mental health care in rural America: a model of integrated practice. Issues in Mental Health Nursing. 2002;23:263–278.

    Article  PubMed  Google Scholar 

  13. Boydell KM, Greenberg N, Volpe T. Designing a framework for evaluating pediatric telepsychiatry: a participatory approach. Journal of Telemedicine and Telecare. 2004;10(3):165–169.

    Article  PubMed  Google Scholar 

  14. Patton MQ. Qualitative Evaluation and Research Methods, 2nd ed. Newbury Park, CA: Sage Publications, Inc.; 1990.

    Google Scholar 

  15. Kitzinger J. The methodology of focus groups: the importance of interaction between research participants. Sociology of Health. 1994;16(1):103–121.

    Article  Google Scholar 

  16. Powell RA, Single HM, Lloyd KR. Focus groups in mental health research: enhancing the validity of user and provider questionnaires. International Journal of Social Psychology. 1996;42 (3):193–206.

    CAS  Google Scholar 

  17. Goss JD, Leinbach TR. Focus groups as alternative research practice. Area. 1996;28(2):115–123.

    Google Scholar 

  18. Powell RA, Single HM. Focus groups. International Journal of Quality in Health Care. 1996;8(5):499–504.

    Article  CAS  Google Scholar 

  19. Kitzinger J. Introducing focus groups. British Medical Journal. 1995;311:299–302.

    PubMed  CAS  Google Scholar 

  20. Morgan DL, ed. Successful Focus Groups. London: Sage Publications, Inc.; 1993.

    Google Scholar 

  21. Morgan DL. Focus groups as qualitative research, 2nd ed. Newbury Park: Sage Publications, Inc.; 1997.

    Google Scholar 

  22. Burgess J. Focusing on fear. Area. 1996;28(2):130–136.

    Google Scholar 

  23. Charmaz K. Translating graduate qualitative methods into undergraduate teaching: intensive interviewing as a case example. Teaching Sociology. 1991;19:384–395.

    Article  Google Scholar 

  24. McCracken G. The Long Interview. Newbury Park, CA: Sage Publications Inc.; 1988.

    Google Scholar 

  25. Sandolowski M. Whatever happened to qualitative description? Research in Nursing and Health. 2000;23: 334–340.

    Article  Google Scholar 

  26. Diekelmann NL. Learning-as-testing: a Heideggerian hermeneutical analysis of the lived experiences of students and teachers in nursing. Advances in Nursing Science. 1992;14(3):72–83.

    PubMed  CAS  Google Scholar 

  27. Creswell JW. Qualitative Inquiry and Research Design: Choosing Among Five Traditions. Thousand Oaks: Sage Publications, Inc.; 1998.

    Google Scholar 

  28. Erlandson DA, Harris EL, Skipper BL, et al. Doing Naturalistic Inquiry: A Guide to Methods. Newbury Park, CA: Sage Publications Inc.; 1993.

    Google Scholar 

Download references

Acknowledgments

The authors would like to acknowledge the financial support of the Ontario Ministry of Children and Youth Services, and the cooperation and administrative support of the Telepsychiatry Program, Hospital for Sick Children.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katherine M. Boydell MHSc, PhD.

Additional information

Natasha Greenberg, MA, Community Health Systems Resource Group, The Hospital for Sick Children, Department of Public Health Sciences, University of Toronto, 555 University Avenue, Toronto, ON M6G 1X8, Canada.

Tiziana Volpe, MSc, Community Health Systems Resource Group, The Hospital for Sick Children, Department of Public Health Sciences, University of Toronto, 555 University Avenue, Toronto, ON M6G 1X8, Canada.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Greenberg, N., Boydell, K.M. & Volpe, T. Pediatric Telepsychiatry in Ontario: Caregiver and Service Provider Perspectives. JBHSR 33, 105–111 (2006). https://doi.org/10.1007/s11414-005-9001-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-005-9001-3

Key Words

Navigation