ISSUES IN PRACTICE - Telepsychiatry

Question 1

9 yo with severe depression is struggling to
make it to clinic due to distance from clinic
to home. When would telepsych have the
most benefit?

Answer 1

Having support of parent, caregiver, or

teacher

Question 2

What should a psychiatrist emphasize when
starting a rural mental health
telepsychiatry clinic?

Answer 2

Must review integration of telepsychiatry

with existing mental health services

Question 3

Barrier to telepsychiatry practice?

Answer 3

Infrastructure & overhead costs may not be

reimbursed

Question 4

Most important factors for building

therapeutic alliance in telepsychiatry?

Answer 4

Hand signals, Erect posture, Nodding

frequently

Question 5

What regulations are mandated by the
Federation of State Medical Boards to
establish telemedicine in private practice?

Answer 5

Licensure to practice in the state where the

patient is located

Question 6

Relative contraindication for being

evaluated by telepsychiatry?

Answer 6

Depressed/suicidal child in their home

Question 7

Child with autism, anxiety, irritability,
functional decline at school, lack of mental
health services locally, can’t be managed
outpatient by pediatrician. Next step?

Answer 7

Enroll in telepsych with child psychiatrist

Question 8

Current reimbursement for telemedicine

services?

Answer 8

Covered by Medicaid in all states