Journal of Telemedicine and Telecare > Volume 10, Supplement 1 > Pp. 48-50

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Evaluation of a pilot second-opinion child telepsychiatry service

A D Hockey, P M Yellowlees and S Murphy

Centre for Online Health, University of Queensland, Brisbane, Australia; Centre for Online Health, University of Queensland, Brisbane, Australia; Child and Family Therapy Unit, Royal Children's Hospital, Brisbane, Australia
A second-opinion child psychiatry service was piloted for six months in the northern-most two-thirds of Queensland. It provided specialist expertise by telehealth to local multidisciplinary teams of mental health staff. During the study period, 28 videoconferences were performed by the service: nine for administrative purposes, two for educational purposes, and 17 for direct and indirect clinical applications. The mean time between a referral being made and a consultation being performed was 4.7 days (range 1–13). A survey administered to referring and non-referring mental health workers showed that the major barriers to service implementation included the limited allied health applications that were offered, a perceived lack of communication during the implementation phase of the service, and the creation of a new referral network that did not conform to traditional referral patterns in the north of Queensland.

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