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Models of Telepsychiatric Consultation–Liaison Service to Rural Primary Care

Received March 28, 2005; revised July 14, 2005; accepted August 9, 2005. From the Dept. of Psychiatry and Behavioral Sciences, the Center for Health and Technology, and the Center for Health Services Research in Primary Care, UC–Davis Medical Center, Sacramento, CA. Address correspondence and reprint requests to Dr. Hilty, Dept. of Psychiatry and Behavioral Sciences, UC–Davis Medical Center. e-mail: dmhilty{at}ucdavis.edu

New models of psychiatric intervention are needed to improve the accessibility of mental health care in the primary-care setting, particularly in rural areas of the United States. Some models of service delivery have been successful in suburban and urban settings, but they do not always apply to rural settings. "E-health" innovations like videoconferencing, telephone, secure messaging (e-mail), and the Internet are increasingly being used to provide consultation–liaison service to primary care. This article briefly reviews successful models used in primary care, their application to rural sites, new models for rural sites, and suggestions for future e-health research.

Key Words: teleconsultation • rural populations

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