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The e-Mental Health Consultation Service: Providing Enhanced Primary-Care Mental Health Services Through Telemedicine

Received October 19, 2005; revised March 6, 2006; accepted March 14, 2006. From the Dept. of Psychiatry and Behavioral Sciences, Univ. of California, Davis Medical Center, Sacramento, CA. Send correspondence and reprint requests to James A. Bourgeois, O.D., M.D., Alan Stoudemire Professor of Psychosomatic Medicine, Dept. of Psychiatry and Behavioral Sciences, Univ. of California, Davis Medical Center, 2230 Stockton Blvd., Sacramento, CA 95817. e-mail: james.bourgeois{at}ucdmc.ucdavis.edu

This article describes the University of California, Davis Medical Center eMental Health Consultation Service, a program designed to integrate tele-mental health clinical services, provider-to-provider consultation, and provider distance education. During the first year of operation, consultations were provided for 289 cases. The most common diagnoses among children were for attention-deficit hyperactivity disorder-spectrum problems. Among the adult patients, mood disorders were most common. A convenience sample of 33 adult patients who completed the SF–12 health status measure showed significant improvements in mental health status at 3–6 months of follow-up. This model of comprehensive rural outpatient primary mental health care delivered at a distance shows promise for wider application and deserves further study.

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