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Of 2824 articles that met primary or secondary key word search criteria, 326 met both criteria, and 118 thematically related directly to child and adolescent TMH. Only 44 studies met levels of evidence I\u2013III and expert recommendation criteria used in clinical guidelines; review of their references found 8 additional studies (52 total). Data from adult, child, and adolescent in-person psychiatric care and adult TMH were applied to provide context in developing the key considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>TMH guidelines for adults are well delineated, and TMH guidelines for children and adolescents are likely to closely overlap in terms of general clinical, technical, and administrative issues. However, for a child and adolescent focus, modifications of existing general guidelines appear necessary; for example, based on developmental status, family involvement, and patient-site modifications for space and sound. Additional clinical issues include specify who, exactly, is the \u201cpatient\u201d (i.e., the patient, family, and \/or other stakeholders), modalities of care (i.e., age-related psychotherapies such as play therapy or behavior management), and psychopharmacology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Specific clinical, administrative, and technical issues are key considerations \u2013 based on the nuances of established child and adolescent mental healthcare \u2013 and must be considered in developing a clinical guideline for TMH of these patients. Developing such guidance should proceed from a careful review of the growing evidence base, and through expert consensus processes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/cap.2015.0129","type":"journal-article","created":{"date-parts":[[2016,2,12]],"date-time":"2016-02-12T15:07:30Z","timestamp":1455289650000},"page":"283-295","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Need for and Steps Toward a Clinical Guideline for the Telemental Healthcare of Children and Adolescents"],"prefix":"10.1177","volume":"26","author":[{"given":"Donald M.","family":"Hilty","sequence":"first","affiliation":[{"name":"Kaweah Delta Medical Center, Visalia, California."},{"name":"Department of Psychiatry and Keck School of Medicine at the University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica Z.","family":"Shoemaker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Keck School of Medicine at the University of Southern California"},{"name":"Los Angeles County and University of Southern California Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Myers","sequence":"additional","affiliation":[{"name":"University of Washington"},{"name":"Seattle Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher E.","family":"Snowdy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Keck School of Medicine at the University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M.","family":"Yellowlees","sequence":"additional","affiliation":[{"name":"UC Davis School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Yager","sequence":"additional","affiliation":[{"name":"University of Colorado at Denver School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,4]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Agency for Healthcare Research and Quality: Clinical Guidelines and Recommendations 2014. 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