{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:15:34Z","timestamp":1777493734653,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Child and Adolescent Psychopharmacology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To describe the development of a protocol and practical tool for the safe delivery of telemental health (TMH) services to the home. The COVID-19 pandemic forced providers to rapidly transition their outpatient practices to home-based TMH (HB-TMH) without existing protocols or tools to guide them. This experience underscored the need for a standardized privacy and safety tool as HB-TMH is expected to continue as a resource during future crises as well as to become a component of the routine mental health care landscape.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The authors represent a subset of the Child and Adolescent Psychiatry Telemental Health Consortium. They met weekly through videoconferencing to review published safety standards of care, existing TMH guidelines for clinic-based and home-based services, and their own institutional protocols. They agreed on three domains foundational to the delivery of HB-TMH: environmental safety, clinical safety, and disposition planning. Through multiple iterations, they agreed upon a final Privacy and Safety Protocol for HB-TMH. The protocol was then operationalized into the Privacy and Safety Assessment Tool (PSA Tool) based on two keystone medical safety constructs: the World Health Organization (WHO)\n                      <jats:italic toggle=\"yes\">Surgical Safety Checklist\/Time-Out<\/jats:italic>\n                      and the\n                      <jats:italic toggle=\"yes\">Checklist Manifesto.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The PSA Tool comprised four modules: (1)\n                      <jats:italic toggle=\"yes\">Screening for Safety for HB-TMH<\/jats:italic>\n                      ; (2)\n                      <jats:italic toggle=\"yes\">Assessment for Safety During the HB-TMH Initial Visit<\/jats:italic>\n                      ; (3)\n                      <jats:italic toggle=\"yes\">End of the Initial Visit and Disposition Planning;<\/jats:italic>\n                      and (4) the\n                      <jats:italic toggle=\"yes\">TMH Time-Out and Reassessment<\/jats:italic>\n                      during subsequent visits. A sample workflow guides implementation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The Privacy and Safety Protocol and PSA Tool aim to prepare providers for the private and safe delivery of HB-TMH. Its modular format can be adapted to each site's resources. Going forward, the PSA Tool should help to facilitate the integration of HB-TMH into the routine mental health care landscape.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/cap.2021.0020","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T16:57:21Z","timestamp":1632157041000},"page":"464-474","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Home-Based Telemental Health: A Proposed Privacy and Safety Protocol and Tool"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1796-2700","authenticated-orcid":false,"given":"Aditi","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA."},{"name":"Seattle Children's Hospital, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"Feuer","sequence":"additional","affiliation":[{"name":"Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Hempstead, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara Krishna","family":"Stuart","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna B.","family":"Folk","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget T.","family":"Doan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Toronto, Toronto, Canada."},{"name":"Hospital for Sick Children (SickKids), Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetana A.","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Toronto, Toronto, Canada."},{"name":"Hospital for Sick Children (SickKids), Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ujjwal","family":"Ramtekkar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Health, The Ohio State University School of Medicine, Columbus, Ohio, USA."},{"name":"Nationwide Children's Hospital, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Fortuna","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Myers","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"American Academy of Child and Adolescent Psychiatry (AACAP): Practice Parameters Updates and Guidelines. 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