Child and Youth Telepsychiatry in Rural and Remote Primary Care Antonio Pignatiello, MD, FRCPC a,b, *, John Teshima, MD, FRCPC, MEd a,b,c , Katherine M. Boydell, PhD d,e,f , Debbie Minden, PhD, C Psych a,b,g , Tiziana Volpe, MSc d , Peter G. Braunberger, MD, FRCPC a,h,i The recent proliferation of live interactive videoconferencing technology has made it possible for 2 or more individuals at any distance apart to interact in real time. Telepsychiatry is a specific term designating psychiatric applications using videocon- ferencing communication 1 and is emerging as one of the most successful uses of this technology. 2,3 Telepsychiatry has important implications for accessing pediatric subspecialty services and in determining future health care workforce requirements The authors have nothing to disclose. a Department of Psychiatry, TeleLink Mental Health Program, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada b Department of Psychiatry, Faculty of Medicine, University of Toronto, 1 Kings College Circle, Medical Sciences Building, Toronto, ON M5S 1A8, Canada c Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, F-Wing, Toronto, ON, M4N 3M5, Canada d Community Health Systems Resource Group, The Hospital for Sick Children, Learning Insti- tute, 555 University Avenue, Toronto, ON M5G 1X8, Canada e Clinical Health Evaluative Sciences, The Hospital for Sick Children, Research Institute, 555 University Avenue, Toronto, ON M5G 1X8, Canada f Department of Psychiatry and Dalla Lana School of Public Health, University of Toronto, 155 College Street, Health Sciences Building-6th Floor, Toronto, ON M5T 3M7, Canada g Department of Psychology, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada h Department of Mental Health, Sister Margaret Smith Centre, St Joseph’s Care Group, 301 Lillie Street North, Thunder Bay, ON P7C 0A6, Canada i Dilico Anishinabek Family Care, 200 Anemki Place, Fort Williams First Nation, Thunder Bay, ON P7J 1L6, Canada * Corresponding author. Department of Psychiatry, TeleLink Mental Health Program, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada. E-mail address: antonio.pignatiello@sickkids.ca KEYWORDS  Primary care  Pediatric  Child/Youth  Videoconferencing  Telepsychiatry Child Adolesc Psychiatric Clin N Am 20 (2011) 13–28 doi:10.1016/j.chc.2010.08.008 childpsych.theclinics.com 1056-4993/11/$ – see front matter Ó 2011 Elsevier Inc. All rights reserved.