814 Chapter L Paediatric Telepsychiatry as Innovation in Healthcare Delivery Katherine M. Boydell University of Toronto, Canada Tiziana Volpe The Hospital for Sick Children, Canada Antonio Pignatiello University of Toronto, Canada Copyright © 2009, IGI Global, distributing in print or electronic forms without written permission of IGI Global is prohibited. AbstrAct Although a great deal has been written about the potential for telemedicine to increase access to care, applications in paediatrics are sparse. This chapter details how one paediatric telepsychiatry program has facilitated the creation of integrated healthcare solutions in patient psychiatric care for children and youth in remote and rural communities. It demonstrates how the telepsychiatry model of healthcare service delivery has improved access, enhanced capacity, and promoted knowledge exchange in rural communities. A case study is used to highlight theoretical and empirical research on the value of televideo information technology in mental healthcare and its impact on the healthcare stakeholders who utilize this technology. An overview of the clinical, education, and evaluation components of the program is outlined, with a focus on knowledge translation and exchange as the underpinning foundation to the success of the program. bAcKGrOUND The recent proliferation of live interactive video- conferencing technology has made it possible for two or more individuals to interact in real time, sharing information through electronic media. Telepsychiatry is a specifc term designating psychiatric applications employing live interactive televideo (ITV) communication (The Work Group on Quality Issues, 2008). In fact, telepsychiatry