A good article by Ben Hartman, MD published in The Gupta Guide about lack of providers in mental health. http://www.medpagetoday.com/Psychiatry/GeneralPsychiatry/44193
Telepsychiatry is discussed here in the article. It’s being used partly because of the lack of clinicians willing to specialize in psychiatry. It’s a Band-aid and ought to stay that way otherwise it will take the place of face-to-face encounters in this challenging field, and that will be a dangerous thing. We don’t want this to become “treatment as usual”.
Primary care providers are continuing to be the mainstay for providing mental health but they lack the training (not required) and the time.
I’ll go back and say again that every PCP office ought to have a mental health RN in place to assist the PCPs. When clients are identified as needing further screening, they simply go to the RN’s office for further triage.