For Some Rural Teens, Psychiatric Help Is Now Just a TV Screen Away

LANSAD-Anglais pour AES S2

Texte en autonomie n°1

For Some Rural Teens, Psychiatric Help Is Now Just a TV Screen Away

TIME Aug. 4, 2016 Emma Ockerman @eockerman 

With few child and adolescent psychiatrists available, "telehealth" is one way for mental health professionals to stretch their expertise a little further

Rebecca Gadley’s father searched for months to find a therapist who could treat his teenage daughter for depression in their small Kentucky hometown. The few child psychiatrists within driving distance said she’d be waiting months for an appointment; another refused to accept new patients altogether.

Then, in January of this year, Rebecca’s father finally found someone who could see his daughter every week. Better yet, the treatment could start immediately. There was just one catch: Rebecca and her therapist would be separated by nearly 260 miles. She would be able to hear and see her therapist, but her “telehealth” appointments would mean that she might never get to shake her hand.

“It’s like Skype through a TV,” says Rebecca, now 14. “You get used to it.”

In 2015, the average child and adolescent psychiatrist in Kentucky was 55 years old, and psychiatrists say many in the field are retiring without replacements. Kentucky and most other U.S. states are facing a severe shortage of psychiatrists, according to the American Academy of Child and Adolescent Psychiatry (AACAP). Psychiatrists and mental health advocates say America today needs more than 30,000 child and adolescent psychiatrists, and has only 8,300—and the need appears to keep rising. At Cincinnati Children’s Hospital Medical Center, where Rebecca’s therapist is based, children in psychiatric distress account for more than 7,000 annual emergency room visits per year. Ten years ago, the emergency room saw half as many such visits.

Advocates have long scrambled for solutions to the problem: increase funding for clinics; expand loan-forgiveness programs so medical students might be encouraged to go into child psychiatry; increase the number of psychiatric beds in hospitals; and expand telehealth. More recently, U.S. Rep. Tim Murphy, a Republican from Pennsylvania and a child psychologist himself, introduced the Helping Families in Mental Health Crisis Act, which included funding for collaborative telemental health programs.

“We need three times as many psychiatrists as we have,” says Dr. Gregory Fritz, Rhode Island-based child and adolescent psychiatrist and president of the AACAP. It’s estimated that there are more than 15 million children who could need—and are not getting—treatment for mental health disorders. Experts agree that as more young people emerge in need of psychiatric or psychological care, there is an ever-urgent race to find ways to deliver them the help that they require.

As technology has become cheaper and more reliable, telepsychiatry has emerged as a practical approach to reaching more young people. But it’s not without its detractors. Some advocates disagree on whether appointments like Rebecca’s are as effective as those carried out in-person. Others see telehealth as just one promising piece of what must be a larger, more comprehensive solution.

“It is part of an evolving landscape that has to change to get kids the services they need, and this is one very good part of that,” says Dr. Kathleen Myers, program director for telepsychiatry and behavioral health at Seattle Children’s Hospital. “But if you take a child psychiatrist here and have them practice [telehealth], all you’ve done is redistribute the manpower. We really need more than that.”

For Some Rural Teens, Psychiatric Help Is Now Just a TV Screen Away

1. Compréhension globale (ce travail a été commencé en cours en séance 1, il vous appartient de le continuer) 

Qui ? Rebecca Gadley, son père, des jeunes qui auraient besoins de consultations psychiatriques mais n’en bénéficient pas

Où ? Aux USA dans une petite ville du Kentucky

Quoi ? il existe mtn des consultations de psychiatre pour enfants et ado à distance, par écran interposé

Quand ? Janvier 2016 pour Rebecca et 2015 pour les statistiques

Comment ? comme Skype avec une télé

Circonstances ? il y une pénurie de psychiatres en particuliers chez les pédopsychiatres et par ailleurs les besoins augmentent

Conséquences ? certaines personnes pensent que ces séances ne sont pas aussi efficaces que celles « en chair et en os »

Et d’autres pensent que ce n’est qu’une partie de la solution

Exemple(s) utilisé(s) pour illustrer ?

Autre(s) élément(s) compris :

Vocabulaire utile à retenir :

Now you should be able to write a summary of the main ideas of the text in ENGLISH.

1. Compréhension détaillée

Tous les éléments soulignés dans la version du texte qui vous est proposée ci-dessous sont des occurrences de points de langue travaillés pendant le semestre. A l'examen, vous serez susceptibles d'avoir à traduire certains de ces énoncés.

Les points de langue en question sont, dans l'ordre dans lequel ils seront traités : les groupes nominaux, les informations chiffrées, les prépositions, la nature des mots, les modaux, la traduction de "as" / "for" / "since", le passif, les modaux. Commencez par identifier quel est le point de langue illustré par chaque énoncé souligné, puis traduisez-le.

...