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In light of these two situations, and hearing of others from colleagues, I figured out that it was the house, the family characteristics that was the driver for making these kids 'mad'. When apart from these characteristics, they had the ability to conform to the guidelines of the organizations due to the fact that they were forced to do so. However really what were the psychiatrists accomplishing for them? They simply suppressed them with drugs, required their compliance, and returned them to the exact same overbearing environment which resulted in their being hospitalized in the first place. It became obvious that the psychiatric facility might actually care less, for each admission added to their coffers. The family was pleased to create a scapegoat instead of dealing with the core issue and to have a place to send out the 'disrupted child' to so that they could continue in their own self-interest.

There were numerous practical aspects we needed to consider in the advancement and application of such a tool, including establishing collaborations, privacy problems, physician engagement, and payment. The objective of this article is to describe the actions needed to implement the practical and technical aspects of the e-consultation system, while highlighting the thinking behind each action and the lessons learned along the way. The intent is to supply a detailed guide that can be utilized in other health areas to execute a comparable procedure to enhance the total access to care.

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