The pediatrician serves as a frontline provider addressing patients’ medical and mental health needs, yet coronavirus disease-2019 (COVID-19) is reshaping the way physicians deliver care. Pediatricians are increasingly faced with the challenge of delivering care, including mental health care, remotely. Given the rapidly evolving literature, we performed a narrative review of the use of telehealth for mental health care for pediatric populations during the COVID-19 pandemic. Areas of focus included 1) pediatric primary care settings, 2) special pediatric populations (eg, eating disorders, autism), 3) access and engagement in telehealth care, and 4) training opportunities available for mental health providers. Themes that emerged across studies included the importance of meeting patients’ needs (eg, access to technological resources) to optimize success in using telehealth tools and challenges around provider access to support tools for use during telehealth. Thus, we provided a summary of evidence-based tools (including COVID-19 specific resources) for improving the remote delivery of mental health care by pediatricians. We also reviewed future directions including trials currently underway to enhance understanding of future telehealth applications for pediatric mental health care.

儿科医生是解决患者医疗和心理健康需求的一线提供者，但 2019 年冠状病毒病 (COVID-19) 正在重塑医生提供护理的方式。儿科医生越来越多地面临远程提供护理（包括心理健康护理）的挑战。鉴于文献的快速发展，我们对 COVID-19 大流行期间使用远程医疗对儿科人群进行精神保健的情况进行了叙述性回顾。重点领域包括 1) 儿科初级保健机构，2) 特殊儿科人群（例如进食障碍、自闭症），3) 远程医疗保健的获取和参与，以及 4) 为心理健康提供者提供的培训机会。研究中出现的主题包括满足患者需求的重要性（例如，访问技术资源）以优化使用远程医疗工具的成功，以及围绕提供者访问远程医疗期间使用的支持工具的挑战。因此，我们提供了基于证据的工具（包括 COVID-19 特定资源）的摘要，以改善儿科医生远程提供精神保健服务。我们还回顾了未来的方向，包括目前正在进行的试验，以加强对未来儿童心理保健远程医疗应用的理解。