Telemental Health

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Practice guidelines for video-based online mental health services. Practice guidelines for telemental health with children and adolescents.

Opportunities

Andersson, G. Internet-based self-help with therapist feedback and in vivo group exposure for social phobia: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 74 4 , — Association of State and Provincial Psychology Boards Australian Psychological Society Backhaus, A. Videoconferencing psychotherapy: a systematic review. Psychological Services, 9 2 , — Bashook, P. Best practices for assessing competence and performance of the behavioral health workforce. Administration and Policy in Mental Health, 32 , — Behnke, S.

Ethics in the age of the internet. Monitor on Psychology, 39 7 , Google Scholar. Bishop, M. Facebook goes to the doctor. Brenner, P. From novice to expert. Boston: Addison-Wesley Publishing Co.. British Psychological Society Retrieved from The provision of psychological services via the Internet. Brown, M.


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Callan, J. Crisis in the behavioral health classroom: enhancing knowledge, skills, and attitudes in telehealth training. Maheu, K. Wright Eds. New York: Springer.

Introduction

Cassel, C. Quality of care and quality of training: a shared vision for internal medicine? Annals of Internal Medicine, 11 , — Celio, A. Reducing risk factors for eating disorders: Comparison of an Internet- and a classroom-delivered psychoeducational program. Journal of Consulting and Clinical Psychol, 68 4 , — CrossRef Google Scholar. Christensen, H. E-mental health in Australia: implications of the internet and related technologies for policy. Canberra, Commonwealth Department of Health and Ageing.

Free range users and one hit wonders: community users of an Internet-based cognitive behaviour therapy program. Australian New Zealand Journal of Psychiatry, 40 1 , 9— Clarke, G. Overcoming depression on the Internet ODIN 2 : a randomized trial of a self-help depression skills program with reminders. Journal of Medical Internet Research, 7 2 , e Dreyfus, S. A five-stage model of the mental activities involved in directed skill acquisition. Epstein, R. Defining and assessing professional competence. Journal of the American Medical Association, , — Ferreira-Lay, P.

The quality of internet information on depression for lay people. Psychiatric Bulletin, 32 , — Ford, K. Competency-based education, history, opportunities, and challenges. Frank, J. Toward a definition of competency-based education in medicine: a systematic review of published definitions. Medical Teacher, 32 8 , — Fouad, N. Competency benchmarks: A model for understanding and measuring competence in professional psychology across training levels.

Frydman, G. A patient-centric definition of participatory medicine. Glueck, D. Establishing therapeutic rapport in telemental health. Turvey Eds. New York: Elsevier pp. Harden, R. AMEE guide no. Medical Teacher, 21 , 7— Hilty, D. How telepsychiatry affects the doctor-patient relationship: communication, satisfaction, and additional clinically relevant issues. Primary Psychiatry, 9 9 , 29— Effectiveness of telepsychiatry: a brief review. Canadian Psychiatric Association Bulletin, , 35 10— The effectiveness of telemental health: a review. Telemedicine Journal and E-Health, 19 6 , — Lessons from psychiatry and psychiatric education for medical learners and teachers.

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‘Telemental’ Health Is Becoming the Norm

Academic Psychiatry, 39 1 , — New frontiers in healthcare and technology: Internet- and web-based mental options emerge to complement in-person and telepsychiatric care options. Journal of Health and Medical Informatics, 6 4 , 1— Mental healthcare to rural and other underserved primary care settings: benefits of telepsychiatry, integrated care, stepped care and interdisciplinary team models. Journal of Nursing Care, 4 , 2.

Hilty D.

Telepsychiatry: effective, evidence-based and at a tipping point in healthcare delivery. Psychiatric Clinics of North American, 38 3 , — A framework for telepsychiatric training and e-health: competency-based education, evaluation and implications. International Review of Psychiatry, 27 6 , — Telepsychiatry and e-mental health models leverage stepped, collaborative, and integrated services to primary care.

Horvath, A. Alliance in individual psychotherapy. Psychotherapy, 48 , 9— Institute of Medicine. To err is human: building a safer health system. Crossing the quality chasm: a new health system for the 21 st century. Jenkins-Guarnieri, M. Patient perceptions of telemental health: systematic review of direct comparisons to in-person psychotherapeutic treatments. Telemedicine Journal and E-Health, 21 8 , — Johnson, G. Toward uniform competency standards in telepsychology: a proposed framework for Canadian psychologists.

Kalk, N.


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    Telemental Health - Pathways Mental Health Services

    The competency movement within psychology: an historical perspective. Professional Psychology: Research and Practice, 38 , — Kirkpatrick, J. The Kirkpatrick four levels: a fresh look after 50 years, — Kolb, D. Experiential learning: experience as the source of learning and development.

    Englewood Cliffs: Prentice-Hall. Laranjo, L. The influence of social networking sites on health behavior change: a systematic review and meta-analysis. Journal of the American Medical Informatics Associations, 22 1 , — Leigh, I. Competency assessment models. Professional Psychology, 38 5 , — Lichtenberg, J. Continuing care — Some rural programs provide case management services through telehealth to improve patient outcomes.

    For example, a nurse care manager could coordinate with family members, social services agencies, and healthcare facilities through the phone to meet the identified needs of their patients. Provider education — Rural providers can receive training or continuing education about behavioral telehealth through distance learning, telementoring, or webinars. Patients in the primary care offices meet with behavioral health providers through telehealth-enabled tablets or video carts. Greater Oregon Behavioral Health, Inc. Patients use the platform to communicate with behavioral health clinicians via videoconference or text from any location.

    Local community health workers help facilitate telehealth appointments by transporting residents to rural clinics and providing other outreach services. The Wyoming Trauma Telehealth Treatment Clinic provides psychotherapy via videoconferencing to rural crisis center clients who have experienced some form of violence. As the program has grown, SCDMH has expanded the program to include telehealth sites in community mental health centers and mental health clinics.

    The program is the largest provider of telepsychiatry in South Carolina. The Arrowhead Telepresence Coalition increases access to behavioral healthcare in seven rural Minnesota counties and three tribes. The coalition contracts with a range of providers, such as chemical dependency specialists and pharmacists, to provide virtual appointments for diagnosis and treatment at county jails, schools, rural hospitals, community health centers, crisis response centers, and tribal health and human services agencies. The Lutheran Social Services of North Dakota Abound Counseling program leverages trusted community partners to offer telemental health counseling services to youth and adults across the state.

    Lutheran Social Services established teleconferencing rooms in local Lutheran churches and other community spaces where community members can receive confidential counseling services. The program also contracts with specially trained therapists to better serve local military members and their families. Providers from University of Kansas connect with children and their families through live-video telehealth at schools and primary care practices, including community health centers.

    Telebehavioral services include parenting programs, therapy, medication management, behavior analysis, and assessments, including autism assessments and psychological evaluations. Examples of Programs Focused on Veterans Alaska Veterans Telehealth and Biofeedback Services uses telehealth and provides veterans with trauma-informed treatment services.

    General Information

    Veterans enrolled in the program take an 8-week stress reduction training that uses biofeedback to address trauma. Veterans can also access ongoing counseling services to receive treatment for depression, anxiety, PTSD, and other physical and emotional concerns. The Rural Telemental Health RTMH Program provides rural veterans in Idaho, Oregon, and Washington with access to mental health services, including evaluation and diagnosis, case consultation, medication management, and continuing care.

    The Indiana Veterans Behavioral Health Network connects rural veterans at community mental health centers to providers at the VA Medical Center for diagnosis and treatment. Telehealth is a particularly important approach to increasing access to care for nursing home residents with complex health needs and conditions that limit mobility. Additional resources from ATA include: Practice Guidelines for Telemental Health with Children and Adolescents , which includes considerations for providing behavioral and mental health services to youth through real-time videoconferencing.

    Practice Guidelines for Video-based Online Mental Health Services , which focuses on real-time telemental health services delivered through videoconferencing.

    Evidence-Based Practice for Telemental Health , which describes the evidence for telemental health populations, ongoing mental healthcare, and populations of special focus such as children and older adults. Additional considerations by topic area include: Safety planning — Providers often work with patients and their families to ensure that patients are supported in the event of a mental health crisis. Safety planning can involve creating a physical document that identifies triggers, warning signs, coping strategies, and potential interventions.

    Rural communities that offer home-based telebehavioral or telemental care should be aware of special considerations for safety planning. For example, the ATA suggests that providers ask patients to identify a Patient Support Person who can be called upon in an emergency. The American Telemedicine Society also notes that providers should be aware of high rates of firearm ownership and geographic distances to emergency services when developing safety plans. Workforce challenges — Some rural programs have experienced challenges with engaging and retaining behavioral and mental healthcare providers to offer telehealth services.

    Several rural programs addressed this challenge by partnering with psychiatry and psychology programs at medical and graduate institutions in their states. These telehealth partnerships allow future mental health providers to gain experience practicing in rural healthcare settings while completing clinical practice requirements. Researchers at the University of Washington developed a comprehensive set of considerations and recommendations for developing telemental health partnerships between state medical schools and Federally Qualified Health Centers.

    Stigma around behavioral and mental health conditions — Rural programs offering telemental health services may experience challenges with stigma. For example, rural residents might feel discouraged from seeking help for behavioral health due to stigma associated with mental illness and perceived lack of privacy or confidentiality. Rural organizations that offer telemental care may choose to emphasize the integrated nature of their services and ensure that patients have private and confidential spaces to meet with remote providers.

    Confidentiality — Some rural programs report that patients prefer receiving telemental health services over the telephone instead of through video because they can stay anonymous. Rural programs may also consider the possibility of making counseling and other services available through text messaging, which can also address connectivity issues that arise from limited broadband availability. Organization s : Center for Technology and Behavioral Health, Geisel School of Medicine at Dartmouth College Guidelines for the Practice of Telepsychology Document Describes ethical guidelines for providing psychological services through telehealth, including standards of care, informed consent, and confidentiality, among other considerations.

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