Telemental Health

Telemental Health

Clinical, Technical, and Administrative Foundations for Evidence-Based Practice

1st Edition - September 20, 2012

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  • Editors: Kathleen Myers, Carolyn Turvey
  • Hardcover ISBN: 9780124160484
  • eBook ISBN: 9780123914835

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Acquiring access to mental health treatments can be difficult for those who are not near mental health facilities. The growing field of telemental health addresses this problem by using video and telephone conferencing to provide patients with access to psychiatric professionals. However, the process faces challenges to gain adoption into mainstream medical practice and to develop an evidence base supporting its efficacy. In this comprehensive text, leading professionals in the field provide an introduction to telemental health and explore how to construct a therapeutic space in different contexts when conducting telemental health, how to improve access for special populations, and how to develop an evidence base and best practice in telemental health. In the past 15 years, implementation of telemental health has seemed to follow more from need than from demonstrated efficacy. The thorough and insightful chapters within this book show the importance of continued research and thoughtful development of ethical and responsible practice that is needed in the field and begin to lay out steps in constructing this process. Telemental Health will be an essential book for all clinical practitioners and researchers in mental health fields.

Key Features

  • Information in this book is focused on the clinical practice of telemental health, no other text is similarly oriented to clinical practice. Limited options for interested audience makes this text a top choice
  • The Editors are experienced in multiple aspects of e-health across diverse clinical settings, and the authors are national leaders who are most knowledgeable regarding developments in the field
  • Emphasis is on providing evidence-based care, and telemental health emerges as comparable to usual care, not a "second best" option; material is not esoteric but relevant to clinical practice. Readers will be able to readily find the equipment and other technology to establish their practice


Current and potential practitioners of telemental health. Mental health administrators and policymakers. Academic and community-based researchers

Table of Contents

  • Acknowledgments


    Section One: Introduction to Telemental Health

    1. Introduction



    2. Telemental Health as a Solution to the Widening Gap Between Supply and Demand for Mental Health Services

    Workforce Shortages in Mental Health: The Example of Psychiatry


    Section Two: Developing a Therapeutic Space During Telemental Health

    3. Establishing Therapeutic Rapport in Telemental Health


    Review of the Literature on Rapport and Alliance

    Technological Considerations Impacting Rapport

    Establishing Therapeutic Rapport with the Patient

    Establishing Therapeutic Rapport with the Referring Clinic

    Establishing Rapport with the Broader Community



    4. Ethical Considerations in Providing Mental Health Services Over Videoteleconferencing


    Applying Ethical Principles in Telemental Health

    Concerns Specific to Research

    Emerging VTC-Related Technologies



    5. Integrating Culturally Appropriate Care into Telemental Health Practice

    Culturally Appropriate Care and Telemental Health: An Introduction

    Prior Research Examining Telehealth with Cultural Subgroups

    Understanding the Patient Culture and Community

    Incorporating the Community for Effective Telemental Health Services

    Technological Considerations When Working with Diverse Populations


    Case Studies


    6. Managing Risk and Protecting Privacy in Telemental Health: An Overview of Legal, Regulatory, and Risk-Management Issuesent


    Legal and Regulatory Issues

    Security and Privacy Considerations

    Clinical Practices to Manage Risk

    Risk Issues in Home-Based TMH



    Section Three: Establishing a Telemental Health Practice

    7. Business Aspects of Telemental Health in Private Practice


    Choosing a Telemedicine Group or Technology-Only Support

    Technology-Only Models

    Group-Practice Models

    Deciding on the Model of Care—Direct Care Versus Consultation

    Financial Feasibility

    Practical Considerations—Malpractice, Licensure, and Consent


    Technology—Selection, Use, and Technical Support

    Building a Referral Base and Growing a Practice

    Lifestyle Benefits



    8. Technology Options for the Provision of Mental Health Care Through Videoteleconferencing


    Dedicated, Direct Connections to VTC Equipment and End Points



    Technology and Privacy

    Backup Technologies and Protocols Should VTC Equipment Fail



    Section Four: Improving Access for Special Populations Through Telemental Health

    9. Telemental Health in Primary Care

    The Rationale for Collaborative and Integrative Care

    A Continuum of Collaboration

    Four Key Concepts in Collaborative Care

    Tailoring TMH to Models of Care

    TMH Consultation and Collaboration for Children, Adolescents, and Their Families

    TMH Consultation and Collaboration for Adults

    Asynchronous Telepsychiatry

    Cultural Considerations



    10. Geriatric Telemental Health


    The Need for Better Geriatric Mental Health Services

    Barriers to Mental Health Care for the Elderly

    Studies on Geriatric Telemental Health Services

    Case Presentations: Three Examples of the Use of Telehealth with Geriatric Populations




    11. Child and Adolescent Telemental Health


    The Practice of Child and Adolescent Telemental Health

    Summary and Conclusions


    12. Rural Veterans and Telemental Health Service Delivery


    Rural Veteran Population

    Access to Care

    TMH and the Department of Veterans Affairs



    13. Videoteleconferencing in Forensic and Correctional Practice

    Videoteleconferencing Health in Forensic and Correctional Practices



    Section Five: Assessment and Intervention

    14. Special Considerations in Conducting Neuropsychology Assessment over Videoteleconferencing

    Background and Scope

    Why Teleneuropsychology?

    Limiting Factors

    Setting Up Teleneuropsychology Services

    Evidence for VTC-Based Diagnosis and VTC-Based Cognitive Assessment

    Consumer Satisfaction with VTC-Based Services

    Practical and Ethical Issues in Teleneuropsychology

    Mobile Teleneuropsychology Applications

    Future Directions



    15. Special Considerations for Conducting Psychotherapy over Videoteleconferencing

    Considerations for Conducting Psychotherapy over VTC

    Why Deliver Psychotherapy over VTC?

    Where is Psychotherapy over VTC Delivered?

    Who Participates in Psychotherapy over VTC?

    What Constitutes Psychotherapy over VTC?

    How is Psychotherapy over VTC Implemented?



    16. Special Considerations for Conducting Psychopharmacologic Treatment over Videoteleconferencing


    Background: The Case for Telepsychiatry

    Clinical and Financial Models of Telepsychiatry Practice

    Best Practices for Conducting Psychopharmacology via Telepsychiatry



    Section Six: Next Steps in Disseminating Telemental Health and Establishing an Evidence Base

    17. Clinically Informed Telemental Health in Post-Disaster Areas


    Literature Review and Background

    The Role of Telemental Health in Sustainable Care

    Case Examples of Disaster and a Potential Role for Telemental Health

    Lessons Learned

    Future Directions



    18. Social Networking and Mental Health

    Introduction and History of Social Networks

    The Development of Facebook and Twitter

    Broad and Diverse Applications of Networking Sites

    Use and Effectiveness of Social Networking in Health-Related Behaviors

    Consumer Health Social Networks

    Involvement of Health-Care Systems with Social Networking

    Potential Benefits of Social Networks for Both Patients and Providers

    Clinical and Ethical Dilemmas of Professional Social Networking Sites

    Confidentiality, Privacy, and Setting Boundaries

    Special Considerations for “High Risk” Patients

    Special Considerations for the Use of Personal Social Network Sites: Dual Relationships, Inadvertent Disclosure, and Nonmalfeasance



    19. Research in Telemental Health: Review and Synthesis


    Satisfaction Research

    Comparability Between TMH and Same-Room Care

    Effectiveness Research and Noninferiority Statistical Methods

    Future Directions in Effectiveness Research

    Internet-Delivered Therapy with Little or No Real-Time Interaction

    e-Health Adjuncts to Same-Room and TMH Care

    Cost-Effectiveness Studies in TMH

    Future Directions and Conclusion


    20. Conclusions

    Appendix I: Glossary

    Appendix II: Telehealth Resource Centers (TRCs)

    Appendix III: Useful Websites Providing Practical Information Regarding Telemental Health Practice

    General Information

    Reimbursement Information Relating to Telemedicine and Telemental Health

    Relevant Publications

Product details

  • No. of pages: 400
  • Language: English
  • Copyright: © Elsevier 2012
  • Published: September 20, 2012
  • Imprint: Elsevier
  • Hardcover ISBN: 9780124160484
  • eBook ISBN: 9780123914835

About the Editors

Kathleen Myers

Carolyn Turvey

Carolyn Turvey

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