Telemental Health

1st Edition

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

Print ISBN: 9780124160484
eBook ISBN: 9780123914835
Imprint: Elsevier
Published Date: 20th September 2012
Page Count: 400
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Institutional Access


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



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 Issues


Legal and Regulatory Issues

Security and Privacy Considerations

Clinical Practices to Manage Risk

Risk Issues in Home-Base


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© Elsevier 2013
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"I found this book to be enthralling and informative…. It provides a significant dataset of what has worked, and through a well-written narrative on the evidence base, this book will serve as the foundation of TMH moving forward and should be a ready reference for all participants in TMH." --Telemedicine and e-Health, October 2013