Telemental Health

Telemental Health, 1st Edition

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

Telemental Health, 1st Edition,Kathleen Myers,Carolyn Turvey,ISBN9780124160484

Myers   &   Turvey   





229 X 152

An introduction to telemental health by top experts that explores 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

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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


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.


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

Information about this author is currently not available.
Information about this author is currently not available.

Telemental Health, 1st Edition



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

Quotes and reviews

"I found this book to be enthralling and informativeā€¦. 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

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