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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… Read more
LIMITED OFFER
Immediately download your ebook while waiting for your print delivery. No promo code needed.
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.
Acknowledgments
Contributors
Section One: Introduction to Telemental Health
1. Introduction
Introduction
References
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
References
Section Two: Developing a Therapeutic Space During Telemental Health
3. Establishing Therapeutic Rapport in Telemental Health
Introduction
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
Conclusion
References
4. Ethical Considerations in Providing Mental Health Services Over Videoteleconferencing
Introduction
Applying Ethical Principles in Telemental Health
Concerns Specific to Research
Emerging VTC-Related Technologies
Conclusion
References
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
Conclusion
Case Studies
References
6. Managing Risk and Protecting Privacy in Telemental Health: An Overview of Legal, Regulatory, and Risk-Management Issues
Introduction
Legal and Regulatory Issues
Security and Privacy Considerations
Clinical Practices to Manage Risk
Risk Issues in Home-Based TMH
Conclusion
References
Section Three: Establishing a Telemental Health Practice
7. Business Aspects of Telemental Health in Private Practice
Introduction
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
Staffing
Technology—Selection, Use, and Technical Support
Building a Referral Base and Growing a Practice
Lifestyle Benefits
Conclusion
References
8. Technology Options for the Provision of Mental Health Care Through Videoteleconferencing
Introduction
Dedicated, Direct Connections to VTC Equipment and End Points
Audio
Video
Technology and Privacy
Backup Technologies and Protocols Should VTC Equipment Fail
Conclusion
References
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
Conclusion
References
10. Geriatric Telemental Health
Introduction
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
Conclusions
Acknowledgment
References
11. Child and Adolescent Telemental Health
Introduction
The Practice of Child and Adolescent Telemental Health
Summary and Conclusions
References
12. Rural Veterans and Telemental Health Service Delivery
Introduction
Rural Veteran Population
Access to Care
TMH and the Department of Veterans Affairs
Conclusions
References
13. Videoteleconferencing in Forensic and Correctional Practice
Videoteleconferencing Health in Forensic and Correctional Practices
Summary
References
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
Summary
References
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?
Conclusion
References
16. Special Considerations for Conducting Psychopharmacologic Treatment over Videoteleconferencing
Introduction
Background: The Case for Telepsychiatry
Clinical and Financial Models of Telepsychiatry Practice
Best Practices for Conducting Psychopharmacology via Telepsychiatry
Conclusions
References
Section Six: Next Steps in Disseminating Telemental Health and Establishing an Evidence Base
17. Clinically Informed Telemental Health in Post-Disaster Areas
Introduction
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
Conclusion
References
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
Conclusion
References
19. Research in Telemental Health: Review and Synthesis
Introduction
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
References
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