Telemental health
In: Elsevier insights
Machine generated contents note: Section One Introduction to Telemental Health -- 1.Introduction / Kathleen Myers -- Introduction -- The Telemental Health Imperative -- Current Trends Supporting the Broader Adoption of Telemental Health -- Organization of This Book -- References -- 2.Telemental Health as a Solution to the Widening Gap Between Supply and Demand for Mental Health Services / Michael Flaum -- Workforce Shortages in Mental Health: The Example of Psychiatry -- What Is the Current Supply of Psychiatrists in the United States? -- Rate of Growth in Psychiatrists and All Physicians Over Time -- The Psychiatry Pipeline: Trends in Residency Training -- The Aging-Out Effect -- What Is the Current Need or Demand for Psychiatrists in the United States? -- Quantifying the need for different kinds of providers of mental health services -- The Distribution of Psychiatrists: The Iowa Example -- Telepsychiatry as a Key Strategy for Closing the Gap -- Workforce Issues of Psychology Health Service Providers -- Conclusions: The Optimal Use of Telemental Health to Address Workforce Shortages -- References -- Section Two Developing a Therapeutic Space During Telemental Health -- 3.Establishing Therapeutic Rapport in Telemental Health / Dehra Glueck -- Introduction -- Review of the Literature on Rapport and Alliance -- Technological Considerations Impacting Rapport -- Establishing Therapeutic Rapport with the Patient -- Explaining Telemental Health to Patients -- Developing Rapport with Special Populations -- Establishing Therapeutic Rapport with the Referring Clinic -- Building Rapport with Staff: An Open-Door Policy -- The Importance of a Clinical Coordinator in Facilitating Rapport at the Patient Site -- Establishing Rapport with the Broader Community -- Conclusion -- References -- 4.Ethical Considerations in Providing Mental Health Services Over Videoteleconferencing / Sarah E. Velasquez -- Introduction -- Applying Ethical Principles in Telemental Health -- Principle A Beneficence and Nonmaleficence -- Principle B Fidelity and Responsibility -- Principle C Integrity -- Principle D Justice -- Principle E Respect for People's Rights and Dignity -- Concerns Specific to Research -- Emerging VTC-Related Technologies -- Home Telehealth and VTC -- Mobile Devices and VTC -- Integration of Technologies -- Conclusion -- References -- 5.Integrating Culturally Appropriate Care into Telemental Health Practice / Jay H. Shore -- Culturally Appropriate Care and Telemental Health: An Introduction -- What Is Culturally Appropriate Care? -- The Use of Telemental Health with Rural, Distant, and Underserved Populations -- The Interplay Between Culture and Telemental Health -- Prior Research Examining Telehealth with Cultural Subgroups -- American Indian Veteran Telemental Health Clinics -- Telehealth Treatment with the Elderly, Child, and Adolescent Populations -- Treatment with Linguistically Diverse Populations -- Treatment with Other Cultural Subgroups -- The Appropriateness of Telemedicine -- Understanding the Patient Culture and Community -- Community Leaders and Key Informants -- Local Outreach Workers -- Utilizing Local Information -- Incorporating the Community for Effective Telemental Health Services -- Establishing Local Partnerships and Collaborations -- Dual Relationships in Rural Areas -- Technological Considerations When Working with Diverse Populations -- Communication -- Technological Knowledge and Comfort -- Conclusion -- Case Studies -- The Use of Talking Circles in Telemental Health Group Therapy -- Using Telemental Health to Increase Access in a Medically Underserved Area -- The Use of Asynchronous Technology to Bridge Language Barriers -- References -- 6.Managing Risk and Protecting Privacy in Telemental Health: An Overview of Legal, Regulatory, and Risk-Management Issues / Jay H. Shore -- Introduction -- Legal and Regulatory Issues -- Licensure -- Malpractice -- Credentialing and Privileging -- Security and Privacy Considerations -- Data Security for Electronic Protected Health Information -- Special Considerations for Mobile Devices in TMH Care -- Other Privacy Considerations -- Clinical Practices to Manage Risk -- Informed Consent -- Safety Plans and Emergency Management -- Risk Issues in Home-Based TMH -- Conclusion -- References -- Section Three Establishing a Telemental Health Practice -- 7.Business Aspects of Telemental Health in Private Practice / Dehra Glueck -- Introduction -- Choosing a Telemedicine Group or Technology-Only Support -- Technology-Only Models -- Group-Practice Models -- Institution-Based Practice Model -- Direct-to-Consumer Model -- Deciding on the Model of Care -- Direct Care Versus Consultation -- Direct Care -- Evaluation of Patients -- Direct Care -- Ongoing Treatment of Patients -- Consultative Care -- Deciding on a Model: Strength and Needs Assessments -- Financial Feasibility -- Understanding Costs: Patient and Provider Perspective -- Impact of Patient Volume on Costs -- Impact of No-Show Appointments on Costs -- Reimbursement: Insurance -- Reimbursement: Private Payment -- Reimbursement: Contracted Time -- Practical Considerations -- Malpractice, Licensure, and Consent -- Informed Consent and Standard of Care -- Staffing -- Sharing Records -- Technology -- Selection, Use, and Technical Support -- Technology: Bandwidth -- 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 / Carolyn L. Turvey -- Introduction -- Standards-Based Versus Consumer-Grade Software -- Hardware-Based Codecs -- Software-Based Applications -- Mobile -- Dedicated, Direct Connections to VTC Equipment and End Points -- Bandwidth -- Impact of Cloud Computing -- Audio -- Microphones -- Echo Cancelation -- Video -- Video Standards -- H.264 -- Screen-in-Screen -- Camera Options and Clinical Implications -- Screen Size -- Video Issues and Troubleshooting -- Packet Loss -- Technology and Privacy -- HIPAA Compliance and Videoteleconferences -- What Behaviors Are Important to Maintain Privacy -- Security Standards -- 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 / Caroline Bonham -- 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 -- Primary Care Sites -- School-Based Health Centers -- TMH Consultation and Collaboration for Adults -- Direct Care Models -- Consultation Care Model -- Collaborative Care Models -- Asynchronous Telepsychiatry -- Cultural Considerations -- Conclusion -- References -- 10.Geriatric Telemental Health / Terry Rabinowitz -- Introduction -- The Need for Better Geriatric Mental Health Services -- Barriers to Mental Health Care for the Elderly -- Studies on Geriatric Telemental Health Services -- Acceptability of Telemental Health Among the Elderly -- Telepsychiatry in Nursing-Home Settings -- Remote Telemonitoring and Geriatric Mental Health Care -- Suicidality -- Case Presentations: Three Examples of the Use of Telehealth with Geriatric Populations -- Telepsychiatry in Nursing-Home Settings -- Tele-DCM for Elderly Rehabilitation Patients -- Telemonitor-Based Depression Care Management in Home Care -- Conclusions -- Acknowledgment -- References -- 11.Child and Adolescent Telemental Health / L. Lee Carlisle -- Introduction -- Literature Review -- Developmental and Clinical Considerations -- The Practice of Child and Adolescent Telemental Health -- Models of Care and Clinical Practice: Primary Care -- Models of Care and Clinical Practice: Other Sites of Practice -- Optimizing the Virtual Clinical Encounter with Children and Families -- Treatment in Child and Adolescent Telemental Health -- Telepsychiatry in a Youth's System of Care -- Summary and Conclusions -- References -- 12.Rural Veterans and Telemental Health Service Delivery / Karen Kloezeman -- Introduction -- Rural Veteran Population -- Mental Health Disorders in Veterans -- Rural-Urban Health Disparities in Veterans -- Access to Care -- VA Health-Care Service Utilization -- Barriers to Access to Care -- Limitations in the Access to Care Literature -- TMH and the Department of Veterans Affairs -- Clinical Effectiveness of Psychotherapies Delivered via CVT -- Considerations Associated with CVT Delivery -- Challenges Associated with CVT Delivery -- Limitations in the CVT Literature -- Future Directions -- Conclusions -- References -- 13.Videoteleconferencing in Forensic and Correctional Practice / Robert D. Morgan -- Videoteleconferencing Health in Forensic and Correctional Practices -- The Development of Videoteleconferencing in Forensic and Correctional Settings -- Barriers to Health Care -- How Can VTC Improve Services in Criminal Justice Settings? -- Demonstrating the Effectiveness of VTC -- Challenges Facing VTC in Corrections -- The Need for Specialty Best Practice Guidelines -- Future Directions -- Spotlight on TMH and Telelaw Programs -- Summary -- References -- Section Five Assessment and Intervention -- 14.Special Considerations in Conducting Neuropsychology Assessment over Videoteleconferencing / Maria C. Grosch -- Background and Scope -- Why Teleneuropsychology? -- Limiting Factors -- Availability of Equipment -- Data Transmission Speeds -- VTC Environment -- 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 --
