Telemental Health

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Jay H. Shore - One of the best experts on this subject based on the ideXlab platform.

  • Best Practices in Videoconferencing-Based Telemental Health April 2018.
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2018
    Co-Authors: Jay H. Shore, Peter Mackinlay Yellowlees, Matthew C. Mishkind, Kathleen Myers, Robert Caudill, Barbara Johnston, Carolyn Turvey, Elizabeth A. Krupinski, Peter Shore, Edward L. Kaftarian
    Abstract:

    Telemental Health, in the form of interactive videoconferencing, has become a critical tool in the delivery of mental Health care. It has demonstrated the ability to increase access to and quality of care, and in some settings to do so more effectively than treatment delivered in-person. This article updates and consolidates previous guidance developed by The American Telemedicine Association (ATA) and The American Psychiatric Association (APA) on the development, implementation, administration, and provision of Telemental Health services. The guidance included in this article is intended to assist in the development and delivery of effective and safe Telemental Health services founded on expert consensus, research evidence, available resources, and patient needs. It is recommended that the material reviewed be contemplated in conjunction with APA and ATA resources, as well as the pertinent literature, for additional details on the topics covered.

  • Oxford Textbook of Public Mental Health - Telemental Health: A public mental Health perspective
    Oxford Textbook of Public Mental Health, 2018
    Co-Authors: Maryann Waugh, Matthew C. Mishkind, Jay H. Shore
    Abstract:

    Telemental Health is a term for Health care that leverages audio and video telecommunications technologies such as video-teleconferencing, computers, mobile devices, the Internet, telephones, and broadband connectivity to provide mental Health services across time and physical distance. Telemental Health has the capacity to make a significant and positive impact on public mental Health by its ability to not only increase access to care, but also more effectively tailor mental Health services to individual or community-wide Healthcare needs. This chapter describes ways that Telemental Health is currently being used to impact mental Health promotion, prevention, and treatment, summarizes the evidence base for these applications, and highlights some practical considerations for providers and systems implementing this newer virtual care delivery system.

  • Telemental Health Delivery for Rural Native American Populations in the United States
    Oxford Medicine Online, 2017
    Co-Authors: Shawn S. Sidhu, Jay H. Shore, Chris Fore, Erin Tansey
    Abstract:

    Telemental Health is a viable treatment model for delivering quality mental Health care to Native American communities where the burden of mental Health conditions and difficulty accessing care continue. This chapter reviews the available evidence supporting the acceptability and efficacy of Telemental Health in Native American groups. While many barriers to the use of Telemental Health in Native communities exist, there are simultaneously many facilitators of this treatment model. Future directions include addressing these barriers, improving collaboration with Native communities, ensuring Telemental Health remains financially viable, and using technology to expand the reach of this treatment modality.

  • Integrating Culturally Appropriate Care into Telemental Health Practice
    Telemental Health, 2013
    Co-Authors: Elizabeth Brooks, Peter Mackinlay Yellowlees, Garret Spargo, Patrick T. O'neill, Jay H. Shore
    Abstract:

    Individual culture impacts many aspects of the clinical setting, such as patient–provider communication or beliefs about illness and disease management. With the expansion of high-speed internet, wireless networks, videoconferencing, and other personal communication devices, many providers are working with patients whose background varies considerably from their own. To bridge these differences, many in the medical field advocate the use of culturally appropriate treatment. When used effectively, culturally appropriate care can increase patient buy-in, satisfaction, and medical adherence, while also resulting in improved patient outcomes. This chapter reviews the interplay between Telemental Health and culture and addresses some of the ways in which new technologies can effectively address cultural differences in medicine. The chapter examines prior research, approaches to understanding the patient’s culture and community, and technological tips and considerations. At conclusion, three case studies are provided to illustrate the use of Telemental Health with diverse populations.

  • A Standard Telemental Health Evaluation Model: The Time Is Now
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2012
    Co-Authors: Greg M. Kramer, Jay H. Shore, Matthew C. Mishkind, Karl E. Friedl, Ronald K. Poropatich, Gregory A. Gahm
    Abstract:

    The teleHealth field has advanced historic promises to improve access, cost, and quality of care. However, the extent to which it is delivering on its promises is unclear as the scientific evidence needed to justify success is still emerging. Many have identified the need to advance the scientific knowledge base to better quantify success. One method for advancing that knowledge base is a standard Telemental Health evaluation model. Telemental Health is defined here as the provision of mental Health services using live, interactive video-teleconferencing technology. Evaluation in the Telemental Health field largely consists of descriptive and small pilot studies, is often defined by the individual goals of the specific programs, and is typically focused on only one outcome. The field should adopt new evaluation methods that consider the co-adaptive interaction between users (patients and providers), Healthcare costs and savings, and the rapid evolution in communication technologies. Acceptance of a standard evaluation model will improve perceptions of Telemental Health as an established field, promote development of a sounder empirical base, promote interagency collaboration, and provide a framework for more multidisciplinary research that integrates measuring the impact of the technology and the overall Healthcare aspect. We suggest that consideration of a standard model is timely given where Telemental Health is at in terms of its stage of scientific progress. We will broadly recommend some elements of what such a standard evaluation model might include for Telemental Health and suggest a way forward for adopting such a model.

Adam Darkins - One of the best experts on this subject based on the ideXlab platform.

  • Program management of Telemental Health care services
    2016
    Co-Authors: Adam Darkins
    Abstract:

    Telemedicine is a new adjunct to the delivery of Health care services that has been applied to a range of Health care specialties, including mental Health. When prospective telemedicine programs are planned, telemedicine is often envisaged as simply a question of introducing new technology. The development of a robust, sustainable telemen-tal Health program involves clinical, technical, and managerial considerations. The major barriers to making this happen are usually how practitioners and patients adapt successfully to the technology and not in the physical installation of telecommunications bandwidth and the associated hardware necessary for teleconsultation. This article outlines the requirements for establishing a viable Telemental Health service, one that is based on clinical need, practitioner acceptance, technical reliability, and revenue generation. It concludes that the major challenge associated with the implementation of Telemental Health does not lie in having the idea or in taking the idea to the project stage needed for proof of concept. The major challenge to the widespread adoption of Telemental Health is paying sufficient attention to the myriad of details needed to integrate models of remote Health care delivery into the wider Health care system. (J Geriatr Psychiatry Neurol 2001; 14:80-87). Telemedicine uses &dquo;electronic communications and infor-mation technology to provide and support Health car

  • Outcomes of 98,609 U.S. Department of Veterans Affairs patients enrolled in Telemental Health services, 2006-2010
    Psychiatric services (Washington D.C.), 2012
    Co-Authors: Linda Godleski, Adam Darkins, John Peters
    Abstract:

    Objective:The study assessed clinical outcomes of 98,609 mental Health patients before and after enrollment in Telemental Health services of the U.S. Department of Veterans Affairs between 2006 and 2010. Methods:The study compared number of inpatient psychiatric admissions and days of psychiatric hospitalization among patients who participated in remote clinical videoconferencing during an average period of six months before and after their enrollment in the Telemental Health services. Results:Between 2006 and 2010, psychiatric admissions of Telemental Health patients decreased by an average of 24.2% (annual range 16.3%–38.7%), and the patients' days of hospitalization decreased by an average of 26.6% (annual range 16.5%–43.5%). The number of admissions and the days of hospitalization decreased for both men and women and in 83.3% of the age groups. Conclusions:This four-year study, the first large-scale assessment of Telemental Health services, found that after initiation of such services, patients' hospi...

  • VA Telemental Health: suicide assessment.
    Behavioral sciences & the law, 2008
    Co-Authors: Linda Godleski, J. Edwin Nieves, Adam Darkins, Laurent Lehmann
    Abstract:

    The Department of Veterans Affairs (VA) encompasses one of the largest Telemental Health networks in the world, with over 45,000 videoconferencing and over 5,000 home Telemental Health encounters annually. Recently, the VA designated suicide prevention as a major priority, with teleHealth modalities providing opportunities for remote interventions. Suicide risk assessments, using videoconferencing, are now documented in the literature, as are current studies that find Telemental Health to be equivalent to face-to-face treatment. Remote assessment of suicidality, however, involves complex legal issues: licensing requirements for remote delivery of care, legal procedures for involuntary detainment and commitment of potentially harmful patients, and liability questions related to the remote nature of the mental Health service. VA best practices for remote suicide risk assessment include paradigms for establishing procedures in the context of legal challenges (licensing and involuntary detainment/commitment), for utilizing clinical assessment and triage decision protocols, and for contingency planning to optimize patient care and reduce liability.

  • Program management of Telemental Health care services.
    Journal of geriatric psychiatry and neurology, 2001
    Co-Authors: Adam Darkins
    Abstract:

    Telemedicine is a new adjunct to the delivery of Health care services that has been applied to a range of Health care specialties, including mental Health. When prospective telemedicine programs are planned, telemedicine is often envisaged as simply a question of introducing new technology. The development of a robust, sustainable Telemental Health program involves clinical, technical, and managerial considerations. The major barriers to making this happen are usually how practitioners and patients adapt successfully to the technology and not in the physical installation of telecommunications bandwidth and the associated hardware necessary for teleconsultation. This article outlines the requirements for establishing a viable Telemental Health service, one that is based on clinical need, practitioner acceptance, technical reliability, and revenue generation. It concludes that the major challenge associated with the implementation of Telemental Health does not lie in having the idea or in taking the idea to the project stage needed for proof of concept. The major challenge to the widespread adoption of Telemental Health is paying sufficient attention to the myriad of details needed to integrate models of remote Health care delivery into the wider Health care system.

Peter Mackinlay Yellowlees - One of the best experts on this subject based on the ideXlab platform.

  • Best Practices in Videoconferencing-Based Telemental Health April 2018.
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2018
    Co-Authors: Jay H. Shore, Peter Mackinlay Yellowlees, Matthew C. Mishkind, Kathleen Myers, Robert Caudill, Barbara Johnston, Carolyn Turvey, Elizabeth A. Krupinski, Peter Shore, Edward L. Kaftarian
    Abstract:

    Telemental Health, in the form of interactive videoconferencing, has become a critical tool in the delivery of mental Health care. It has demonstrated the ability to increase access to and quality of care, and in some settings to do so more effectively than treatment delivered in-person. This article updates and consolidates previous guidance developed by The American Telemedicine Association (ATA) and The American Psychiatric Association (APA) on the development, implementation, administration, and provision of Telemental Health services. The guidance included in this article is intended to assist in the development and delivery of effective and safe Telemental Health services founded on expert consensus, research evidence, available resources, and patient needs. It is recommended that the material reviewed be contemplated in conjunction with APA and ATA resources, as well as the pertinent literature, for additional details on the topics covered.

  • The effectiveness of Telemental Health: A 2013 review
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2013
    Co-Authors: Donald M. Hilty, Daphne C. Ferrer, Michelle Burke Parish, Barb Johnston, Edward J. Callahan, Peter Mackinlay Yellowlees
    Abstract:

    Introduction: The effectiveness of any new technology is typically measured in order to determine whether it successfully achieves equal or superior objectives over what is currently offered. Research in Telemental Health—in this article mainly referring to telepsychiatry and psychological services—has advanced rapidly since 2003, and a new effectiveness review is needed. Materials and Methods: The authors reviewed the published literature to synthesize information on what is and what is not effective related to Telemental Health. Terms for the search included, but were not limited to, telepsychiatry, effectiveness, mental Health, e-Health, videoconferencing, telemedicine, cost, access, and international. Results: Telemental Health is effective for diagnosis and assessment across many populations (adult, child, geriatric, and ethnic) and for disorders in many settings (emergency, home Health) and appears to be comparable to in-person care. In addition, this review has identified new models of care (i.e., collaborative care, asynchronous, mobile) with equally positive outcomes. Conclusions: Telemental Health is effective and increases access to care. Future directions suggest the need for more research on service models, specific disorders, the issues relevant to culture and language, and cost.

  • Integrating Culturally Appropriate Care into Telemental Health Practice
    Telemental Health, 2013
    Co-Authors: Elizabeth Brooks, Peter Mackinlay Yellowlees, Garret Spargo, Patrick T. O'neill, Jay H. Shore
    Abstract:

    Individual culture impacts many aspects of the clinical setting, such as patient–provider communication or beliefs about illness and disease management. With the expansion of high-speed internet, wireless networks, videoconferencing, and other personal communication devices, many providers are working with patients whose background varies considerably from their own. To bridge these differences, many in the medical field advocate the use of culturally appropriate treatment. When used effectively, culturally appropriate care can increase patient buy-in, satisfaction, and medical adherence, while also resulting in improved patient outcomes. This chapter reviews the interplay between Telemental Health and culture and addresses some of the ways in which new technologies can effectively address cultural differences in medicine. The chapter examines prior research, approaches to understanding the patient’s culture and community, and technological tips and considerations. At conclusion, three case studies are provided to illustrate the use of Telemental Health with diverse populations.

  • practice guidelines for videoconferencing based Telemental Health october 2009
    Telemedicine Journal and E-health, 2010
    Co-Authors: Peter Mackinlay Yellowlees, Jay H. Shore, Lisa Roberts
    Abstract:

    ATAlogo_250px.tif Evidence-Based Practice for Telemental Health ATAlogo_200px.tif Evidence-Based Practice for Telemental Health ATAlogo_175px.tif Evidence-Based Practice for Telemental Health ATAlogo_150px.tif Evidence-Based Practice for Telemental Health ATAlogo_75px.tif Evidence-Based Practice for Telemental Health ATAlogo_70px.tif Telemental Health Standards and Guidelines Working Group Co-Chairs: Brian Grady, MD Kathleen Myers, MD, MPH Eve-Lynn Nelson, PhD Writing Committees: Evidence-Based Practice for Telemental Health Norbert Belz, MHSA RHIA, Leslie Bennett, LCSW, Lisa Carnahan, PhD, Veronica Decker, APRN, BC, MBA, Brian Grady, MD, Dwight Holden, MD, Kathleen Myers, MD, MPH, Eve-Lynn Nelson, PhD, Gregg Perry, MD, Lynne S. Rosenthal, PhD, Nancy Rowe, Ryan Spaulding, PhD, Carolyn Turvey, PhD, Debbie Voyles, Robert White, MA, LCPC Practice Guidelines for Videoconferencing-Based Telemental Health Peter Yellowlees, MD, Jay Shore, MD, Lisa Roberts, PhD Contributors: Working Group Members [WG], Consultant...

  • Practice Guidelines for Videoconferencing-Based Telemental Health – October 2009
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2010
    Co-Authors: Peter Mackinlay Yellowlees, Jay H. Shore, Lisa J. Roberts
    Abstract:

    ATAlogo_250px.tif Evidence-Based Practice for Telemental Health ATAlogo_200px.tif Evidence-Based Practice for Telemental Health ATAlogo_175px.tif Evidence-Based Practice for Telemental Health ATAlogo_150px.tif Evidence-Based Practice for Telemental Health ATAlogo_75px.tif Evidence-Based Practice for Telemental Health ATAlogo_70px.tif Telemental Health Standards and Guidelines Working Group Co-Chairs: Brian Grady, MD Kathleen Myers, MD, MPH Eve-Lynn Nelson, PhD Writing Committees: Evidence-Based Practice for Telemental Health Norbert Belz, MHSA RHIA, Leslie Bennett, LCSW, Lisa Carnahan, PhD, Veronica Decker, APRN, BC, MBA, Brian Grady, MD, Dwight Holden, MD, Kathleen Myers, MD, MPH, Eve-Lynn Nelson, PhD, Gregg Perry, MD, Lynne S. Rosenthal, PhD, Nancy Rowe, Ryan Spaulding, PhD, Carolyn Turvey, PhD, Debbie Voyles, Robert White, MA, LCPC Practice Guidelines for Videoconferencing-Based Telemental Health Peter Yellowlees, MD, Jay Shore, MD, Lisa Roberts, PhD Contributors: Working Group Members [WG], Consultant...

Kathleen Myers - One of the best experts on this subject based on the ideXlab platform.

  • developing home based Telemental Health services for youth practices from the suay study
    Journal of Telemedicine and Telecare, 2019
    Co-Authors: Kathleen Myers, Erin Schoenfelder Gonzalez, Ella E Thompson, Deborah A King, Ashley M Glass, Robert B Penfold
    Abstract:

    IntroductionThere are no published procedural or safety guidelines for home-based Telemental Health (TMH) therapy with youth, despite the unique challenges and risks of providing services to this p...

  • Best Practices in Videoconferencing-Based Telemental Health April 2018.
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2018
    Co-Authors: Jay H. Shore, Peter Mackinlay Yellowlees, Matthew C. Mishkind, Kathleen Myers, Robert Caudill, Barbara Johnston, Carolyn Turvey, Elizabeth A. Krupinski, Peter Shore, Edward L. Kaftarian
    Abstract:

    Telemental Health, in the form of interactive videoconferencing, has become a critical tool in the delivery of mental Health care. It has demonstrated the ability to increase access to and quality of care, and in some settings to do so more effectively than treatment delivered in-person. This article updates and consolidates previous guidance developed by The American Telemedicine Association (ATA) and The American Psychiatric Association (APA) on the development, implementation, administration, and provision of Telemental Health services. The guidance included in this article is intended to assist in the development and delivery of effective and safe Telemental Health services founded on expert consensus, research evidence, available resources, and patient needs. It is recommended that the material reviewed be contemplated in conjunction with APA and ATA resources, as well as the pertinent literature, for additional details on the topics covered.

  • American Telemedicine Association Practice Guidelines for Telemental Health with Children and Adolescents
    Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2017
    Co-Authors: Kathleen Myers, Terry Rabinowitz, Eve-lynn Nelson, Sharon Cain, Donald M. Hilty, Deborah C. Baker, Sara Smucker Barnwell, Geoffrey Boyce, Lynn F. Bufka, Lisa Chui
    Abstract:

    No abstract available Keywords: adolescents; children; e-heatlh; practice guidelines; teleHealth; Telemental Health.

  • Future directions in the use of Telemental Health to improve the accessibility and quality of children's mental Health services.
    Journal of child and adolescent psychopharmacology, 2016
    Co-Authors: Jonathan S. Comer, Kathleen Myers
    Abstract:

    Abstract Objectives: This concluding commentary offers a brief overview of progress to date in providing Telemental Health services to children, and then offers a critical vision for future research needed to provide the rigorous empirical foundation for Telemental Health to be considered a well-established format for the delivery of children's mental Health services. Methods: We review how recent years have witnessed advances in the science and practice of children's Telemental Health, and the articles in this special series collectively offered a critical step forward in the establishment of a guiding literature to provide informed direction for child providers incorporating remote technologies to extend their practices. Results: Researchers must be cautious not to develop a “horse race” mentality and a misguided search for a decisive “winner” regarding the ultimate effectiveness of child Telemental Health versus traditional clinic-based treatments. Instead, research efforts are needed to examine key me...

  • Research in Child and Adolescent Telemental Health
    Child and adolescent psychiatric clinics of North America, 2011
    Co-Authors: Kathleen Myers, Nancy B. Palmer, John R. Geyer
    Abstract:

    Over the past decade telepsychiatry, and more broadly Telemental Health (TMH), services with children and adolescents have been implemented with diverse populations in many geographic areas across the United States. The feasibility and acceptability of child and adolescent TMH have been well demonstrated, but little research exists on the efficacy and effectiveness of TMH in improving the mental Health care and outcomes for underserved youth. This article summarizes the state of research in child and adolescent Telemental Health TMH and examines studies in other areas of telemedicine that may inspire and guide child and adolescent telepsychiatrists to collect data on the process and outcomes of their own work.

Lisa Roberts - One of the best experts on this subject based on the ideXlab platform.

  • practice guidelines for videoconferencing based Telemental Health october 2009
    Telemedicine Journal and E-health, 2010
    Co-Authors: Peter Mackinlay Yellowlees, Jay H. Shore, Lisa Roberts
    Abstract:

    ATAlogo_250px.tif Evidence-Based Practice for Telemental Health ATAlogo_200px.tif Evidence-Based Practice for Telemental Health ATAlogo_175px.tif Evidence-Based Practice for Telemental Health ATAlogo_150px.tif Evidence-Based Practice for Telemental Health ATAlogo_75px.tif Evidence-Based Practice for Telemental Health ATAlogo_70px.tif Telemental Health Standards and Guidelines Working Group Co-Chairs: Brian Grady, MD Kathleen Myers, MD, MPH Eve-Lynn Nelson, PhD Writing Committees: Evidence-Based Practice for Telemental Health Norbert Belz, MHSA RHIA, Leslie Bennett, LCSW, Lisa Carnahan, PhD, Veronica Decker, APRN, BC, MBA, Brian Grady, MD, Dwight Holden, MD, Kathleen Myers, MD, MPH, Eve-Lynn Nelson, PhD, Gregg Perry, MD, Lynne S. Rosenthal, PhD, Nancy Rowe, Ryan Spaulding, PhD, Carolyn Turvey, PhD, Debbie Voyles, Robert White, MA, LCPC Practice Guidelines for Videoconferencing-Based Telemental Health Peter Yellowlees, MD, Jay Shore, MD, Lisa Roberts, PhD Contributors: Working Group Members [WG], Consultant...