WRCAC Telemental Health Resource Center

Location

Telehealth Models for Increasing Access to Behavioral and Mental Health Treatment (PDF) This document shows the various locations that telemental health services can be conducted and describes what each one would look like. These definitions were provided by the Rural Health Information Hub in their Rural Telehealth Toolkit.  

The Use of Telehealth Within Behavioral Health Settings: Utilization, Opportunities, and Challenges (Mace, Boccanelli & Dormond, 2018) This article describes what a telehealth program looks like in behavioral health organizations based on qualitative and quantitative data from 329 different BHO’s across the United States. The report also walks through common barriers and who is most likely to use these services. 

Telebehavioral Health Strategies for Rural Hospitals & Clinics  This webinar presented by Jonathan Neufeld, PhD walks through the conceptual and regulatory framework around a basic behavioral health service using video conferencing tools in a primary or hospital setting. Common challenges and points of value will also be discussed.

Telebehavioral Health in Indiana Rural Health Clinics This webinar presented by Jonathan Neufeld, PhD discusses the process of implementing and integrating telebehavioral health into a Rural Health Clinic practice. 

UMTRC Webinar: Lessons from a 3-Month Old Integrated Telebehavioral Health Project This webinar presented by Jonathan Neufeld, PhD talks about lessons learned from a telebehavioral health program in a Rural Health Clinic. 

Developing Home-Based Telemental Health Services for Youth: Practices from the SUAY Study (Gonzalez et al., 2019) Introduction: There 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 population outside of a traditional clinic setting. We developed clinical, logistical, and safety procedures for home-based TMH with youth in the context of a large clinical trial.Methods: A Targeted Approach to Safer Use of Antipsychotics in Youth (SUAY) study identifies youth ages 3–17 who are prescribed second-generation antipsychotic medication for non-psychotic disorders within large healthcare systems. Prescribing physicians receive psychopharmacology consultation. Patients receive a “navigator” to coordinate treatments and access to TMH if they do not have a local therapist. We optimized access by allowing TMH sessions to take place in the family’s home, while providing guidelines for privacy, safety, and in-session crises. Results: Clinical issues included providing flexibility in the treatment modality and engaging families. Logistical issues included remote consenting for treatment and troubleshooting technological problems. Safety issues included crisis and safety planning with the youth and family before and during treatment.Discussion: The provision of home-based TMH therapy for youth requires adaptations to existing TMH procedural and safety guidelines to optimize clinical care, technology coordination, and safety.

Let There Be Light: A Quick Guide to Telemedicine Lighting  PDF This guide developed by the American Telemedicine Association gives quick references to providing appropriate lighting when using telehealth services and what different aspects of care can be affected by bad/good lighting.

Clinical Video Telehealth into the Home (CVTHM): Toolkit for Providers PDF This toolkit developed by South Central MIRECC and the VA is designed to guide providers in the development of creating a telemental health practice in the home. It provides an implementation checklist and guidance on skills and procedures needed to develop an effective telemental health practice at home. 

Working From Home: An Initial Pilot Examination of Videoconferencing-Based Cognitive Therapy for Anxious Youth Delivered to the Home Setting (Carpenter et al., 2018) This article reviews a multiple baseline study that evaluated the pilot feasibility, acceptability, and preliminary efficacy of cognitive-behavioral therapy being delivered via real-time videoconferencing. The study revealed that CBT via telemental health services is feasible and acceptable, with preliminary efficacy results. Conclusions and limitations are discussed, as well as recommendations for future research to broaden the reach of quality care for youth with anxiety disorders. 

How to Have a Successful Telemental Health Practice from Your Home (Maheu, TBHI) This online course provided by the Telebehavioral Health Institute and presented by Marlene M. Maheu, Ph.D. guides clinicians on how to develop an appropriate and effective telemental health practice from the providers home. The course will also review safety regulations that providers must be aware of when clients are located in non-clinical settings.