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Research findings and dissemination are making healthcare more effective. Electronic health records systems and advanced tools are making care delivery more efficient. Legislative reforms are striving to make care more affordable. Efforts still need to be focused on making healthcare more accessible. Clinical Videoconferencing in Telehealth takes a comprehensive and vital step forward in providing mental health and primary care services for those who cannot make traditional office visits, live in remote areas, have transportation or mobility issues or have competing demands. Practical, evidence-based information is presented in a step by step format at two levels: for administrators, including information regarding selecting the right videoconferencing technology, navigating regulatory issues, policy temples, boilerplate language for entering into care agreements with other entities and practical solutions to multisite programming; and for clinicians, including protocols for safe, therapeutically sound practice, informed consent and tips for overcoming common technical barriers to communication in clinical videoconferencing contexts. Checklists, tables, templates, links, vignettes and other tools help to equip professional readers for providing safe services that are streamlined and relevant while avoiding guesswork, false starts and waste. The book takes a friendly-mentor approach to communication in areas such as: Logistics for administrators: Clinical videoconferencing infrastructures and technologies Policy development, procedures and tools for responsible and compliant programming Navigating issues related to providing services in multiple locations Protocols for clinicians: The informed consent process in clinical videoconferencing Clinical assessment and safety planning for remote services Minimizing communication disruption and optimizing the therapeutic alliance Clinical Videoconferencing in Telehealth aptly demonstrates the promise and potential of this technology for clinicians, clinic managers, administrators and others affiliated with mental health clinical practices. It is designed to be the comprehensive “one-stop” tool for clinical videoconferencing service development for programs and individual clinicians.
This book works as a guide to videoconferencing practice for psychological providers through a broad, simplified, and practical overview of pertinent factors. It is a consolidation of research literature and professional experiences of practicing, teaching, and studying videoconferencing. It begins by defining key concepts such as telehealth, telepsychology, and other related terminology and examining the role of telehealth in addressing ongoing mental health disparities. An overview of existing videoconferencing practices, guidebooks and general recommendations, as well as specifics of ethical and legal factors are discussed. The book then details numerous essential factors of videoconferencing practice that are directly applicable to psychological care, including considerations of computer system, video camera, display screen, microphone, videoconferencing platform, bandwidth and latency, and room setup, along with self-care practices. The appendices provide readers with links to resources, checklists, and other documents to guide their practice. Psychologists, counselors, and other mental health providers will find this user-friendly, research-informed guide indispensable when implementing online treatment and teletherapy.
In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment.
Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.
The only current book on the topic, Telepsychiatry and Health Technologies: A Guide for Mental Health Professionals is a practical, comprehensive, and evidence-based guide to patient-centered clinical care delivered in whole or in part by technological devices and applications. Not a technology-centered "health informatics" book, but rather one that describes basic technological concerns and emphasizes clinical issues and workflows, it is designed for psychiatrists, psychologists, and other mental health clinicians who seek to learn the modes, models, and methods of telepsychiatry. More than 30 practitioners of telepsychiatry across the core mental health disciplines were involved in development of the text, contributing knowledge and clinical examples. Rich with case studies and hands-on guidance, the book introduces strategies, then clearly illustrates how to put them into practice. The editors believe that psychiatry increasingly will focus on the treatment of populations, and that technology offers the best hope of doing so efficiently and effectively.Careful thought went into the book's conception and design, resulting in a marriage of structure and content that meets the needs of today's clinicians: The editors employed a unique process of manuscript development, first outlining each chapter in its entirety, then assigning sections to contributors selected for their specific clinical experience and therapeutic expertise. The result is a text that flows logically and creates synergy across chapters without duplication. The book provides "how-to" guidance on setting up a new telepsychiatry practice or integrating technologies into a current practice, covering critically important topics such as data collection, security, and electronic health records. Technologies addressed include telephony, smartphones, apps, e-mail, secure texting, and videoconferencing, all of which are increasingly being used in the assessment and treatment of patients with psychiatric disorders. More than 30 case examples of patients or programs are included, illustrating the range of clinical techniques that can be used and the types of patient that can be treated using available technologies -- whether in person, online, or in a hybrid form of care combining both modalities. Every chapter concludes with a summary of major learning objectives or findings covered. Telepsychiatry and Health Technologies: A Guide for Mental Health Professionals is destined to become a core resource in the training of mental health professionals from all disciplines, as well as an indispensable reference for those already integrating new technologies into their practices.
Myers (psychiatry and behavioral sciences, U. of Washington School of Medicine) and Turvey (psychiatry, U. of Iowa College of Medicine) introduce the telemental health (TMH) model for treating mental disorders in rural and other patients with poor access to care. Following an overview of trends supporting the broader adoption of TMH, contributors discuss demographic changes and professional shortages that contribute to the problem, and solutions that TMH offers through videoconferencing, social networking, mobile applications, and eHealth. They treat clinical, ethical, technical, and business aspects of delivering TMH services. The work includes case studies, documentation templates, a glossary, directory of Telehealth Resource Centers, and websites. Annotation ©2012 Book News, Inc., Portland, OR (booknews.com).
This study is a synthesis of survey responses and project evaluation reports from eight telehealth programs across Canada where VC is used to provide health care and continuing health and medical education at a distance. In addition, a literature review from 1998 to present as perfomed to evaluate the efficacy of VC from research studies. The literature search yielded over 270 articles and reports. Given the size and population of Canada, the number of sites covered by VC and the number of patients seen by VC in telehealth is very small. Establishing systems for patient care using VC technology is feasible. However, there is little evidence from the literature of either its clinical or economic benefit, especially regarding its cost-effectiveness when compared to FTF care. All the programs surveyed reported some positive results using VC. This includes improved communications between colleagues, better access to care, and a high level of patient satisfaction. This report offers some suggestions regarding future considerations for VC programs in telehealth in Canada. These include the need for quality outcome studies regarding clinical effectiveness and cost effectiveness, and the need for guidelines for planning and implementation, user training, and program sustainability over the long-term.
Telebehavioral Health: Foundations in Theory and Practice for Graduate Learners provides readers with a comprehensive overview of telebehavioral health, including definitions and concepts, the benefits and barriers associated with practice, and an interprofessional framework for telebehavioral health competencies. It is the first book to address telehealth competencies for behavioral professionals worldwide. The competencies outlined help readers develop an engaged, ethical, and effective telebehavioral health practice. The book discusses and provides examples of the knowledge, skills, and attitudes involved in the seven telebehavioral health competency domains. The chapters include differentiated content for novice, proficient, and authority practitioners throughout, allowing readers to adjust their exposure, in terms of depth and breadth, to each topical area. The text provides an overview of the characteristics and practices unique to telebehavioral health treatment, guidance for competent evaluation and care, review of legal and regulatory issues related to the use of technology, valuable insight for telepractice development, and more. Designed to help practitioners thoughtfully consider the use of technology to support optimal therapeutic experiences for their patients, Telebehavioral Health is an ideal text for students within the discipline. It can also serve as a beneficial reference for novice and seasoned practitioners.
Clinics Collections: Depression draws from Elsevier’s robust Clinics Review Articles database to provide multidisciplinary teams, including psychiatrists, general practitioners, and pediatricians, with practical clinical advice and insights on how telehealth can be implemented in individual specialties. Clinics Collections: Telehealth guides readers on how to apply current best practices in the implementation of telehealth to everyday practice to help overcome patient challenges and complications, keep up with new and advanced treatment methods, and improve patient outcomes. Areas of focus include implementation of telehealth in pediatric care, sleep medicine, gynecology and women’s health, and telepsychiatry. Each article begins with keywords and key points for immediate access to the most critical information. Articles are presented in an easy-to-digest and concisely worded format.