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Reforming mental health care is a focus of many ongoing initiatives in the United States, both at the national and state levels. Access to adequate mental health care services is one of the identified problems. Telepsychiatry and e-mental health services could improve access to mental health care in rural, remote and underserved areas. The authors discuss the required technology, common applications and barriers associated with the implementation of telepsychiatry and e-mental health services.

In an attempt to understand the paucity of women in psychiatric research, a descriptive pilot survey of women psychiatry residents in three residency programs was undertaken in 1992 to investigate the factors that influenced career choice and interest in research. Only 5% of the respondents intended to pursue an academic career with an emphasis on research; 60% listed a research career as their last choice. Significant factors that affect professional training and subsequent career choice included the women's desire for a nurturing training environment, availability of mentors/role models, and personal and family considerations.

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There are many factors to consider when working with individuals with mental illness and developmental disabilities and their families. Working in collaboration with individuals and their families using a patient- and family-centered care approach is vital. This approach informs the professional's values and practice patterns thereby allowing them to help the individual and family deal with common challenges and stresses such as establishing relationships with care providers, ensuring coordination of care, family concerns, knowledge of important systems of care, and the need for advocacy.

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