We discuss implications for providing psychotherapeutic treatments via TMH and review practice recommendations for assuring and enhancing satisfaction with TMH services.
The effective assessment and management of suicidal patients is an essential component of telehealth-based care. With this article, we describe how we have implemented procedures for the ongoing assessment and management of suicide risk in a clinical trial that compares in-office treatment to home-based treatment delivered via web-cam to U.S. military service members and veterans with depression. We describe our safety protocol and how it was adapted from current recommended best practices, published guidelines, and local requirements for managing patient safety during home-based telepractice. We conclude with discussion of other key safety issues associated with telepractice. The topics discussed are relevant to all mental health practitioners who are interested in clinical telepractice services.
This study examines mental health as a mediator of the victimization and offending link in women. We administered structured diagnostic interviews to 491 women in urban and rural jails in four geographic regions of the United States to obtain detailed lifetime mental health, substance use, victimization, and conviction history. Structural equation modeling (SEM) was used to examine associations among adult and childhood experiences of interpersonal violence, lifetime mental health and substance use disorders, treatment utilization, and total number of convictions. Lifetime mental health and substance use disorders mediated the relationship between childhood victimization and adversity and number of convictions, and between adult victimization and number of convictions. In addition, greater treatment utilization was significantly associated with number of convictions. The findings offer support for including mental health and treatment utilization in models of women’s offending and conducting comprehensive mental health assessments of women entering jail.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.