Using e-Health to Enable Culturally Appropriate Mental Healthcare in Rural Areas

Yellowlees, Peter Mackinlay; Marks, Shayna L.; Hilty, Don; Shore, Jay H.

doi:10.1089/tmj.2007.0070

Cited by 86 publications

(61 citation statements)

References 21 publications

(18 reference statements)

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“…Culturally appropriate care is defined as ''the delivery of mental health services that are guided by the cultural concerns of all racial or ethnic groups, including psychosocial background, typical styles of symptom presentation, immigration histories, and other cultural traditions, beliefs and values'' (United States Public Health Service Office of the Surgeon General 2001; Yellowlees et al 2008). Often the ethnic or racial identifications of teleclinicians and patients differ, as teleclinicians generally live in urban areas and patients reside in underserved communities with a large population of ethnic minorities .…”

Section: Tmh Evaluationsmentioning

confidence: 99%

Developing Rapport and Therapeutic Alliance During Telemental Health Sessions with Children and Adolescents

Goldstein

Glueck

2016

Journal of Child and Adolescent Psychopharmacology

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Objective: The purpose of this study was to describe the special considerations for building rapport and establishing a therapeutic alliance when conducting mental health evaluations for children and adolescents via videoconferencing. Methods: The authors review the literature and describe their experience in conducting mental health evaluations, developing rapport, and establishing a therapeutic alliance during telemental health practice. Results: Clinical need and shortages of clinicians with expertise in evaluating mental conditions for children and adolescents in underserved communities have stimulated the rapid expansion of telemental health programs while the research base continues to develop. The emerging evidence base and clinical experience suggest that teleclinicians can, and do, build rapport and establish a therapeutic alliance during telemental health sessions with youth and families. Families may be more accepting of telemental health approaches than clinicians. The impact that technology, equipment, site staff, community supports, cultural identification, and teleclinicians' characteristics have on building rapport and establishing a therapeutic alliance should be considered when establishing a telemental health service. Staff at the patient site and referring providers have a valuable role in supporting the therapeutic alliance between telemental health providers and their patients, and ultimately supporting the success of a telemental health program. Conclusions: Teleclinicians are creative in transcending the videoconferencing technology to evaluate patients using guideline-based care. Further research is needed to determine how clinicians build rapport and establish a therapeutic alliance during telemental health sessions, and whether the therapeutic alliance is associated with the accuracy of evaluation and outcomes.

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Section: Tmh Evaluationsmentioning

confidence: 99%

Developing Rapport and Therapeutic Alliance During Telemental Health Sessions with Children and Adolescents

Goldstein

Glueck

2016

Journal of Child and Adolescent Psychopharmacology

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“…Initial articles demonstrated feasibility through program and case description, and outcome research and controlled trials have been published in the past decade (1)(2)(3)(4)(5)(6)(7)10). Telepsychiatry has been shown to be feasible in a wide range of settings, across a complement of psychiatric treatments, in different ethnic groups and populations, and in all age ranges, from child to geriatric psychiatry (12). An increasing number of controlled trials are demonstrating the effectiveness and efficacy of telepsychiatry in specific treatments (e.g., anger management) as well as exploring wider benefits, such as cost savings associated with reduced travel, improved care coordination, and cost avoidance through early treatment (1)(2)(3)(4)(5)(6)(7)10).…”

Section: Evidence Base Supporting Telepsychiatrymentioning

confidence: 99%

Telepsychiatry: Videoconferencing in the Delivery of Psychiatric Care

Shore

2013

AJP

Self Cite

212

125

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The provision of psychiatric treatment via live interactive videoconferencing, frequently termed telepsychiatry, is a viable option for psychiatrists to provide care to individual patients, populations, and communities faced with limited access and to move the point of care delivery into patients' living environments. Psychiatric providers new to videoconferencing should not be intimidated by the technology or its encompassing logistics, but they do need to develop an awareness of the salient regulatory, administrative, and clinical issues that arise in the practice of videoconferencing-based telepsychiatry. This article provides an overview of the current evidence base in telepsychiatry and reviews administrative and clinical issues in videoconferencing-based treatment. These points are then highlighted in a case example.

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“…In addition, rural areas within states such as Texas, Kansas, Idaho, and North Carolina have a higher percentage of ethnically diverse populations (U.S. Census Bureau, ). Unfortunately, these factors make multilingual and culturally appropriate services more difficult to obtain for individuals in rural areas (Yellowlees, Marks, Hilty, & Shore, ). Patients and clients using telepsychology can gain access to practitioners with experience with a particular mental disorder, training with multicultural concerns, and multilingual therapists (Hailey, Roine, & Ohinmaa, ; Yellowlees et al, ).…”

Section: Introductionmentioning

confidence: 99%

Path analytic modeling of psychologists’ openness to performing clinical work with telepsychology: A national study

2019

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Objective: To examine whether the Theory of Reasoned Action (TRA) and Technology Acceptance Model (TAM) apply to psychologists' openness to using telepsychology. Method: Participants were 1,791 psychologists currently practicing psychotherapy. Participants represented all 50 US states and averaged 26.33 (SD = 11.18) years in clinical practice. The study used a cross-sectional, national online design. Results: Path analyses derived from the TRA and TAM evidenced poor fit. A newly-developed, third model achieved adequate to fit in which perceived attitudes of others concerning telepsychology were associated with perceived ease of use (β = 0.25, p < .001) and usefulness (β = 0.30, p < .001) of telepsychology. Perceived ease of use (β = 0.30, p < .001) and usefulness (β = 0.32, p < .001) of telepsychology both uniquely predicted current use of telepsychology. Conclusions: Organizations should adopt methods for delivering telepsychology that are easy to use and possess demonstrable utility. K E Y W O R D S technology acceptance model, telehealth, telepsychology, theory of reasoned action

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Using e-Health to Enable Culturally Appropriate Mental Healthcare in Rural Areas

Abstract: Abstract

Cited by 86 publications

References 21 publications

Developing Rapport and Therapeutic Alliance During Telemental Health Sessions with Children and Adolescents

Developing Rapport and Therapeutic Alliance During Telemental Health Sessions with Children and Adolescents

Telepsychiatry: Videoconferencing in the Delivery of Psychiatric Care

Path analytic modeling of psychologists’ openness to performing clinical work with telepsychology: A national study

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