Telebehavioral Health Competencies in Interprofessional Education and Training: a Pathway to Interprofessional Practice

  • Kenneth P. DrudeEmail author
  • Katherine M. Hertlien
  • Marlene M. Maheu
  • Donald M. Hilty
  • Karen Wall


The use of interprofessional health profession education and training (IPE) has been repeatedly identified as a means for developing greater integration and more effective health care. This paper advocates for greater IPE for telebehavioral health care professionals during graduate school, supervised experience, and independent practice. The authors propose that this can be achieved by using the recently developed interprofessional telebehavioral (TBH) competencies as a framework to organize and provide TBH education and training. Major identified barriers to IPE for TBH include professional centrism, exclusive education and training experiences, and lack of experience and training in interdisciplinary TBH teams. Proposed alternatives to promote IPE TBH include increased collaboration in educational experiences across disciplines, use of inclusive TBH training models and rotations for skills and attitudes, development of IPE TBH teams with an emphasis on competencies, and linking TBH institutional infrastructure across organizations and professions.


Competencies Interprofessional Education Training Telebehavioral health 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


  1. American Psychological Association. (2013). Guidelines for the practice of telepsychology. Retrieved February 6, 2015 at
  2. American Psychological Association. (2017). Standards of accreditation for health service psychology.
  3. American Telemedicine Association. (2013). Practice guidelines for video-based online mental health services.
  4. Australian Psychological Society. (2011). Guidelines for providing psychological services and products using the Internet and telecommunications technologies.
  5. Bajnok, I., Puddester, D., Macdonald, C., Archibald, D., & Kuhl, D. (2012). Building positive relationships in health care: evaluation of the teams of interprofessional staff interprofessional education program. Contemporary Nurse, 42(1), 76–89.CrossRefGoogle Scholar
  6. Bonifas, R., & Gray, A. K. (2013). Preparing social work students for interprofessional practice in geriatric health care: insights from two approaches. Educational Gerontology, 39, 476–490.CrossRefGoogle Scholar
  7. Brandt, B., Kitto, S., & Cervero, R. (2018). Untying the interprofessional Gordian knot: the National Collaborative for Improving the Clinical Learning Environment. Academic Medicine, 93(10), 1437–1440.CrossRefGoogle Scholar
  8. Bridges, D., Davidson, R., Soule Odegard, P., Maki, I., & Tomkowiak, J. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Medical Education Online, 16(1), 1–10.CrossRefGoogle Scholar
  9. Callan, J., Maheu, M., & Bukey, S. (2017). Crisis in the behavioral health classroom: enhancing knowledge, skills, and attitudes in telehealth training. In M. Maheu, K. Drude, & S. Wright (Eds.), Fiend Guide to Evidence-Based. Technology Careers in Behavioral Health: Professional Opportunities for the 21 st Century. New York: Springer.Google Scholar
  10. Chappell, K., Regnier, K., & Travlos, D. (2018). Leading by example: the role of accreditors in promoting interprofessional collaborative practice. Journal of Interprofessional Care, 32, 404–406. Scholar
  11. Cohen, E. V., Hagestuen, R., González-Ramos, G., Cohen, H. W., Bassich, C., Book, E., Bradley, K. P., Carter, J. H., di Minno, M., Gardner, J., Giroux, M., González, M. J., Holten, S., Joseph, R., Kornegay, D. D., Simpson, P. A., Tomaino, C. M., Vandendolder, R. P., Walde-Douglas, M., Wichmann, R., & Morgan, J. C. (2016). Interprofessional education increases knowledge, promotes team building, and changes practice in the care of Parkinson’s disease. Parkinsonism and Related Disorders, 22, 21–27.CrossRefGoogle Scholar
  12. Commission on Accreditation for Marriage and Family Therapy Education (2017). Accreditation standards. Retrieved April 6, 2018 from:
  13. Council for Accreditation of Counseling & Related Educational Programs. (2016). 2016 CACREP standards
  14. D'Amour, D., & Oandasan, I. (2005). Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. Journal of Interprofessional Care, 19(S1), 8–20. Scholar
  15. Darkins, A. (2001). Program management of telemental health care services. Journal of Geriatric Psychiatry and Neurology, 14(2), 80–87.CrossRefGoogle Scholar
  16. Darlow, B., Mckinlay, E., Gallagher, P., Beckingsale, L., Coleman, K., Perry, M., & Pullon, S. (2017). Building and expanding interprofessional teaching teams. Journal of Primary Health Care, 9(1), 29–33.CrossRefGoogle Scholar
  17. Dow, A., & Thibault, G. (2017). Interprofessional education — a foundation for a new approach to health care. The New England Journal of Medicine, 377(9), 803–805.CrossRefGoogle Scholar
  18. Gluekauf, R., Maheu, M., Drude, K., Wells, B., Wang, Y., Gustafson, D., Nelson, E. (2018). Survey of psychologists’ telebehavioral health practices: technology use, ethical issues and training needs. Professional Psychology, in press.Google Scholar
  19. Hilty, D., & Roberts, L. (2018). The need to implement and evaluate telehealth competency frameworks to ensure quality care across behavioral health professions. Academic Psychiatry (in press).Google Scholar
  20. Hilty, D., Crawford, A., Teshima, J., Chan, S., Sunderji, N., Yellowlees, P., Kramer, G., O'Neill, P., Fore, C., Luo, J., & Li, S. (2015). A framework for telepsychiatric training and ehealth: competency-based education, evaluation and implications. International Review of Psychiatry, 27, 569–592.CrossRefGoogle Scholar
  21. Institute of Medicine. (2003). The core competencies needed for health care professionals. Health professions education: a bridge to quality. Washington, DC: The National Academies Press. Scholar
  22. Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative. Retrieved November 1, 2018, from:
  23. Johnson, G. (2014). Toward uniform competency standards in telepsychology: a proposed framework for Canadian psychologists. Canadian Psychology, 55(4), 291–302.CrossRefGoogle Scholar
  24. Lam, M. K., Hines, M., Lowe, R., Nagarajan, S., Keep, M., Penman, M., & Power, E. (2016). Preparedness for eHealth: health sciences students’ knowledge, skills, and confidence. Journal of Information Technology Education: Research, 15, 305–334. Scholar
  25. Lim, D., & Noble-Jones, R. (2018). Interprofessional education (IPE) in clinical practice for pre-registration nursing students: a structured literature review. Nurse Education Today, 68, 218–225.CrossRefGoogle Scholar
  26. Luxton, D., Nelson, E. & Maheu, M. (2016). Practitioner's guide to telemental health: How to conduct legal, ethical, and evidence-based telepractice. Washington, DC: American Psychological Association.Google Scholar
  27. Maheu, M., Drude, K., Hertlein, K., Wall, K., Long, R., Luoma, T., & Hilty, D. (2017). An interprofessional framework for telebehavioral competencies. Journal for Technology in Behavioral Science, 2(3–4), 190–210.CrossRefGoogle Scholar
  28. Maheu, M. & Gordon, B. (2000). Counseling and therapy on the internet. Professional Psychology: Research and Practice, 31(5), 484-489.Google Scholar
  29. Maheu, M., Pulier, M., Wilhelm, F., McMenamin, J., & Brown-Connolly, N. (2004). The mental health professional and the new technologies: A handbook for practice today. Mahwah, NJ: Erlbaum.Google Scholar
  30. Mahoney, N., Walaszek, A., & Caudill, R. (2018). Incorporating technology into the psychiatric residency curriculum. Academic Psychiatry
  31. McLean, M., Cilliers, F., & Van Wyk, J. M. (2008). Faculty development: yesterday, today and tomorrow. Medical Teacher, 30, 555–584. Scholar
  32. Meleis, A. (2016). Interprofessional education: a summary of reports and barriers to recommendations. Journal of Nursing Scholarship, 48(1), 106–112.CrossRefGoogle Scholar
  33. NASW, ASWB, CSWE, & CSWAS. (2017). Standards for technology in social work practice.
  34. Navarro, D., & Sehgal, I. (2016). Use of SkypeTM sessions with top cancer trial physicians to bring interprofessional education (IPE) into a didactic oncology course. Currents in Pharmacy Teaching and Learning, 8(3), 346–352.CrossRefGoogle Scholar
  35. Njoroge, W., Williamson, A. A., Mautone, J. A., Robins, P. M., & Benton, T. D. (2017). Competencies and training guidelines for behavioral health providers in pediatric primary care. Child and Adolescent Psychiatric Clinics of North America, 26(4), 717–731. Scholar
  36. Ohio Psychological Association. (2013). Areas of competence for psychologists in telepsychology.
  37. Park, J., Hawkins, M., Hamlin, E., Hawkins, W., & Bamdas, J. M. (2014). Developing positive attitudes toward interprofessional collaboration among students in the health care professions. Educational Gerontology, 40(12), 894–908.CrossRefGoogle Scholar
  38. Pecukonis, E. (2014). Interprofessional education: a theoretical orientation incorporating profession-centrism and social identity theory. Journal of Law, Medicine & Ethics, 42(Suppl. 2), 60–64.CrossRefGoogle Scholar
  39. Ratka, A., Zorek, J., & Meyer, S. (2017). Overview of faculty development programs for interprofessional education. American Journal of Pharmaceutical Education, 81(5), 1–10.Google Scholar
  40. Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., & Hammick, M. (2010). The effectiveness of interprofessional education: key findings from a new systematic review. Journal of Interprofessional Care, 24(3), 230–241.CrossRefGoogle Scholar
  41. Reeves, S., Fletcher, S., Barr, H., Birch, I., Boet, S., Davies, N., McFadyen, A., Rivera, J., & Kitto, S. (2016). A BEME systematic review of the effects of interprofessional education: BEME Guide No. 30. Medical Teacher, 38(7), 656–668.CrossRefGoogle Scholar
  42. Sakai, D., Marshall, S., Kasuya, R., Wong, L., Deutsch, M., Guerriero, M., Brooks, P., Fong, S. F., & Omori, J. (2012). Medical school hotline: interprofessional education: future nurses and physicians learning together. Hawai'i Journal of Medicine & Public Health : A Journal of Asia Pacific Medicine & Public Health, 71(6), 168–171.Google Scholar
  43. Shaw, D., & Blue, A. (2012). Should psychiatry champion interprofessional education? Academic Psychiatry, 36(3), 163–166.CrossRefGoogle Scholar
  44. Skeff, K. M., Stratos, G. A., & Mount, J. F. S. (2007). Faculty development in medicine: a field in evolution. Teaching and Teachers in Education, 23, 280–285.CrossRefGoogle Scholar
  45. Solbrekke T.D., Englund T., Karseth B., Beck E.E. (2016) Educating for Professional Responsibility: From Critical Thinking to Deliberative Communication, or Why Critical Thinking Is Not Enough. In: Trede F., McEwen C. (eds) Educating the Deliberate Professional. Professional and Practice-based Learning, vol 17. Springer, ChamGoogle Scholar
  46. Trede, F., & McEwen, C. (2016). Scoping the deliberate professional. In F. Trede & C. McEwen (Eds.), Educating the deliberate professional. Professional and Practice-based Learning (Vol. 17, pp. 3–14). New York: Springer.Google Scholar
  47. Van Houwelingen, C., Moerman, A., Ettema, R., Kort, H., & ten Cate, O. (2016). Competencies required for nursing telehealth activities: a Delphi-study. Nurse Education Today, 39, 50–62.CrossRefGoogle Scholar
  48. World Health Organization. (2010). Framework for action on interprofessional education and collaborative practice. Retrieved at

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Private PracticeDaytonUSA
  2. 2.University of NevadaLas VegasUSA
  3. 3.Telebehavioral Health Institute, Inc.San DiegoUSA
  4. 4.VA Northern California Health Care System & UC Davis Department of Psychiatry and Behavioral SciencesSacramentoUSA
  5. 5.VA Palo Alto Health Care SystemLivermoreUSA

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