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Telepsychiatry Today

Abstract

The use of video-based telepsychiatry is increasing in response to consumer demand for convenient, inexpensive, and readily accessible services; improved financial reimbursement; and a robust body of evidence-based literature. Telepsychiatry leads to high patient and provider satisfaction ratings, and outcomes equivalent to in-person care, while younger generations often prefer telepsychiatry over face-to-face encounters. The evidence base for telepsychiatry is especially strong with respect to the treatment of post-traumatic stress disorder (PTSD), depression, and ADHD, while its use in underserved ethnic groups is well described in the American Indian, Hispanic, and Asian populations. Despite this, telepsychiatry barriers still persist. These include personal bias—especially in leadership—and insufficient training; the challenging business environment and legislative processes; and inconsistent reimbursement, licensing, and prescription policies. Technology is now less of a barrier, and it is clear that telepsychiatry overall is flourishing and changing the way that providers are working and patients are being treated.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. What is Telemedicine? In: American Telemedicine Association. American Telemedicine Association. 2015. http://www.americantelemed.org/about-telemedicine/what-is-telemedicine - .VYj9xuvL-CA. Accessed 06/22/2015 2015.

  2. Trade, foreign policy, diplomacy and health: E-Health. World Health Organization. 2015. http://www.who.int/trade/glossary/story021/en/. Accessed 6/22/2015 2015.

  3. Fortney JC, Burgess Jr JF, Bosworth HB, Booth BM, Kaboli PJ. A re-conceptualization of access for 21st century healthcare. J Gen Intern Med. 2011;26 Suppl 2:639–47. doi:10.1007/s11606-011-1806-6.

    PubMed Central  Article  PubMed  Google Scholar 

  4. Telemedicine. Centers for Medicare & Medicaid Services, Baltimore, MD. 2015. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Delivery-Systems/Telemedicine.html. Accessed 6/22/2015 2015.

  5. Chan S, Torous J, Hinton L, Yellowlees P. Mobile tele-mental health: increasing applications and a move to hybrid models of care. Health Care. 2014;2(2):220.

    Google Scholar 

  6. Chan S, Torous J, Hinton L, Yellowlees P. Psychiatric apps: patient self-assessment, communication, and potential treatment interventions. In: Mucic D, Hilty D, editors. e-Mental Health. Basel: Karger Medical and Scientific Publishers; 2015.

    Google Scholar 

  7. Hilty D, Chan SR, Parish MB, Yellowlees P. Telepsychiatry: effective, evidence-based and at a tipping point in healthcare delivery? In: Baron D, Gross L, editors. Clinical Psychiatry: Recent Advances and Future Directions, An Issue of Psychiatric Clinics of North America. Clinics Review Articles: Elsevier; 2015

  8. Torous J, Staples P, Onnela JP. Realizing the potential of mobile mental health: new methods for new data in psychiatry. Curr Psychiatry Rep. 2015;17(8):602. doi:10.1007/s11920-015-0602-0.

    Article  PubMed  Google Scholar 

  9. Torous J, Chan RS, Yee-Marie Tan S, Behrens J, Mathew I, Conrad JE, et al. Patient smartphone ownership and interest in mobile apps to monitor symptoms of mental health conditions: a survey in four geographically distinct psychiatric clinics. J Med Internet Res Ment Health. 2014;1:e5. doi:10.2196/mental.4004.

    Google Scholar 

  10. Torous J, Friedman R, Keshvan M. Smartphone ownership and interest in mobile applications to monitor symptoms of mental health conditions. J Med Internet Res Mhealth Uhealth. 2014;2:e2. doi:10.2196/mhealth.2994.

    Article  Google Scholar 

  11. Glenn T, Monteith S. New measures of mental state and behavior based on data collected from sensors, smartphones, and the Internet. Curr Psychiatry Rep. 2014;16(12):523. doi:10.1007/s11920-014-0523-3.

    Article  PubMed  Google Scholar 

  12. Hilty DM, Ferrer DC, Parish MB, Johnston B, Callahan EJ, Yellowlees PM. The effectiveness of telemental health: a 2013 review. Telemedicine and e-Health. 2013;19(6):444–54. doi:10.1089/tmj.2013.0075. This review of telemental health 2003 through 2013 literature summarized studies in a tabular format. It showed telemental health was effective for many populations (adult, child, geriatric, ethnic) in many settings (emergency, home health). It also identified new models of care — such as collaborative, asynchronous, mobile — shown to be effective.

  13. Wittson CL, Benschoter R. Two-way television: helping the Medical Center reach out. Am J Psychiatry. 1972;129(5):624–7.

    CAS  Article  PubMed  Google Scholar 

  14. Vanderpool D. An overview of practicing high quality telepsychiatry. Mental Health Practice in a Digital World. Springer; 2015. p. 159–81. Written from the perspective of a JD MBA, this summarizes regulatory constraints, clinical requirements, reimbursement issues, and quality & effectiveness evaluation methods for telepsychiatry practice.

  15. Daschle T, Dorsey ER. The return of the house call. Ann Intern Med. 2015;162(8):587–8. doi:10.7326/M14-2769.

    Article  PubMed  Google Scholar 

  16. Towers Watson expects a 68% increase in the number of employers offering telemedicine in 2015. Towers Watson, Arlington, VA. 2014. http://www.towerswatson.com/en-US/Press/2014/08/current-telemedicine-technology-could-mean-big-savings. Accessed 6/22/2015 2015.

  17. Clancy C. Statement Of Dr. Carolyn Clancy Interim Under Secretary For Health Veterans Health Administration Department Of Veterans Affairs For Presentation Before The Senate Committee On Appropriations Subcommittee On Military Construction, Veterans Affairs, And Related Agencies. 2015. http://www.appropriations.senate.gov/sites/default/files/hearings/MilCon-VA Interim Under Secretary Clancy Testimony 031015.pdf. Accessed 7/4/2015 2015.

  18. Bashshur RL, Shannon G, Krupinski EA, Grigsby J. Sustaining and realizing the promise of telemedicine. Telemed J E Health. 2013;19(5):339–45. doi:10.1089/tmj.2012.0282.

    PubMed Central  Article  PubMed  Google Scholar 

  19. Lauckner C, Whitten P. The state and sustainability of telepsychiatry programs. J Behav Health Serv Res. 2015. doi:10.1007/s11414-015-9461-z.

    PubMed  Google Scholar 

  20. Trendwatch: Bringing Behavioral Health into the Care Continuum: Opportunities to Improve Quality, Costs and Outcomes. American Hospital Association, Washington, DC. 2012. http://www.aha.org/research/reports/tw/12jan-tw-behavhealth.pdf. Accessed 06/22/2015 2015.

  21. Adler-Milstein J, Kvedar J, Bates DW. Telehealth among US hospitals: several factors, including state reimbursement and licensure policies, influence adoption. Health Aff (Millwood). 2014;33(2):207–15. doi:10.1377/hlthaff.2013.1054. This summarizes the adoption of telehealth for each state from a macroeconomic perspective. Adler-Milstein et al. find that hospitals that tend to have telehealth include teaching hospitals, hospitals with more advanced medical technology, those that are part of a larger system, and those that are nonprofit institutions.

    Article  Google Scholar 

  22. Deen TL, Godleski L, Fortney JC. A description of telemental health services provided by the Veterans Health Administration in 2006–2010. Psychiatr Serv. 2012;63(11):1131–3. doi:10.1176/appi.ps.201100458.

    Article  PubMed  Google Scholar 

  23. Godleski L, Darkins A, Peters J. Outcomes of 98,609 U.S. Department of Veterans Affairs patients enrolled in telemental health services, 2006–2010. Psychiatr Serv. 2012;63(4):383–5. doi:10.1176/appi.ps.201100206.

    Article  PubMed  Google Scholar 

  24. Shore P, Goranson A, Ward MF, Lu MW. Meeting veterans where they’re @: a VA Home-Based Telemental Health (HBTMH) pilot program. Int J Psychiatry Med. 2014;48(1):5–17. doi:10.2190/PM.48.1.b.

    Article  PubMed  Google Scholar 

  25. Pearl R. Kaiser Permanente Northern California: current experiences with internet, mobile, and video technologies. Health Aff (Millwood). 2014;33(2):251–7. doi:10.1377/hlthaff.2013.1005.

    Article  Google Scholar 

  26. Brown EM. The Ontario Telemedicine Network: a case report. Telemed J E Health. 2013;19(5):373–6. doi:10.1089/tmj.2012.0299.

    Article  PubMed  Google Scholar 

  27. Deslich SA, Thistlethwaite T, Coustasse A. Telepsychiatry in correctional facilities: using technology to improve access and decrease costs of mental health care in underserved populations. Perm J. 2013;17(3):80–6. doi:10.7812/TPP/12-123.

    PubMed Central  Article  PubMed  Google Scholar 

  28. Koch EF. The VA Maryland Health Care System’s telemental health program. Psychological Services. 2012;9(2):203–5. doi:dx.doi.org + 10.1037/a0026144.

  29. Mendoza R, Yellowlees P, Kaftarian E, Hilty D, editors. Cultural “fit” and selection of the “best” model for telemental health. The American Telemedicine Association Twentieth Annual Telemedicine Meeting and Trade Show; 2015 5/5/2015; Los Angeles, CA: American Telemedicine Association; 2015

  30. Odor A, Yellowlees P, Hilty D, Burke Parish M, Nafiz N, Iosif AM. PsychVACS: a system for asynchronous telepsychiatry. Telemed J E Health. 2011;17(4):299–303.

    Article  PubMed  Google Scholar 

  31. Maghazil A, Yellowlees P. Novel approaches to clinical care in mental health: from asynchronous telepsychiatry to virtual reality. In: Lech M, Song I, Yellowlees P, Diederich J, editors. Mental Health Informatics. Berlin: Springer; 2014. p. 57–78.

    Chapter  Google Scholar 

  32. Yellowlees P, Odor A, Patrice K, Parish MB, Nafiz N, Iosif AM, et al. Disruptive innovation: the future of healthcare? Telemed J E Health. 2011;17(3):231–4. doi:10.1089/tmj.2010.0130.

    Article  PubMed  Google Scholar 

  33. Butler TN, Yellowlees P. Cost analysis of store-and-forward telepsychiatry as a consultation model for primary care. Telemed e-Health. 2012;18(1):74–7. doi:10.1089/tmj.2011.0086.

    Article  Google Scholar 

  34. University of California, Davis. A controlled trial of patient centered telepsychiatry interventions. U.S. National Institutes of Health. 2014. https://clinicaltrials.gov/ct2/show/NCT02084979. Accessed 6/28/2015 2015.

  35. Yellowlees PM, Odor A, Parish MB. Cross-lingual asynchronous telepsychiatry: disruptive innovation? Psychiatr Serv. 2012;63(9):945. doi:10.1176/appi.ps.2012op945.

    Article  PubMed  Google Scholar 

  36. Yellowlees P. Telepsychiatry services across languages: development and testing of an automated translation and transcription tool using speech recognition technologies. UC Davis. 2015. http://www.ucdmc.ucdavis.edu/behavioralhealth/pages/yellowlees.html. Accessed 06/22/2015 2015.

  37. Xiong G. A pilot study examining use of asynchronic and synchronous telepsychiatry consultation for skilled nursing facility residents. UC Davis. 2015. http://www.ucdmc.ucdavis.edu/behavioralhealth/pages/xiong.html. Accessed 06/22/2015 2015.

  38. Mishkind MC, Doarn CR, Bernard J, Shore JH. The use of collaboration science to define consensus outcome measures: a telemental health case study. Telemed J E Health Off J Am Telemed Assoc. 2013;19(6):455–9. doi:10.1089/tmj.2013.0069.

    Google Scholar 

  39. Shore JH, Mishkind MC, Bernard J, Doarn CR, Bell Jr I, Bhatla R, et al. A lexicon of assessment and outcome measures for telemental health. Telemed J E Health. 2014;20(3):282–92. doi:10.1089/tmj.2013.0357. This expert consensus document provides definitions, measurement recommendations, and considerations for telemental health programs. It has the potential to serve as a framework for evaluating and standardizing programs.

    Article  PubMed  Google Scholar 

  40. Yellowlees P, Shore J, Roberts L. Practice guidelines for videoconferencing-based telemental health—October 2009. Telemed E Health. 2010;16(10):1074–89. This consensus-based operational best practice reference was written to summarize experts’ clinical experiences. It can be useful for those starting their own telemental health programs.

    Article  Google Scholar 

  41. Turvey C, Coleman M, Dennison O, Drude K, Goldenson M, Hirsch P, et al. ATA practice guidelines for video-based online mental health services. Telemed E Health. 2013;19(9):722–30. Behavioral health professionals who provide real-time videoconferencing services via the Internet can follow these requirements and recommendations. These guidelines do not cover e-mail, chatting, social network sites, and “coaching.”.

    Article  Google Scholar 

  42. Myers K, Cain S, Work Group on Quality Issues, American Academy of Child and Adolescent Psychiatry Staff. Practice parameter for telepsychiatry with children and adolescents. 2008:1468–83

  43. Telepsychiatry Resources. American Psychiatric Association. 2015. http://www.psychiatry.org/practice/professional-interests/underserved-communities/telepsychiatry-internet-resources. Accessed 06/22/2015 2015.

  44. Guidelines For The Practice Of Telepsychology. American Psychological Association. 2013. http://www.apapracticecentral.org/ce/guidelines/telepsychology-guidelines.pdf. Accessed 06/22/2015 2015.

  45. Thiele JS, Doarn CR, Shore JH. Locum tenens and telepsychiatry: trends in psychiatric care. Telemed J E Health. 2015;21(6):510–3. doi:10.1089/tmj.2014.0159.

    Article  PubMed  Google Scholar 

  46. Sunderji N, Crawford A, Jovanovic M. Telepsychiatry in graduate medical education: a narrative review. Acad Psychiatry. 2015;39(1):55–62. doi:10.1007/s40596-014-0176-x.

    Article  PubMed  Google Scholar 

  47. Kramer G, Caudill R, Hilty D, Brooks E, O’Neill P, Rabinowitz T et al., editors. Best Practices for Telemental Health. American Telemedicine Association 2014 Annual Meeting; 2014 5/18/2014; Baltimore, MD: American Telemedicine Association; 2014

  48. Hubbard M. American Telemedicine Association launches online Telemental Health Course. 6/19/2014 ed: American Telemedicine Association; 2014.

  49. Grubbs KM, Fortney JC, Dean T, Williams JS, Godleski L. A comparison of mental health diagnoses treated via interactive video and face to face in the Veterans Healthcare Administration. Telemed J E Health. 2015. doi:10.1089/tmj.2014.0152.

    PubMed  Google Scholar 

  50. Fortney JC, Pyne JM, Kimbrell TA, Hudson TJ, Robinson DE, Schneider R, et al. Telemedicine-based collaborative care for posttraumatic stress disorder: a randomized clinical trial. JAMA Psychiatry. 2015;72(1):58–67. doi:10.1001/jamapsychiatry.2014.1575.

    Article  PubMed  Google Scholar 

  51. Shore J, Kaufmann LJ, Brooks E, Bair B, Dailey N, Richardson Jr WJB, et al. Review of American Indian veteran telemental health. Telemed J E Health Off J Am Telemed Assoc. 2012;18(2):87–94. doi:10.1089/tmj.2011.0057.

    Article  Google Scholar 

  52. Morland LA, Mackintosh MA, Greene CJ, Rosen CS, Chard KM, Resick P, et al. Cognitive processing therapy for posttraumatic stress disorder delivered to rural veterans via telemental health: a randomized noninferiority clinical trial. J Clin Psychiatry. 2014;75(5):470–6. doi:10.4088/JCP.13m08842.

    Article  PubMed  Google Scholar 

  53. Morland LA, Hynes AK, Mackintosh MA, Resick PA, Chard KM. Group cognitive processing therapy delivered to veterans via telehealth: a pilot cohort. J Trauma Stress. 2011;24(4):465–9. doi:10.1002/jts.20661.

    Article  PubMed  Google Scholar 

  54. Morland LA, Greene CJ, Rosen C, Mauldin PD, Frueh BC. Issues in the design of a randomized noninferiority clinical trial of telemental health psychotherapy for rural combat veterans with PTSD. Contemp Clin Trials. 2009;30(6):513–22. doi:10.1016/j.cct.2009.06.006.

    Article  PubMed  Google Scholar 

  55. Morland LA, Raab M, Mackintosh MA, Rosen CS, Dismuke CE, Greene CJ, et al. Telemedicine: a cost-reducing means of delivering psychotherapy to rural combat veterans with PTSD. Telemed J E Health. 2013;19(10):754–9. doi:10.1089/tmj.2012.0298.

    PubMed Central  Article  PubMed  Google Scholar 

  56. Gros DF, Yoder M, Tuerk PW, Lozano BE, Acierno R. Exposure therapy for PTSD delivered to veterans via telehealth: predictors of treatment completion and outcome and comparison to treatment delivered in person. Behav Ther. 2011;42(2):276–83. doi:10.1016/j.beth.2010.07.005.

    Article  PubMed  Google Scholar 

  57. Hudson TJ, Fortney JC, Pyne JM, Lu L, Mittal D. Reduction of patient-reported antidepressant side effects, by type of collaborative care. Psychiatr Serv. 2015;66(3):272–8. doi:10.1176/appi.ps.201300570.

    PubMed Central  Article  PubMed  Google Scholar 

  58. Moreno FA, Chong J, Dumbauld J, Humke M, Byreddy S. Use of standard webcam and Internet equipment for telepsychiatry treatment of depression among underserved Hispanics. Psychiatr Serv. 2012;63(12):1213–7.

    Article  PubMed  Google Scholar 

  59. Fortney JC, Pyne JM, Mouden SB, Mittal D, Hudson TJ, Schroeder GW, et al. Practice-based versus telemedicine-based collaborative care for depression in rural federally qualified health centers: a pragmatic randomized comparative effectiveness trial. Am J Psychiatry. 2013;170(4):414–25. doi:10.1176/appi.ajp.2012.12050696.

    Article  PubMed  Google Scholar 

  60. Deen TL, Fortney JC, Schroeder G. Patient acceptance of and initiation and engagement in telepsychotherapy in primary care. Psychiatr Serv. 2013;64(4):380–4. doi:10.1176/appi.ps.201200198.

    PubMed Central  Article  PubMed  Google Scholar 

  61. Fortney JC, Maciejewski ML, Tripathi SP, Deen TL, Pyne JM. A budget impact analysis of telemedicine-based collaborative care for depression. Med Care. 2011;49(9):872–80. doi:10.1097/MLR.0b013e31821d2b35.

    Article  PubMed  Google Scholar 

  62. Boydell KM, Hodgins M, Pignatiello A, Teshima J, Edwards H, Willis D. Using technology to deliver mental health services to children and youth: a scoping review. J Can Acad Child Adolesc Psychiatry. 2014;23(2):87–99.

    PubMed Central  PubMed  Google Scholar 

  63. Myers K, Vander Stoep A, Zhou C, McCarty CA, Katon W. Effectiveness of a telehealth service delivery model for treating attention-deficit/hyperactivity disorder: a community-based randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2015;54(4):263–74. doi:10.1016/j.jaac.2015.01.009.

    Article  PubMed  Google Scholar 

  64. Myers K, Vander Stoep A, Lobdell C. Feasibility of conducting a randomized controlled trial of telemental health with children diagnosed with attention-deficit/hyperactivity disorder in underserved communities. J Child Adolesc Psychopharmacol. 2013;23(6):372–8. doi:10.1089/cap.2013.0020.

    PubMed Central  Article  PubMed  Google Scholar 

  65. Vander Stoep A, Myers K. Methodology for conducting the children’s attention-deficit hyperactivity disorder telemental health treatment study in multiple underserved communities. Clin Trials. 2013;10(6):949–58.

    Article  PubMed  Google Scholar 

  66. Hilty DM, Yellowlees PM. Collaborative mental health services using multiple technologies: the new way to practice and a new standard of practice? J Am Acad Child Adolesc Psychiatry. 2015;54(4):245–6.

    Article  PubMed  Google Scholar 

  67. Brooks E, Novins DK, Noe T, Bair B, Dailey N, Lowe J, et al. Reaching rural communities with culturally appropriate care: a model for adapting remote monitoring to American Indian veterans with posttraumatic stress disorder. Telemed J E Health. 2013;19(4):272–7. doi:10.1089/tmj.2012.0117.

    Article  PubMed  Google Scholar 

  68. Shore JH, Brooks E, Anderson H, Bair B, Dailey N, Kaufmann LJ, et al. Characteristics of telemental health service use by American Indian veterans. Psychiatr Serv. 2012;63(2):179–81.

    Article  PubMed  Google Scholar 

  69. Kaufman CE, Brooks E, Kaufmann LJ, Noe T, Nagamoto HT, Dailey N, et al. Rural native veterans in the Veterans Health Administration: characteristics and service utilization patterns. J Rural Health. 2013;29(3):304–10. doi:10.1111/j.1748-0361.2012.00450.x.

    Article  PubMed  Google Scholar 

  70. Chong J, Moreno F. Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. Telemed E Health. 2012;18(4):297–304.

    Article  Google Scholar 

  71. Yellowlees PM, Odor A, Parish MB, Iosif A-M, Haught K, Hilty D. A feasibility study of the use of asynchronous telepsychiatry for psychiatric consultations. Psychiatr Serv. 2010;61(8):838–40.

    Article  PubMed  Google Scholar 

  72. Yellowlees PM, Odor A, Iosif A-M, Parish MB, Nafiz N, Patrice K, et al. Transcultural psychiatry made simple—asynchronous telepsychiatry as an approach to providing culturally relevant care. Telemed J E Health Off J Am Telemed Assoc. 2013;19(4):259–64. doi:10.1089/tmj.2012.0077.

    Google Scholar 

  73. Yeung A, Hails K, Chang T, Trinh NH, Fava M. A study of the effectiveness of telepsychiatry-based culturally sensitive collaborative treatment of depressed Chinese Americans. BMC Psychiatry. 2011;11:154. doi:10.1186/1471-244X-11-154.

    PubMed Central  Article  PubMed  Google Scholar 

  74. Ye J, Shim R, Lukaszewski T, Yun K, Kim SH, Ruth G. Telepsychiatry services for Korean immigrants. Telemed E Health. 2012;18(10):797–802. doi:10.1089/tmj.2012.0041.

    Article  Google Scholar 

  75. Brooks E, Turvey C, Augusterfer EF. Provider barriers to telemental health: obstacles overcome, obstacles remaining. Telemed J E Health. 2013;19(6):433–7. This expert-written article covers 1) personal barriers, 2) clinical workflow and technology barriers, and 3) licensure, credentialing, and reimbursement barriers for telemental health.

    Article  PubMed  Google Scholar 

  76. Milestone – Most States Now Have Telehealth Parity Laws. American Telemedicine Association, Washington, DC. 2015. http://www.americantelemed.org/news-landing/2015/05/27/milestone-most-states-now-have-telehealth-parity-laws - .VYscV-vL9UQ. Accessed 6/24/2015 2015.

  77. Ferrer DC, Yellowlees PM. Telepsychiatry: licensing and professional boundary concerns. Virtual Mentor. 2012;14(6):477–82. doi:10.1001/virtualmentor.2012.14.6.pfor1-1206.

    Article  PubMed  Google Scholar 

  78. State Policy Resource Center. American Telemedicine Association, Washington, DC. 2015. http://www.americantelemed.org/policy/state-policy-resource-center. Accessed 6/24/2015 2015.

  79. State Coverage For Telehealth Services. National Conference of State Legislatures. 2014. http://www.ncsl.org/research/health/state-coverage-for-telehealth-services.aspx. Accessed 6/22/2015 2015.

  80. Weinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M, Barker GP, et al. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. Am J Med. 2014;127(3):183–7. doi:10.1016/j.amjmed.2013.09.032.

    Article  PubMed  Google Scholar 

  81. Hubbard M. American Telemedicine Association Launches Program to Accredit Online Healthcare Services. 12/15/2014 ed: American Telemedicine Association; 2014.

  82. Telemedicine - UC Davis Extension. UC Davis Extension. 2015. https://extension.ucdavis.edu/course/telemedicine. Accessed 7/4/2015 2015.

  83. American Telemedicine Association Learning Center. American Telemedicine Association. 2015. http://learn.americantelemed.org/diweb/start/. Accessed 7/4/2015 2015.

  84. Clarke G, Yarborough BJ. Evaluating the promise of health IT to enhance/expand the reach of mental health services. Gen Hosp Psychiatry. 2013;35(4):339–44. doi:10.1016/j.genhosppsych.2013.03.013.

    PubMed Central  Article  PubMed  Google Scholar 

  85. Jones SP, Patel V, Saxena S, Radcliffe N, Ali Al-Marri S, Darzi A. How Google’s ‘Ten Things We Know To Be True’ could guide the development of mental health mobile apps. Health Aff (Millwood). 2014;33(9):1603–11. doi:10.1377/hlthaff.2014.0380.

    Article  Google Scholar 

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Conflict of Interest

Michelle Parish declares that she has no conflict of interest.

Steven Chan’s work on translation technologies is supported by the APA/SAMHSA Minority Fellowship Program and a UC Davis Behavioral Center of Excellence grant. Steven Chan serves as an Associate Editor for iMedicalApps.

Peter Yellowlees is a co-founder and Chair of the Board of the commercial telepsychiatry company, HealthLinkNow.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Steven Chan.

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This article is part of the Topical Collection on Psychiatry in the Digital Age

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Chan, S., Parish, M. & Yellowlees, P. Telepsychiatry Today. Curr Psychiatry Rep 17, 89 (2015). https://doi.org/10.1007/s11920-015-0630-9

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Keywords

  • Telepsychiatry
  • Telemedicine
  • Video consultation
  • Technology
  • Innovation