Telemental/Telebehavioral Health Competencies, Evaluation, and Outcomes Column

  • Kenneth P. DrudeEmail author
  • Marlene M. Maheu

Telemental/telebehavioral health (TMH/TBH) is a mature, valid, reliable, and clinically effective way to practice healthcare (Hilty et al. 2013; American Telemedicine Association Practice Guidelines 2009, 2013). TMH is practiced by a wide range of MH fields—most commonly videoconferencing by stand-alone or Internet-based platforms. A review of TMH/TBH best practices was recently published (Luxton et al. 2016). Each profession has its own nomenclature for telehealth (e.g., telepsychiatry, telepsychology, distance counseling).

Behavioral health professional organizations have begun to conceptualize and define competencies for practice, and in some cases, these include telehealth competencies. Professions doing telepractice need to strive not only for a knowledge base but also a competency or skill base for practice. A consensus process is needed to facilitate the education, training, practice of individual and interdisciplinary TMH/TBH services. Although a number of professional...


  1. Accreditation Council on Graduate Medical Education. (2013). Common program requirements. Retrieved from
  2. American Telemedicine Association Practice Guidelines for Video-based Online Mental Health Services (2013). Retrieved from
  3. American Telemedicine Association Practice Guidelines for Videoconferencing-Based Telemental Health. (2009). Retrieved from
  4. Association of State and Provincial Psychology Boards. (2014). Competencies expected of psychologists at the point of licensure. Peachtree City, GA. Retrieved from
  5. Association of State and Provincial Psychology Boards. (2016). EPPP Step 2 announcement. Retrieved from
  6. Association of State Social Work Boards. (2015). Model regulatory standards for technology and social work practice. Retrieved from
  7. Bloom, B., Engelhart, M., Furst, E., Hill, W., & Krathwohl, D. (1956). Taxonomy of educational objectives: the classification of educational goals. Handbook I: cognitive domain. New York: David McKay Company.Google Scholar
  8. Calhoun, J., Dollett, L., Sinioris, M. E., Wainio, J. A., Butler, P. W., Griffith, J. R., & Warden, G. L. (2008). Development of an interprofessional competency model for healthcare leadership. Journal of Healthcare Management, 53(6), 375–391.CrossRefPubMedGoogle Scholar
  9. Dreyfus, S. E., & Dreyfus, S. L. (1980). A five-stage model of the mental activities involved in directed skill acquisition. Retrieved from
  10. Frank, J. R., Mungroo, R., Ahmad, Y., Wang, M., De Rossi, S., & Horsley, T. (2010). Toward a definition of competency-based education in medicine: a systematic review of published definitions. Medical Teacher, 32(8), 631–637. CrossRefPubMedGoogle Scholar
  11. Hilty, D. M., Ferrer, D. C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P. M. (2013). The effectiveness of telemental health: a 2013 review. Telemedicine Journal and E-Health, 19(6), 444–454. CrossRefPubMedPubMedCentralGoogle Scholar
  12. 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(2), 569–592.CrossRefPubMedGoogle Scholar
  13. Hoge, M. A., Morris, J. A., Laraia, M., Pomerantz, A., & Farley, T. (2014). Core competencies for integrated behavioral health and primary care. Washington, DC: SAMHSA - HRSA Center for Integrated Health Solutions Retrieved from Google Scholar
  14. Institute of Medicine. (2003). Health professions education: a bridge to quality. Washington, D.C: National Academies Press Retrieved from Google Scholar
  15. Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: report of an expert panel. Washington: Interprofessional Education Collaborative.Google Scholar
  16. Luxton, D., Nelson, E., & Maheu, M. (2016). Telemental health best practices. Washington: American Psychological Association.Google Scholar
  17. Marrelli, A., Tondora, J., and Hoge, M. (2005). Strategies for developing competency models. Administration and Policy in Mental Health, 32(5/6), 533–561.Google Scholar
  18. Rodolfa, E. R., Bent, R. J., Eisman, E., Nelson, P. D., Rehm, L., & Ritchie, P. (2005). A cube model for competency development: implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36, 347–354.CrossRefGoogle Scholar
  19. Royal College of Physicians and Surgeons, CanMEDS Framework. (2015). Retrieved from
  20. U.S. Medical Licensing Examination. (2016). Step 2 CS clinical skills. Federation of State Medical Boards (FSMB) and National Board of Medical Examiner. Retrieved from

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Private PracticeDaytonUSA
  2. 2.Telebehavioral Health InstituteSan DiegoUSA

Personalised recommendations