Peer Telehealth Resources List

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Affordable access to secure, confidential, trauma-informed, person-centered, self-directed peer telehealth for all Oregonians.

Peer Support is a proven, evidence-based practice recognized by the federal Centers for Medicare & Medicaid (CMS), by the Veterans Administration (VA), and the US Department of Labor.

Peer Support is a model of behavioral health care where two or more people with similar lived experience and/or challenges get together, share, actively listen, provide support, encouragement, validation, hope, and insights in the journey of recovery from mental health, addictions, or other issues. 

Peer Support can be provided in person face-to-face or by phone, by text or live video, either one-on-one or in a group. 

Peer Supervision (“Co-Reflection”) by a peer with lived experience is a key success factor for workforce integration.

Benefits of Peer Support Delivered via Telehealth:

  • Improved Client Satisfaction and Engagement 77% people surveyed
  • Expands Access to Care and Accessibility to Serve More Clients   willing to have telehealth
  • Expands Access to Culturally-Competent Workforce & Range of Lived Experience 19% people surveyed
  • Responsive Care Provided Sooner may Avoid or Reduce Costs   already had a virtual visit
  • Improved Client and Family Engagement – Advisory Board Co (2017)
  • Eases Workforce Shortages
  • Improved Workflow Medicare may fund
  • Reduced Wait-Times telehealth in certain situations
  • Reduced No-Shows
  • Reduced Travel Costs, Traffic Congestion, Accidents & Carbon Emissions Medicaid may fund
  • Reduced Lost Time at Work or School telehealth in certain situations
  • Reduced Need to Arrange Childcare and/or Eldercare
  • Reduced Stress Private insurers may fund
  • Reduced Risk of Illness and/or Contagion telehealth in certain situations
  • Reduced Overhead Costs
  • Reduced Stigma Barriers to Clients Accessing Help
  • Reduced Hospital Stays and Costs
  • Timely Post-Acute Services Result in Better Health Outcomes, Care Coordination and Reduced Readmissions

Keep in mind that individual preferences, needs, abilities and circumstances can vary widely.  For example, some people may have reduced ability to travel long distances or require special transportation due to mobility or geographic issues.  Some people feel more safe and comfortable communicating from the privacy of their own home while others may prefer privacy afforded by accessing services outside the home.

NOTE: These 3rd party links to potential opportunities are offered by PeerGalaxy solely as a courtesy without any guarantees of any kind.

Digital Peer Support

Peer Support Solutions

INAOPS (International Association of Peer Supporters)

OPT-IN (Oregon Peer Telehealth Information Network)

American Telemedicine Association

Amwell

California Telemedicine & eHealth Center

NIH (National Institute of Health)

Telehealth Comparisons

Quiz: What is mHealth?  What is Store and Forward?

Access

Accessibility

Accommodations

Behavioral Health

Behavioral Telehealth

Closed Captioning

Confidentiality

Culturally and Linguistically Appropriate Standards (CLAS)

Digital Therapy

Distance Counseling

Distant Site (Clinician Site)

Diversity

Dominant Culture

Electronic Health Records (eHR)

Electronic Healthcare Delivery

Equity

Expectation of Privacy

Informed Consent

Interactive

mHealth

Online Counseling

Originating Site (Patient Site)

Personally Identifiable Information

Privacy

Protected Health Information

Remote Monitoring

Telebehavioral health

Telehealth

Telemedicine

Telemental Health

Therapy

Therapeutic

Trauma Informed

Treatment (Peer Support is not Treatment)

Video Therapy

Virtual Therapy

Oregon Consumer Advisory Council

Laura Rose

  • Peer Telehealth Champion; Consultant, Consumer and Family Advocate; Chair of Oregon Consumer Advisory Council, Liaison Children’s System Advisory Council, Oregon Alliance for Youth Suicide Prevention

Kevin Fitts

  • Peer Telehealth Champion, Founder and Executive Director of Oregon Consumer Mental Health Association, Vice Co-Chair of Oregon Consumer Advisory Council, Co-Champion of Tools + Technology + Access Committee, Consumer Voice Advocate

Chrissie Peirsol

  • Peer Telehealth Champion, Support Groups Central Facilitator, Vice Co-Chair of Oregon Consumer Advisory Council, Member of Tools + Technology + Access Committee, Consumer Voice Advocate

Mark Fisher

  • Peer Telehealth Champion, Former Chair of the Oregon Consumer Advisory Council, Co-Champion of Tools + Technology + Access Committee

State of Oregon, Oregon Health Authority

Patrick Allen

  • Director

Steve Allen

  • Director of Behavioral Health

Elaine Sweet

  • Manager of Adult Behavioral Health

Nicole Corbin

  • Manager of Adult Addictions

Brandy Hemsley

  • Director of the Office of Consumer Activities (OCA)

Beau Rappaport

  • Peer Delivered Services Coordinator

Chelsea Holcomb

  • Manager of Child and Family Behavioral Health Unit

Frances S. Purdy, MEd JD  CFSS

  • Family Engagement and Family and Youth Peer Delivered Services

Abdiasis Mohamed, MSW

  • Office of Equity & Inclusion, Traditional Health Worker Program Coordinator

Donald Jardine

  • Manager of Medicaid Program Unit

Deb Darmata

  • Adult Suicide Prevention, Intervention, Postvention Coodinator

Jill Baker

  • Youth & Young Adult Suicide Prevention, Intervention, Postvention Coordinator

Kathleen Burns

  • Trauma Informed Care Child & Family Unit

Federally-Funded Telehealth Resource Centers

Deb LaMarche, NRTRC Principal Investigator for the Northwest Region including Oregon

  • The Principal Investigator/Program Director provides the overall direction and oversight of the project by working with partners to ensure support, commitment, and involvement to advance the project’s goals and objective. Additionally, plans, implements, directs, and evaluates the NRTRC project.

Community of Practice

Vincent F. Caimano, Ph.D.

  • Pasadena, California @ Support Group Central & Peer Support Solutions
  • Co-Founder & CEO of Support Group Central and Peer Support Solutions
  • Recently joined the board of directors for the (Inter)National Association of Peer Supporters

Karen L. Fortuna, Ph.D., MSW

  • Concord, New Hampshire @ The Geisel School of Medicine at Dartmouth College
  • Researcher, PeerTECH Development, Peer Support Specialists, Consumer Engagement
  • https://www.nature.com/articles/d41586-019-03229-5
  • Recently joined the board of directors for the (Inter)National Association of Peer Supporters
  • May be attending and/or presenting at Peerpocalypse 2020

Consultants

Catherine Britain

  • Medford, Oregon @ CSBritain Consulting
  • CoFounder, Past President & Program Director of Telehealth Alliance of Oregon (TAO)
  • Worked with RODEO.NET 10+ years in LaGrande Oregon – Pilot Project $700,000 in 1991
  • Serves/has served on boards of directors for:
    • NRTRC (NW Regional Telehealth Resource Center)
    • Association of Telehealth Service Providers
    • American Telemedicine Association
    • National Association for Rural Mental Health
    • Oregon Telecommunications Coordinating Council

Sam Lippolis, MPA

  • Denver, Colorado @ SAM-I-AM Innovation and UC Health
  • Consultant / Telehealth Educator (Telemedicine Implementation in 5 States, 19 specialties)
  • Telehealth Medicare Billing
  • Rural Health Fellow in 2012 by the National Rural Health Association
  • Testified in Colorado House, Senate and Medical Board for reimbursement policy
  • Testified in Ohio House for telehealth parity legislation
  • https://www.samlippolis.com
  • Over 10 years’ experience implementing telemedicine
  • Created programs in 5 states, across 19 specialties, trained 500+ providers
  • Blog page: https://www.samlippolis.com/blog

See also: legal firms listed in legal resources

State of Oregon, Oregon Health Authority

  • Provider Matters (5/22/2020)
    • Updates about fee-for-service claim processing, policy and resources for
      Oregon Health Plan providers
    • Excerpt(s):
      • Questions about Telemedicine / Telehealth?

        The Oregon Health Authority (OHA) has received many questions about telemedicine coverage, and we want to make sure you know where to find the answers to those questions.

        The Telemedicine/Telehealth section of the Oregon Medicaid COVID-19 Provider Guide (PDF Format) incorporates all OHA guidance related to Oregon Health Plan coverage of telemedicine services during the COVID-19 emergency, including previous telemedicine webinars and clarifications provided in OHA’s questions and answers from the April 17 webinar.

        Topics include:

        •  Covered services using in-person codes, telephone/online codes and the virtual check-in code

        • Program-specific information for physical health, oral health and behavioral health providers, as well as federally qualified health centers, rural health clinics and Indian Health Service/Tribal 638 providers

        • Permitted telemedicine modalities, and how to ensure meaningful language access during a telemedicine visit

        • Documentation to keep on file to support delivery of and consent to telemedicine services
          Links to related guidance, Oregon Administrative Rules and federal regulations

        • The COVID-19 Provider Guide is your one stop for Oregon Health Plan guidance related to the COVID-19 emergency.

      • COVID-19 provider resources

        As we work toward reopening Oregon, we want to make sure you have the resources you need to keep informed, healthy and safe. If you have any questions about OHP and COVID-19, please let us know.

SAMHSA

MHTTC (Mental Health Technology Transfer Center)

INAPS (International Association of Peer Supporters)

Montana Healthcare Foundation

NAADC

American Telemedicine Association (ATA)

The National Council on Behavioral Health

Relias Telehealth

Telehealth Resource Center

RHI HUB (Rural Health Information HUB)

Doors to Well Being

Since COVID-19 happened, many conferences are postponed or going ALL VIRTUAL!

HIMSS (Health Information Management Systems)

NRTRC (Northwest Regional Telehealth Resource Center)

TAO (Telehealth Alliance of Oregon)

ATA (American Telehealth Association)

xtelligent Health Care Media

CTEL (Center for Telehealth & eHealth Law)

RHI HUB (Rural Health Information Hub)

NFARTEC (National Frontier and Rural Telehealth Educ. Ctr.)

See also: Research

NCTRC (National Consortium of Technical Resource Centers)

AIM Article

  • Langarizadeh, M., Tabatabaei, M. S., Tavakol, K., Naghipour, M., Rostami, A., & Moghbeli, F. (2017). Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review. Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH, 25(4), 240–246. doi:10.5455/aim.2017.25.240-246.  Last viewed online 2020 Jan 22 at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5723163/

Rural Health Information HUB

This is a limited sampling.

ATA (American Telemedicine Association)

Telebehavioral Health Center of Excellence

Coming Soon

 

CCHPCA (Center for Connected Health Policy)

  • Advancing state and national telehealth policies that promote better systems of care, improved health outcomes, and provide greater health equity of access to quality, affordable care and services
  • Website: https://www.telehealthpolicy.us
  • National Telehealth Policy Center
    • CCHP is an independent center of excellence in telehealth policy providing technical assistance to the twelve federally funded regional Telehealth Resource Centers (TRC), as well as state and federal policy makers, national organizations, health systems, providers, and the public.

    • CCHP actively researches and analyzes important telehealth policy issues, engages influential public and private sectors through analyses and reports, and provides key telehealth policy resources nationwide.

    • CCHP acts as a catalyst for change by providing non-partisan, unbiased, researched-based policy analyses and bringing policy makers together with private health care sector, health plans, academic researchers, and consumer health advocates to create successful models of connected care, that lead to more transparent systems of communication between providers and patients which can lead to better health outcomes and greater efficiencies in the delivery system.

    • NATIONAL CENTER OF EXPERTISE

      • In addition to acting as the National Telehealth Policy Resource Center, the Center for Connected Health Policy serves as an independent national resource on telehealth policy issues.

      • To advance sound state and federal telehealth policies, CCHP engages key decision makers through policy briefs, educational reports, and multi-sector coalitions and forums. The project materials available through this project are accessible for public use.

      • As the national telehealth policy resource center CCHP offers technical assistance to those who would like to learn more about telehealth policies nationally and in specific states across the nation.

        • There are two tiers of assistance available from CCHP:

          • Tier 1: Call or email any time to learn more about the program and discuss the general telehealth policy landscape.

          • Tier 2: For additional assistance that requires a deeper dive into a specific area, a client may wish to inquire about engaging CCHP for consultative services.

    • The National Telehealth Policy Resource Center is funded by Grant #G22RH30365 from the Office for the Advancement of Telehealth, Health Resources and Services Administration in the US Department of Health and Human Services.

NCTRC (National Consortium of Telehealth Resource Centers)

  • Connecting telehealth systems to rural communities for a healthier America.

  • The National Consortium of Telehealth Resource Centers (NCTRC) is a collaborative of 12 regional and 2 national Telehealth Resource Centers (TRCs), committed to implementing telehealth programs for rural and underserved communities. Funded by the U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA), administered through grant # G22RH30365, TRCs across the nation provide timely and accurate information on telehealth. Our 12 regional and 2 national TRCs are expertly staffed and lead the advancement and accessibility of telehealth with a focus in rural communities, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). As a consortium, we are dedicated to helping organizations and practices overcome barriers, advance telehealth education, and provide resources.

  • Our 12 regional TRCs are regional experts in telehealth implementation. TRCs are equipped to provide technical assistance, education, and resources on various topics. Each TRC has a regional uniqueness, allowing them to provide a wide range of assistance targeting local community needs. The NCTRC is dedicated in playing its part in expanding the reach of healthcare and sustainable telehealth programs in local, rural, and underserved communities for the most vulnerable populations.

  • Find your TRC on this Map – Click on Your State
    • 2 NATIONAL TRCs
      • 1) National Policy Center
        • Center for Connected Health Policy
        • (877) 707-7172
      • 2) National Technology Center
        • Telehealth Technology Assessment Resource Center
        • (844) 242-0075
    • 12 REGIONAL TRCs
      • 1) TexLa Telehealth Resource Center
        • Texas and Louisiana
        • (877) 391-0487
      • 2) Mid-Atlantic Telehealth Resource Center
        • Virginia, West Virginia, Kentucky, Maryland, Delaware, North Carolina, Pennsylvania, Washington DC, and New Jersey
        • (434) 906-4960
      • 3) Upper Midwest Telehealth Resource Center
        • Indiana, Illinois, Michigan and Ohio
        • (855) 283-3734
      • 4) Southeast Telehealth Resource Center
        • Georgia, South Carolina, Alabama, and Florida
        • (888) 738-7210
      • 5) Pacific Basin Telehealth Resource Center
        • Hawaii and Pacific Basin
        • (808) 956-2897
      • 6) Heartland Telehealth Resource Center
        • Kansas, Missouri and Oklahoma
        • (877) 643-HTRC (4872)
      • 7) South Central Telehealth Resource Center
        • Arkansas, Mississippi and Tennessee
        • (855) 664-3450
      • 8) Southwest Telehealth Resource Center
        • Arizona, Colorado, New Mexico, Nevada and Utah
        • (877) 535-6166
      • 9) Northwest Regional Telehealth Resource Center
        • Washington, Oregon, Idaho, Montana, Utah, Wyoming and Alaska
        • (833) 747-0643
      • 10) Great Plains Telehealth Resource & Assistance Center
        • North Dakota, South Dakota, Minnesota, Iowa, Wisconsin and Nebraska
        • (888) 239-7092
      • 11) California Telehealth Resource Center
        • California
        • (877) 590-8144
      • 12) Northeast Telehealth Resource Center New England
        • Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont, New York, and New Jersey
        • (800) 379-2021
  • Published Resources for Building a Telehealth Program(Sampling)
    • CTRC Telehealth Program Developer Kit (PDF Format, 334 pages)
      • The genesis of this is kit is the implementation methodology developed for the University of California schools and hospitals, as well as the safety net clinic referring partners throughout the state.
    • gpTRAC Initiating Telehealth Services Checklist (PDF Format, 2 pages)
      • This resource is designed to provide you with prompts for some of the questions you need to consider as you look to implement a telehealth site or new service.
    • HTRC Telehealth Etiquette Checklist  (PDF Format, 1 page)
      • HTRC’s checklist lines out best etiquette practices for telehealth providers. This resources will help you keep in mind appointment preparation, video presence, and audio tips.
    • NETRC Telehealth Library
      • NETRC hosts a Telehealth Resource Library containing a robust collection of peer-reviewed articles on telehealth. This library is regularly maintained.
    • SCTRC Video: A Telemedicine Tale
      • This video illustrates the benefits of telehealth at the consumer level. As a patient, telehealth overcomes common barriers to quality healthcare. This is just one of many videos created by SCTRC, visit their website to find more.
    • SWTRC Service Provider Directory
      • The Telemedicine & Telehealth Service Provider Directory is a service of the Arizona Telemedicine Program. The directory is a resource for hospital and healthcare administrators and other decision-makers who want to expand or improve their healthcare services
    • UMTRC Reimbursement Snapshot – July 2019 (PDF Format, 1 page)
      • UMTRC covers several of the upper midwest states. This document gives a snapshot of reimbursable services in their covered states.
    • CCPHCA 50 State Report Fall 2019 (PDF Format, 441 pages)
      • CCHP’s Spring 2019 release of its report on “State Telehealth Laws and Reimbursement Policies” offers policymakers, health advocates, and other interested health care professionals a summary guide of telehealth-related policies, laws, and regulations for all 50 states and the District of Columbia.
    • HRSA Telehealth Compendium
      • July 2019 (MS Word format)This Compendium created by HRSA contains a compilation of telehealth resources for HRSA-grantees and stakeholders.
    • HRSA Webinar Compilation through 2018 (MS Excel format download available)
      • HRSA has compiled a unique list of TRC webinars from 2011 – 2018.
    • TRC Job Description Templates (PDF Format, 19 pages)
      • TRCs have collected several frequently referenced job descriptions. These are sourced from various organizations and websites for others to use as a reference when recruiting staff.
  • Office Hours on Fridays at 1pm PST (except 5/22)

IHS (Indian Health Services)

TTAC (National Telehealth Technology)

COEPHI (Center of Excellence for Protected Health Information)

Sam Lippolis LLC / SAM-I-AM

  • Private Practice Consultant

The U.S. government is one of the largest payers for healthcare through CMS (Centers for Medicare and Medicaid).

We will be adding announcements here but for the latest information, go to CMS.gov directly.

US DHHS CMS (Centers for Medicare and Medicaid Services)

See also:

State of Oregon (Oregon.gov)

[POST COVID – Coming Soon]

[PRE COVID]

eVisit

TAO (Telehealth Association of Oregon)

The National Council on Behavioral Health

Coming Soon

This is a sampling, not intended to be exhaustive, provided solely as a courtesy without guarantee(s) of any kind whatsoever..  More information to come…

Telementalhealth Software Comparisons

Inside Digital Health – Virtual Reality

  • Inside Digital Health: Virtual Reality / Mental Health Center of Denver MHCD’s Wes Williams, Ph.D
    •  Excerpt(s):
      • Peer support and virtual reality used together offer several benefits. They can expand the peer practice and involvement for their work. Peer groups also work well with very established programs; peer leaders can provide patients with hope and serve as successful role models. Each individual who provides the therapy does not need as much training because the clinical practice is built in; thus, this care is more cost-effective than hiring new therapists. And most important, from a qualitative perspective, the experience is better for patients — and momentum improves in peer support groups

TTAC (National Telehealth Technology Assessment Resource Center)

  • TTAC aims to create better-informed consumers of telehealth technology. By offering a variety of services in the area of technology assessment, TTAC (pronounced “tea-tac”) aims to become the place for answers to questions about selecting appropriate technologies for your telehealth program.
  • Toolkits / Devices incl. but not limited to:
    • Video Platforms
    • Digital Cameras
    • Electronic Stethoscopes
    • Home Telehealth
    • mHealth
    • mHealth apps
    • Mobile Blood Pressure
    • Patient Exam Cameras
    • Tympanometer (middle ear)
    • Video Otoscope
  • Innovation Watch
  • Technology Showcase / Events
  • Technology Needs Assessment 101
  • Clinicians Guide to Video Platforms
  • Media

Coming Soon

Codes of Ethics specifically related to Video / Telebehavioral Health

NOTE: Ethics specific to peer-delivered services via telehealth including fidelity peer-support *forthcoming*

NAADAC (National Association for Addictions Professional)

ACA American Counseling Association

APA American Psychological Association

AAMFT American Association of Marriage and Family Therapists

ATA American Telemedicine Association (incl. Contributions by Dr. Maheu)

AACN Nursing Association

Social Work

Notes / observations

Generally have a preface with specific values and competence.

Follow Applicable Laws, Competence in Service Category, Competence in Telebehavioral Health

Some states have adopted some of these as state law.

Generally: Laws, regulations, ethical standards, guidelines, competencies, training, professional service delivery, etc.

Digital Peer Support

Telebehavioral Health Institute

 Telehealth Certification Institute

  • Telehealth Resource Centers
    • https://telementalhealthtraining.com/telehealth-resource-centers
    • Excerpt(s):
      • Q: Can Peer Support Specialists provide Telehealth services in Georgia?
      • A: Anthony Klosterman responds: The services Peer Specialists are authorized to provide in Georgia are the same whether through the medium of technology or in person/same location.
      • QUOTE: Telehealth does not change what services can be provided, but does require additional understanding and competency to be done ethically.  -Telehealth Certification Institute LLC
  • Telemental Health Training (CEU)
    • Audiences
      • Counselors and Marriage and Family Therapists
      • Social Workers
      • Psychologists
    • Topics / Courses:
      • Introduction
      • Legal Aspects
      • Ethics of Using Technology in Behavioral Health
      • Emergency Management Planning for TeleMental Health
      • Ethical and Clinical Skills of Video and Phone Sessions

See also: Jobs, Training and Certification, Ethics, etc.

State of Oregon, Office of Equity & Inclusion, Traditional Health Worker Commission

Digital Peer Support

Role of Peers and People with Lived Experience of SMI around digital mental health tools?

            • Principle #1: People with lived experience of recovery should participate as equal partners—not just in usability studies.
            • Principle #2: A framework that allows service users to assess the effectiveness of digital mental health interventions is needed.
            • Principle #3: People with lived experience of recovery should be represented on expert groups that set digital mental health standards

SHRM (Society for Human Resource Management)

Coming Soon

Legal Considerations – Firms, Articles, Authors (limited selection)

Becker CD, Dandy K, Gaujean M, Fusaro M, Scurlock C. Legal perspectives on telemedicine part 1: Legal and regulatory issues. Perm J 2019;23:18-293. DOI: https://doi.org/10.7812/TPP/18-293

https://telehealthandmedicinetoday.com/index.php/journal/article/view/144/173

Epstein, Becker, Green

Nathaniel Lacktman, Esq. / Partner of Foley & Lardner LLP

 Fox Rothschild, LLP

Susan C. Litton, Ph.D. / Clinical Psychologist (degrees in Mental Health & IT; not an attorney)

        • Slide 20 telehealth risk management … informed consent
        • Slide 26 free telemental health laws app / link
        • Slide 31-32 Gmail / G Suite / Paubox
        • Slide 41-44 Video (Skype, Facetime, etc.) / Recording (Keeping Video Records), etc.
        • Slide 97 mentions an OHSU Breach fined $2.7M; in part, for NOT having a BAA (Business Asssociate Agreement) and using GMAIL for PHI (Protected Health Information).
        • Slide 99 mentions Alaska DHHS $1.7M fine – a thumbdrive was stolen
        • Slide 109 mentions PHI Identifiers including photographic images
        • Slide 128-133 psychotherapy notes vs progress notes

Dustin Shaver, VP of Norcal Mutual Ins. Co.

Rural Health, University of North Dakota

Coming Soon

Oregon had one of the first telehealth projects back in 1999 with Cathy Britain!

TAO – Telehealth Alliance of Oregon

Book: Telemedicine: A Guide to Assessing Telecommunications in Health Care

  • Chapter 2: Evolution and Current Applications of Telemedicine
  • Excerpt(s):
    • RODEO NET (Rural Options for Development and Educational Opportunities)…began in 1988 when community mental health programs in 13 eastern Oregon counties organized the Eastern Oregon Human Services Consortium (EOHSC). In 1991, EOHSC was awarded a three-year ($700,000) grant from the Office of Rural Health Policy (ORHP) to demonstrate the use of telecommunications in delivering mental health care in eastern Oregon, a large rural area remote from many secondary and tertiary medical resources (ORHP, 1993b; Allen and Allen, 1994a). Operations began in 1992 and the project has since become independent of federal grant funding (Britain, 1995; OTA, 1995).

      On the clinical side, the telepsychiatry program is used for case consultation (both one-time and ongoing), patient evaluation, medication management, and crisis response through a 24-hour psychiatric emergency service. Administrative, educational, and other uses include preadmission, predischarge, and transfer reviews; precommitment and recommitment hearings; continuing health professions education; technology training for both consumers and providers; peer networking; and management video conferencing. Available interactive services include a one-way video, a two-way audio, and a two-way compressed video/audio/data link.

      Current funding sources include service contracts with EOHSC, Greater Oregon Behavioral Health, Inc. (a nonprofit managed behavioral health care organization responsible for delivering public behavioral health care services to consumers in eastern Oregon under the Oregon Health Plan demonstration), and Oregon’s Mental Health and Developmental Disability Services Division. A public-private partnership consisting of Greater Oregon Behavioral Health, Inc., Oregon ED-NET (a public telecommunication service providing satellite video conferencing), and Eastern Oregon State College helped fund some of the program’s technical infrastructure. Rural sites lease equipment from Oregon ED-NET and pay a $5,000 yearly membership fee in addition to a charge for air time. The network also receives fees for training offered over the system.

      In discussing the program’s ability to become self-sustaining, the program director cited several factors during video-conference comments to committee members visiting Oregon Health Sciences University (Catherine Britain, November 1995). First, the program arose as a cooperative, grass-roots initiative to solve the clearly recognized problem of limited availability of mental health services for a sparsely populated area. It was viewed as a means of meeting health needs, not as an end in itself. Second, the creation of a public-private partnership increased the base across which telecommunications infrastructure costs could be spread. Third, the program had some key champions who remained committed to the effort in the face of continuing technical, political, administrative, and other problems. Fourth, training and support for users focused on establishing comfort with technologies at a level equivalent to that for the telephone.

OHSU (Oregon Health Sciences University)

DHHS (U.S. Department of Health and Human Services)

SAMHSA (U.S. DHHS, Substance Abuse and Mental Health Services Agency)

Dr. Neil C. Evans, Chief Officer @ VA’s Office Of Connected Care,

Dr. Marlene Mahue, Executive Director @ Telebehavioral Health Institute, Inc.

  • “Behavioral health is the largest unmet healthcare need in the United States.”
  • “4,200+ articles show the safety and effectiveness of telehealth”

Anothony Klosterman, Telehealth Certification Institute LLC

  • “Telehealth does not change what services can be provided,  but does require additional understanding and competency to be done ethically.”

Rural Health, University of North Dakota

Open Minds

  • Open Minds Daily Executive Briefings 06/01/2020 : https://mailchi.mp/openminds.com/after-telehealth-then-what?e=4edd2a108a
  • “After telehealth, peer support specialists (59%) and medication assisted treatment (MAT) for addictions (45%) were the most adopted innovation by specialty provider organizations. And, for primary care and FQHCs, the most adopted innovations were behavioral health/primary care service co-location (74%) and primary care medical homes (70%).”
  • Excerpt(s) from OpenMinds.com:
    • OPEN MINDS is a national leader in market intelligence and management best practices focused on organizations serving consumers with chronic conditions and complex needs.
    • We stay exclusively focused on a very specific set of domains in the health and human service field – mental health, addiction treatment, chronic disease management, intellectual and developmental disabilities services, disability supports and long-term care, children’s services, juvenile justice, corrections health care, and social services.
wordart for peer telehealth