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By Kathleen Myers & Carolyn L. Turvey

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Extra resources for Telemental Health: Clinical, Technical, and Administrative Foundations for Evidence-Based Practice

Example text

There are several practical strategies for building relationships with the community. The first is getting to know staff and querying them about community events. In addition, many local papers are now available online and some telemental health clinicians review them or have relevant articles sent to them by clinic coordinators. For example, a coordinator can send World Wide Web links about major town events such as crimes that may impact patients and their families or new transportation services that may help patients.

This mirroring is readily accomplished in videoconferencing. Perhaps telemental health is uniquely suited to this task because of the teleclinician’s ability to make detailed visual observations and to monitor their own body language by using the picture-in-picture (PIP) function on their monitor. The PIP function displays in a corner of the teleclinician’s monitor the same image of themselves that the patient sees. One humorous example of this related to a teleclinician who felt as if all of his patients that day were “watching a tennis match” as their eyes were going from one side of the screen to the other.

However, since telephone contact is not always possible, secure email and instant messaging can provide a useful alternative for ready access to the telemental health clinician. A 24-h turn around for email responses during the week is reasonable. It is also helpful to identify a dedicated staff member who is in contact with the Establishing Therapeutic Rapport in Telemental Health 43 teleclinician throughout the day and week and who can use instant messaging or email to serve as a liaison between the telemental health clinician and the clinical staff.

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