TY - JOUR KW - Evidence-Based Medicine KW - Health Care Reform KW - Home Care Services KW - Humans KW - Mental Health Services/legislation & jurisprudence/organization & administration KW - Patient Participation KW - Patient-Centered Care KW - Primary Health Care/legislation & jurisprudence/methods KW - Psychiatry KW - Telemedicine KW - United States AU - K. M. Myers AU - D. Lieberman A1 - AB - Telemental health (TMH) has established a niche as a feasible, acceptable, and effective service model to improve the mental healthcare and outcomes for individuals who cannot access traditional mental health services. The Accountability Care Act has mandated reforms in the structure, functioning, and financing of primary care that provide an opportunity for TMH to move into the mainstream healthcare system. By partnering with the Integrated Behavioral Healthcare Model, TMH offers a spectrum of tools to unite primary care physicians and mental health specialist in a mind-body view of patients' healthcare needs and to activate patients in their own care. TMH tools include video-teleconferencing to telecommute mental health specialists to the primary care setting to collaborate with a team in caring for patients' mental healthcare needs and to provide direct services to patients who are not progressing optimally with this collaborative model. Asynchronous tools include online therapies that offer an efficient first step to treatment for selected disorders such as depression and anxiety. Patients activate themselves in their care through portals that provide access to their healthcare information and Web sites that offer on-demand information and communication with a healthcare team. These synchronous and asynchronous TMH tools may move the site of mental healthcare from the clinic to the home. The evolving role of social media in facilitating communication among patients or with their healthcare team deserves further consideration as a tool to activate patients and provide more personalized care. BT - Telemedicine journal and e-health : the official journal of the American Telemedicine Association C5 - HIT & Telehealth CP - 6 CY - United States DO - 10.1089/tmj.2013.0084 IS - 6 JF - Telemedicine journal and e-health : the official journal of the American Telemedicine Association N2 - Telemental health (TMH) has established a niche as a feasible, acceptable, and effective service model to improve the mental healthcare and outcomes for individuals who cannot access traditional mental health services. The Accountability Care Act has mandated reforms in the structure, functioning, and financing of primary care that provide an opportunity for TMH to move into the mainstream healthcare system. By partnering with the Integrated Behavioral Healthcare Model, TMH offers a spectrum of tools to unite primary care physicians and mental health specialist in a mind-body view of patients' healthcare needs and to activate patients in their own care. TMH tools include video-teleconferencing to telecommute mental health specialists to the primary care setting to collaborate with a team in caring for patients' mental healthcare needs and to provide direct services to patients who are not progressing optimally with this collaborative model. Asynchronous tools include online therapies that offer an efficient first step to treatment for selected disorders such as depression and anxiety. Patients activate themselves in their care through portals that provide access to their healthcare information and Web sites that offer on-demand information and communication with a healthcare team. These synchronous and asynchronous TMH tools may move the site of mental healthcare from the clinic to the home. The evolving role of social media in facilitating communication among patients or with their healthcare team deserves further consideration as a tool to activate patients and provide more personalized care. PP - United States PY - 2013 SN - 1556-3669; 1530-5627 SP - 438 EP - 443 EP - T1 - Telemental health: responding to mandates for reform in primary healthcare T2 - Telemedicine journal and e-health : the official journal of the American Telemedicine Association TI - Telemental health: responding to mandates for reform in primary healthcare U1 - HIT & Telehealth U2 - 23611641 U3 - 10.1089/tmj.2013.0084 VL - 19 VO - 1556-3669; 1530-5627 Y1 - 2013 ER -