Licensed Clinical Psychologists. Licensed Clinical Social Workers.
RESULTS OF MOST RECENT TCT PATIENT-SATISFACTION SURVEY
• How many visits have you had with your therapist:
25% had 21+;
20% had 11-20;
25% had 6-10;
27% had 3-5;
3% had 1-2
Average (mean) responses on a Likert scale, with a response of “1” meaning “Not at all”, to “5” meaning “Completely”. Answers the question “To what extend has your therapist…”
• Helped you achieve the purpose you sought counseling for?
• Helped you to obtain skills that will help you handle future problems?
• Shown interest in your needs?
• Understood your needs ?
• Involved you in the treatment planning?
• Responded to your requests for services?
• Overall how satisfied are you?
Average score = 4.5
Average score = 4.11
Average score = 4.57
Average score = 4.64
Average score = 4.11
Average score = 4.46
Average score = 4.79
"TeleConnect Therapies has one of the most innovative and successful practice models in telemental health today."
-Marlene M. Maheu, Ph.D., Founder of the Center for Online Therapy, coauthor "The Mental Health Professional
and the New Technologies: A Handbook for Practice Today"
"I’ve known Dawn Sampson since my first days on the job here at CTN. She understands the unique needs of rural
and urban safety net providers. It’s really great to see Dawn and the TeleConnect Therapies team offering services
in our highest demand telemedicine specialty care category."
-Eric Brown, California Telehealth Network President and Chief Executive Officer.
See press release announcing CTN Partnership with TCT here: TeleConnect Therapies Release
"We (KVHD RHC) have been very happy with the services provided by TeleConnect Therapies The management and providers
are very easy to work with and are eager to make their program a success. The quality of patient care delivered is outstanding.
All of our psychiatrists and medical providers are very comfortable with the mental health services provided
by TCT. Patients of the RHC are extremely satisfied and look forward to their visits."
-Gregory Davis, P.A.-C., Manager Kern Valley Healthcare District - Rural Health Clinic
“TeleConnect Therapies has been instrumental in the launch of our Telemental Health Program. Never have we worked with
a more compassionate, kind, accommodating, patient-oriented provider. Patients and staff love working with Dr. Mueller!
She genuinely cares about her patients and will do anything in her power to help them.”
-Marilyn Vecchio, Director of Outpatient Services & Joanne Merrill, Certified Telehealth Coordinator
Bear Valley Community Healthcare District- Family Health Center
"As a Medical Provider, I believe that every patient needs to be assessed for anything that may interfere with their ability to participate
in their own care. The only way to accomplish this goal is by having services for both medical care and mental health available in
the same location. Medical providers cannot expect patients to follow a treatment plan when they are depressed or to take their
medications properly when they are anxious, the patient needs additional services. TeleConnect offers patients the ability to do
just that through telemental health. TeleConnect has trained mental health professionals to assist patients in learning new
coping skills and to develop healthier ways to deal with their mental health issues."
-Debra Johnson, P.A., Mountains Community Hospital Director of Rural Health Clinic
“The whole feel of our clinic is more calm, less stressful, since having TCT in place to refer patients with mental health needs.
In this evolution of technology TCT is helping to connect people to vital psychology services.”
-Ginny Dunn, PT, MSHCA, DPT Mountains Community Hospital
Former Director of Rural Health Clinic
"I am proud to endorse the telepsychologist services of Dr. Mindy Mueller and TeleConnect Therapy Services. Our patients consistently praise the clinical value that they receive from this service and the professionalism of Dr. Mueller and the entire TCT team. Thank you for providing an excellent service that would not be available to our patients if it were not for modern telehealth technology."
-Raymond T. Hino, MPA, FACHE, Chief Executive Officer, Palm Drive Health Care Foundation
Former CEO, Bear Valley Community Healthcare District
EXAMPLES OF CURRENT RESEARCH ON TELEMENTAL HEALTH
• In both randomized and nonrandomized studies, patients are generally satisfied with both delivery of service and treatment provided via videoconferencing technology When sources of dissatisfaction were reported they primarily involved technical challenges. In randomized comparison groups, there were no marked differences in retention or patient no-show rates (Backhaus, A. et al, 2012).
• A 2008 meta-analysis of 92 studies, for example, found that the differences between Internet-based therapy and face-to-face were not statistically significant (Journal of Technology in Human Services, Vol. 26, No. 2). Similarly, a 2009 review of 148 peer-reviewed publications examining the use of videoconferencing to deliver patient interventions showed high patient satisfaction, moderate to high clinician satisfaction and positive clinical outcomes (Clinical Psychology: Science and Practice, Vol. 16, No. 3).
• Telemental health is effective for diagnosis and assessment across many populations (adult, child, geriatric, and ethnic) and for disorders in many settings (emergency, home health) and appears to be comparable to in-person care. In addition, this review has identified new models of care (i.e., collaborative care, asynchronous, mobile) with equally positive outcomes. Telemental health is effective and increases access to care. (Hilty DM1, Ferrer DC, Parish MB, Johnston B, Callahan EJ, Yellowlees PM, The Effectiveness of Telemental Health: a 2013Review, Telemed J E Health. 2013 Jun; 19(6):444-54.)
• In both randomized and nonrandomized studies, patients reported improvement in functioning and decrease in symptoms for problems with anxiety, depression, mood disorders, eating disorders, physical health concerns, parent-child problems, and adjustment and substance abuse disorders. In some of the randomized comparison studies, there was no marked difference in effectiveness between groups and treatment has been delivered effectively in several different formats: individual, group and family (Backhaus, A. et al, 2012).
• The efficacy and potential low cost of tele-delivered psychotherapy show its potential for easy replication and sustainability to reach a large number of underserved older adults and improve their access to mental health services. (Center for Connected Health Policy, The National Telehealth Policy Resource Center: Telemental Health Research Catalogue and Quality Assessment, August 2014)
• Both tele-Problem-Solving Therapy (PST) and in-person PST were efficacious treatments for low-income homebound older adults; however the effects of tele-PST on both depression and disability outcomes were sustained significantly longer than those of in-person PST. The results also supported reciprocal and indirect effects between depression and disability outcomes. (Choi, N., Marti, N., Bruce, M., Hegel, M., Wilson, N., Kunik, M. (2014). Six-month Post-intervention Depression and Disability Outcomes of In-home Telehealth Problem-solving Therapy (PST) for Depressed, Low-income Homebound Older Adults, Depression and Anxiety 1(1), 1-9.)
• In the very small number of randomized controlled studies that have been conducted to date, tele-mental health has demonstrated equivalent efficacy compared to face-to-face care in a variety of clinical settings (Richardson, Lisa K. et al. (2009). Current Directions in Videoconferencing Tele-Mental Health, Research, Clinical Psychology: Science and Practice, Volume 16, Issue 3, pages 323–338.)
• Contracting with an off-site telemedicine-based collaborative care team can yield better outcomes than implementing practice based collaborative care with locally available staff. Improvements in outcomes appeared to be attributable to higher fidelity to the collaborative care evidence base in the telemedicine-based group. Greater reductions in depression severity over time was demonstrated by patients in the telemedicine-based group. (Fortney, J., Pyne, J., Mouden, S., Hudson, T., Schroeder, G., Williams, D., Bynum, C., Mattox, R., Rost, K. (2013). Practice-Based Versus Telemedicine-Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial, American Journal of Psychiatry 170(1), 414-425).
• Clinical and process outcomes indicate delivering cognitive-behavioral group treatment for PTSD-related anger problems via videoteleconferencing is an effective and feasible way to increase access to evidence-based care for veterans residing in rural or remote locations. Participants in both groups showed significant and clinically meaningful reductions in anger symptoms. Additionally, no significant between-group differences were found on process variables, including attrition, adherence, satisfaction, and treatment expectancy. (Morland, L., Greene, C., Rosen, C., Foy, D., Reilly, P., Shore, J., He, Q., Frueh, C. (2010). Telemedicine for Anger Management Therapy in a Rural Population of Combat Veterans With Posttraumatic Stress Disorder: A Randomized Non-inferiority Trial, Journal of Clinical Psychiatry 71(7), 855-863.)
• A pilot study demonstrated that group CBT could be delivered in a technology-supported environment (on-line video conferencing) and can meet the same professional practice standards and outcomes as face-to-face delivery of the intervention program. Application of the CBT protocol coding system showed reliable adherence to the group CBT intervention protocol in both delivery format. Pre–post intervention scores were comparable across the two delivery formats, with 60% of participants in each group showing a positive change in severity classification (e.g., from moderate to low symptoms). (Khatru, N., Marziali, E., Tchernikov, I., Shepherd, N. (2014). Comparing Telehealth-based and Clinic-based Group Cognitive Behavioral Therapy for Adults with Depression and Anxiety: a Pilot Study, Clinical Interventions in Aging 4(9), 765-770.)
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