Agenda
Institute on Frontier/Rural Telemental Health Services (TMHS)

Sponsored by the WICHE Mental Health Program and
the Frontier Mental Health Services Resource Network (FMHSRN),
Department of Psychology, University of Denver

Principal support provided by FMHSRN, a technical assistance center
funded by the U.S. Center for Mental Health Services, SAMHSA, DHHS

Conference Site:
University of Colorado School of Medicine
Denver, Colorado November 9-10, 1997

Purpose and Goal
To provide western state mental health directors and policy makers with a fundamental understanding of the composition and range of current policies, practices, funding opportunities, and other issues in the provision of telemental health services to rural and "frontier" county populations.

Sunday, November 9

8:00-8:30 a.m. Coffee (Colorado Psychiatric Hospital, Room 2H17)

8:30-9:10 Welcome and Overview of Frontier/Rural Mental Health Services

James Ciarlo, PhD, Project Director, FMHSRN
Dennis F. Mohatt, Director, WICHE Mental Health Program

9:10-10:00 Review of the Current Situation in Planning, Implementing, and Evaluating Frontier/Rural Telemental Health Services (TMHS)

Walter LaMendola, PhD, Consultant and member, FMHSRN
Kathryn Magruder, Office of Rural Mental Health Research, NIMH

10:00-10:15 Break

10:15-11:30 Emerging State Models of TMHS Organization and Delivery

Jacquee Peebles & Michael McGrath, MD, Hawaii Dept. of Health
Rob Sprang, MBA, Kentucky Telecare Project

11:30-12:00 Discussion (Break-out) Groups on Current Western State Situations and Trends in TMHS

Each group has resource persons and a rapporteur-James Ciarlo, Lee Green, or Amy Barkin

12:00-1:15 p.m. Lunch on your own (cafeteria or nearby restaurants)

1:15-1:20 Brief Summary of Morning Break-out Groups

Amy Barkin, Federal Office of Rural Health Policy (ORHP)
James Ciarlo, FMHSRN

1:20-1:50 Information Technologies and Telemental Health Services: Definitions, System Requirements, and Applications

Walter LaMendola, PhD, Consultant and member, FMHSRN

1:50-2:20 Key Issues in Telemental Health Services: Panel Presentations
Chair: Lee Green, formerly Clinical Coordinator, High Plains Rural Health (Telemedicine) Network

TMHS Providers and Delivery Protocols
Thelma McClosky-Armstrong, Eastern Montana Telemedicine Network

2:20-2:35 Break

2:35-3:05

Services, Costs, and Program Sustainability
Catherine Britain, RODEO NET, Eastern Oregon

3:05-3:40 Discussion (Break-out) Groups on Working Agendas for Western States in TMHS Delivery

Each group has resource persons and a rapporteur

3:40-3:45 Brief Summary of Afternoon Break-out Groups

James Ciarlo, FMHSRN
Amy Barkin, ORHP

3:45-4:00 Transfer to Electronic Classroom, Room 2940, School of Nursing

4:00-5:00 Interactive Telemental Health Services Demonstrations

Demonstrations of MH service delivery: Psychiatric evaluation and psychiatric social casework via two-way interactive video, between the University of Colorado Health Sciences Center (UCHSC) and the Eastern Montana Telemedicine Network (EMTN) in Billings, MT.

Chair: Walter LaMendola, PhD, Consultant and FMHRN member
Gordon Neligh, MD, UCHSC Division of Community Psychiatry
Kathy Keavney, LCSW, UCHSC/Colorado Psychiatric Hospital
Tammie Nelson, EMTN (consumer role-player)

Monday, November 10

8:00-8:30 a.m. Coffee (Electronic Classroom, Room 2940, School of Nursing)

8:30-9:45 Introduction of the APPAL-LINK Network of SW Virginia

Live demonstration of a psychiatric medication review and case management with an aftercare patient via two-way interactive video; and continued two-way interactive discussion of TMHS between APPAL-LINK staff and UCHSC Institute participants.

Chair: Walter LaMendola, PhD, Consultant and FMHSRN member
Henry Smith, LCSW, APPAL-LINK Consortium Chair and Director of Mental Health Services at Cumberland Mountain Community Services
Clifford Hall, MD, SW Virginia Mental Health Institute
Other APPAL-LINK staff (to be introduced)

9:45-10:00 Break

10:00-11:00 Overview of Current Federal and State Policy Framework via two-way interactive video

Chair: Amy Barkin, ORHP
Dena Puskin and Cathy Wasem, ORHP, and (federal) Joint Working Group on Telemedicine

11:00-11:15 Transfer to Colorado Psychiatric Hospital, Room 2H17

11:15-11:45 Current Federal TMHS-related Legislation and FCC Funding Opportunities

Phyllis Albritton, Consultant and former telemedicine lobbyist

11:45-1:00 p.m. Lunch on your own (cafeteria or nearby restaurants)

1:00-2:00 Training Issues and Resources for State TMHS Systems

Nancy Cobble, SW Montana Telepsychiatry Network
Catherine Britain, RODEO NET

2:00-2:50 Discussion and Problem-Solving (Break-out) Groups on Frontier/Rural TMHS Issues and Implementation by States

Each group has resource persons and a rapporteur
Note: One group will focus on the details of completing applications for FCC funding of state/local TMHS projects, with Phyllis Albritton
(FCC funding commences 1/98)

2:50-3:00 Break

3:00-3:05 Brief Summary of Afternoon Break-out Groups

James Ciarlo, FMHSRN
Amy Barkin, ORHP

3:05-3:35 Managed Medical/Behavioral Healthcare and Rural Telemental Health Services

Harold Goldsmith, PhD, representing Ronald Manderscheid, PhD, Center for Mental Health Services, SAMHSA

3:35-4:00 Summary of Institute Proceedings and Concluding Remarks

Amy Barkin, ORHP
Walter LaMendola, PhD, Consultant and FMHSRN member

Write us with comments on our site This project is supported by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration Contract No. 280-94-0014

Frontier Mental Health Resource Network
Please send comments and suggestions on this home page to Dennis F. Mohatt at dmohatt@wiche.edu
http://www.wiche.edu/MentalHealth/Frontier/frontier.asp