title: Telemental health technology in deaf and general mental-health services: access and use.
abstract: Long-distance travel to provide mental health services for deaf people has implications for efficiency, safety, and equality of service. However, uptake of Telemental Health (TMH) has been slow in both deaf and general mental health services. A quantitative study was used to investigate access to TMH and whether staff confidence, experience, or demographics affect TMH use. It was concluded that staff in neither deaf mental health services nor general mental health services had adequate knowledge of or access to TMH. Staff expressed concerns over TMH's appropriateness in their work. Previous use of videoconferencing was assosciated significantly with confidence, but previous use of videophones was not. Neither staff in deaf services nor deaf staff were more experienced with or more confident about videoconferencing, whereas, within deaf services, deaf staff were significantly more confident about videophone use. Training implications are discussed.
authors.affiliation: Denmark House, Deaf Mental Health Services, Birmingham and Solihull Mental Health NHS (National Health Service) Trust, Queen Elizabeth Psychiatric Hospital, Birmingham, England.
authors.forename: Sally
authors.initials: S
authors.lastname: Austen
authors.forename: Melissa
authors.initials: M
authors.lastname: McGrath
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D019986:Persons with Hearing Disabilities; D012449:Safety; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000379:methods*