title: Safety of telemental healthcare delivered to clinically unsupervised settings: a systematic review.
abstract: The safety of telemental healthcare delivered to clinically unsupervised settings, such as a personal residence, must be established to inform policy and further the dissemination of telemental health programs. The aim of this article is to provide an overview of safety issues associated with telemental healthcare and, through a systematic literature review, evaluate the safety of telemental healthcare delivered to unsupervised settings. The review resulted in a total of nine studies that specifically evaluated the delivery of telemental healthcare to unsupervised settings. Six of the nine studies reviewed explicitly described safety plans or specific precautions that could be used if necessary. Two of the nine studies reported events that required the researchers to use safety procedures to effectively respond to concerns they had regarding participant safety. In both of these studies, the issues were resolved with prescribed safety procedures. Recommendations and future directions for the development and evaluation of safety protocols are discussed.
authors.affiliation: The National Center for Telehealth and Technology, Tacoma, Washington 98431, USA. david.luxton@us.army.mil
authors.forename: David D
authors.initials: DD
authors.lastname: Luxton
authors.forename: Anton P
authors.initials: AP
authors.lastname: Sirotin
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Mishkind
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration; D005858:Germany; D006801:Humans; D001523:Mental Disorders; D008605:Mental Health Services / Q000458:organization & administration*; D005791:Patient Care / Q000379:methods / Q000592:standards*; D011570:Psychiatry / Q000458:organization & administration*; D012449:Safety; D017751:Safety Management / Q000379:methods / Q000458:organization & administration; D017216:Telemedicine / Q000458:organization & administration*; D014481:United States; D014861:Washington