title: Telemental Health Training, Team Building, and Workforce Development in Cultural Context: The Hawaii Experience.
abstract: OBJECTIVE
  The goal of the University of Hawaii (UH) child and adolescent psychiatry telemental health (TMH) program is to train child and adolescent psychiatry fellows to provide behavioral health services for the children of Hawaii and the Pacific Islands in the cultural context of their rural communities using interactive videoteleconferencing (IVTC). The training experience balances learning objectives with community service. Learning objectives include: Understanding mental health disparities in rural communities, leveraging community resources in ongoing treatment, providing culturally effective care, and improving health care access and delivery through TMH service research and evaluation.
  
  
  METHODS
  We describe the UH experience. Several UH faculty are experienced with IVTC technology. They are triple-board trained, are recognized for their research in program evaluation and mental health disparities, and are committed to serving Hawaii's rural communities. We demonstrate the role of TMH in linking children and their families living in rural communities with multiple mental health treatment providers. The service-learning curriculum and a unique collaboration with Mayo Clinic provide the opportunity to examine the role of TMH in global service, and training, education, and research.
  
  
  RESULTS
  TMH provides direct services to patients and consultation on Hawaii Island and Maui County. The collaboration with the Mayo Clinic brings further consultation in complex diagnostics, pharmacogenomics, and cross-cultural psychiatry. A curriculum provides trainees experience with IVTC with the goal of potential recruitment to underserved rural communities. The TMH program at UH is unique in its team building and workforce development by joining multiple entities through IVTC and translating expertise from the Mayo Clinic to rural communities, and strengthening collaboration with local child and adolescent psychiatrists, and primary care and other mental health providers.
  
  
  CONCLUSIONS
  The UH psychiatry program is a model program to develop an expert mental health workforce in cultural context for children living in rural communities.
authors.affiliation: 1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
authors.forename: Daniel
authors.initials: D
authors.lastname: Alicata
authors.affiliation: 1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
authors.forename: Amanda
authors.initials: A
authors.lastname: Schroepfer
authors.affiliation: 1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
authors.forename: Tim
authors.initials: T
authors.lastname: Unten
authors.affiliation: 1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
authors.forename: Ruby
authors.initials: R
authors.lastname: Agoha
authors.affiliation: 1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
authors.forename: Susana
authors.initials: S
authors.lastname: Helm
authors.affiliation: 1 Department of Psychiatry, University of Hawaii-Manoa , John A. Burns School of Medicine, Honolulu, Hawaii.
authors.forename: Michael
authors.initials: M
authors.lastname: Fukuda
authors.affiliation: 2 State of Hawaii, Department of Health, Child and Adolescent Mental Health Division , Honolulu, Hawaii.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ulrich
authors.affiliation: 2 State of Hawaii, Department of Health, Child and Adolescent Mental Health Division , Honolulu, Hawaii.
authors.forename: Stanton
authors.initials: S
authors.lastname: Michels
mesh_terms: D054521:Cultural Competency / Q000193:education; D004503:Education, Medical, Graduate / Q000379:methods*; D006254:Hawaii; D006801:Humans; D000070516:Intersectoral Collaboration; D008605:Mental Health Services / Q000458:organization & administration; D010348:Patient Care Team; D016730:Program Development; D017216:Telemedicine; D000078329:Workforce