Aetna

First Choice Health

Meritain Health

Montana Medicaid & Healthy Montana Kids (HMK)

Alaska Medicaid & Denali Kid Care

Healing and Recovery are Possible

Mindful Space offers Telehealth services to youth, adolescents, and adults.

Individualized treatment using best practice modalities in: Grief & Loss Counseling; Depression; Anxiety; Substance Use; Post Traumatic Stress Disorder; Medical Trauma; Abuse and Neglect Issues; Relationship Issues; Suicidal Ideation; Couples Therapy; Family Therapy; Individual Therapy; and more.

I use HIPPA-compliant technology to transmit and receive video and audio and store all notes and information related to treatment in a manner that is compliant with state and federal laws.

I understand the potential risks of telemental health, which may include the following: 1) The video connection may not work, or it may stop working during a session; 2) the video or audio transmission may not be clear; and 3) You may be asked to go to my therapist’s office in person or referred to a closer in person treatment agency if it is determined that telemental health is not an appropriate method treatment for you.

I recognize the benefits of telemental health, which may include the following: 1) reduced cost and time commitment for treatment due to elimination of travel; 2) ability to receive services near by home or from my home; and 3) access to services that are not available in your geographic area.

Please see what research is saying about telehealth practices below.

Mindful Space accepts most major insurance companies.

BlueCross BlueShield of Montana

Blue Focus

Blue Shield Program

Pacific Source

IPN

Allegiance

Cigna

What Research Is Saying About Telehealth

2011 Telehealth has shown comparable results to in-person visits when treating symptoms of PTSD and Depression. “Results indicate that telehealth treatments are associated with significant pre- to post-reduction in PTSD symptoms confidence interval, and result in superior treatment effects relative to a wait-list comparison condition. Telehealth interventions produced a significant within-group effect size and superior effect relative to wait-list comparison condition. Relative to face-to-face interventions, telehealth treatments produced comparable depression outcome effects. Taken together, these findings support the use of telehealth treatments for individuals with PTSD-related symptoms.”

-Denise M. Sloan, Matthew W. Gallagher, Brian A. Feinstein, Daniel J. Lee & Genevieve M. Pruneau (2011) Efficacy of Telehealth Treatments for Posttraumatic Stress-Related Symptoms: A Meta-Analysis, Cognitive Behaviour Therapy, 40:2, 111-125, DOI: 10.1080/16506073.2010.550058

2020 Telemental health was shown effective for children and teens with suicidal ideation, depression, and anxiety. Improved access to care in rural areas, reduced need for emergency department visits.

— Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, and Daniel Hardesty. Telemedicine and e-Health. Nov 2020. 1353-1362. http://doi.org/10.1089/tmj.2019.0254

2013 Large literature review found telehealth effective across all ages and many diagnoses. “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”

- Hilty, D. M., Ferrer, D.C., Parish, M. B., Johnston, B., Callahan, E. J., & Yellowlees, P.m (2013). The Effectiveness of Telemental Health: a 2013 review. Telemedicine journal and e-health: The Official Journal of the American Telemedicine Association, 19(6), 444-454. https://www.liebertpub.com/doi/10.1089/tmj.2013.0075

2021 Telehealth interventions appear to be as effective as conventional therapy delivered in-person for effectively treating anxiety and related conditions.

-Krzyżaniak, N., Greenwood, H., Scott, A., Peiris, R., Cardona, M., Clark, J., & Glasziou, P. P. (2021). The effectiveness of telehealth versus face-to face interventions for anxiety disorders: A systematic review and metaanalysis. Journal of Telemedicine and Telecare, 1-12. https://doi.org/10.1177/1357633X211053738

2015 Telemental health has shown effective for children and teens with diagnoses of ADHD, bulimia, panic disorder, OCD, depression, PTSD, and adjustment disorders.

— Gloff, N. E.; LeNoue, S. R.; Novins, D. K.; Et Myers, K. (2015). Telemental health for children and adolescents. International Review of Psychiatry, 27 (6), 513-524. DOI:

2022 Study finds telehealth is just as effective as in-person visits for treating depression and anxiety. “In our very large pragmatic study comparing behavioral health treatment delivered to a population of patients in rural, underserved communities, we found no clinical or statistical differences in improvements in depression or anxiety symptoms as measured by the PHQ-9 and GAD-7 between patients treated via telehealth or in-person.”

-McCord C, Ullrich F, Merchant KAS, Bhagianadh D, Carter KD, Nelson E, Marcin JP, Law KB, Neufeld J, Giovanetti A, Ward MM. Comparison of in-person vs. telebehavioral health outcomes from rural populations across America. BMC Psychiatry. 2022 Dec 10;22(1):778. doi: 10.1186/s12888-022-04421-0. PMID: 36496352; PMCID: PMC9736702.