Abstract

There is relatively little information on the routine use of telemental health (TMH). As part of a Canadian-Finnish project, we reviewed the use of TMH in Alberta. Using administrative data, numbers and types of TMH consultations in the province's health regions were compared with earlier published data for Alberta, and with data for Finland and other Canadian provinces. Since the first year of routine use (1997) there has been a six-fold increase in the use of TMH, and numbers of consultations per head of population are higher than elsewhere in Canada or in Finland. TMH accounts for 8% of mental health clinic consultations in the seven rural health regions. However, two regions have made negligible use of clinical TMH. TMH provides only a small proportion of all outpatient mental health services. TMH in Alberta is established in rural health regions, although with variable coverage, but remains a niche technique when all mental health services are considered.

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