Objective: In this paper, we identify available telepsychology guidelines, understand similarities and differences, and organize the contents into a model of core practice domains pertinent to a variety of applications of telepsychology practice.Method: A scoping review of current telepsychology guidelines was conducted to identify, organize, and distill available telepsychology guidelines (Arksey & O'Malley, 2005, Int J Soc Res Methodol, 8, 19–32).Results: We identified overlap among five sets of telepsychology guidelines currently available and presented a consolidated model including nine practice domains influenced by practice setting and modality.Conclusions: Telepsychology has the potential to address current issues in availability, accessibility, acceptability, anonymity, and affordability of mental health services but establishing or engaging in telepsychology practice has been daunting for many practitioners. Telepsychologists can disseminate applications of this model in different settings and with different modalities and this practice model can inform future development of competencies.

Training programs that integrate the use of technology are needed to prepare students for the future of service delivery in psychology. Training opportunities in telepsychology can equip students to develop, implement, and evaluate innovative modalities for mental health care. However, few options are available for trainees seeking to acquire these experiences, and while guidelines for service provision using technology are emerging, guidelines for and documented examples of training programs in telepsychology are virtually non-existent. The Telehealth Counseling Clinic, located at the Texas A&M Health Science Center, has developed a training model to prepare the next generation of psychologists to work with new technology to provide counseling services to low-income and uninsured individuals living in designated Mental Health Professional Shortage Areas in rural Texas. Training competencies necessary to serve this population through telepsychology are discussed and preliminary evaluation data of the training program are presented.

Disparities in access to mental health care, especially in rural areas, demand continued attention from practitioners, researchers, and community stakeholders. Telehealth, or the use of long distance technology to provide mental health services, is one well-recognized solution for reducing mental health disparities. At the Telehealth Counseling Clinic, advanced doctoral students provide telepsychology services to low-income and uninsured individuals living in a rural region in Texas. In response to an identified community need for grief counseling services, an 8-week grief group utilizing videoconference technology was conducted. This article discusses clinical and methodological challenges and lessons learned that are unique to delivering group counseling services over videoconference technology in a rural area, as well as preliminary data of the group’s effectiveness as measured by a satisfaction survey, the Patient Health Questionnaire–9, the CORE–B, and the Complicated Grief Assessment are presented.