On-Site and Telehealth Services

                                              colour-speech-bubbles   “Hello?” …………………………………………. “What’s up?”

At Stillwaters, we attempt to make our services accessible to as many people as possible.   One way that we do this is by offering various modes or methods for clients and therapists to connect and communicate.  These methods include On-site Counseling (in the therapist’s office), Off-site Counseling (in the client’s home or another location) and TeleHealth Services.

 Traditional On-Site Service Delivery

In the traditional service delivery model, face-to-face clinical services are provided on-site at the therapist’s office , or off-site at a predetermined location.  This is what most people think of when they consider therapy.  It continues to be the prominent mode of service deliver for this profession.  However, newer technology driven models described above are increasingly becoming useful options for many clients.   And, each offers clear advantages over the traditional model.

faces to face
Traditional Off-Site Service Delivery 

In Off-Site Counseling, the client’s home or another secure location is used to host the counseling session.  The therapist drives to that location to provide services there, as needed.

Regardless of whether a client seeks a traditional therapeutic experience or prefers a teleheath service model, the same ethical, legal, and professional standards apply for both.  Likewise, research has repeatedly demonstrated that both models are effective and helpful.

TeleHealth Service Delivery Options


Video counseling is similar to face-to-face counseling. The client and therapist utilize a HIPAA and HITECH video conferencing platform like   DoxyMe LogoDoxy.me   to engage in a therapeutic dialogue using the computer’s camera, microphone and speakers.

Most often video therapy looks like the following:computer-156513_640

  • The client pays the fee established by the therapist.
  • The client and therapist set a day and time for the session.
  • The client and therapist concur on the video conferencing program.
  • The therapist provides  sign-on instructions to the client prior to the session.
  • The therapist initiates contact at the appointed time through the videoconferencing or videochat platform.
  • The session will begin and usually lasts an hour.


E-Mail Counseling

Email iconEmail based therapy is a convenient and helpful way to address simpler, uncomplicated issues that need a quick response

How does this work?  The client sends an email when he/she feels the need.  read their therapist’s reply and respond with their thoughts and insights.  A continue whenever they need to. Clients will always have the therapist’s reply and can read it over and over again if they are needing reassurance or hope.

Most often email therapy looks like the following:

  • The client pays the fee established by the therapist.
  • The client sends an email detailing their issues, problems or questions.
  • The therapist will spend time reading and contemplating a helpful response.
  • The therapist usually responds within 24 hours or within a pre-arranged time-frame.
  • The email correspondence could be a one time exchange or continue depending on how the therapist and client agree on the process.
Instant Messaging/Chat/Text Messaging Therapy

Real time messaging happens on the client’s and therapist’s  computer or phone. The client and therapist utilize a HIPAA and HITECH compliant instant messaging/chat program or text messaging application to engage in a therapeutic dialogue via text or typing.

Most often Text Messaging or Chat Therapy look like the following:

  • The client pays the fee established by the therapist.
  • The client and therapist set a time and day for the messaging session.
  • The client begins with telling their story, a question, or the reason why they are seeking counseling support.
  • The therapist immediately response.
  • The correspondence continues for a set period of time (such as one hour of instant messaging time).


Why consider TeleHealth Counseling and Therapy for your service delivery model?

1. You can have it both ways.  You can flip-flop on-site  or off-site sessions with telehealth sessions. No effort.

2. Can’t find a sitter or feeling a bit under the weather?  No problem.

3. Got caught up at work and can’t get to your session on tim e? No hurry.

4. Suffering agoraphobia and can’t yet visit your therapist’s office. No worries.

5. You and your partner are in two different cities. You want to work on your relationship in couples’ counseling without making him drive for hours. Not an issue.

6. Your job or school requirements have moved you out of the area, but you want to continue your work with your current counselor. No Sweat.

Who is eligible to access Teleheath based services at Stillwaters? 
  • The client exhibits no suicidal thoughts.
  • The client is not in physical danger of being physically or sexually assaulted.
  • The client does not have a serious substance abuse addiction.
  • The client is not experiencing an immediate or urgent crisis.
  • The client is not having thoughts of hurting someone else.
  • The client is not experiencing severe psychosis.
  • The client is willing, comfortable or able to express feelings in written form or via video.
  • The client has access to a computer, phone and/or internet connection.
  • The client is age 18 or older.
  • The cient has basic understanding of computer or phone operations.

Interested in TeleHealth Sessions as an alternative to office based sessions?

Let us know!

Joanne (Jodi) M. Moore LPC, NCC, BCETS, CCH

Voice: 757/404-3747

Text: 757/404-3747

Email: jodimoore@stillwaterscounseling.com