Telehealth Counseling Clinic (TCC)

Kevin Tarlow at the APA Convention 2014
TCC Staff November 2013
Brazos Valley Regional Health Provider Medicaid Waiver Application Team 2013
Using Videoconferencing to Provide Serivces to Madisonville Clinic 2013
With Colonel Wallace from Centerville
With Colonel Wallace from Centerville
Ryan Blucker at the Leon County Health Fair Spring 2009
Ryan Blucker at the Leon County Health Fair Spring 2009
Unveiling MOST Network Telehealth in Madisonville, Spring 2013
Unveiling MOST Network Telehealth in Madisonville, Spring 2013
Carly McCord and TCC 2009
Using Videoconferencing to Provide Services to Centerville Clinic 2009




The Telehealth Counseling Clinic provides mental health services to underserved individuals at rural clinics throughout the Brazos Valley. 

The TCC evolved from an ongoing collaboration between community stakeholders, representatives from several key health care and social service agencies, and colleagues at the Center for Community Health Development at the School of Rural Public Health at Texas A&M University. Together these leaders formed the Brazos Valley Health Partnership, and together they identified the need for innovative mental health service delivery throughout the Brazos Valley region. Together they identified the resources available with the faculty and students in the APA-accredited Counseling Psychology doctoral program as an avenue through which these services could be provided.

Doctoral students in the program, supervised by doctoral-level staff, provide counseling to individuals at rural clinics using high-quality videoconference technology via HIPPA-approved encryption and high-speed T1 lines.

Remote clinics are located in Leon County (Centerville), Madison County (Madisonville), Washington County (Brenham) and Grimes County (Navasota). Initial funds for the TCC were obtained by the Leon County government in collaboration with the TAMU Center for Community Health Development.  HRSA currently funds the Madisonville clinic. Presently, funds from an 1115 Medicaid Waiver program support services to Centerville, Navasota, Brenham and at the Health For All clinic in Bryan.

As part of the Center for Community Health Development, the TCC embodies the unique collaboration that exists between residents of the Brazos Valley and the Texas A&M faculty, staff and students.

Descriptions of our collaborations with community stakeholders and details about the TCC and its effectiveness are provided in these papers:

  • Wendel, M., Brossart, D., Elliott, T., McCord, C., & Diaz, M.  (2011). Use of technology to increase access to mental health services in a rural Texas community. Family & Community Health, 34, 134-140.
  • McCord, C. E., Elliott, T. R., Wendel, M. L., Brossart, D. F., Cano, M., Gonzalez, G., & Burdine, J. N. (2011). Community capacity and teleconference counseling in rural Texas. Professional Psychology: Research and Practice, 42, 521-527.
  • Chang, J. E., Frazier, C. G., & Elliott, T. R. (2013). Using videoconferencing to provide psychological services to a rural clinic: A unique town and gown partnership. Texas Psychologist, 65, (2), 9-14.
  • Tarlow, K. R., McCord, C., Elliott, T., & Brossart, D. (2014). Health-related quality of life of rural clients seeking telepsychology services.  International Journal of Telemedicine and Applications, 2014, Article ID 168158, 7 pages.
  • Gonzalez, Jr., G. E., & Brossart, D. F. (2015). Telehealth videoconferencing psychotherapy in rural primary care.  Journal of Rural Mental Health, 39(3-4), 137-152.
  • McCord, C. E., Saenz, J. J., Armstrong, T. W., & Elliott, T. R.  (2015). Training the next generation of counseling psychologists in the practice of telepsychology. Counselling Psychology Quarterly, 28, 324-344.
  • Chang, J. E., Sequeira, A., McCord, C. E., & Garney, W. R. (2016).  Videoconference grief group counseling in rural Texas: Outcomes, challenges, and lessons learned.  Journal for Specialists in Group Work, 41, 140-160.