The advent of telehealth technology gives psychologists new opportunities to expand their practices in a cost-effective manner, but little is known about telehealth efficacy and costs. This study of 49 neuropsychology clients interviewed using videoconferencing and 49 matched in-person controls yielded no group differences in client ratings of interpersonal factors. Telehealth clients were more likely to want to repeat their experience, but psychologist satisfaction was lower foe telehealth sessions. Telehealth costs were significandy lower than in-person costs. Concerns about ethical issues, billing, and licensure must be addressed to help practitioners capitalize on new telehealth opportunities.How will psychologists use technology in the new millennium to expand and extend clinical practice? The renaissance of telehealth programs in the past decade has brought enormous opportunities for psychologists to meet behavioral health needs of underserved populations, particularly in high-need rural areas (Conrad, 1998). The American Psychological Association (APA) has met practitioners' vigorous interests by developing special telehealth sections in practice journals (e.g., Professional Psychology: Research and Practice, 1998) and telehealth forums at recent APA annual meetings, as well as legislative and advocacy efforts.This article focuses on the specific application of telehealth in direct clinical care through the use of videoconferencing. Using two-way simultaneous interactive video teleconferencing, persons at two or more sites interact with each other in real time over television full-motion video monitors. LAURA SCHOPP received her PhD in 1995 from the University of Missouri-Columbia. She is a neuropsychologist on the faculty of the Department of Physical Medicine and Rehabilitation, University of Missouri-Columbia School of Medicine. She conducts research programs in traumatic brain injury and spinal cord injury, with particular interest in telehealth among rehabilitation populations. BRICK JOHNSTONE received his PhD in 1988 from the University of Georgia. He is an associate professor in the Department of Physical Medicine and Rehabilitation at the University of Missouri-Columbia. He is the director of the Missouri Model Brain Injury System and has published widely in neuropsychology and traumatic brain injury. DEB MERRELL received her MS in 1990 from the University of Missouri-Columbia. She is a senior counselor with the Missouri Division of Vocational Rehabilitation in the rural setting of Rolla, MO. She specializes in vocational rehabilitation needs of adults with brain injury.

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