To increase the availability of psychiatric services, telemedicine is used in some of our locations. This means that the prescriber (a psychiatrist or a psychiatric nurse practitioner) is on a video screen and interacts with the patient using telecommunications technology, similar to Skype. Nursing staff assist the patient in the process, obtain vital signs and help with scheduling appointments. Telemedicine services are paid by insurance companies the same way as in-person appointments. Currently, this service is only available for adults.