The ability for telepsychiatry to increase access to mental health services is well documented; and patients are highly satisfied with their care. Participants learn about utilizing current technologies to sustain a state-of-the-art telepsychiatry practice. Presenters emphasize both innovations and compensations made to ensure quality care, efficient processes, and evidence-based practices. DVDs of clinical sessions and a live demonstration using a T1 line connection enhance breakout group and panel discussions. Approaches to financial sustainability and clinical applications of telepsychiatry are part of that discussion.