River District Clinic is a small, primary care clinic affiliated with a regional medical center located in a rural area of the United States. Although the River District Clinic does not provide mental health services, another medical center—Bluff Regional Medical Center—recently contacted Dr. Olsen, the medical director of River District Clinic, with an offer to provide telemental health services in partnership with the clinic. The clinic and center are already affiliated, and Bluff Regional is the closest medical facility offering mental health services to River District’s population. Unfortunately, Bluff Regional is 100 miles from River District. Rural areas like River District suffer from an acute shortage of mental health providers and consequently rural residents lack adequate access to mental health services. Telemental health care has demonstrated success in expanding access to mental health services in rural areas. While successful, there are challenges—in acceptance, implementation, and maintenance—to adopting telemental health services. Dr. Olsen needs to evaluate both the benefits and obstacles and decide whether or not to accept the offer of adding telemental health services as part of the services offered though the River District Clinic.