Here is a good article by Troy Heidesch which explains why Skype security is not up to tele-mental health standards.

Here are the differences between Secure Telehealth and Skype:

1. Secure Telehealth quality is better (larger, clearer full-screen video image with less latency + better audio)
2. Secure Telehealth security is significantly better (better encryption, no bouncing our signal off unknown supernodes).
3. Secure Telehealth allows more than two participants.  We routinely use this feature to provide training and support.  The best training and support are provided when we can meet collectively in a video conference with both endpoints present with us.   Note:  many Secure Telehealth clients use our multi-party call feature for clinical and/or administrative meetings, such as for ACT team meetings.
4. Secure Telehealth has option to move our service into your private network if/when you grow into this option.  Skype cannot do this.
5. Functionality - with Secure Telehealth, you can securely share powerpoints, your desktop, documents, videos, etc. with all participants.   Skype cannot do this.
 

Secure Telehealth includes unlimited user support and training for all endpoints in our price (inside and outside your organization).  If physicians outside of your organization have problems or questions, they may contact us directly for prompt resolution.   With Skype you are on your own.