Cybercounselingz Legal and
Ethical Issues in Social
Networking

AMERICAN COUNSELING ASSOCIATION

ACA Learning Institute
Ma...
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Best Practices for Online Counseling
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OREGON ADMINISTRATIVE RULES FOR
ONLINE COUNSELING

x BOARD OF LICENSED PROFESSIONAL
COUNSELORS AND THERAPISTS :  DIVISION
...
ACA PUBLICATIONS

x Licensure Requirements for Professional
Counselors:  A State -By-State Report Office
of Professional A...
FIEET '”T' Ci I O7 ~’3ClJi ‘CELT 
“Counseling is a professional relationship
that empowers diverse individuals,  families
...
SEVEN PRINCIPLES FOR THE FUTURE

x Sharing a common professional identity is
critical for counselors

at Presenting oursel...
SEVEN PRINCIPLES FOR THE FUTURE

3: Creating a portability system for licensure will
benefit counselors and strengthen the...
SEVEN PRINCIPLES FOR THE FUTURE

x Focusing on students and prospective
students is necessary to ensure the ongoing
health...
ACES T33’-Ii ‘C/3."- COI‘. I7 EC TEI ICES

TECHNICAL COMPETENCIES FOR
COUNSELOR EDUCATION: 
RECOMMENDED GUIDELINES FOR
PRO...
TeleMentaI Health Institute,  Inc. 
MARLENE M.  MAHEU,  PH. D

Copyright 2012 Te| eMenta|  Health Institute,  Inc.  All ri...
Social Networking
vs.  Online
Counseling

Copyright 2012 TeIeMentaI Health Institute,  Inc.  All rights reserved.
POPULAR SOCIAL NETWORKS

at Facebook,  YouTube,  MySpace,  Twitter, 

Ning,  Flickr,  blogs,  eBay,  Craigslist, 
Skype,  ...
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MARRIAGE
COUNSELOR

“You don’t blog.  you don’t Twitter,  you have no RSS feed,  you’re
not on Facebook. ..and you wonder ...
PEW:  SOCIAL NETWORKING SITES AND
OUR LIVES (JUNE 16, 2011)

x The number of people using social
networking sites has near...
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RE-TOOLING

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EFFECTIVE CONVERSATIONS? 

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TEI: EMENTAL HEALTH GUIDELINES & STANDARDS

1998 American Psychiatric Association
Telepsychiatry via Teleconferencing

199...
POLICIES & GUIDELINES

x AMA Policy:  Professionalism in the Use of Social Media
at Guseh JS 2nd,  Brendel RW,  Brendel DH...
OCPM:  Online Clinical Practice
Management

Step 1: Training
Step 2: Referrals

Step 3: Patient Education
Step 4: Legaliti...
SOCIAL MEDIA IS NOT PRIVATE

x “. ..assume that anything you post will be
seen,  read,  and open for comment.  Anything
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x The more frequently someone uses the Internet, 
the larger his network tends to be.  Th...
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Women account for 85% of all buying decisions, 
spend 80% of the combined inc...
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Nearly twice as many men (63%) as women
(37%) use Linkedln.  All other SNS platforms
have signif...
Copyright 2012
TeleMental Health
Institute,  Inc.  All
rights resented. 

Linkedms Go to Llnkedh Ads D

Home Profile Contac...
Copyright 2012
Te| eMenta|  Health
Institute,  Inc.  All
rights resented. 

Linkedfle Go to Lnkedln Ads »

V Marlene M Mane...
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“Ever since I signed up for Twitter,  I get the
feeling that people are following me! ”
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customs,  and cultural or language
differences that might impact service
de...
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Copyright 2012 Te| eMenta|  Health Institute,  Inc.  All rights re...
Copyright 2009
Te| eMenta|  Health Institute,  Inc. 

MULTICULTU RAL/ MULTILINGUAL ISSUES
SELFHELPMAGAZ| NE. COM

at Canad...
Copyright 2012
TeleMental Health Institute,  Inc. 

MULTICULTU RAL/ MULTILINGUAL ISSUES
SELFHELPMAGAZ| NE. COM

3: Malaysi...
Copyright 2012
TeleMental Health Institute,  Inc. 

MULTICULTU RAL/ MULTILINGUAL ISSUES
SELFHELPMAGAZ| NE. COM

3: Denmark...
Copyright 2012
TeleMental Health Institute,  Inc. 

MULTICULTU RAL/ MULTILINGUAL ISSUES
SELFHELPMAGAZ| NE. COM

x Brunei D...
Copyright 2012
TeleMental Health Institute,  Inc. 

MULTICULTU RAL/ MULTILINGUAL ISSUES
SELFHELPMAGAZ| NE. COM

x | ran X ...
Andorra

Jamaica

Maldives

Sri Lanka

Faroe Islands
Zambia

Estonia

Trinidad and Tobago

Iceland

Egypt

China

Chile

C...
Copyright 2012
TeleMental Health Institute,  Inc. 

MULTICULTU RAL/ MULTILINGUAL ISSUES
SELFHELPMAGAZ| NE. COM

3: Taiwan ...
PRACTITIONER ADOPTION?  4‘ -

x Over 1/2 million Google search results: 

+ “on| ine counseling” =  210,000+ searches

+ “...
ACA CODE OF ETHICS (2005)

x A.12.b.  Assistance

3: Counselors seek business,  legal,  and
technical assistance when usin...
ACA CODE OF ETHICS (2005)

x A.12.c.  Inappropriate Services

+ When techno| ogy—assisted distance counseling
services are...
OCPM STEP 1: TRAINING

x Boundaries of

competence

+ Limits of technology
x Authentication

x How & when to
respond,  and...
AUSTRALIAN PSYCHOLOGICAL SOCIETY

(2010 PROPOSED REVISION OF INTERNET GUIDELINES)

x Research—based protocols

+ 1.6 “Psyc...
OCPM STEP 1: TRAINING

x (i) A psychologist shall not practice outside
his or her particular field or fields of
competence...
OCPM STEP 1: TRAINING ‘
so

at Adhere to peer-
reviewed research
protocols before offering
services to the trusting
public...
OCPM STEP 1: TRAINING

x Choice of Communication Channel (modality)
+ Responsibility of Professional? 

x Technology speci...
OCPM STEP 1: TRAINING

x Training for each technology

at Training for dealing with boundaries between
multiple Internet t...
Copyright 2002 by Randy Glasbergen. 
wvw/ .glasbergen. com

”lF AT FIRST YOU DON'T SUCCEED,  BLAME YOUR COMPUTER. "

74
OCPIVI:  Online Clinical Practice
Management

Step 1: Training

Step 2: Referrals

Step 3: Patient Education
Step 4: Legal...
OCPM STEP 2: REFERRALS OR

INTERNET MARKETING (IM)

x Provider lists

x Colleagues with telehealth training
as Professiona...
-:  -:  E7;/3-i- TR’-tt. l3 E CCl‘. lMCCiCi ' (FTC)

FTC Powers to _ «:  Merchant-Advertiser
Regulate Deception & Responsi...
Copyright 2012 TeleMental
Health Institute,  Inc. 

ONLINE NORM VS.  STANDARD OF CARE

x Mostly Email & Chat vs.  Video

a...
OCPM:  Online Clinical Practice
Management

Step 1: Training
Step 2: Referrals

Step 3: Patient
Educafion

Step 4: Legaliti...
ACA CODE OF ETHICS (2005)

x A.1.b.  Records

at Counselors maintain records necessary for

rendering professional service...
BOARD OF BEHAVIORAL SCIENCES (BBS), 
CALIFORNIA

x The informed consent procedure shall ensure that at
least  verbally and...
ACA CODE OF ETHICS (2005)

x A.12.a.  Benefits and Limitations

x Counselors inform clients of the benefits and limitation...
ACA CODE OF ETHICS (2005)

x A.12.g.  Technology and Informed Consent

x As part of the process of establishing informed
c...
ACA.  CITE / DE OF ETH I CC’ (2005)

A.12.g.  Technology and Informed Consent

2. Inform clients of all colleagues,  super...
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RATING SITES:  YELP (KEELY KOLMES, 
PSY. D.)

at Your right / Gently discourage for these reasons: 

1. The American Psych...
RATING SITES:  YELP (KEELY KOLMES,  PSY. D.)

x 2. Unlike other business owners who may

respond to their Yelp reviews,  a...
RATING SITES:  YELP (KEELY KOLMES,  PSY. D.)

x 3. Ihope that if we work together,  we can
discuss your feelings about our...
RATING SITES:  YELP (KEELY KOLMES,  PSY. D.)

x 4. If you still choose to write something about
my practice on Yelp,  reme...
INTERNET RATINGS:  WHERE ARE WE GOING? 

x Expect ratings and quality surveys by
healthcare providers to become
standard o...
HK. 
K flu SanDlego, CA
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n_J_j_J__J1/180010 Qrirsteoneview

Stay awayll No therapist who works for them,  no matter how ...
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iCrazy - Psychology Tests
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INFORMED CONSENT & SOCIAL MEDIA POLICY
SAMPLES

xhttpztelementalhealth. com/ sit
es/ default/ files/ Informed_Co
nsentpdf
...
OCPM:  Online Clinical Practice
Management

Step 1: Training
Step 2: Referrals
Step 3: Patient Education

Step 4: Legaliti...
All
Existing
Legal
and
Ethical
Rules
Apply
Slip to Content l Footer l Accessibility
DepartmentofConsumerAffairs i. 

-GOV Board of Behavioral Sciences

Search BBS

 ...
Business and Professions Code Section 2290.5
(a) For purposes of this division,  the following definitions shall apply: 

(...
DUTY TO REPORT /  DUTY TO WARN

x (v) Failing to comply with the
child abuse reporting
requirements of Section
11166 of th...
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"Information security is becoming a big problem here. 
Do...
Practicing Over '

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tate LIIIBS -
Copyright2012 TeleMental ea h
Institute,  Inc.  All rights resent .
Licensing Boards that may assert jurisdiction: 
The one in your state
The one in the patient’s state
Both
Safest: 
Provide...
QUESTION

3: I’m ok if my malpractice carrier says they
cover me online,  right? 

Copyright 2012 TeleMental Health Instit...
QUESTION

3: So what harm am I doing if I practice over
state lines? 

Copyright 2012 TeleMental Health Institute,  Inc.  ...
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attests -< 
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APA ETHICAL PRINCIPLES OF PSYCHOLOGISTS

x Principle A:  Beneficence and Non—malfeasance

+ Psychologists strive to benefi...
QUESTION

x is the licensing issue the same if no money is
exchanged? 

Copyright 2012 TeleMental Health Institute,  Inc. ...
AUSTRALIAN PSYCHOLOGICAL SOCIETY (2010
PROPOSED REVISION or INTERNET GUIDELINES)

x Research—based protocols

+ 1.6 “Psych...
OCPM STEP 1: TRAINING

x Training for maneuvering in and out of multiple
technologies: 

+ Email

+ Chat Rooms : ~ I] 
+ V...
QUESTION

3: What can we do to move this forward with
the authorities? 

+ Contact them

+ Volunteer if they need help

+ ...
LEGAI- CIJGGEC"IOI‘*»'C

Let’s pull together
System is obviously
straining

Counsel each other

Document those
conversatio...
So what? 
WHY USE SOCIAL MEDIA? 

Copyright 2012 TeleMental Health Institute,  Inc.  All rights reserved.
SOCIAL MEDIA CAN SERVE YOU IN MANY WAYS

1. Spread Your Message

2. Give Back

3. Learn

4. Connection /  Community /  Sup...
PSYCHOTHERAPY VS.  PSYCHOEDUCATION? 

x Psychotherapy defined:  a method of working with
patients and clients to assist th...
F i«I‘Fi’l’IIl‘IW El?  I I I 7fl. TlIi7 I

Serve more people ”‘   
Part time  
Practice generator 
Lower risk

Non—therapeu...
Copyright -El 2001 Randy Glrisbcrgon.  wv. ".~t. glnsborgon. com

.6lA55$6

“I typed up my résumé on the computer. 
The sp...
Reach people worldwide 24/7
Make profits while you sleep
Multiple streams of income

Low overhead

Social media is establi...
ACA CODE OF ETHICS (2005)

x A.12.h.  Sites on the World Wide Web

Counselors maintaining sites on the World Wide Web (the...
ACA CODE OF ETHICS (2005)

A.12.h.  Sites on the World Wide Web

6. Strive to provide a site that is accessible to persons...
‘I’ 18' FROCI-IIJRE 7_~lI’EI3CITE"‘

Are they social media? 

Are they subject to legal and ethical
codes? 

Copyright 201...
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About Blog Forms Payment Practice

Welcome Dr.  Maheu

Is your relationship a thorn in your side? 

Are your worries getti...
Copyrig ht
201 2
TeleMental
Health

Institute,  Inc. 

All rights
resented. 

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We can help you accomplish these goals: 

What is your #1 qu...
WEl3§! TE LEQAL! TlE§

at Website Disclaimers:  face validity

3: Discuss the Limits of Confidentiality

+ Protect confide...
WEBSITE LEGAL AGREEMENTS

at Copyright Notice

3: Terms of Service (TOS) or Terms and
Conditions (T&C)

3: Privacy Policy
...
WEB DEVELOPMENT AGREEMENTS

at Search for comments about
potential hires and partners
online

at Work with trusted
colleag...
"’”©ICUT“’
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Can buy “themes”

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who underst...
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Domains.  website...
Legally & Ethically

Copyright 2012 TeleMental Health Institute,  Inc.  All
_= -.. ._ . __-. .._
Copyright 2005 by Randy Glasbergen. 
wwwglasbergc-n. com

IIIIIW’

“Stress management is for wimps! ”
6 MYTHS

x Social media is a waste of time

x It takes a long time to make a product to
promote with social media

at Need...
PATHS TQ MULTIPLE STREAMS QF INQQME

2:3,. 

IN MENTAL HEALTH

3: Startw/ specialty area 3 la
3: Do market analysis

at Bo...
PATHS TO MULTIPLE STREAMS OF INCOME
IN MENTAL HEALTH

x Content

+ Handouts I I . 
+ Presentations / 
Webinars /  Podcasts...
PATHS TO MULTIPLE STREAMS OF INCOME
IN MENTAL HEALTH

3: Front End x Back End
+ eBook,  OR best chapter + Continuity Progr...
PATHS TO MULTIPLE STREAMS OF INCOME
IN MENTAL HEALTH

3: Promotion
+ Quality &

professionalism (media h _ _ _ _
& other e...
RE-PURPOSE YOUR MATERIAL

 

Copyright 2012 TeleMental Health Institute,  Inc.  All rights reserved.
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APA ETHICS CODE — STANDARD 5

x 5.01 Avoidance of False or Deceptive Statements --
ads,  endorsements,  resumes,  CVs,  pu...
FEDERAL TRADE COMMISSION (FTC)

as What is an unfair ad? 

9 When it is likely to
cause substantial
consumer injury
(physi...
FTC — When is an Ad Deceptive? 

When a claim or omissi_on would materially
mis| e_ad consumers acting reasonably in
the c...
Is online counseling legal? 

Yes‘ online counseling is recognized and regulated by state.  federal.  and licensing board ...
DOT COM DISCLOSURES:  FTC BUSINESS
EDUCATION/ GUIDANCE

3: Place disclosures close to the triggering claim. 

at When usin...
Cornpet_ent arid Fieliable
Ccieriirf/ C Ex/ idence

Anecdotal evidence from
consumers

Popular press articles

Sales mater...
“i'EW” FTC CUBC"Ai'T| fl‘. T|Oi' ST/ l‘. i'Dfl‘. RD? 

Weight Loss Claims

— at least 2

controlled clinical

studies on I
a...
REVISED FTC ENDORSEMENT GUIDES

9 Testimonials still must represent what
consumers “typically” will achieve

9 BUT:  if th...
REl/ lCEl3 ETC El ‘E0 El. lEl ‘T GlJll3 EC

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Disclosure of material connections between
advertisers and lay (non...
~ - - . ‘r. é."
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Copyright 2012 TeleMental Health Institute,  Inc.  All

. :.. i.. i..  .. ._ . . . ... i
PATH #1: WRITE A BOOK

x Advantages

x Positions you as an expert
x Gives you highest
credibility
* TV shows
* Radio
x Eas...
Eli <3  / C7 .  Elftli O 

Zero delivery costs
No printing

No inventory

No shipping
Instant access

Can charge premium
p...
EE 3 l 3  [F F El 3 / l ‘ll Eff? 

Ebook Weight loss
Outline Method Positive Facts

5 major topics Mind Games
Divide each ...
_ . 
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Copyright 2012 TeleMental Health Institute,  Inc.  All

. :.. i.. i..  .. ._ . . . ... i
PATH #2: HIRE HELP

3: Hire someone,  research,  layout or
record content for you (fiverr,  odesk, 
elance,  guru etc. )

...
DETERMINATION EBOOK

' um ‘FO§:51iLF-MOTNATION

cover image. JPG

By Marlene M.  Maheu,  Ph. D.
Thoughts Originally Com pi...
GIVE VALUE - MAKE IT MEANINGFUL

DETERMINATION EBOOK:  AN INSPIRATIONAL GUIDE FOR SELF’-MOTIVATION

 

Nothing in the worl...
DETERMINATION EBOOK:  AN INSPIRATIONAL GUIDE FOR SELFMOTIVATION

 

A desire can overcome all objections and obstacles. 
G...
You may have to fight a battle more

than once to win it. 
MARGARET THATCHER

Resolve that whatever you do,  you
will brin...
WANT MORE? 

Over the years,  we've gotten lots of feedback about how people use our
Se| fhe| pMagazine Meditation departm...
NEGOTIATING FOR HIRED HELP

x $2k — $10k “Looking for 100 page book, 
here’s my budget, ” then wait for bids

3: Carefully...
Copyright 2012 TeleMental Health Institute,  Inc.  All

. :.. i.. ;..  .. ._ . . . ... a
PATH #3: INTERVIEW AN EXPERT

3: Interview on telephone

+ Have some one ask you questions,  or you ask
them questions rel...
PROCESS TIPS FOR INTERVIEWS,  WEBINARS
AND PODCASTS

3: Content
+ Outline + Q&A

3: Technology

+ WebEx,  GotToMeeting,  l...
Your weather location has not

beensel .  I _ f I '  °: 'i’C'DI. :{i~‘7 LY] 
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[lure is O siinizz Kits-
Fndai I. lari: h J,  2011

Breaking Up Show

All relationships have their ups and downs and not e...
2
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‘I7/FRI IN;  /   E  ‘Is ‘I’ * iii ii; .i:    I

Music clips
It is pirating to just take a clip...
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C
i‘. r.‘ .  . .  — 

Clear sound

Music in background that surfaces to create...
WEBINAR /  PODCAST FORMULAS

3: Voice Tone

+ Modulate
x sound alive

+ Google
“voiceover”

+ Go to fiverr and
buy “voice ...
WEBINAR /  PODCAST FORMULAS

3: Recording Behaviors to Avoid
+ Sniffling

“Ahhhh”s

Scratching

Shifting in chair

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CY'BER—AFFAIRS SURVEY: 
LATER RESULTS OPPOSED T0 CYBERSEX

by Marlene M.  Maheu,  Ph. D.

In line with our previous articl...
One of the world's first mental health websites,  established November 1, 1994

  

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Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
Maheu -- American Counseling Association Convention, March 21, 2012
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Learning Institute: Cybercounseling Legal & Ethical Social Media (full day workshop)

Donna Ford and Marlene Maheu at American Counseling Association Convention, San Francisco, California, March 21, 2012

The above event is sponsored by the TeleMental Health Institute, Inc. We are the premier professional training site for professionals seeking training in telehealth. Our courses are offered in a state-of-the-art, 100% online learning environment that is fully mobile compatible. Professional training is now available from your desktop of mobile device, 24/7, at your home or office.

To receive our FREE monthly newsletter related to telemental health, telecounseling, online therapy, telepsychology or telepsychiatry and telenursing, send an email to: tmhinews@aweber.com You will also receive notices of our bonuses and discounts for professional training for CEUs and CMEs.

See other offerings at www.telehealth.org
Send questions or comments to us at www.support.telehealth.org
Contact Dr. Maheu to speak at your next workshop or conference at: www.support.telehealth.org

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Transcript of "Maheu -- American Counseling Association Convention, March 21, 2012"

  1. 1. Cybercounselingz Legal and Ethical Issues in Social Networking AMERICAN COUNSELING ASSOCIATION ACA Learning Institute March 21, 2012 Donna Ford, MS Marlene M. Maheu, Ph. D.
  2. 2. 3 I'I'/ -‘. FOR), IVIC 'IC’3. 7 TECIII El ‘T f. €-3132-3-ZCI Best Practices for Online Counseling (Cybercounseling) Ethical Code for Online Counseling Cybercounseling and Cyberlearningz Strategies and Resources for the Millennium Online Counseling Task Force Copyright 2012, Te| eMenta| Health Institute, Inc. All rights reserved.
  3. 3. ACA Ethical Standards: Technology : //www_cou r1selir1.g; .or'g; ;/litesorr rces/ Co deli l‘lEtl1ics/ Tl? /l-lonne/ <3T2.asr§ Licensure and Certificates: httg: //www. counse| ing. org/ Counselors/ Licens ureAndCert/ TP/ StateReguirements/ CT2.asgx Copyright 2012, Te| eMentaI Health Institute, Inc. All rights reserved.
  4. 4. OREGON ADMINISTRATIVE RULES FOR ONLINE COUNSELING x BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS : DIVISION 90 DISTANCE COUNSELING x http: //arcweb. sos. state. or. us/ pages/ rules/ oars_8 O0/oar_833/833_O90.htm|
  5. 5. ACA PUBLICATIONS x Licensure Requirements for Professional Counselors: A State -By-State Report Office of Professional Affairs, 2010 edition 3: The Counselor and the Law: A Guide to Legal and Ethical Practice, Sixth Edition by Anne Marie “Nancy” Wheeler and Burt Bertram
  6. 6. FIEET '”T' Ci I O7 ~’3ClJi ‘CELT “Counseling is a professional relationship that empowers diverse individuals, families and groups to accomplish mental health, wellness, education and career goals. ” Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  7. 7. SEVEN PRINCIPLES FOR THE FUTURE x Sharing a common professional identity is critical for counselors at Presenting ourselves as a unified profession has multiple benefits 3: Working together to improve the public perception of counseling and to advocate for professional issues will strengthen the profession
  8. 8. SEVEN PRINCIPLES FOR THE FUTURE 3: Creating a portability system for licensure will benefit counselors and strengthen the counseling profession. 3: Expanding and promoting our research base is essential to the efficacy of professional counselors and to the public perception of the profession.
  9. 9. SEVEN PRINCIPLES FOR THE FUTURE x Focusing on students and prospective students is necessary to ensure the ongoing health of the counseling profession. 3: Promoting client welfare and advocating for the populations we serve is a primary focus of the counseling profession.
  10. 10. ACES T33’-Ii ‘C/3."- COI‘. I7 EC TEI ICES TECHNICAL COMPETENCIES FOR COUNSELOR EDUCATION: RECOMMENDED GUIDELINES FOR PROGRAM DEVELOPMENT http: //fi| es. aceson| ine. net/ doc/2007 aces tec hnology competenciespdf
  11. 11. TeleMentaI Health Institute, Inc. MARLENE M. MAHEU, PH. D Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  12. 12. Social Networking vs. Online Counseling Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved.
  13. 13. POPULAR SOCIAL NETWORKS at Facebook, YouTube, MySpace, Twitter, Ning, Flickr, blogs, eBay, Craigslist, Skype, de| .icio. ous, Second Life, Linkedln, social bookmarking, wikis, vlogs, epinions, World of Warcraft, Google Groups, Youmeo, etc.
  14. 14. SOCIAL IVIEIIIII EXMINED ‘ TWITIER I'M Emma, A Irtoonur eglrfitflgtfllft , '. ",’ 137 PHOTOS‘ 245 FOLLOWERS Eu-: .aI l.9Ier: Ira E«’: vI; rrr’: »e*d a Is @TI‘rreeSIrr: :;l. l~: dra r. Ir3LrgIasr‘. rag, as using lrrstacram — a fun 8. r1urr». _,r wan to share your F II FIQE. f’~OoK I “K6 VWWS II? "“”Q§‘§r'E3?rf. I‘lf; I3§l. .i§iii“ "; TF‘. §§‘l‘i; ’.rZ? ;r, . ”rI€‘I‘r‘-CIF‘r, ' to reap around Ir: :r'»: —»>? r I Furisqrne TIII5 I5 ‘*II’<E‘<"= I I eat DONUTS (V I , ‘_ , ~_ . N . . ‘I “avg. I Il»§Il6rlIlIrl] H6023 A vmmac 3.‘ I». I, -, Ifs. I Orrotb or my Pow/ I‘ F ‘ , _ :7 W I Em-‘N, q A PM/ ‘T Zfir'rIE'. TE I‘ L/ “Lay M SLIu. $ INCLUDE DOWT EATIW Ividalx _“ Brutal for I} I A RECIPE _ mattsephton ~-7° Press Grealnor, ‘—: LAs'r FM Nov us1avrll4T<>“DWV" ~. £f? “mmvka'" ¢<a. Q E><. r:us»: ~ W5,‘ French but I futvrrng ICr. ‘>E tlrrsl = v‘a-r'resr3n*>: » 4 III C r E‘ :1 8 0 55 3 ‘Stir : ‘Tweet 135K EILIE III Copyright 2012 TeIeMentaI Health Institute, Inc. All rights resen/ ed. douglaswray A
  15. 15. "F ~‘I~ rt What’s Happening in Social Media & Cybercounseling rt Legal & Ethical Issues In Paths to Profits from Social Media Copyright 2012 Te| eMenta| Health Institute, Inc. All rights resented. 15
  16. 16. MARRIAGE COUNSELOR “You don’t blog. you don’t Twitter, you have no RSS feed, you’re not on Facebook. ..and you wonder why you can’t communicate? !”
  17. 17. PEW: SOCIAL NETWORKING SITES AND OUR LIVES (JUNE 16, 2011) x The number of people using social networking sites has nearly doubled since 2008, and the population of SNS users has gotten older. Copyright 2012 Te| eMenta| Health Institute, Inc. All ri eeeeeeeeee d.
  18. 18. V_- : v, Iifia; -1 #23 Inc: ., .a. ,_ .2 ,2 « -2., Coming next. .. Evolutionary perspective Copyright 2012 Te| eMentaI Health Institute, Inc. All rights I 8 resented.
  19. 19. I’; array1;1ae: ~cr= ;e-1r»3I3stre-r; I»: ~«; -:r, rr I WANT YOU TO MEET THE CLIENT. SHOW HIM OUR CATALOG. MAKE YOUR SALES PRESENTATION. LET HIM TEST THE DEMO. THEN CLOSE THE SALE. ARRANGE FOR SHIPPING. AND PROCESS THE INVOICE. I ALREADY DIV ALL THAT WITH MY PHONE WHILE YOU WERE TALKING!
  20. 20. RE-TOOLING Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  21. 21. . . ‘ - . _ . “¥‘-I ~v. ~ ~ v 2.-‘~, - ~, ' ta: » 7-‘ ya. magi‘ ; ,‘ . >-**“"' -° -* «: r _ l‘~~*: ;e: e%+~‘ A 5.. f_1.I3 _7.E1r_T. '7.7?.77‘:3C‘I.7r: .sT.73.'3.r'. ‘e. ‘; 2*}? 4.7.». .5 . =1IJ"‘7-‘- A Copyright 2012 Te| eMental Health Institute, Inc. All rights resen/ ed.
  22. 22. 25 Cents April ’ 4* I 9 24 ' I X H W > Over 200 Illustrations Edited by PLGERNSBHCK THE RADIO DOCTOR— Maybe! » 4’ I IN THIS ISSUE: ‘ Sir Oiiver Lodgv. F. R.$. : V‘ 7 . Dr. J. A. Fleming. F. R.S. ' / I > > 7‘ F. W. ‘Dunniore --J ' I-_ E, .. l / r , y . . .. {“"I _. . _ : :;_. .__ . ;.. ._u. J Copyright 2012 Te| eMental Health Institute, Inc. All rights resented. I
  23. 23. TIELEP HON 1:2. B/ ‘ISE. D CILXRE Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved. “I : ~j . ‘- -L; I I ' ' . .i’-""r -5"’ i""I . ' ~‘(' ’ '3.‘-"W It - 3, fl . I‘ I‘. 3-" ”: ~=v’-.5: --E"; -4's". lay. .. _____. _:. _ _-__‘: ' E I ; -. “o~: .; I ‘ ‘/ ‘Q0 "‘-‘
  24. 24. kQ"‘_: i‘; it ~‘ ‘ "_ 'I. ‘I~: $} it 77 ; s I ‘ . - 2. ‘ gr. -1!‘ I . It 2, ‘I 4‘ J _/ Patient in rural ER gets benefit of local care plus remote consultation with specialists. Remote doctor examines a patient’s inner car from a remote location. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  25. 25. I I A Copyright 2012 Te| eMenta| Health Institute, Inc. All rights resented. " . u
  26. 26. ~ A NI‘-‘l11:s9AM Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  27. 27. " Eficfit Random People Vampires Animals Robots Vehicles Choose This Avatar This IS how you win Initially appear in Second Lfle You can customize your appearance later
  28. 28. fie‘ Personal Robots Group mi! media lab IVI"l‘i_, ) be '. '.’I robot» Home 3- - ' Welcome to the Personal Robots Group ‘. )'i l"~l?1§§‘. (%)'3i‘:
  29. 29. nsl M O The Wand 5 Most Advanced Humanoid Robot AS(MO v NEWS EDUCATION V TRAVELS ASIMO TV v GALLERY DOWNLOADS ASIMO IS DESIGNED TO HELP PEOPLE I 0 Ir turn sound off 43)) EXPLOIE UVE SHOW 3 ‘ FEATURING » gt ; ‘ GALLERY 2 V" AS| MQ TV High Quality Photos ofASII. IO DOWNLOADS Official ASIMO downloads for your Mac, PC or SEE ASIMC LIVE 4, INNOVATIONS 3 VIDFO HISTORY «) 5'T'a”°"°"e _ g _ TRAVELS got; yps can sgedgslltio See Tglw roiaots In b CI‘| etC: (yDUI Honda 5 mogiitynh finegkiout Itlvtideo mstoryhoi yam of ASIMO: “Wm Amencan Tum captured In ms 8| 8 ISIIE)’ II EVE pmen IIOW Cfill (lily W00 DGSGITIDOWEIE W 0!! ESIO 0 CSISSEBIC nomdournal out the best In us in the future ASIMO-derived technology D ""“"‘°" HONDA Facebook ! hnPawmuiDtnarrI
  30. 30. 3 ‘ u. .. -‘—-1 ‘I H «Y. -— .5‘. .. .. - Ig, I [W 5-‘ I: .. E, » Coming next. .. What do mental health consumers Want online? Copyright 2012 Te| eMenta| Health Institute, Inc. All rights 30 resented.
  31. 31. F'md keywords Based an are or ‘mth ithe fdltlrting >VWuU[f'&V| ; cnliiie o: Lr-_seIr-; £54’/ |l‘IE‘ .1 ‘I Ca: eg= :IIIes III Comaim sar. Amtseu J; All ’: counseling " ’, counsefing mine L‘ I nciiwseiiig . . ’ riscliozi counseling ‘i i’. oiilrie ctirstm counseiiiig ‘E 3/, online course’ Websit- 3 Lixaicvs trnec was Languages: E'i; isr KEYWON “B35 3 ‘ vIIlI"I}‘I1lIir'1li'I''2tillS ‘o; r rfittrram to see léie full set of ideas fI}iil‘IS Search Sorted by 3': 7 Ilieywurii C0l. '_D? ’IIDO! l I‘; lwal"c": iliSeaIc! Ies 7 Q 135.300 ; ‘ £9.5llIi ’ F; 22200 ; ‘mo ‘W3 9.900 7 ’ ': »:*': ':-' : :_"£= '; 9301) Q mi ‘= ::" : .. ea ; I‘ 8130 7 5;, 5.400 3 ma 9, 5400 7 7', 5.400 , mi 1‘ 3.500 Local l. IonL“, ' Sean‘: -es 11 II C03 5 III»? 2223! S 103 8 III‘ 8103 B 103 -I», -III‘ 5 4433 Local Search trends
  32. 32. Keyword ideas Sign in with your AdWords Iogin information to see the full set of ideas for this search. Download v I [j Keyword Competition Giobal Monthly Searches " online counselor Q - 90,500 = marriage counseling Q - 201,000 — online counseling Q 2 74,000 r‘ online marriage counseling Q - 8,100 = crrristian marriage counseling Q - 14,800 — online counseling services Q 2 2,900 m online relationship counseling Q - 1,900 = pre marriage counseling Q 2 33,100 — online christian counseling Q - % 5,400 - counseling services Q 2 135,000 = couples counseling Q - 40,500 — online christian marriage counseling Q I 880 - marriage counseling questions Q 2 3,600 Copyright 2012 TeIeMentaI Health Institute Inc. All rights reserved.
  33. 33. Keyword ideas Sign in with your AdWords login information to see the full set of ideas for this search. i Download v [j Keyword Global Ilorrttily searcries — online therapist 60,500 — online counseling 74,000 — online marriage counseling 8,100 " online therapy 49,500 — online counseling services 2,900 online relationship counseling 1,900 — online counseling therapy 720 — online christian counseling 5.400 V — counseling services 135,000 — marriage counseling 201,000 — couples counseling 40,500 — christian marriage counseling 14,800 — online career counseling 1,900 -| ||| I|IIIIIII§ fififififififiifiifiifiifihfifi r— familv miinselinn senrices 6 son
  34. 34. XInternet World Stats Usage and Population Statistics Google AdWords Put your ad online. New Stats Start with $75 free Internet Users in the World Distribution by World Regions - 2011 12.11% 10.4% I Asia 44.8% I Europe 22.1% I North America 12.0% I Lat Am / Caribb 10.4% IAfrica 6.2% I Middle Easi 3.4% I Oceania / Australia 1.1 % SOUFCEI Internet W0l’id Stats - www. internetworldstats. com/ stats. htm Basis: 2,267,233,742 Internet users on December 31, 2011 Copyright 2012, Miniwatts Marketing Group 1,695 Facebook 9 Tweet I’->
  35. 35. INTERN ET USAGE STATISTICS The Internet Big Picture Vorld Internet Users and Population Stats WORLD INTERNET USAGE AND POPULATION STATISTICS ( 2011 Est. ) Dec. 31, 2000 Latest Data (lo Population) 2000-2011 of Table W W Middle East 216258.843 3.284.800 77,020,995 35.6 % 2,244.8 % 347394.870 108096.800 273,057,545 78.6 % 152.6 % 12.0 % Latin America 7 Carib. 597,283,165 18,068,919 235,819,740 395 % 1,205.1 °/ .. 10.4 % Oceania I Australia 35.428995 7.620.480 23,927,457 87.5 % 214.0 % WORLD TOTAL 6,930,055,154 360,985,492 2,267,233,742 528.1 "7. 100.0 '7. NOTES: (1) Internet Usage and World Population Statistics are for December 31, 2011. (2) CLICK on each world region name for detailed regional usage information. (3) Demographic (Population) numbers are based on data from the US Census Bureau and local census agencies. (4) Internet usage information comes from data published by Nielsen Online. by the International Telecommunications Union, by Q4. local Regulators and other reliable sources. (5) For definitions, disclaimers. and navigation help. please refer to the Site Surfing Guide. (6) Information in this site may be cited, giving the due credit to www_internetwor| dstats_com. Copyright © 2001 - 2012, Miniwatts Marketing Group. All rights reserved worldwide.
  36. 36. , , , __ _. -- .1 . 1”. ‘- ‘I113’ . .- fiff , —' i ,1‘-: . _. if _( __ ___ I» l _ .1: —. ‘it. .. w: as :1 8 244) {'r. .-’ . —. ‘»~~‘‘‘ . . ‘V . _ >. _.. I’ 1. Coming next. .. What’s mHealth? Copyright 2012 Te| eMental Health Institute, Inc. All rights resented. 36
  37. 37. Do you own one of these smart devices? Did you 10 years ago? I l I E, feet‘; I ‘ —. ~. T7" i T" “'1 I — Q. » * . » 5.. .}? -—: I 9 tee. :4: . , ’ / s" t, _ '. :j. »- --_z -1117
  38. 38. 3W3_7;T 7 -{Oi IE EX‘ ”-OCV3i ' Nearly half (46%) of American adults are smartphone owners as of February 2012, an increase of 11 percentage points over the 35% of Americans who owned a smartphone last May. .. Smartphone owners are now more prevalent within the overall population than owners of more basic mobile phones. (PEw,2o12) Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  39. 39. CM. ’3.7tT 7’-IOI '3 EX7”-CCO*3i ' (CONT. ) Nearly every major demographic group—men and women, younger and middle-aged adults, urban and rural residents, the wealthy and the less well- off—experienced a notable uptick in smartphone penetration last year. ..60% or more within several cohorts, such as college graduates, 18- 35 year olds and those with an annual household income of $75,000 or more. (PEW, 2012) http: //pewinternet. org/ ~/medial/ Files/ Reports/2012/Smartphone%20ownership%202012.pdf Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  40. 40. EFFECTIVE CONVERSATIONS? at Different Professions / Professional Associations & Their Respective Ethical Codes: + Psychiatrists ‘ + Psychologists + Social workers I + Counselors vi‘; x Regular 7 x Family & Child x Pastoral x Substance Abuse Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved. 40
  41. 41. CC-py'. 'I{_; *ll 2llC'8 by Ra-«I‘, v I3|cI-slur, -lg-. ‘-n '/ -'1‘/ I/. ‘ I, jI«l5UL‘l(_. ]L’l1 LIJIEI ‘‘I agree with much of what you’re saying, mostly the brief silent parts between the words. ”
  42. 42. TEI: EMENTAL HEALTH GUIDELINES & STANDARDS 1998 American Psychiatric Association Telepsychiatry via Teleconferencing 1999 (2005) American Counseling Association Ethical Standards for Internet On-Line Counseling 2000 American Mental Health Counselors Association Code of Ethics of AMHCA, Principle 14, Internet On-Line Counseling 2000 American Medical Association Guidelines for Patient-Physician Electronic Mail 2001 National Board of Certified Counselors (NBCC) Center for Credentialing and Education The Practice of Internet Counseling 2001 Canadian Psychiatric Association (CPA) Telepsychiatry Guidelines and Procedures for Clinical Activities 2004 (2010) Australian Psychological Society Guidelines for providing psychological services and products on the internet 2006 National Association of Social Workers & Association of Social Work Boards Standards for Technology and Social Work Practice 2008 (2010) Ohio Psychological Association Telepsychology Guidelines 2009 Canadian Psychological Association Ethical Guidelines for Psychologists Providing Psychological Services Via Electronic Media 2009 American Telemedicine Association Evidence-based Practice for eemenfa Fleaffi _ Practice Guidelines for Videoconferencing Based Telemental Health New “Desktop and Mobile Telemental Health Workgroup" (2011 -present) Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  43. 43. POLICIES & GUIDELINES x AMA Policy: Professionalism in the Use of Social Media at Guseh JS 2nd, Brendel RW, Brendel DH. Medical professionalism in the age of online social networking. J Med Ethics. 2009;35(9):584—6. x Social Media and the Medical Profession: A guide to online professionalism for medical practitioners and medical students. Ajoint initiative of the Australian Medical Association Council of Doctors—in— Training, the New Zealand Medical Association Doctors—in—Training Council, the New Zealand Medical Students’ Association and the Australian Medical Students’Association. x Gabbard GO, Kassaw KA, Perez—Garcia G, Professional boundaries in the era of the Internet. Acad Psych. 2011 ;35:168—74. x Brave New World of Social Media: Social networking is transforming the way medical students communicate with one another, but is online content meeting professional standards? The New Physician January- February 2010 Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  44. 44. OCPM: Online Clinical Practice Management Step 1: Training Step 2: Referrals Step 3: Patient Education Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement Copyright 2012 TeleMental Health Institute, Inc. All rights resen/ e
  45. 45. SOCIAL MEDIA IS NOT PRIVATE x “. ..assume that anything you post will be seen, read, and open for comment. Anything you say, post, link to, comment on, upload, etc. , can and may be used against you by your peers, colleagues, employer, potential employers, fellow members, and so on. ” x APA http: //www. apa. org/ about/ social—media—po| icy. aspx Copyright 2012 TeIeMenta| Health Institute, Inc. All rights reserved.
  46. 46. . v P‘ at _ :4 .4‘ . x‘- I ; 4‘ . - 1 ‘ » '> 1 ‘u "I “& I ,5 i ' , .. '. . ' - L L’. , '4" ' _; _ N P T . . T, “ . ,7.. . ma . ,- ~ : :-- rt- _ I K V- . I‘ ‘t_ f I _V rt! qy ‘J v ; .. V. 1; 46 Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  47. 47. SOCIAL TIES & SOCIAL NETWORKING x The more frequently someone uses the Internet, the larger his network tends to be. The average person who uses the Internet at home several times per day, has a network of 732 ties, while someone who uses the Internet only once a day has a network of 616 ties. at In addition, mobile phone users average 664 ties, and those who have Internet access through a mobile device like a smartphone or tablet computer tend to have about 717 ties. x PEW, 2012, “Social Networking Sites and Our Lives” http: //www. sIideshare. net/ marketingfactsn| /pew- research—social—networking—and—our—lives Copyright 2012 TeIeMenta| Health Institute, Inc. All rights reserved.
  48. 48. WI-I13 '7-E I’CIJ I‘. l.'3.RV’. .E"Ii'G. ’E Women account for 85% of all buying decisions, spend 80% of the combined income of a dual-paycheck household, and are opening 70% of all new businesses. If you are focused on women as clients, are you attracting, honoring, and serving them as well as you could be? Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  49. 49. - I . l.. ‘.. .:I: . I I Nearly twice as many men (63%) as women (37%) use Linkedln. All other SNS platforms have significantly more female users than male users. PEW, (2012). “Social Networking Sites and Our Lives” http: //www. s|Ideshare. net/ marketingfactsn| /pew-research-socia| - networking—and-our-lives Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  50. 50. Copyright 2012 TeleMental Health Institute, Inc. All rights resented. Linkedms Go to Llnkedh Ads D Home Profile Contacts Groups Jobs lnbox Companies News More Peoplev Search V Marlene M Maheu, Ph D Add Connections Advanced 5 Star Beach LIvm_g_~ Come to Phuket and live the beach life I have 5 star villas for sale Share an Update People You May Know Chic Bancroft, CAP, Board x ‘ Certified Addictions Professional! 0 Attach a link E)! ' ° connect b Michael Gillis, Executive Director X We are connected through my main profile because you - _iAe - Czrrner‘. - Ilcrei - E jaw ago ° Connect Linkedln Today: See all Top Headlines for You Tom Ostrander MBA, MDIV, x 4Tips to Keep Yourwebsile Tecncrunch I Some Key Social Disruptions: Design Sets the i g°g: rf: e"; " wmeme” T"‘"“°" Ahead otthe CUNE In 2012 Media Trends TO LOOK For In Tone at 3 New Start-Up See more i» faceboo ’ )) Ads by Linkedln Members FUTURE S ’ Kan1ia's negotiable: give! BROWSER K Mikes Brazil 135 Mile Ultra for I I'll»--1 1 Underprivileged Kids ~ up height Everest Four Livers I. No Funeral All Updates ' Shares - Groups ' More’ Recent - Top ‘ a body parts butwere afraid to ask All you want to know about replaced Show 2 more recent uodaies. Geofl Henderson, Judy Bin-Nun, Ph. D., LMFT, Dean McDonnell, Jacqueline Remondet Wall, and Marc Sadoif, MSW, BCD joined the group TeleMental Health Institute (TMHI) Find a gtcu; ‘or us. ‘ - L irirrutes ago I Big Money Painting Painting Franchise has huge margins ~ be your own boss and never Paint! James (Jiml Wilds, MHA, ACHE, Military Veteran has an updated current title: Founder at Founder at ‘ProActive". lntemational Healthcare Systems PubliclPnvate. Center of Exce| lence—(COE) the < . C:. mrnewt > Send 3 Who‘: Viewed Your Profile? e - I m, r.l‘: es ago 32 Your profile has been viewed by 32 people in the past day sacpros sacramento . -a ‘-5 tier sacpros LReporta - Youtube NextUp. http. llt colxuHZSOn| 1 8 1YéIl. tI_h8Ve_SI1£‘Wll uptini ‘search results imes in e pas ays. LReporta - Youtube NextUp. youtube com CLIQUE PARA TWEETAR: http’l/ clicklotweetcorri/ De9uo Meus canals: LReporta - http: /lwww. youtubecom/ lreporta Coisa de Nerd ~ http: l/www. youtubecorn/ coisadenerd Cinco Vlogueiros « http: llwww. youtubecomlcincovlogueiros Meu. .. Your Linkedln Network 2 6 Connections link you to , 13,754.136+ professionals Fa. arv. e 1‘: Rstweet <"~ Rscrv. - 4 minutes ago . r I; "we updates vrzrsscurcs
  51. 51. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights resented. Linkedfle Go to Lnkedln Ads » V Marlene M Maneu. Ph D Add Connections Home Profile Contacts Groups Jobs lnbox Companies News More Groups- 6 ( Te| eMenta| Health Institute (TMHI) Discussions Members Promotions Jobs Search Manage More. Take a minute to set up your open group for success. Modify write permissions in Group Settings » Edit your Group Rules n Stan a: ' DlSCLlSSlOn : — Poll Start a mscussion or share something with the group Your Actrvity Choose Yourview v - Show all RSS discussions v HI, I am a LMFT in San Diego, CA. I haven't done any online. erwingallaghertherapycom - ' " v _. - Linda Erwin-Gallagher provides counseling and therapy services in. .. 4 (3 Like C3Cornment §>Flag ' More V 5 Most Popular Discussions If you haven‘t yet introduced yourself to our Linkedin group, please type 1 or 2 lines to let us know what draws you to Telemental. . Are you working with technology yet? If yes, what type? With whom? Which vendor are you using and are you satisfied with them? What yr. : t 1; Dhyan Summers ; t 2; -Hello, n K E I - ®Like Pcomment fzunfollow More V "Apps" Anyone’? What's the #1 best function a mental health-related app could provide to improve your work? Many great psych apps have come to the market in 2011. What do you need to improve the impact of vour elfurts'7 See aI68 oorlments : - Search Share group I Group mles Manager's Choice lfyou haven’t yet Introduced yourself to our Linkedin group, please type 1 or 2 lines to let us know what draws you to Telemental Health or online therapy Please consider answenng. lilarleha '4‘ lrlaheu. Ph 3 58¢ all n Latest Updates -W 54 people have joined the group, including Paul Waters, Gordon Leith and Perry Zuclreninan 4 seconds ago Kit Lisbeth Jensen commented in the group on New York Times Examined Pros and Cons of Online Therapy’ “When Vour Therapist is Only a Click Away": Hello Marlene. I would love to take some courses, and have a question. Because of our timezone (Denmark) is it possible to work with already. .. Lire ‘ Comment(2) - 8 minutes ago Dhyan Summers. Laurie Handler. MFT. Dr. Arthur Ciaramicoli and 2 more commented on: It you haven't yet introduced yourself to our Lcnkedin group, please type 1 or 2 lines to let us know what draws you to Telemental Health or online therapy Please consider answering. 68 comments < 2 hours ago See all updates » Ads by Linkedln Members Healthcare Professionals
  52. 52. -Y} éM9BElZGEr~l “Ever since I signed up for Twitter, I get the feeling that people are following me! ”
  53. 53. Search results telepsychology “”°°“ ’ Tweets Top All ‘ People 7 i Marlene Maheu ieiepz . :r“: “‘: kgl 2 sh . lnkd. in/ sa3QDw Different geographic areas (countries and states within countries) seem to define and regulate the tenn, ,, San Diego trends - Chg-igg Marlene Maheu ieietis iT<FiiCi; ‘. 1 mar , ,8°coaMco, a n P_: m,fl lnkd. in/ YX4pdQ wayne. Here's that Ilnlt I promised about that Video of #YouKnW“sARecassmn the recent bnefing the ATA sponsored in Congress re_. ,, : rS: :$T(; :*ra Marlene Maheu E»? :2; . i; ; ‘,x l Mai lnkdin/ FBNa8j Lisa. you are in an optimal position to work with PVT videoconferencing because you already have an established. .. Illinois State Km‘ c‘"‘°'°" Marlene Maheu E-: i’~: s , v:roi: ;. 1 Liar ‘M90 9”‘ Inkd. inNK89k5 Dallia, Wise choice! Servicing rural communities 80 Many Girls brings you many benefits. including instant reimbursement. .. MVC Marlene Maheu I-: «i>': [‘E ’: li‘: ‘i': ‘Ji Iii Fe; New Psychology Dictionary App Available From the APA: Inkdin/44vQdY Tmtter —*i: iu. ‘ Heir Term-‘_~ Priaac. Marlene Maheu l>'. -79;‘? n: hi: - ZU Fe Access to Replay 0! Recording: "New Frontiers in Psychological Assessment". Tuesday. February 28. 2012 awebercom/ t/Sqmkc Marlene Maheu zeieps . L-hi:1l': |;’ 121.59: How to Remove Your Google Search History Before GoogIe's New Privacy Policy Takes Effect March 1. 2012: Inltd. in/ Um4rMN Marlene Maheu leieiss . »:iw: il-3;‘ SE: 39:: Now Accessible: FREE replay of today's webinar. "Psychological Assessment: Telemental Health Strategies Using. ,,. lnkd in/ G6RrgF Marlene Maheu ieiepg . r:hcii; «.; 293% F93 Copyright 2012 lnl(d. in/ uBGbX4 Roy, Cigna was fined 2-3 million dollars just last year Te'e“'°“‘a' ”‘*a‘“‘ for HIPAA violations, I believe it was UCLAthat was, ,, '”5“‘”‘fe’s'; ‘§; e’§'_' "gm
  54. 54. Q Browse Movies Upload I M/ *HEU1l5 TMHlChanne| 's channel Featured Feed Videos Search Channel About TMHlChanne| 's channel Comments Post 3 channel comment Dr. Keely Kolmes, Telehealth Summit 2012, Social Media Policies BE ‘i“‘. '-‘S Post I TlilH| Ciiannel uploaded Online Therapy & New York Times "When Your ' Therapist is Only a Click Away" Crealed by “W iivififiél 'E| Iocl-: User} Send lilessage 3"‘ " ‘"5 Latest Activity Tl. lH| Cl'i I lded I “me "D03 Date Joined TELEMENTAL HEALTH I N S T I T U T E New Perspectives Ethics in Therapy Excerpt ' r We V 54 . l ie I Tl. liiiciiannei uploaded TeleMenta| Health Institute ‘ EC . le. z‘s 0:35 I Tl. lH| Chunnel uploaded Copyright 2012 Te| eMenta| :- . —» A Join Us! Health , ' Institute, Inc. All rights 0*" 9‘-«ews resenied. * —
  55. 55. _l€uIiraui| ir: It-I: l=l-? IIrr: I-it; - = t-1ur= r Qt-uirias ! I|y'{Il! l~1-, 'flIlIl= ! rlr-. a=r: nttatit-urea €_! ='I| 'r1-Imull‘-I= a|Il= IIii ‘ -? llt= Iill= J!’ sltiii‘ I 'r‘l=1ir= lita; < ilrt-inrém-rl. t.ir-iii. !£HLAIEI r'r-V‘ 7-_'. r ‘r "L r-" = r. rt. :.~I; ,:. i_. ~l. vI; l A étznir-in 'luIi= IrinruollittmrmiltoiImIushrtarmiifiiiunwiiir-i>-i-1-: lii: hIlii. , (-—lt: Iir: r:lliir, lmirr: -lunllii-<iirnI(: lt: urr: rdIt-l1ir: . About Us Articles Blog Books Calendar Courses Discussion Glossary Interviews Websites iPl1one App Reviews for Psychologists and Other Mental and Health : :.r. .u. mn» Featured Tags PROFESSIONALS iPhone ‘Apps and Other Smartphone Dei/ icesi'Services for Mental Health F‘rofessionalsFu| l Story iPl1one Apps Reviews for Mental Health, Psycliology and Personal Growth CONSLLVIERS As iPhone app developers since 2009 our team has amasfd a collection of iPhone apps that may be of potential interest to psychologists psychiatrists counselors social workers and coaches We are happy to share our list of iPhone apps with you and ask that you assist us by commenting below We would particularly appreciate your[ ]Full Story mHealth, iPl1ones 8: HIPAA Secured Telehealth & Telecommunication Platforms mHealth is one otthe fastestgrowing areas of healthcare funded by international players who understand that healthcare will soon be delivered to the consumer hip pocket ratherthan Just to the desktop We will bring you much more information on this topic in the nearfuture but for now plan to use this blog to [ ]Full Story SKYPE 8: HIPAA (ePHI vs PHI) There seems to be continued confusion about whether or not Skype is HIPAA compliant Please allow me to post some Dr Maheu Yes l agree that we are not perfect and cannot do Dr Rekha Dekhnrukh Merlene Hi lam on the same wavelenth as you Roger Dovrney Dr Malreii We agree onvideo- conferencing codecs admin John It appears as if we agree on many things John Bierma Marlene Thanks for yourresponse I don‘tth Free Reimbursement Handbook with TeleMentaIHea| thNews Signup! Copyright 2012 Te| eMenta| Health Institute, Inc. All nghts_resen/ ed.
  56. 56. (.2005) Discuss time zone differences, local customs, and cultural or language differences that might impact service delivery. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  57. 57. l-| l'G. lJ| CTIC 8: ClJl. TlJFiAl- DIV El-‘CI'l"r’ Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved. 57
  58. 58. Copyright 2009 Te| eMenta| Health Institute, Inc. MULTICULTU RAL/ MULTILINGUAL ISSUES SELFHELPMAGAZ| NE. COM at Canada at Singapore 3: Netherlands 3: Greece at United Kingdom at South Africa as Australia 3: Malaysia as Japan as Israel 3: Germany as Belgium x New Zealand 3: Sweden Copyright 2012 Te| eMenta| Health Institute, Inc. All ri eeeeeeeeee d. 58
  59. 59. Copyright 2012 TeleMental Health Institute, Inc. MULTICULTU RAL/ MULTILINGUAL ISSUES SELFHELPMAGAZ| NE. COM 3: Malaysia as Ireland 3: Israel as France 3: Belgium 3: Russia 3: Sweden as Spain 3: Mexico 3: Brazil 3: Finland 3: Austria 3: Saudi Arabia x Poland
  60. 60. Copyright 2012 TeleMental Health Institute, Inc. MULTICULTU RAL/ MULTILINGUAL ISSUES SELFHELPMAGAZ| NE. COM 3: Denmark 3: Thailand 3: Argentina 3: Croatia x Turkey 3: Indonesia as Philippines 3: Norway 3: Portugal 3: Romania 3: Peru 3: Italy 3: Hong Kong at United Arab Emirates 3: Pakistan 3: Cyprus 60
  61. 61. Copyright 2012 TeleMental Health Institute, Inc. MULTICULTU RAL/ MULTILINGUAL ISSUES SELFHELPMAGAZ| NE. COM x Brunei Darussalam x Bulgaria x Latvia 3: Uruguay x Ecuador x Former USSR 3: Venezuela 3: Lithuania 3: Mauritius 3: Kazakhstan at Bosnia—Herzegovina x Ukraine x Slovak Republic x Zimbabwe at South Korea as Georgia
  62. 62. Copyright 2012 TeleMental Health Institute, Inc. MULTICULTU RAL/ MULTILINGUAL ISSUES SELFHELPMAGAZ| NE. COM x | ran X Aruba 3: Nicaragua " Qatar x Guatemala 3: El Salvador Jordan V'r "n Islands USA " enya x I 9| . ( ) x Papua New Guinea x Macedonia x Dominica x Netherlands Antilles x Madagascar 3: Botswana x Malta 3: Oman 3: Namibia 62
  63. 63. Andorra Jamaica Maldives Sri Lanka Faroe Islands Zambia Estonia Trinidad and Tobago Iceland Egypt China Chile Czech Republic Luxembourg India Colombia Copyright 2012 Te eMenta| Health Institute Inc All nghts rese e 63
  64. 64. Copyright 2012 TeleMental Health Institute, Inc. MULTICULTU RAL/ MULTILINGUAL ISSUES SELFHELPMAGAZ| NE. COM 3: Taiwan 3: Moldavia 3: Lebanon 3: Yemen 3: Dominican Republic 3: Switzerland as Yugoslavia 3: Bolivia 3: Bermuda x Ethiopia 3: Slovenia 3: Burkina Faso 3: Hungary 3: Bahamas 3: Costa Rica 3: Belarus 64
  65. 65. PRACTITIONER ADOPTION? 4‘ - x Over 1/2 million Google search results: + “on| ine counseling” = 210,000+ searches + “on| ine therapy” = 143,000+ searches + “on| ine counselling” = 83,100+ searches + “on| ine therapy” = 65,900+ searches at ------------ -- x = 502,200 searches 65
  66. 66. ACA CODE OF ETHICS (2005) x A.12.b. Assistance 3: Counselors seek business, legal, and technical assistance when using technology applications, particularly when the use of such applications crosses state or national boundanes.
  67. 67. ACA CODE OF ETHICS (2005) x A.12.c. Inappropriate Services + When techno| ogy—assisted distance counseling services are deemed inappropriate by the counselor or client, counselors consider delivering services face to face. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  68. 68. OCPM STEP 1: TRAINING x Boundaries of competence + Limits of technology x Authentication x How & when to respond, and when to use telephone instead + Role of research- based interventions and protocols Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. 68
  69. 69. AUSTRALIAN PSYCHOLOGICAL SOCIETY (2010 PROPOSED REVISION OF INTERNET GUIDELINES) x Research—based protocols + 1.6 “Psychologists using the internet to provide a psychological service should be aware of the extent to which therapeutic interventions via the internet are supported by research or may be contra—indicated Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. 69
  70. 70. OCPM STEP 1: TRAINING x (i) A psychologist shall not practice outside his or her particular field or fields of competence as established by his or her education, training, continuing education, and experience. Cal. Bus. & Prof. Code 2915. 0 Q
  71. 71. OCPM STEP 1: TRAINING ‘ so at Adhere to peer- reviewed research protocols before offering services to the trusting public + http: //telehealth. org/ biblio graiohy x Look at: + funding sources + meta—ana| yses Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. 71
  72. 72. OCPM STEP 1: TRAINING x Choice of Communication Channel (modality) + Responsibility of Professional? x Technology specific training/ proficiency for each modality + combination of modalities x Confidentiality for each modality x Client authentication for each modality x Practitioner authentication for each modality Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. 72
  73. 73. OCPM STEP 1: TRAINING x Training for each technology at Training for dealing with boundaries between multiple Internet technologies: + Email / Chat Rooms + Telephones / Cell Phones / “Apps” / Texting + Videoconferencing (Public / VPN / Cloud) + Websites / Forums / Social Networking 3: Which technology for which patient -- and when? 73
  74. 74. Copyright 2002 by Randy Glasbergen. wvw/ .glasbergen. com ”lF AT FIRST YOU DON'T SUCCEED, BLAME YOUR COMPUTER. " 74
  75. 75. OCPIVI: Online Clinical Practice Management Step 1: Training Step 2: Referrals Step 3: Patient Education Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement Copyright 2012 TeleMental Health Institute, Inc. All rights resen/ ed.
  76. 76. OCPM STEP 2: REFERRALS OR INTERNET MARKETING (IM) x Provider lists x Colleagues with telehealth training as Professional websites, blogs, apps All iPhone Apps for “mental health" Copyright 2012 TeleMental Health Institute, Inc. I lie ul Illness uexllxai Released See 25 zoos FREE v Menu: Mum: Assessment: Med-can Release-. : Sea 29 2015 ussun - uemr nuns: irumng Ical am New oe zoos Susann- Menu um: News Reader HQIUICJIE HESS a Updated :3 zero “.5 B" ' Live mppy Ital area 0:101 min Susan! v Stress re: wnh Deeplk Chopn Hes care a. mess u at an 15 zoro SL3 E" ' Q 0 ruby‘: Revlew Ouesllofls lor me FUJI Released Mar 27 zoos 315.5 HIV ' Optimism for Menu! Health Healricare L Fmess updated Or.1C2 zore FIE v Your rupus magnum ~ urenul Nell Medical Released Sec or Zora 51: em v ~ nut nunn Cunllnuing Educ ucamn 3 Sea 17 mos Fnsiv
  77. 77. -: -: E7;/3-i- TR’-tt. l3 E CCl‘. lMCCiCi ' (FTC) FTC Powers to _ «: Merchant-Advertiser Regulate Deception & Responsibility & Liability U”fa"‘“e*°*‘°’ i: i Affiliate/ Network FTC/ AG E““°l°eme“l Responsibility & Liability Priorities 4: Merchant-Advertiser/ Atfiliate Ad Substanhahon Best Practice-Compliance Clear & Conspicuous Disclosure/ Negative Tips _ Option «: Mobile Marketing FTC Endorsement «: Privacy he Guidelines Copyright 2012 Affiliate Summit West
  78. 78. Copyright 2012 TeleMental Health Institute, Inc. ONLINE NORM VS. STANDARD OF CARE x Mostly Email & Chat vs. Video at Anonymity / No Patient Records at Avoid Responsibility w/ Website Disclaimers x No Clear Channels for Mandated Reporting 9 No Contact with Other Treating Clinicians 9 No Authentication of Consumer/ Professional 9 No Emergency Backup Procedures 9 Misunderstanding of Clinical Processes (suicide) 78
  79. 79. OCPM: Online Clinical Practice Management Step 1: Training Step 2: Referrals Step 3: Patient Educafion Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement Copyright 2012 TeleMent Health Institute, Inc All n his rese n/ ed.
  80. 80. ACA CODE OF ETHICS (2005) x A.1.b. Records at Counselors maintain records necessary for rendering professional services to their clients and as required by laws, regulations, or agency or institution procedures. Counselors include sufficient and timely documentation in their client records to facilitate the delivery and continuity of needed services. Counselors take reasonable steps to ensure that documentation in records accurately reflects client progress and services provided. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  81. 81. BOARD OF BEHAVIORAL SCIENCES (BBS), CALIFORNIA x The informed consent procedure shall ensure that at least verbally and in writing: ( 1) . ... option to withhold or withdraw consent at any time x (2) . ..potential risks, consequences, and benefits of telemedicine. x (3) All existing confidentiality protections apply. at (4) All existing laws regarding patient access to medical information and copies of medical records app/ M x (5) Dissemination of any patient identifiable images or information . ..shall not occur without the consent of the patient. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  82. 82. ACA CODE OF ETHICS (2005) x A.12.a. Benefits and Limitations x Counselors inform clients of the benefits and limitations of using information technology applications in the counseling process and in business/ billing procedures. Such technologies include, but are not limited to, computer hardware and software, telephones, the World Wide Web, the Internet, online assessment instruments and other communication devices. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  83. 83. ACA CODE OF ETHICS (2005) x A.12.g. Technology and Informed Consent x As part of the process of establishing informed consent, counselors do the following: 1. Address issues related to the difficulty of maintaining the confidentiality of electronically transmitted communications.
  84. 84. ACA. CITE / DE OF ETH I CC’ (2005) A.12.g. Technology and Informed Consent 2. Inform clients of all colleagues, supervisors, and employees, such as Informational Technology (IT) administrators, who might have authorized or unauthorized access to electronic transmissions. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  85. 85. English ~ Near (Address. Neighborhood. City, State or. San Francisco, CA Search for (e. g. taco, cheap dinner. Max's) Real people. Real reviews. 5 Find Reviews Welcome Aboume WrlteaRevlew FlndFriends Messaging Talk Events don't miss TODAY'S deal from Arar Keely Kolmes, PsyD Category: Counseling 8. Mental Health {Edit} 220 Montgomery Street {I3 Suite 400 (between Bush St& Pine St) San Francisco, CA 94104 Neighborhood: Financial District www. drl<koImes. com Hours: 9! Appointment Only: Yes Mon 1 pm - 7:30 pm Tue-Wed 11 am- 7 pm Thu-Fri 11 am — 5 pm View Larger Mapll Edit Business Info Browse Neamv: Restaurants | Nightl 4 Write I Review Deals Nearby 0 10% of? Ayurvedic consultations at Ayurveda for Balance - Debra Riordan CAS fell: ed 575 for 5 . _‘ 6 revieirs . Magnoli: ,yelp. conI/ map/ kedy-icolms-psyd-San-francisco lifestyle recommendations and seasonal cleansing with , "" I 33" Fla‘
  86. 86. RATING SITES: YELP (KEELY KOLMES, PSY. D.) at Your right / Gently discourage for these reasons: 1. The American Psychological Association's Ethics Code states that it is unethical for psychologists to solicit testimonials: Principle 5.05 "Psychologists do not solicit testimonials from current therapy clients/ patients or other persons who because of their particular circumstances are vulnerable to undue influence. " Since you may decide to return to therapy with me at a later date, I do not request testimonials from people who have ended theraHph_ with me. Copyright 2012 TeleMental nstitute, Inc. All rights reserved.
  87. 87. RATING SITES: YELP (KEELY KOLMES, PSY. D.) x 2. Unlike other business owners who may respond to their Yelp reviews, as a psychologist, I must provide confidentiality to my clients. This means I am restricted from responding in any wa y that acknowledges whether someone has been in my care. Thus, I do not intend to respond to any reviews.
  88. 88. RATING SITES: YELP (KEELY KOLMES, PSY. D.) x 3. Ihope that if we work together, we can discuss your feelings about our work directly and in person. This may not always feel comfortable, but the discussion of positive and negative reactions to our process can be an important part of your therapy. If it is simply a matter of poor fit, I'm always happy to help you find a therapist who is a better match.
  89. 89. RATING SITES: YELP (KEELY KOLMES, PSY. D.) x 4. If you still choose to write something about my practice on Yelp, remember that this is a public forum and you may be sharing personally revealing information with a wide range of readers. To preserve your privacy, consider using a pseudonym that is not linked to your regular email address or friend networks.
  90. 90. INTERNET RATINGS: WHERE ARE WE GOING? x Expect ratings and quality surveys by healthcare providers to become standard operating procedure by smartphone app users. at Yelp + They can rate you but you can’t fully defend yourself without violating confidentiality
  91. 91. HK. K flu SanDlego, CA 03 n_J_j_J__J1/180010 Qrirsteoneview Stay awayll No therapist who works for them, no matter how good, worth the bl. 2 of their therapists at2 different stages in my lite. The tirsttime. I canceled an ar: for the doctor. The receptionist never gave the doc the message and then they ha payment Countless hours wasted on phone calls 8. letters of documentation. The 2nd time (it was years later 8. I'd forgotten that I already hated them - big mist copay. I called my insurance co. and the representative called Psycare with me to 45 minutes 8. 3 transfers later. we finally talked to someone in Billing. By thattimi Ever hear your insurance rep do your yelling for you? It's hysterical! Along the same lines, every time I called, regardess of the reason, I was on hold exaggeration. Wasthereview ---'-’-(4) -(3) § . Bookmark — Send to a Friend ‘Link to This Review
  92. 92. App SlC'e Healthcare & Flfness Fish ngton Studios iCrazy - Psychology Tests 1% Description K H , «q. Ever wonder if you‘re crazy? Now you can find out. iCrazy is a collection of psychology tests, many of which are used by actual doctors and therapists to determine the mental health of an individual. You will find tests ranging from: 51.99 Buy App ' -Schizophrenia - Bipolar Category‘ Heatthcare & Fitness ‘Alcoholism Updamf Mar 03' 2010 ' 3SS9SSm€fltS Current Version‘ 1.2 ‘ Panic Macks 1 2 - Eating Disorders 4 3 MB - Domestic Abuse Language‘ English ‘ Depression Seller: Fishington Studios ' mtemet Addiction 2010 Fishington Studios ' °3'"°'"‘9 A°d‘°“°" - Stress indications - Sex Addiction Rated 44 And more to come in the future, "°‘1“"°'“°"“‘°°"‘°°“b‘° Wm‘ And now weve just added our latest addition: The Rorschach lnk Blots. View all ten lnkhlots in their onginal color and texture, Phone, iPod touch, and Pad. Requires Phone OS 3.1.2 or later f9CO| ’d what YOU see In the | nKD|0L and VIEW common interpretations 0' each one.
  93. 93. INFORMED CONSENT & SOCIAL MEDIA POLICY SAMPLES xhttpztelementalhealth. com/ sit es/ default/ files/ Informed_Co nsentpdf xhttp: //drkkolmes. com/ for- clinicians/ social-media- poHcy/
  94. 94. OCPM: Online Clinical Practice Management Step 1: Training Step 2: Referrals Step 3: Patient Education Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement
  95. 95. All Existing Legal and Ethical Rules Apply
  96. 96. Slip to Content l Footer l Accessibility DepartmentofConsumerAffairs i. -GOV Board of Behavioral Sciences Search BBS Home Board Activity CONSUMER RELATED TOPICS . ... ... ... -_ D D D D V QUICK HITS >) >) >> >) >> D >) >> >) >) us What's New Board Meetings Customer Satisfaction Survey Consumer Complaint Form Department ofconsumer Affairs Frequently Asked Questions Online License Verification Pending Decisions and Opportunities for Public Participation Recommended Links Statutes and Regulations Qnherrihnv I Eat tH>n- / /unutu 1-: nru/ Consumers App| icantJRegistrant LPCC Exams Licensees Forms/ Pubs Contact Us I. ‘-: -rtal ~93 tl‘ Lillian: -i‘ . ..C<. .>. Ip. !.J. ;1i. <.= .!. ipfpifpaatipp. !§9sers! ips.9p1ips. ?§xs1i9t1tsreey . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. Notice to California Consumers Regarding Psychotherapy on the Intemet The Board of Behavioral Sciences (BBS) would like to make the following recommendations to Califomia consumers who choose to seek therapy or counseling over the intemet. Individuals who provide psychotherapy or counseling, either in person, by telephone, or over the intemet, are required by law to be licensed. Licensing requirements vary by state. Individuals who provide psychotherapy or counseling to persons in Califomia are required to be licensed in Califomia. Such licensure permits the consumer to pursue recourse against the licensee should the consumer believe that the licensee engaged in unprofessional conduct. Be a cautious consumer when seeking therapy over the Internet, or by any other means, by doing the following: -->> Verify that the practitioner has a current and valid license in the State of Califomia. -~» Be sure you understand the fee that you will be charged for the services to be rendered and that you hilly understand how and to whom the fee is to be paid. -~>> Be sure you are satisfied with the methods used to ensure your communications with and by the therapist will be confidential. -->> Be sure you are aware of the risks and benefits of doing therapy, over the Internet or by any other means, so you can make an informed choice about the therapy or counseling to be provided. ~>> According to Business and Professions Code Section 2290 5, pnor to the delivery of health care via telehealth, the health care provider at the originating site shall verbally inform the patient that telehealth may be used and obtain verbal consent from the patient for this use, The verbal consent shall be documented in the patient’s medical record. All laws regarding the confidentiality of health care information and a patient‘s right to his or her medical information shall apply to telehealth interactions. Business and Professions Code Section 2290.5 (a) For purposes ofthis division, the following definitions shall apply: (1) ‘Asynchronous store and forward‘ means the transmission of a patient’s medical information from an originating site to the health care provider at a distant site without the presence of the patient. (2) ‘Distant site’ means a site where a health care provider who provides health care services is located while providing these services via a telecommunications system. (3) ‘Health care provider’ means a person who is licensed under this division, (4) '0nginating site’ means a site where a patient is located at the time health care services are provided via a telecommunications system or where the asynchronous store and forward service originates, (5) ‘Synchronous interaction‘ means a real-time interaction between a patient and a health care provider located at a distant site, (6) Telehealth’ means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, om-ion. .u. o Ml. ..--.05.» . --m. n. -u. -uumuuto and “ti: lln-In-uvlIrul| O .6 R n-| OInnO'A- in-iloly. .-am Iuhiln elm n-«inn: ;. - ‘Id «In . ..; -;. .-toim. .-‘.9. -nut um In-tm. .--m. .m. ..; A.u In -in -. As. -o-mo pun
  97. 97. Business and Professions Code Section 2290.5 (a) For purposes of this division, the following definitions shall apply: (1) ‘Asynchronous store and forward‘ means the transmission of a patient’s medical information from an originating site to the health care provider at a distant site without the presence of the patient. (2) ‘Distant site’ means a site where a health care provider who provides health care services is located while providing these services via a telecommunications system. (3) ‘Health care provider‘ means a person who is licensed under this division. (4) ‘Originating site‘ means a site where a patient is located at the time health care services are provided via a telecommunications system or where the asynchronous store and forward service originates. (5) ‘Synchronous interaction‘ means a real-time interaction between a patient and a health care provider located at a distant site. (6) ‘Telehealth’ means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient’s health care while the patient is at the originating site and the health care provider is at a distant site. Telehealth facilitates patient self—management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers. (b) Prior to the delivery of health care via telehealth, the health care provider at the originating site shall verbally inform the patient that telehealth may be used and obtain verbal consent from the patient for this use. The verbal consent shall be documented in the patient’s medical record. (c) The failure of a health care provider to comply with this section shall constitute unprofessional conduct. Section 2314 shall not apply to this section. (d) This section shall not be construed to alter the scope of practice of any health care provider or authorize the delivery of health care services in a setting, or in a manner, not otherwise authorized by law. (e) All laws regarding the confidentiality of health care information and a patient’s rights to his or her medical information shall apply to telehealth interactions. (f) This section shall not apply to a patient under the jurisdiction of the Department of Corrections and Rehabilitation or any other conectional facility. (9) (1) Notwithstanding any other provision of law and for purposes of this section, the goveming body of the hospital whose patients are receiving the telehealth services may grant privileges to, and verify and approve credentials for, providers of telehealth services based on its medical staff recommendations that rely on information provided by the distant-site hospital or telehealth entity, as described in Sections 482.12, 482.22, and 485.616 of Title 42 of the Code of Federal Regulations. (2) By enacting this subdivision, it is the intent of the Legislature to authorize a hospital to grant privileges to, and verify and approve credentials for, providers of telehealth services as described in paragraph (1 ). (3) For the purposes of this subdivision, ‘telehealth’ shall include ‘te| emedicine' as the tenn is referenced in Sections 482.12, 482.22, and 485.616 of ‘Title 42 of the Code of Federal Regulations. lfyou believe you have been treated unprofessionally by a BBS licensee, either through treatment over the intemet, or by any other means, review our information on filing a complaint llnrlatr-ed‘ . I:-rnrranr 73 701?
  98. 98. DUTY TO REPORT / DUTY TO WARN x (v) Failing to comply with the child abuse reporting requirements of Section 11166 of the Penal Code. at (w) Failing to comply with the elder and adult dependent abuse reporting requirements of Section 15630 of the Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont. ) Copyright 2012 TeleMental Health Institute, Inc.
  99. 99. B L‘-'l1Il2ll2l Flontlp Glosborgon. www. g|osloorgoir. con1 "Information security is becoming a big problem here. Do you still have my Captain tlrunoh decoder rirrg, Ilrla? "
  100. 100. Practicing Over ' V I‘ S . V tate LIIIBS - Copyright2012 TeleMental ea h Institute, Inc. All rights resent .
  101. 101. Licensing Boards that may assert jurisdiction: The one in your state The one in the patient’s state Both Safest: Provide services only where licensed Require pt to attest to his or her citizenship there Copyright 2012 TeleMental Health Institute, Inc. All rights resented.
  102. 102. QUESTION 3: I’m ok if my malpractice carrier says they cover me online, right? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  103. 103. QUESTION 3: So what harm am I doing if I practice over state lines? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  104. 104. J’ L 9.9 ‘II I TOOK THE ‘:3 I-' LAST cup ' OF C0FFE, E I TOO MUCH attests -< MAKE A I U / 'U95J9q99l9 Kpueu oooz «:5: 6m9 WHITE COLLAR CRIMES 104
  105. 105. APA ETHICAL PRINCIPLES OF PSYCHOLOGISTS x Principle A: Beneficence and Non—malfeasance + Psychologists strive to benefit those with whom they work and take care to do no harm. x Principle B: Fidelity and Responsibility + Psychologists establish relationships of trust with those with whom they work. They are aware of their professional and scientific responsibilities to society and to the specific communities in which they work. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  106. 106. QUESTION x is the licensing issue the same if no money is exchanged? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  107. 107. AUSTRALIAN PSYCHOLOGICAL SOCIETY (2010 PROPOSED REVISION or INTERNET GUIDELINES) x Research—based protocols + 1.6 “Psychologists using the Internet to provide a psychological service should be aware of the extent to which therapeutic interventions via the Internet are supported by research or may be contra- indicated fora particular disorder or psychological problem. ” Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  108. 108. OCPM STEP 1: TRAINING x Training for maneuvering in and out of multiple technologies: + Email + Chat Rooms : ~ I] + Voice Over IP Audio . . + Telephones / Cell Phones / “Apps” / Texting + Videoconferencing (public and VPN and/ or Cloud) + Websitesl Forums / Social Networking 9 Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  109. 109. QUESTION 3: What can we do to move this forward with the authorities? + Contact them + Volunteer if they need help + Get their newsletters + Follow the literature + Get trained so you know which questions to ask Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  110. 110. LEGAI- CIJGGEC"IOI‘*»'C Let’s pull together System is obviously straining Counsel each other Document those conversations Don’t refer to people who you know are practicing illegally or unethically Put everything in writing Communicate often to your local, state and national professional associations Write to your malpractice carrier and ask them to clearly tell you what will happen Copyright 2012 TeleMental Health Institute, Inc. All rights resented.
  111. 111. So what? WHY USE SOCIAL MEDIA? Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  112. 112. SOCIAL MEDIA CAN SERVE YOU IN MANY WAYS 1. Spread Your Message 2. Give Back 3. Learn 4. Connection / Community / Support 5. Collegialityl Mentoring 6. Exposure 9 Profits
  113. 113. PSYCHOTHERAPY VS. PSYCHOEDUCATION? x Psychotherapy defined: a method of working with patients and clients to assist them to modify, change, or reduce factors that interfere with effective living (Corsini, 1998) x Psychotherapy — 5 commonalities: + 1) the development of a therapeutic contract in which the patient has an active role (including purpose, format, terms, and limits), + 2) therapeutic interventions (confrontation, immediacy of affective expression, etc. ), + 3) resulting emergence of a therapeutic bond (also termed therapeutic alliance), + 4) the patient’s self—relatedness (lack of defensiveness), and + 5) therapeutic realizations and impacts in—session. (OrlInsky and Howard (1986) Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  114. 114. F i«I‘Fi’l’IIl‘IW El? I I I 7fl. TlIi7 I Serve more people ”‘ Part time Practice generator Lower risk Non—therapeutic relationship Clearer legal/ ethical mandates Anywhere, anytime 5 Copyright 2012 TeleMental Health Institute, Inc. All rights resented.
  115. 115. Copyright -El 2001 Randy Glrisbcrgon. wv. ".~t. glnsborgon. com .6lA55$6 “I typed up my résumé on the computer. The spell-checker accidentally changed ‘Mid-State Junior College’ to ‘Harvard’. ’’
  116. 116. Reach people worldwide 24/7 Make profits while you sleep Multiple streams of income Low overhead Social media is established and effective Very little competition Far fewer legal/ ethical mandates Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  117. 117. ACA CODE OF ETHICS (2005) x A.12.h. Sites on the World Wide Web Counselors maintaining sites on the World Wide Web (the Internet) do the following: 1. Regularly check that electronic links are working and professionally appropriate. 3. Provide electronic links to relevant state licensure and professional certification boards to protect consumer rights and facilitate addressing ethical concerns. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  118. 118. ACA CODE OF ETHICS (2005) A.12.h. Sites on the World Wide Web 6. Strive to provide a site that is accessible to persons with disabilities. 7. Strive to provide translation capabilities for clients who have a different primary language while also addressing the imperfect nature of such translations. 8. Assist clients in determining the validity and reliability of information found on the World Wide Web and other technology applications. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  119. 119. ‘I’ 18' FROCI-IIJRE 7_~lI’EI3CITE"‘ Are they social media? Are they subject to legal and ethical codes? Copyright 2012 TeleMental Health Institute, Inc. All rights resented.
  120. 120. l, I,I Iii: III| :l"‘: l_ltlj ‘l'| i:ieiI. riri a'i. ;-ynt. i.‘; __§it~. - % ( " ’ Stanley Klsiel _, i, ‘ , , (I larrage 5 Famwy Tfieraxrsi . MS LMFT " ' I Otfice Additional Office ‘ . Ferspedives Counseling Perspedives Counseling ‘J _ Center Center , I I zogu Main Street 250 Porneroy Ave * Suite 2A Suite 106 Soutthington, Connedicut Meridai. Connedirait ‘ 06489 06450 9 Show mag ('3 Show mag Contact Information Additional Contact phone: (860) 483-8739 phone: (203) 830-2488 JGZ1 Email me Send to friend ‘I have succssfully worked with adults and diildren, couples and tamilies. with both common and complex needs. My approach is focused on mind» body experiential development; accessing and working through past memories that didate present day perceptions. leelings. and behaviors. It is holistic in that it views symptoms asfunaional attempts at coping We work together establishing a calm, peaceful place within you, through the enhancement ot personal resources and developing coping strategies; we then progress beyond coping skills. moving with and through the roots oi old Ieaming so that your diange is lasting, lrom the inside out My experience includs working in both a state psydiiatric hospital for27 years and local community mental health agenues. In addition to Marriage and Family therapy, I am trained in EMDR (eye rrrcnterrrent, datensitization, and reprocessing), IFS (internal lamily system) therapy. and DBT (dialectal behavioral therapy). and I am able to utilize these skills to work with various issues induding anxiety. traumalstress/ PTSD. b impulsive behaviors. and personality disorders. ‘ Taking Ire firststep tvwardgetting help is ofierr Dre mostdiflioult Please don‘! hesitate to send an email to Stanley Kisiel General Specialties Gender: Male Years in Practice: 3 Years Avg Cost(persessiorr): S70~5100 T’3-P13 311 =75: Sliding Scale: Yes Issues: Accepts Credit Cards: No Ange, Mauaemem Accepted Insurance Plans: D9P'95I°" Aer", Emotional Disturbance Bluecross and/ or Bliteshield Family Conflict gusty A g, 5 Obsessive-Compulsive (OCD) °"‘ °‘ “EM” Mental Health: V°"'>' >‘°“’ "“‘“' ‘"’"'= "°° impulse Control Diwrdes ‘°"= ’°9¢ "'9" W“ Mood Disorders ii Personality Disorders
  121. 121. About Blog Forms Payment Practice Welcome Dr. Maheu Is your relationship a thorn in your side? Are your worries getting the best of you? Eager to get relief from depression or loss? Want to find more happiness in your everyday life? Having trouble getting along with people, even at work? Have your bad Intemet habits gotten you into trouble? Worried that your use of drugs, alcohol or nicotine is interfering with your life? Welcome to my online office. I have extensive training and experience in the areas above — and others. This website was designed to help you learn a bit about me, my services, my office, experience, training, and policies. It also is where you can come monthly to pay for my services by credit card, and check your account. Here you can also gain direct access to the website I founded in 1994, called Se| fhelpMagazine. From withing the "My Therapy Center" website, you can access the magazine's thousands of free artides, cartoons, community forum posts and other services. As for my private consultation and psychotherapy services, it may interest you to know that while I work with some people remotely, that is, over the Intemet or by telephone, I always require an intial period of face»to»face meetings. Before I agree to work with you remotely, I want to get to know you as a whole person in my office « at least for a little while. Blog Posts How Might You Check Out Is Your Therapist Using Online Theragy, Online Online Avatar-based An Online Thera ist? Slgge and Billing Your Counseling and Web Therapy for War Veterans? Insurance Illegally? Therapy — 5 ways to Make You finally found a counselor or Many military personnel spend Sure Ynll Are Safe
  122. 122. Copyrig ht 201 2 TeleMental Health Institute, Inc. All rights resented. I I ll ‘Ii‘5¢‘. (‘l Psychologist : :DSY T3173 HOME MY PRACTICE INSURANCE Welcome People are happier when they identify and deploy their strengths in every major area of their lives. Happy people live longer and are more productive. ’ Do any of these describe you? 0 I have to manage stress more eflecfitiely. 0 I want to grow as a person. but don’t know where to start. - I wishl couldfeel less depressed. 0 I can't seem to make my relationship(s) work. - I need to cope and be more prodiictive. 0 I want to have better self-esteem. be more confident and stop dwelling on mistakes. If you see yourself in some of these statements, you will likely benefit from my psychotherapy and counseling practice. ‘For supporting ps_'chotherap_' research and resources go to the Uni'ersit_‘ of Pennsylvania. Martin Seligman. Ph. D. . .~. .k . . - -- FORM Laura Struhl, Ph. D. CONTACT NE
  123. 123. m'r: m=m- tn‘. tvIl= I‘u= ,u. I r'i. .I . I3 *’eIco111e! We can help you accomplish these goals: What is your #1 question today? Telehealth Systems Development - Identity and recruit mental health providers to staff your telehealth network Technology servicelproduct offerings - Evaluate computerized interfaces for mental health populations V Understand reimbursement strategies for Medicare, Medicaid and private payers Risk Management, Training & Auditing - Develop a simple yet comprehensive legal/ ethical risk management policy Train your staff to deliver legal, ethical and reimbursable services to new consumer populations . Deliver a motivating and cutting-edge telehealth keynote to your professional group - Audit your web presence as a professional Expand Your Product Offerings ‘ Develop multiple products from ebooks clinical protocols . Create mobile phone applications (iPhone app) or other software r Formulate and implement an online marketing plan. Books by Dr. Maheu €43-‘-f I. ‘ : . J. .u. .tI F‘ Ex; .«. ,.. E~HeaIIl1 Telelleallll and lnlldeltlv an llle Internet Vxrtual Relauonshwps The Mental Health Prolesslonal and the llew Technnloules A Telememcme and Reai Betrayal HSWDOO“ I0‘ PGCUC9 I033 Copyright 2012 TeleMental Health Institute, Inc. All rights resen/ ed.
  124. 124. WEl3§! TE LEQAL! TlE§ at Website Disclaimers: face validity 3: Discuss the Limits of Confidentiality + Protect confidentiality of consumers in forums, articles, blogs, etc. + Confidential Information in Databases x Terms & Conditions + Understand limits of disclaimers + Privacy + Copyright Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  125. 125. WEBSITE LEGAL AGREEMENTS at Copyright Notice 3: Terms of Service (TOS) or Terms and Conditions (T&C) 3: Privacy Policy 3: Code of Conduct 3: Affiliate Agreement 3: Developer Agreement + Work for hire
  126. 126. WEB DEVELOPMENT AGREEMENTS at Search for comments about potential hires and partners online at Work with trusted colleagues at Work “for hire” at Retain copyright of everything 3: Obtain all access codes, original images in their licenses, and make copies of your web pages Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  127. 127. "’”©ICUT“’ I. i: .. 1, l-uu Easy to use Free Can buy “themes” Have them installed by a reputable company who understands your limits Use a service such as manageWP. com for managing multiple blog sites, too Copyright 2012 TeleMental Health Institute, Inc. All rights resen/ ed.
  128. 128. ‘ l aaooooooa '-ii ' I ‘I E‘—"5[" E’ ' ' %G° Q in ~ ; ,. 9 : ,, : ..»-ii. :.. ri(4eo)5o5gsa77 Domains. websites & W 'i betwee I‘ , ,. , , , $135 " " Our Commercials Bob's Video Blog Help 8. Forums —‘*= d"—Ti Q Domains Hosting Email Websites Search Engines SSL 8 Security Resellers Affiliates Auctions My Account °°"'iI" sum" I Bulk Search L); ‘.NlL-‘I l’Al RIC K Racmg star. on Daddy (ml I1 Customer New .69*per year lwm I Domains for just . COM Transfers Save on 6+ Domains Domains Domains Include 1.99’ §7.49’ Plus FREE Privacy §14.99 FREE | nstantPage Already own a domain? Add hostin email and more! Why you need How you can Navigating Why choose a domain use a domain GoDaddy com Go Daddy? iiglsmss DOMAIN DEALS §HQgTiNG "33 A $9 YOU CAN TRUST all :5 99 S‘ 22% What's Bob saying now? Point. Click. Design. - - ' - V9 Why successful people NEVER Building _vOUl own website is easierthan Genhe domain mama 5 “an Sggnsnegmégh; ei; a£: :fr: E‘n%mggt'°" Web use these email accounts. W” """I< Wllh W953"? T0“'9hI® , ,RE_REG, s1-ER WW y ‘ nanciwiain. free software and expert 24/7 PLUS 9 °"“"' 9'9 U” 5 B‘ “W5 A5 '°“' as 53-99"“° support. As low as $3.99!mo. 4‘ 5,“, ,, ,sp, ,m, ,,. ” -Simone Ill. 5 Learn more D AI domain pncuig D team more W , Wm“ mm
  129. 129. Legally & Ethically Copyright 2012 TeleMental Health Institute, Inc. All _= -.. ._ . __-. .._
  130. 130. Copyright 2005 by Randy Glasbergen. wwwglasbergc-n. com IIIIIW’ “Stress management is for wimps! ”
  131. 131. 6 MYTHS x Social media is a waste of time x It takes a long time to make a product to promote with social media at Need a book at Need to understand technology at Need to be the authority in an area at There are no ethics or laws related to online product development by professionals
  132. 132. PATHS TQ MULTIPLE STREAMS QF INQQME 2:3,. IN MENTAL HEALTH 3: Startw/ specialty area 3 la 3: Do market analysis at Boil down concept "“ 17 x Get best domain name 3: Outline Product Path L x Organize Content at Re—purposed content + Blog/ Webinar + Newsletter/ Youtube + Other Social Media Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  133. 133. PATHS TO MULTIPLE STREAMS OF INCOME IN MENTAL HEALTH x Content + Handouts I I . + Presentations / Webinars / Podcasts __——-T-""""' + Blogs / Articles I + Book Chapters + Video Training at Promotion
  134. 134. PATHS TO MULTIPLE STREAMS OF INCOME IN MENTAL HEALTH 3: Front End x Back End + eBook, OR best chapter + Continuity Program f b k 0 your 00 + Up—sells x Go for the “thud factor” _ _ X The more the better x Individual Treatment x Consultation + Bonus: “Organize your ADD child checklist” + Free Webinar x Easiest is to not take live calls x Ask for questions to be mailed in Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  135. 135. PATHS TO MULTIPLE STREAMS OF INCOME IN MENTAL HEALTH 3: Promotion + Quality & professionalism (media h _ _ _ _ & other ethics / legal . issues) + Website x Shopping cart x Blog x Podcast x Video + Front end — eBook + Back end — Continuity x “Up-se| |s” Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  136. 136. RE-PURPOSE YOUR MATERIAL Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  137. 137. ' I If: I? ‘ , g /122.‘ ‘. ’. _ ; -_ ' / ‘I ’ I / l : .;. ~ . 4 7 -T T (I! . . f_. ' u-l ’ . Copyright 2012 TeleMental Health Institute, Inc. All . :.. i.. ;.. .. ._ . . . ... i
  138. 138. APA ETHICS CODE — STANDARD 5 x 5.01 Avoidance of False or Deceptive Statements -- ads, endorsements, resumes, CVs, published materials x 5.02 Statements by Others —— we remain responsible, do not compensate media, clearly identify paid ads — webmasters and plagiarism x 5.03 Descriptions of Workshops and Non—Degree- Granting Educational Programs - accurate at 5.04 Media Presentations — based on literature and practice at 5.05 Testimonials — not from current clients at 5.06 In-Person Solicitation — protect others from our undueinfluence Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  139. 139. FEDERAL TRADE COMMISSION (FTC) as What is an unfair ad? 9 When it is likely to cause substantial consumer injury (physical or economic). 9 It is not reasonably avoidable by consumers themselves. 9 And it is not outweighed by benefits to consumers or competition. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  140. 140. FTC — When is an Ad Deceptive? When a claim or omissi_on would materially mis| e_ad consumers acting reasonably in the circumstances. Strict Liability — Intent to Deceive not required. Knowledge of Deception also not required except for money judgments against rincipals, which require proof of know edge or reckless indifference to truth or falsity -- Dean Graybill, Federal Trade Commission, Assistant Director, Western Region, San Francisco Copyright 2011 Affiliate Summit West
  141. 141. Is online counseling legal? Yes‘ online counseling is recognized and regulated by state. federal. and licensing board regulations Medicare and Medicaid recognize and reimburse online counseling through specific guidelines To meet and exceed compliance requirements, only allows mental health professionals to see clients in the states where professionals are credentialed Mental health professionals can usually apply for credentials in multiple states and should contact their state licensing board for more information Goverlknent regulations and licensing boards are rapidly evolving to expand telemedicine access Clients and providers of online counseling should become familiar with the regulations governing online counseling in their state before engaging in sessions Is online counseling secure? Yes, encrypts data via 256-bit SSL encryption and is building its infrastructure to comply with the Health Insurance Portability and Accountability Act (HIPAA) All communication between a client and provider is encrypted in transit and deleted from Breakthroughs servers after a session, does not ask for a client's name or address. only a phone number and email address in case of emergencies For your security. we strongly recommend that you do not use on public computers, We also recommend that you do not store your password through your web browser or other Is online counseling covered by insurance? Since 2004, online counseling and telepsychiatry is reimbursable through Medicare, Medicaid, and a growing number of insurance plans The CPT codes that identify services for reimbursement are constantly changing. Here are codes that can be considered for online or olfiine mental health services Individual psychotherapy CPT 90804 — 90809 Consultations CPT 99241 — 99255 Otfice or other outpatient visits CPT 99201 — 99215 Pharmacologic management CPT 90862 Psychiatric diagnostic intenriew examination CPT 90801 Neurobehavioral status examination. CPT 96116 CPT code descriptions can be found on the American Medical Association's CPT directory The modifier GT may be necessary to identify that services were delivered via telemedicine
  142. 142. DOT COM DISCLOSURES: FTC BUSINESS EDUCATION/ GUIDANCE 3: Place disclosures close to the triggering claim. at When using hyperlinks to disclosures, make the link uniform and obvious, label the type of information it leads to, and monitor click—through rates for efiecfiveness. x Disclose material purchase terms on order page, near order button, as well as in Terms & Conditions. Copyright 2011 Affiliate Summit West 12
  143. 143. Cornpet_ent arid Fieliable Ccieriirf/ C Ex/ idence Anecdotal evidence from consumers Popular press articles Sales materials from manufacturer Low return rate Money—back guarantee Copyright 2011 Affiliate Summit West Methodologically sound tests, studies, scientific research Based on expertise of professionals in field Objectively conducted by qualified people Using procedures accepted as accurate Yielding statistically significant results
  144. 144. “i'EW” FTC CUBC"Ai'T| fl‘. T|Oi' ST/ l‘. i'Dfl‘. RD? Weight Loss Claims — at least 2 controlled clinical studies on I advertised product by separate, independent researchers Copyright 2011 Affiliate Summit West
  145. 145. REVISED FTC ENDORSEMENT GUIDES 9 Testimonials still must represent what consumers “typically” will achieve 9 BUT: if they don’t, “Results not typical” disclaimer no longer suffices, clear & conspicuous disclosure of “generally expected results” now required, unless advertiser can prove consumers don’t think the results are typical. No FTC enforcement of this yet but cases can be expected Copyright 2011 Affiliate Summit West
  146. 146. REl/ lCEl3 ETC El ‘E0 El. lEl ‘T GlJll3 EC CCl IT. ) Disclosure of material connections between advertisers and lay (non—expe_rt) endorsers must be made. This now a plies to blog ers endorsing products, who a so can be he d liable for making false claims, and to celebrities_endorsing products in unconventional formats (i. e., talk shows) or social media where consumer may not think celebrity is _beln pa_id. Advertiser principally liable for failure 0 disclose. Copyright 2011 Affiliate Summit West
  147. 147. ~ - - . ‘r. é." i ll Copyright 2012 TeleMental Health Institute, Inc. All . :.. i.. i.. .. ._ . . . ... i
  148. 148. PATH #1: WRITE A BOOK x Advantages x Positions you as an expert x Gives you highest credibility * TV shows * Radio x Easy to sell x Low resistance at Disadvantages + Time + Cost x Printing x Fulfillment x Agent/ Publicist Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  149. 149. Eli <3 / C7 . Elftli O Zero delivery costs No printing No inventory No shipping Instant access Can charge premium pnces List on Amazon Copyright 2012 TeleMental Health Institute, Inc. All rights resenred. | :|l: l|: l
  150. 150. EE 3 l 3 [F F El 3 / l ‘ll Eff? Ebook Weight loss Outline Method Positive Facts 5 major topics Mind Games Divide each one into 5 N , [ -, [- subtopics U II Ion Write 3-5 pages for Exercise each S”bI°'°'°S Strength training = 100 page book Cardio Put pictures Stories Goal _ _ 1 subtopic a day, 3-5 Start Wlth yOUl’ favorlte pages = less than 30 topic days Copyright 2012 TeleMental Health Institute, Inc. All rights resenred.
  151. 151. _ . '" - .55‘. , ll; — Copyright 2012 TeleMental Health Institute, Inc. All . :.. i.. i.. .. ._ . . . ... i
  152. 152. PATH #2: HIRE HELP 3: Hire someone, research, layout or record content for you (fiverr, odesk, elance, guru etc. ) + Roya| ty—free books, papers, articles +YouTube Links + Images + Quotes x Use as a lead generator on Your Newsletter Subscription Sign-up Box (on your website) Copyri eeeeeeeeeeeeeeeeeeeeeeeeee titute, Inc. All ri ssssssss rved.
  153. 153. DETERMINATION EBOOK ' um ‘FO§:51iLF-MOTNATION cover image. JPG By Marlene M. Maheu, Ph. D. Thoughts Originally Com piled by Chris Hill Copyright 2012 TeleMental Health Institute) Incl A” rights reserved_ Fuuknn Infl Cofirgtnn 9 20:0 Fioilrrlrvlloprrnritlsourctr Int. All {grit Rue run
  154. 154. GIVE VALUE - MAKE IT MEANINGFUL DETERMINATION EBOOK: AN INSPIRATIONAL GUIDE FOR SELF’-MOTIVATION Nothing in the world can take the place of persistence. Talent will not; nothing is more common than unsuccessful men with talent. Genius will not; unrewarded it's almost a proverb. Education will not; the world is filled with educated derelicts. Persistence and determination alone are omnipotent. CALVIN COOLIDGE I Go as far as you can see, and when youl get there you'll see farther. AUTHOR UNKNOWN There is nothing impossible to him who will try. ALEXANDER THE GREAT Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  155. 155. DETERMINATION EBOOK: AN INSPIRATIONAL GUIDE FOR SELFMOTIVATION A desire can overcome all objections and obstacles. GUNDERSON If the single man plant himself indomitably on his instilicts, and there abide, the huge world will come round to him. RALPH WALDO EMERSON A man's limitations are not the things he wants to do and can't; they are the things he ought to do but doesn't. The difficult we will do eventually, the impossible will just take a little more time. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  156. 156. You may have to fight a battle more than once to win it. MARGARET THATCHER Resolve that whatever you do, you will bring the whole man to it; that you will fling the whole weight of your being into it. ORISON . $W_E1.'T MARDEN WWW .5ELF'}-IELPMAGAZINE. COM Copyright 2012 TeleMental Health Institute, Inc. All rights resen/ ed.
  157. 157. WANT MORE? Over the years, we've gotten lots of feedback about how people use our Se| fhe| pMagazine Meditation department to take a "relaxation break" while at their desk, after a run-in with a difficult family member, or a tough boss, or when just plain stressed out and need a few minutes to regroup. For other inspirational information, see our www. Se| fhe| pMagazine. com where you might also enjoy our: - Meditative slideshows and videos: htt : selfhel ma azine. com articles meditation. h - Articles with lots of suggestions to relax and take better control of your life, see htt : selfhel ma azine. com article stress — Cartoons for quick chuckle. Our version is called "Psychtoons" http: [/selfhelpmagazine. com[psychtoons[g| asbergen/ randjt glasbergenphg ~ Podcasts orothereBooks htt : selfhel ma azine. com selfhel ma azine—sho - Amazon bookstore at http: [/astore. amazon. com/ selhelmag-20[, where Amazon send us 5% ofyour receipts to help defray our costs without any additional cost to you - Email Newsletters where you get our thoughts emailed to you for FREE book reviews, parenting, relationships, sex, jobs and careers: htt : selfhel ma azine. com self-hel -newsletters. h
  158. 158. NEGOTIATING FOR HIRED HELP x $2k — $10k “Looking for 100 page book, here’s my budget, ” then wait for bids 3: Carefully review samples + Behavioral sample + Can match your work flow 3: Contract + “Work for hire” + You own copyright + Get a copy of everything in WORD and PDF
  159. 159. Copyright 2012 TeleMental Health Institute, Inc. All . :.. i.. ;.. .. ._ . . . ... a
  160. 160. PATH #3: INTERVIEW AN EXPERT 3: Interview on telephone + Have some one ask you questions, or you ask them questions related to your topic at Record at Make it a webinar (live or recorded) at Transcribe/ PDF + eBook Cover x Sell from website at Email list Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  161. 161. PROCESS TIPS FOR INTERVIEWS, WEBINARS AND PODCASTS 3: Content + Outline + Q&A 3: Technology + WebEx, GotToMeeting, lnstantTe| eseminar x Transcripts + Pay an expert — roughly $.50 a page 3: Guests, Editors or Readers + Friends or family for 1st few times + Ask for feedback
  162. 162. Your weather location has not beensel . I _ f I ' °: 'i’C'DI. :{i~‘7 LY] *‘*°' -“ I03.‘-: li. := l_. Q.l, :Z'i: lfi§ Li c2.| l,EL-Aa«_»LI’A! _ILI, _H_ * News Sports Radio TV My Region v More ' Sign up I Log In cscradio White Coat, Black Art with Dr. Brian Goldman About the Team Past Episodes DI. Brian's Side of the Gumey I Join Dr. Brian for Live Online Chat comaaus Special partnership with Live Right Now — Ev E13," I1~: ld"mr ' -, Jr : I :5, lJ3I: :n*1I: getrieII-. ittLivekighillow SE25 witatue “ ciar-ad : =I'I. ¢ ei ‘ii: arm -JEI EIIC-. I‘IEI1ISCuS5‘CI'iACI7TiVC€’C‘3'7E32C_lIi'l€‘ "‘: si: :ri: e;: i:"5 anctrctris 3CCl. I'. lICEll’; .-. =.i; tI‘; neIe.
  163. 163. [lure is O siinizz Kits- Fndai I. lari: h J, 2011 Breaking Up Show All relationships have their ups and downs and not every doctor-patient relationship is a marnage made in heaven in medical school they teach us the proper technique tor finng patients But there‘s nothing on the curnculum about what to do when patients fire us This week two GPs share painttul eizpenences of being given the pink slip by patients when they least expected it A patient advocate and social scientist dishes her techniques for giving doctors the heave-ho We also show how patlyits and doctors can repair a health care relationship gone wrong A doctor from the States tells how he took a bad online review from a patient to make his practice better Our show airs Saturday at 11 am I11 30 am NT; and again on Monday at 11 30 am I3 30 pm MT; on CBC Radio One Click below I0 llSI€n I0 the Show Di (IOWTIIOBG IIl€ podcast Categories: Blog Archives. Communicatioii, Family Medicine, Health Professionals. Past Episodes Comments Cl 10 . =:e: :=r*”ierI: /5 PTEVIOUS P0515 Stay connected 1 A Tutu RS
  164. 164. 2 — l I '1 V. I I _ , . I ‘I7/FRI IN; / E ‘Is ‘I’ * iii ii; .i: I Music clips It is pirating to just take a clip from any album Must buy a commercial podcast license Some record labels allow you to obtain free music for non-commercial podcasts (educafionah Use music that is royalty-free Breaking Up Show Copyright 2012 TeleMental Health Institute, Inc. All rights resented.
  165. 165. ‘I7/FRI IN; / E ‘IT firfi ii; .i: I C i‘. r.‘ . . . — Clear sound Music in background that surfaces to create transitions Ask questions for audience to consider Then transition music Then answer the questions you posed earlier Copyright 2012 TeleMental Health Institute, Inc. All rights resented.
  166. 166. WEBINAR / PODCAST FORMULAS 3: Voice Tone + Modulate x sound alive + Google “voiceover” + Go to fiverr and buy “voice over” professional Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  167. 167. WEBINAR / PODCAST FORMULAS 3: Recording Behaviors to Avoid + Sniffling “Ahhhh”s Scratching Shifting in chair Anything rubbing microphone — sleeve Tapping fingers Shuffling papers Typing Pen chewing Filing nails +++++++++ Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  168. 168. WEBINAR / PODCAST FORMULAS 3: Equipment Issues: Audio Clarity & Continuity + Equipment Quality x Type of Microphone * Headsets vs. Free Standing x Microphone Placement x Speaker Location Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  169. 169. WEBINAR / PODCAST FORMULAS x Reverberation 9 Sound Absorbers: + Carpeting + Plush couches + Drapes / Pillows x Noise pollution 9 Sign on Door + Overhead Planes + Traffic + Barking dog + Phone ringing, tea kettle Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  170. 170. WEBINAR / PODCAST FORMULAS 3: Make duplicate recordings + Your own hard drive, iTunes, Amazon S3 + Online Radio Stations x UStream x Edit + Sony Soundforge, Audacity, Goldwave + Get transcript first — then pay someone to make edits Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  171. 171. O 1' 5p"» 44"‘. in ‘I. Copyright 2012 TeleMental Health Institute, Inc. All . :.. i.. i.. .. ._ . . . ... i
  172. 172. LOOK FOR CONTRIBUTORS x Paid + HelpaReporter -- want a site with some traffic + Ebay — authors with products for sale + Amazon. com / TURK + Answers. yahoo. com + Clickbank — mention you in their book for crosspromotion + EzineArticles. com + RTlROnline. com — experts pay to be interviewed at Volunteers — interns & colleagues at Linkedln — mental health or coaches Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  173. 173. I Home Articles ii Blog Forums Features » Se| f—help Products >> A out » I-ii 'UuIl' mi ‘mil lwlp i)i’Ii1 v"yy. mVlriuy- ~, ii~. ri- ltI'I-. Iv'Wbl‘l I LU‘! -4 How Not to Get F ed at Your Job: Top Ten Strategies that will help (OH to Show vour -: -mpli: iiE-rthc-it vciu are indeed ttillv engaged andthereicire a keeper in the i: irg.3ni: atii: in _ How to Repair the Damage Local Gwdes Ten Tips For Coping With Parkinson's Disease All Guides A _. Alabama —_— Aiaska P‘ Approxirnately one-million people In North America are AFIIOHB v suhering from Parkinson's disease. When you have Parkinson 5 disease ior any other CIll’OI1|C| IIfleSS} ‘i0LI are probably struggling with symptoms that can be oveIwhe| r‘iiing Therefore the author ofthis article has Find 6t Therapist created the following "Ten Tips‘ IISI to help individuals with Parkinson 5 disease cope "' . .. w . Re ularl 14.95 Search by Zip or City with some ofthe psychological ; iyITlDIOfTIS ofthe disease 9 V S I Immediate Download SelfhelpMagaziiie's ’ DWYOW PW“-‘I “<"V°<<“‘”9 f0’ Holiday Care for Yourself‘ Body Mind and Spirit ~ 5 I Healthy Psvcliotlieiapy Practices , Copvrioht 2012 TeleMental Health Institute. Inc. All riohts /
  174. 174. CY'BER—AFFAIRS SURVEY: LATER RESULTS OPPOSED T0 CYBERSEX by Marlene M. Maheu, Ph. D. In line with our previous article on the Cybersex Survey, Cvbersex ~ Earlv Survev Answers these are more responses we've recently compiled. They are summarized here by those in Favor of and those opposed to Cybersex for your convenience. Please let us know your thoughts about the survey. Female One of the disadvantages, that my boyfriend and I both agree on_ is that the cybersex is very much readily available online, and we have already agreed that if or when we get married, we will not have any online services except ma_ybe an internet provider. Female I would have thought that this would improve my relations with my husband, but this is not so at all. The only one I want to be with sexually is my e-mail lover. Female I was hurt severely by a "relationship I started with a man halfway across the nation. He died about a year afier I got to know but I never met him. And, it turns out he lied about who he was. I loved him, but I don't even know who he was. It's been very confusing! That was more than a year ago, and it still hurts. The worst part is that he lied to me, which vas easy to do over the computer and the phone. Female They are destructive to marital relationships. I lefi a 17- year marriage afier having a cyberaflair that tu. med physical. Them I proceeded to move into another relationship based on an Internet meeting which also, afier living together for 1 yr. , turned out to be abusive and full of problems. Still not having learned my lesson, I married someone I'd met on the Internet and only known for 2 weeks. While the relationship is workable and a learning experience, it has still revealed that the person I thought I was marrying was not the "real" person. It is TOO easy to misrepresent oneself on the Internet & be whatever the other person wants. One initial encounter has mined my previous marriage and sent me to hell and back in the last 3 years. Even just casual chatting on the Internet causes problems between my current spouse and I. There is no explaining a different gender cyber Eriendshipll I would wam everyone to stay away from this avenue of expression. It is TOO easy to misrepresent oneself on the Internet and be whatever the other person “ants. Male I didn't exactly have an I was single at the time. I had been interacting via e—mail with a woman Nothing very sexually explicit. We had business in the same state one week last year so we agreed to meet. I expected the worst and I wasn't let down either. The person was very overweight and not very attractive. I was polite and never lead her on but needless to say, she had the expectation of something more. She had not misrepresented herself but she was somewhat nonspecific and elusive on the net reguarding her physical appearence. My point is thatl feel this cyber-sex thing is real pandora's box. I was able to disengage myself cleanly from my first and last experience. Copyright 2012 TeleMental Health Institute, Inc. All rights resented. Male
  175. 175. One of the world's first mental health websites, established November 1, 1994 51,; .. _; . - . n _ _ . . _. .; 3 0"‘ Sm’! if‘ SelfhelpM: rgnzine i Search DISCUSSION FORUMS MEDITATION wsvoioiocv nesouizcas PSVCHTOONS MChoices P H is He cheating On You? 1) Enter His Email Address 2) See Hidden Pics 8. Social Profiles Now! ' Cr-r_—aiir~~—S: Best 10 Dating Sites E Compare Top 10 Online Dating Sites. Try the Best 10 Datin Sites Free l l. .C _, >_. Cyber-affairs Survey Results by Marlene M. Maheu. Ph. D. >, . Cyber-afiairs — Early Survey Answers by Kristin Levine >_. Cyber-affairs Survey Opinions Opposed to Cyberkomance by Marlene M. Maheu, Ph. D. M ‘ g . 7 ggzlgtseto Fixing your >_. Cyber-affairs Survey Opinions in Favor of Cyberkomance by1larlene M. Maheu, Ph. D. Marriage, Anemaiive to > The Future of Cyber-sex and Relationship Fidelity: A Brave New World Booklet by Marlene M. Maheu. HOW 10 FlX YOLIF "‘ Ph. D. >_. Crossing the line Online by David N. Greenfield. Ph. D. 8: A] Cooper. Ph. D. >, . Self-help for Cybersexual Addiction by Marlene M. Maheu Ph. D. Mama e Counselin 250 Business cards - $1_0 Free Shipping. Design ADDIIIONAL your Premium Business RESOURCES Cards Online All for $10. Read related Questions 8: Answers by Professionals Copyright 2012 TeleMental Health Institute, Inc. All rights resen/ ed.
  176. 176. CELFHELP M -“. ..lC. ‘ri. .£‘. ..7_ll'lE (Cl-IM) CI’l3ER- ll'Fll3El-lT1’ ClJR/ EU’ ll‘ 39.992. l r is. l‘ . ‘ git lira, ’ _V pi” i‘ if : ..»-fil _i .2’ it Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.

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