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Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014
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Best Practices: Distance Counseling, Training and Supervision, Marlene Maheu, PhD, AASCB Concerence, January 2014

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  • 1. ((I(€‘: l:! V1'! T?SII"_I‘: a‘: _J, !,"-'1"E, '1:, ‘I! €T‘, £;I”: 'l 1:1!‘-'Ii‘l‘-'r-lli‘I’i-. -"rig Best Practices: Distance Counse/ in_a, 'I'rainin_c, ~' anc. -' Supervision AMERICAN ASSOCIATION OF STATE COUNSELING BOARDS MARLENE M. MAHEU, PH. D. MMAHEU@TELEHEALTH. ORG EXECUTIVE DIRECTOR TELEMENTAL HEALTH INSTITUTE
  • 2. ((( TELEMENTAL HEALTH teleheammorg I N S I l T U T F Disclaimer - I am an MFT and clinical psychologist, not an attorney, physician or Information Technology specialist. My goal is educational only. - The information I present is my best attempt to bring you timely and relevant information in a rapidly evolving area. I therefore make no warranty, guarantee, or representation as to the accuracy or sufficiency of the information contained in my training. - My goal is to outline the issues and alert ou to what's happening, including legal, ethical and ot er risk management issues. Seek specific advice related to your circumstance from your qualified authorities. 0201! Ttlellflnl Health Insllla. tar.
  • 3. ( ‘''5.E. f'‘I3‘I‘''‘l". f'§5I5’': } <‘-Il= li1’: rllio - ii’ . , _. ,L. , , . AASCB Slides & References http: //telehealth. org/ aascb
  • 4. jfizj : %, ; '_: _—_V' I What's Happening 3 with Health Care Reform & I I Behavioral or I ‘IL Mental Health? W . m.""‘a‘; ;;__ pw= ¥flfi%_; T:_S Vfl . ‘#7 E. ” fig’ ‘ V
  • 5. it retooling
  • 6. TELEMENTAL HEALTH ((( I teIehea| th. org I N 5 I l I u I F Health Care Reform Goals Changes for Healthcare Changes for Practitioners 1. Lower costs 1. Documentation requirements 2. Improved outcomes 2. Organize documentation 3. Increase access for more thr0U8h EIGCUOVIIC Health citizens who need health Records IEHRSI Care 1. Standardize information for outcomes analysis and treatment refinement 2. BIG DATA (informatics) 3. Work in groups 4. Paid for outcomes 0201! Ttlellulil Heillil Irlslllz. Inc‘.
  • 7. TELEMENTAL HEALTH ((( I teIeheaIth. org I N 5 I l I U T F Affordable Care Act Repercussions for Counselor Preparation & Practice ° Much current fund for private agencies will be shifted to the expanding Medicaid programs to support Health Care Reform ° Referrals to for ACA patients will come from primary care physician's offices to large groups of practitioners — Integrated care — Patient—centered homes — 85% of care delivered to the home ° Small group and private practices likely to be squeezed out — Large groups can contain costs across practitioners and clients ° Success of private pay model will decrease in long term — Everyone will have insurance / most people will want to use that insurance ° Practitioners will be held accountable for outcomes and paid accordingly 0201! Ttlellflnl Plallil Inslmz. mo‘.
  • 8. TELEMENTAL HEALTH ((( I teIeheaIth. org I N 5 I l I U T F Affordable Care Act Repercussions for Counselor Preparation & Practice ° Shorter sessions/ more clients ° Reimbursement tied to outcomes, not session length ° More and more specific documentation — Documentation will require proof of interventions being tied to the evidence—base (”treat—to—target”) ° Increased reliance on master's level practitioners ° Increased reliance on technology — Apps and other self help tools will proliferate — Required use of electronic health records (to measure outcomes) ‘ Decreased reimbursement for free—f| owing sessions and note—taking ° Increased need for vision / graduate education and professional education 0201! Ttlellflnl Meallil Insllla. tar.
  • 9. I Basic Best Practices: Informed Consent, I Privacy, Confidentiality, ' Boundaries of I Competence I .3‘ . __; ' ’ * ' '_’_; :_. .__ ‘T >2 ~- ‘gag . .; g.
  • 10. I teIeheaI‘h. org A ((( TELEMENTAL HEALTH I N 5 I I I u I F ssociation Standards & G u idelines 9 American Counseling Association (ACA). ACA Code of Ethics 9 American Psychological Association (APA). (2013). Guidelines [or the Practice of Te/ epsycho/ ogy 0 American Telemedicine Association (ATA). (2013). Practice Guidelines For Video-Based On/ ine Mental Health Services. - National Board For Certified Counselors. (NBCC). Policy Regarding The Provision Of Distance Professional Services For many more relevant association standards and other statements with direct links, go to: http: //telehealth. org/ ethica| -statements/
  • 11. <'-Il: l’ui’: z=lli‘m-i'r_o’ ACA Code of Ethics A.12.3. Laws and Statutes ° Counselors ensure that the use of technology does not violate the laws of any local, state, national or international entity and observe all relevant statutes.
  • 12. ‘: l;. !'? :"!3‘j"! ”‘—! !r' fE—; ‘~£—u': 'l (‘-l H/ Il’: ?=lli'I mil '0' . y _. __. , ‘ . ’ . € Privacy & Confidentiality 9 Privacy: client's right to V protect their own information “ ° Confidentiality: our legal j: P . . ‘ V P. P, -» and ethical duty to protect V L ’ the client's right to privacy P __ I * HIPAA— Privacy is one of 3 l 7 ll 7 ’’rules’’. Privacy has to do with any digital information that can be used to identify an individual, regardless of source.
  • 13. TFLFMENTAI HEHTH ((( I N A V V ‘ ‘ teIehea| th. org Boundaries of Competence ° ACA Code of Ethics (2005) ° A.1.c. Counselors and their clients work jointly in devising integrated counseling plans that offer reasonable promise of success and are consistent with abilities and circumstances of clients.
  • 14. * - v R‘: ‘- + . - -. ~ - *8. ‘ ii‘ . /(ply: §. _'fi; —§‘. i_ L “~‘—’A| i‘ . i‘ ‘ " - ¢[A§#a“J T ‘: " ‘E "'k‘-~ . ’_‘fA g . ‘ .4 H. y ' '” ' ‘ I ‘| ,.‘ V 3‘ ‘ 2: ‘ . ' J . .+—. .. ,g 7 : ‘.L , <'L 0 __''v . 5*’ . :2-‘ i cu ' , -K4 C —" O . - - - . ' I , —: ' , .r ‘ " , , '1. y 7;’ ‘X ‘ - ' ‘Cg , ..~r V K 1 , ‘ _ V 13!? .‘ ‘ " .0 C 9 / . r’ ' ‘ K3’? *3’ ‘ . , . ‘ ‘ I fa‘ . -‘ J» , a . -2 ‘J ' r H . .-0 H 7 Bounda-ries Clinical Competence Racial, Linguistic, Gender, Religious & Cultural Diversity Copyright 2014 TeleMenta| Health Institute, Inc. All rights reserved.
  • 15. ‘ TFLFMENTAI HFWLTH ‘ ' I N __ Y *1 ‘J ‘ telehea| th. org ACES Technical Competencies ° Technical Competencies For Counselor Education: Recommended Guidelines For Program Development (2007) ° http: [[fi| es. aceson| ine. n et[doc[2007 aces tech nology competencies. p df
  • 16. ‘: lT. !'? :"!3‘j"! ”‘—! !r' fE—A~£—u': 'l (‘-I H/ Il’: ?=lli'I mil '0' . . _. __. , ‘ . g . 3 The Evidence Base Benefits of Telehealth ° Increased client/ patient satisfaction * Decreased travel time ° Decreased travel, child & elder-care costs G Increased access to underserved populations * Improved accessibility to specialists 6 Reduced emergency care costs 6 Faster decision—making time * Increased productivity / decreased lost wages G Improved operational efficiency is - Efficacy is on par with in-person care for many groups ° Decreased hospital utilization
  • 17. TELEMENTAL HEALTH ((( I teIehea| th. org I N 5 I I T u I F Recent Supporting Research Backhaus and colleagues (May, 2012) reported in their abstract of a meta—analysis that: ° 821 potential articles were identified, and 65 were selected for inclusion. - The results indicate that VCP is feasible, has been used in a variety of therapeutic formats and with diverse populations, is generally associated with good user satisfaction, and is found to have similar clinical outcomes to traditional face—to—face psychotherapy. — Videoconferencing psychotherapy: A systematic review. Backhaus, Autumn; Agha, Zia; Maglione, Melissa L. ; Repp, Andrea; Ross, Bridgett; Zuest, Danielle; Rice-Thorp, Natalie M. ; Lohr, James; Thorp, Steven R. Psychological Services, Vol 9(2), May 2012, 111-131. doi: 10.1037[a0027924 0201! Ttlellulil Heillil Irlslllz. Inc‘.
  • 18. Size of Evidence Base - List of 1000+ searchable distance counseling references: www. te| ehea| th. org[bib| iography ° More than 2500 references exist, not including those related to email
  • 19. Models of Success to Illustrate the "Evidence Base”
  • 20. 1.’ I’ / ' _ . I ‘- I ,4‘, I P‘ I I. -_o- . _.t : ( ' ‘I 2?; . , .
  • 21. Children's Hospitals
  • 22. ( f'"’; i’.5;°"': " <-Il: ‘Inzmu‘. .--. -‘: '«_-' Specialty Schools & Services ' Special Needs It Autism ~ Residential Treatment Centers — Drug & Alcohol — Other
  • 23. Employers l I, .,: . e 3 _ - _ “/ ’III‘M. . "~"'. ’ ‘Ia , ~ ~: lg / l ‘ __ , ' . "4’ ( I _. ' . ‘ I I I I ; . K I ‘.
  • 24. .— "/5 f ) , ’ I Rural Hospitals
  • 25. Military & Veteran's Administration l l ‘ 7 Y , .4 »I“’ 2. I r ' , / -, / . I I I . I X , I ' I .
  • 26. Correctiona Facilities
  • 27. TELEMENTAL HEALTH <<( ( teleheaIth. org I ~ s 1 I I u 1 5 Nursing Homes
  • 28. Home Health ,
  • 29. <-—II: iaI: mia‘. .--. -‘Ia_. * The Migration Model ° Start with known clients ° Assess their ( need/ willingness to use technology ’ ** Discuss compensation ‘ I . f / / * Slowly migrate online I ‘ ° Assess effectiveness at I _g regular intervals X" T ( ° Document carefully Aggy ~. I~». /“I
  • 30. Professional Training and Supervision
  • 31. TELEMENTAL HEALTH I telehealth-org In-IIIIIJII I Professional Training .3 ° Technical Competencies ‘T-"‘ — Association for Counselor Education and Supervision (ACES) ° Clinical Competencies — Department of Defense (DoD) — Ohio Psychology Board — Professional Associations - Society for Technology & Behavioral Health — Te| eMenta| Health Institute 02014 Talellamzl Health Insllme, Inc.
  • 32. ‘: l;. !'? :"!3‘j"! ”‘—! !r' fE—A~£—e"': } (‘-1 H/ Il’: ?=lli'I mil '1!’ . ‘ _. __. , ‘ . y . § Supervision by trainee for comment F’ 9 Videotaped sessions offered [ i I — Both counselor/ client recorded ° Supervisor and supervisee may review sessions together Q ”Mock” sessions * Peer supervision groups 9 Hybrid Models that include online, text—based discussion ° EducationalTelesupervision
  • 33. <4t= i/.1’-. mia~. .--. -:'. ,— Supervision Informed Consent requirements ° Use H| PAA—comp| iant transmission and storage services * Refrain from using identifying . °- ”‘ information on any transmitted information W Review software vendor terms and conditions every 3 months (or so) for changes * Update software versions to prevent vulnerabilities * Adhere to all legal/ ethical if l l
  • 34. fH; A‘£; W <-it= inzmir. .--. -ii. -’ Supervision Informed Consent consent process and sign document to assure that they understand: — They are being recorded ‘, ,_ 5. — Supervisee will obtain supervision — Supervisor and other colleagues see/ hear/ review recordings/ notes — Have client sign a plain English release form for supervisor and all other involved parties * Engage in full informed if l
  • 35. <-—it: ‘m: mia‘. .--. -‘: a_. * Training & Supervision References http: //te| ehea| th. org/ supervision
  • 36. -- : ..; j : l ; '____—. V' l Documentation (Aided by Professional l Association Ethics ' Codes & Guidelines) , ._ __ _ _. __ _'; _. ._ . _. I , _ ‘if ' 2-sq ~V%—— . V_ ' ‘ll
  • 37. (§(ei§iif'i'ii§! i3iiAS”(3‘B"§‘e§sion’s supplemental handout for the full document imaged below —— or contact the TMH Institute at www. support. te| ehea| th. org Tl/ IH Institute APA & ATA Guideline Summary lvlaileiie Iv‘). lvlalieil, Plrl). r. f‘. “l. l‘V‘»l| II) Aqiioleiii, Plrl). TMH In stitute Te/ epractice Checklist ** Document considerations and choices regarding the use of telecommunications technologies ( ** Document risks and benefits of telepsychology service e. g., cost savingsfor client/ patient, travel, time off work, parking, baby sitting), improved access to care& specialty care (e. g., V emergency or elderly, disabled, reduced stigma and embarrassment) ** In testing and assessment documentation, specify thata particular test or assessment procedure has been administered via telepsychology, and describe any accommodations or modifications V that have been made. ** Document how secure the communicated information is with each technology used, and any technology-related vulnerability to confidentiality and security by creating and storing electronic V client/ patientdata and information Consider client/ patient preferences regarding technology, treatment, arrangements v ** Document emergency resources (e. g., telephone numbers, hospital admissions, local clinical resources, local champion or proctor, friend/ family member(s) V ** Provide and discuss clear emergency plan with written instructions (e. g., suicide, homocide, abuse, other) V V v v ** Document plan for addressing emergencies and other relevantfactors re: efficacy and safety of treatment
  • 38. <4r= i/.1’-. mia~. .--. -r. ,— APA & ATA Guidelines, 2013 * Consider other individual characteristics (e. g. , medical status, psychiatric stability, physical/ cognitive . . disability, personal f; ‘., 2 ; ,5, preferences)
  • 39. <-—Ir: in: miaa. --. -‘: a_r APA & ATA Guidelines, 2013 * Start sessions with an opening protocol L ° Provide and discuss '' ‘"7 clear emergency plan / } ‘ with written pf y instructions (e. g., suicide, homocide, abuse, other) C‘
  • 40. TELEMENTAI HEALTH ‘ I N K Y )1 J H ‘ teIehea| th. org American Telemedicine Association Videoconferencing Guidelines — Emergencies (2009) . Determine Outside ° Be familiar with local emergency Coverage civil commitment regulations and have arrangements where possible to work with local staff to initiate/ assist with civil commitments ° Establish guidelines for determining at what point other staff and resources should be recruited to help manage emergencies
  • 41. Legal Issues
  • 42. <-—Ir: in: miaa. --. -‘: a_r I nte r—j u risd ictio n a I , .,, ;II - l’n‘m; ‘1rIJ"~r‘l‘l**ffrruu‘l/ V"r'a. ‘It: ‘I‘. ‘lc'; ,* wrr: .;‘r. -.1.-. ‘~ IVII-vii‘: li”Ii<”li‘I'Fl: lIfl'li‘I Licensing Boards that may assertjurisdiction: *9 The one in your state(s) of licensure _ G The one in the l_l, ,:§: »., ’.V, gd, client/ patient’s state of fat, ,I*1:= ", location at time of call 0 . * Both fi; Safest Practice: ., Q 9 Provide services only I where licensed 6 Require client/ patient to attest to his or her location on every call
  • 43. Informed Consent - Definitions differ by state * Represents a "meeting of the minds” - Document only serves as important evidence See: AASCB 2014 Presentation entitled, Distance Counseling Informed Consent Essentials for More Information
  • 44. THFMENT/ l HEXITH (6 I V Y _ ‘ telehealtnorg Mandated Reporting Behavioral professionals are mandated reporters ° Duty to Report — Child abuse — Elder Abuse — Spousal Abuse ° Duty to Warn — Tarasoff
  • 45. HIPAA, Business Associates and HITECH I I - HIPAA: Transactions, Privacy, lie! ‘ Security - All Business Associates in health care must sign an agreement stating their adherence to HIPAA standards ' Business Associate’s Agreement (BAA) ' Penaltiesimposed by ' HITECH ACT - Enforced by the Office for Civil Rights (OCR)
  • 46. ‘: li'= .!'? .i"i3‘j"! ”‘—! iV' fE—AV£—e"': i (‘-l l= l/Il’: ?=lli'I rail '0' . I _. __. , , . g . e % HIPAA and Email (Gmail, Hotmail, YAHOO Mail, etc. ) H| PAA’s Omnibus Rule was announced in January, 2013 The Omnibus Rule became effective September, 2013 6 Allows public email I exchanges with consumers as long as they are fully informed of security issues in the informed consent process. Safest to use secured email systems and good explanations of risks/ benefits Cloud storage and text messaging still needs to be HIPAA compliant
  • 47. III HIPAA requires an ”audit trai Skype doesn’t provide audit trails — and isn't obligated to ‘I; s 0 ‘ I. /‘ T it .3’. ~ ‘ * _I. ‘ t / _ '. “= - "9 ‘F’ , ’.r~f‘ f I 0* / I I‘ i I v F
  • 48. .'i‘iE l. !.3rl9ri-9 lilEl'l‘§l_l " i: ii l!3rlei'ie"‘ l ll‘ Ficflle l l_‘: lL; :iUl F'sychiatricTime5 P§"37“5hiatricTimes Risk Assessment News Current Issues Blogs Special Reports CME Conferences Home )9 EMAIL PRINT PDF REPRINT SHARE Q ~ l I‘ (:1 Lii -E Be the first of your friends to like this. TECHNOLOGY IN PSYCHIATRY Telepsychiatrjz The Perils of Using Skwe By Marlene M. Maheu, PhD and Joseph Mclvlenaniin, MD, JD I March 28, 2013 Dr lilaheu is the Executive Director of the Telelllental Heatth Institute, Inc. She is the lead author of eHeaIth, Telehealm and Telemedicine (Josey Base; 2001) and The Mental Health Professional and the New Technologies (Roufledge; 2004). Dr Mclilenamin is a Principal Consultant with Venebio Group, LLC, in North Chesterfield, Va, and an Adjunct Professor of Health Law at Virginia Commonwealth University, Richmond. Va, '5 First released in 2003, Skype offers free, worldwide video access to any patientwith an Internet i ‘}t L connection, either by mobile device or desktop computer. What it does not offer, however, is a it“ ‘ T ii"? { ‘it means of communication cleany suitable for clinical services—especialIyin mental health. iii I $ According to estimates reported by groups such as the Institute for Healthcare Consumerism, : i. ll‘ ,3‘ itelehealth is poised to grow by 55% in 2013 alone, and 6-fold by 2017.12 Wisely or otherwise, :31‘; i some ofthis growth will likely occurvia Skype. Thus, it is prudent to considerthe issues. The Health Insurance Portability and Accountability Act Ordinarily. neitherfederal nor state law is designed to regulate specific proprietary entities such as Skype and its competitors. Video«chat platforms were developedlor marketing to the general consumer, and notfor health care. The Health Insurance Portability and Accountability Act (HIPAA) holds professionals responsible for conducting their nent, the professional : rictimes. com/ borderline—personality/ content/ articIe/10168/2134149 mm. one coumake Resources . _u EEC: Searchluledica nieciiiue Drugs Search Careers Multimedia About Us . ,/*9t/ /// : Lfrmide nmnizy-savim offers to help you help your patients. i sin. -tum. . "v~'~, L_ . ,‘ , l Nuln RL‘plE: i:IItfll'Ix. Z ‘— ‘~ Cymlultfl lduluxetine HCI, delayed release cansules) as indicated lor the iieatmert ii‘ naior tlepiessr-'e disorder [VDD) The aliicacy ul Cyribalta uiasresteblishecl ‘in lDU' ShDli-lE"| 'i and one maintenance tiiai in ad; is Available in 20 mg, 35 mg, and 50 mi; napsu 25 lm ortnnl Szilety Inform; -ition About Cylnballd gr . ... ... ... .. . ... ... .,. ... .. ... . ors—AIilldeprcssants Increased the risk or uiicidal than his and behavior in children. Idolescenls. and young I lllll Ill short-lerm studies. These xludizs D Prescribing Information D Medication Guldc TOPIC INDEX Addiction Medicine Health Care Refonn Alzheimer Disease Major Depressive Anxiety Disorders Disorder ADHD OCD Bipolar Disorder Personality Disorders Child 8. Adolescent Schizoaffective Psychiatry Disorder Dementia Schilophrenia Depression Sleep Disorders DSM-5 Somatotonn Disorders Geriatric Psychiatry All Topics 33" ‘~ ~ — — i
  • 49. TH teleheaIth. org Where to find HIPAA Compliant Video - www. te| ehea| th. org[video
  • 50. mHea| th (mobile
  • 51. 50% of US citizens own a smart device — — “"3? T’ I 5 i . l K l i H‘? I if ‘i X '7' "1 I : E.‘. :. I - . . ILv: .;. ;F .5", . 5 ‘V . ::. .-; ':. >4 ~ A ' ; r .12.. / T. i It is predicted that 85% of healthcare will be delivered to the home in the next 5-7 years. Most of these services will be managed through m 0 b I | e d I S . Copyright 2014 TeIeMenta| Health Institute, Inc. All rights reserved.
  • 52. ((< TELEMENTAL HEALTH 1 teIeheaIth. org I N 5 i l T U T F 1. 4. 5. CACREP: Professional Identity Professional Orientation And Ethical Practice . Social and Cultural Diversity Human Growth and Development Career Development Helping Relationships 6. Group Work 7. Assessment 8. Research and Program Evaluation 9. Recommended: Distance Counselor Preparation
  • 53. TFLFMENTAI. HEHTH ((( I H A V V ‘ ‘ telehea| th. org Elements of Counselor Preparation 1. 2. 5*’ Training & Certification Credentialing — appropriate training, licensing, insura nce. .. Informed Consent Clinical protocols evidence base Documentation Reimbursement Practices Emergency planning and implementation I /6 r
  • 54. (C? i'%. ‘3§’§’*. "’f3?! 'f3’? ‘§’“ we-«= r:-Ilia»: -'»'ce: Te/ elwental Health ’,1 5 lhonfi Institute, Inc. uolu. G Send email to: info@te| ehealth. org Visit website: www. te| ehealth. org

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