Your SlideShare is downloading. ×
0
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Maheu Telepsychology Best Practice: Controversies Workshop APA 2012
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Maheu Telepsychology Best Practice: Controversies Workshop APA 2012

1,794

Published on

Dr. Maheu offers an introduction to the APA's 7-hour Telepsychology Best Practices Workshop

Dr. Maheu offers an introduction to the APA's 7-hour Telepsychology Best Practices Workshop

Published in: Health & Medicine, Technology
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,794
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
2
Comments
0
Likes
3
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Telepsychology Best Practices: Controversial Issues in Telehealth and Online Therapy APA August 2, 2012 Marlene M. Maheu, Ph. D. Eric Harris, Ed. D., JD Stephen Demers, Ed. D. Rene Quashie, JD Fred Muench, Ph. D. Tim Macy, MD
  • 2. Schedule / Horaire Speakers &Topics Flip Chart Breaks & Lunch Technology Demonstrations Evaluations
  • 3. C C Disclaimer WHO I AM: I am a licensed psychologist, not an attorney, physician, marketing or information technology (IT) professional. MY GOAL: My goal is educational only. I will outline the issues and alert you to what's happening in a way to help think through the issues, help you move forward, and protect yourselfas well as your clients or patients. I hope to inspire you to use technology in ways that help you, your clients and our profession. No warranty, guarantee, or representation is made as to the accuracy or sufficiency of the information contained in my presentation for your specific circumstance. I assume no responsibility in connection therewith your choices. YOUR PART: You are encouraged to seek specific advice from your specific legal, regulatory, ethical and malpractice bodies before offering any online services or programs to consumers. Get all such opinions in writing, and have your informed, trusted, local, legal counsel review them for their full significance. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • 4. Learning Objectives intelligently discuss 3 controversial risk management issues in telepractice and/ or telesupervision. Identify 3 specific legal, regulatory or ethical issues in telepractice. Discuss how mu| ti—cu| tura| issues are relevant to telepractice. Name at least 2 sources of reliable information to keep current with the rapidly changing healthcare reimbursement options, including Accountable Care Organizations (ACOs). Outline 3 potential uses of store—and—forward technology with psychology clients. List at least 3 essential best practice considerations for using smartphone "apps" with psychology clients, students, researchers or practitioners. Identify 3 ways to legally, ethically and profitably promote se| f—he| p services or materials online.
  • 5. We Are Re—too| ing
  • 6. ‘.4; ; v' Inspiration I: What's Happening I: Myths vs. Realities <: Opportunities for Us and Our Clients
  • 7. Definition of Terms Behavioral Telehealth Eheahh Telehealth Telemedicine Telemental Health Telepsychology Online Counseling On| ineTherapy mHea| th
  • 8. What's the Problem? Email Chat Text Messaging Telephone / Vo| P Video Chat Smartphone Tablet PC Peripherals VPN / Cloud Video
  • 9. Benefits ofTraditiona| Video—Based Te| ehea| th* Increased client satisfaction Decreased travel time Decreased travel, child & elder-care costs Increased access to underserved populations Improved accessibility to specialists Reduced emergency care costs Faster decision—making time Increased productivity / decreased lost wages Improved operational efficiency Maheu, Pulier, Wilhelm, McMenamin & Brown—ConnoI| y. (2004). The mental health professional and the new technologies. Erlbaum, New York.
  • 10. The Is Video Teleconferencing (VTC) Effective? ° Yes — Medicare & Medicaid required to pay ° Outcomes are relatively comparable, especially for follow—up care (intakes are still a matter of state law) - Literature for specialty groups is sparser, but positive (pediatrics) — Also effective for supervision — Can improve some ways service is rendered — See www. te| ehea| th. ORG/ bibliography - BUT, traditional VTC isn't the same as Skype Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • 11. Question is No Longer”| f” but ”How” Table of Contents for Psychological Services, Volume: 9 Issue: 2 Regular Articles - Videoconferencing Psychotherapy: A Systematic Review - Acceptability and Cost Effectiveness of Military Telehealth Mental Health Screening - Telehealth for persons with severe functional disabilities and their caregivers: Facilitating se| f—care management in the home setting - A Telehealth Intervention for Veterans on Antiviral Treatment for the Hepatitis C Virus - Interactive Voice Response for Relapse Prevention Following Cognitive Behavioral Therapy for Alcohol Use Disorders: A Pilot Study - Assessing Daily Fluctuations in Posttraumatic Stress Disorder Symptoms and Substance Use With Interactive Voice Response Technology: Protocol Compliance and Reactions Brief Program Articles - Lessons Learned From Studies of Psychotherapy for Posttraumatic Stress Disorder via Video Teleconferencing - Te| e—Pain Management: Use ofvideo—conferencing technology in the delivery of an integrated cognitive—behavioral and physical therapy group intervention - The VA Maryland Health Care System's Telemental Health Program - Uniting Veterans across Distance through a Telephone-Based Reminiscence Group Therapy Intervention - VA Puget Sound Telemental Health Service to Rural Veterans: A Growing Program - Web-based, Psychosocial Treatment for Substance Use Disorders in Community Treatment Settings - The Use of Internet Technology for Psychoeducation and Support With Dementia Caregivers - Te| ephone—de| ivered Psychotherapy for Late—life Anxiety - Improving clinical outcomes in psychiatric care with touch—screen technology - Using an Online Viewing System for Parent—Chi| d Interaction Therapy Consulting with Professionals - A Web—Based Intervention for Elementary School Teachers of Students with Attention—Deficit/ Hyperactivity Disorder
  • 12. Recent Supporting Research * Godleski, Darkins & Peters reported in April of 201 2 that hospital utilization in psychiatric populations at the Veterans Administration were decreased by an average of 25% since the use of telehealth. It is worthy of note, however, that: — This study focused on clinic—based, high—speed videoconferencing and did not include any home telehealth encounters. Mental health patients were referred for telecare by clinicians. Typically, telemental health services were provided remotely at community—based outpatient clinics by mental health providers of all disciplines located at larger parent VA hospital facilities. Equipment consisted of either room or personal desktop videoconferencing units transmitting at 384 kbps or greater. Godleski, L. Darkins, A. & Peters, J. Outcomes of 98,609 U. S. Department ofVeterans Affairs patients enrolled in telemental health services, 2006-2010. Psychiatric Servcies, 63(4). 383-385.
  • 13. Recent Supporting Research Backhaus and colleagues (May, 2012) reported in tLLeir_abs1;tacI of_a_meJ; a;a. naJysis 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: J_0__'L031Aa0I12Z92A
  • 14. Guidelines as a Shortcut to the Literature - American Medical Association. (2000). Guidelines for Patient—Physician Electronic Mail - American Counseling Association. (1999) (2005). ACA Code of Ethics - American Mental Health Counselors Association. (2000). Code of Ethics ofthe American Mental Health Counselors Association, Principle 14, Internet On-Line Counseling - American Psychological Association. (1997). APA Statement on Services by Telephone, Teleconferencing, and Internet, A statement by the Ethics Committee of the American Psychological Association - American Psychological Association. (2010). Ethical principles of psychologists and code of conduct - American Telemedicine Association. (2009). Evidence—Based Practice forTe| ementa| Health - American Telemedicine Association. (2009). Practice Guidelines forVideoconferencing—Based Telemental Health - Australian Psychological Society. (2004). Guidelines for Providing Psychological Services and Products on the Internet - British Psychological Society. (2009). The Provision of Psychological Services via the Internet and Other Non—direct Means ' Canadian Psychological Association. (2006). Ethical Guidelines for Psychologists Providing Psychological Services via Electronic Media - Federation of State Medical Boards ofthe United States, |nc. , Report of the Special Committee on Professional Conduct and Ethics. (2002) Model guidelines for the appropriate use ofthe Internet in medical practice - National Association of Social Workers. (1 999) (2008). Code of Ethics - National Board for Certified Counselors and Center for Credentialing and Education, (2001). The Practice of Internet Counseling. (2001) - New Zealand Psychological Psychologists Board (201 1). Draft Guidelines: Psychology services delivered via the internet and other electronic media - Ohio Psychological Association. (2010). Te| epsychology Guidelines
  • 15. APA Proposed Society for Technology & Psychology TELECOMMUNCATION5 Email; Interactive Voice Response; Remote Sensing; Social Media Wireless, 8: Training Technology; Telephones (e. g., mHea| th, Mobile Phones, Text Practice Me55a%‘"%: Vide° Science Conferencing) COMPUTING HEALTH IT & INFORMATIC5 METHODOLOGIES Big Data; Controlled Vocabs 3D| _ 8‘ C t (e. g., ICD-10); Decision Making 5. Imggmg °mp”. er & Support; Data Mining; "nu “Ions . Ie'g" Gammg Health and Personal Health AVEl‘; “t'i'f5i": i8E“| 1'nr: :|"| ‘iIgIg:3‘: "eI‘_i5I7 Records; Electronic Data ' . _ ' Privacy, Security 8: Integrity; I & h II I U e 5; M| :': g‘: ::; :"| t:; :7e: IS? ':: ':aI Health Information Exchanges; HIPAA; Develop m e nt, I m ple m Robotics: User Computer Information Storage & I": /igygfifrsrgikgigéfopzgggier Retrieval; Interoperability e n n & I n I n g Interfaces) ( Education Public Interest OTHER TECHNOLOGIES Biotechnology; (e. g., Biofeedback; Biosensing); Nanotechnology, Nanomedici ne Copyright (c) 2012 by Marlene M. Ma eu, PhD, and Erica A. Abel, PhD
  • 16. .nI 1:. cl . - . .. / . l1.. .I. W// .VnoI. II . o r :1 . v! .mw £11.. . z. .. . 9 ilhui. . / . ... a.. .- . Isis- . m. .w. ... ... .m. ... ... tx. a,. ... v.. .a. ... ... ... I.. .. il. H.. ...1 . ..1.uwm. d p f . ... ._. IlE. ... ..M . in: Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 17. Traditional Telemedicine ‘ I I ". _ 2' . " ‘ ll rs I . Illt : pt ‘II ‘ v.1: . ' '_1 t ' " ‘ . i , _____i. ' _ ‘I l " I is‘: *~: ;:_ = ' s - . _.: ~~': .,: .:: ‘.. _. ' _ _. ‘ : l_ L. ;. _1_ ‘_ _- i“», ,.‘; ‘ , .f—'. ‘:»’ «T ‘ '4 7 ' 9.. .. ' i ‘.7 ’, _. --- o 9, : ‘,, «_ -. ‘T 1 r~ I" I . .. It . —. . n"l7 . , . ’ ms) 41' ‘ I ‘ a ‘ 2- ~ -. ', .‘ — s. ~., ‘¢ ‘ '_’l'».3.; ( I - . ,f. ‘_}. I‘, .. 2/ N , ?/‘. -.. ,~. ~ -‘C, ‘u v I A‘ . { . I . I I’ Patient in rural ER gets benefit of local care plus remote consultation with specialists. Remote doctor examines a patient’s inner ear from a remote location. Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • 18. The Internet Opens a Window to Professionals ~—-—-1 _. .. ..—.
  • 19. Video Teleconferencing (VTC)
  • 20. Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 21. Wearable Computers (Glasses)
  • 22. @. IR"6 Personal Robots Group mi! media lab in wt; if-: '.'. ':. ’.' m'. '7 rtvlfio: 1. Home Welcome to the Personal Robots Group
  • 23. Online Norm vs. Standard of Care “ Mostly Email & Chat vs. Video ' Anonymity/ No Patient Records * Avoid Responsibility w/ Website Disclaimers “ No Clear Channels for Mandated Reporting
  • 24. Online Norm vs. Standard of Care No Contact with Other Treating Clinicians No Authentication of Consumer/ Professional No Emergency Backup Procedures Misunderstanding of Clinical Processes (suicide) Scant Research for Unsupervised Settings
  • 25. Primary Focus: Not the technology, but rather, the service we deliver
  • 26. OCPM: Online Clinical Practice Management / S ]_ I . . 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 reserved.
  • 27. All Existing Legal and Ethical Rules Apply
  • 28. Competence - (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. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 29. Client & Patient Selection Study the evidence base (research) People with almost all diagnostic symptoms have been treated with traditional telehealth Treatment to the home has not yet identified which groups are too risky Understand differences between treatment of individuals in 1 setting vs, another (hospital vs. car, park, bed etc. ) Consider compliance problems
  • 30. APA S'ta_nc! ard; Diversity Racial, Linguistic, Religious & Cultural Differences Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 31. Duty to Report / Duty to Warn California State Law 6* (v) Failing to comply with the child abuse reporting requirements of Section 11166 of the Penal Code. ~ (w) Failing to comply with the elder and adult dependent abuse reporting requirements of Section 15630 ofthe Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont. )
  • 32. APA Standard 10: Informed Consent ° 3.10 Informed Consent (a) When psychologists obtain the informed consent of the individual or individuals using language that is reasonably understandable to that person or persons except when conducting such activities without consent is mandated by law or governmental regulation or as otherwise provided in this Ethics Code.
  • 33. APA Standard 10: Informed Consent -* 3.10 Informed Consent (d) Psychologists appropriately document written or oral consent, permission, and assent. — http: //www. apa. org/ ethics/ code/ index. aspx
  • 34. APA Ethical Standard 6: Record Keeping * 6.01 Documentation of Professional and Scientific Work and Maintenance of Records Psychologists create, and to the extent the records are under their control, maintain, disseminate, store, retain and dispose of records and data relating to their professional and scientific work - http: //www. apa. org/ ethics/ code/ index. aspx
  • 35. APA Ethical Standard 2: Research—based Protocols ° 2.04 Bases for Scientific and Professional Judgments Psychologists‘ work is based upon established scientific and professional knowledge of the discipline.
  • 36. APA Ethical Standard 2: Research—based Protocols - Where do you find research? - Lookat — funding sources — meta—ana| yses Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved.
  • 37. APA Ethical Standard 9: Assessment 9.01 Bases for Assessments 9.02 Use of Assessments 9.03 Informed Consent in Assessments 9.04 Release of Test Data 9.05 Test Construction 9.06 Interpreting Assessment Results 9.09 Test Scoring and Interpretation Services 9.10 Explaining Assessment Results 9.11 Maintaining Test Security
  • 38. Choice ofTechno| ogy ° Choice of Communication Channel (modality) — Responsibility of Professional? ° Technology specific training/ proficiency for each modality + combination of modalities Copyright 201 2 TeIeMentaI Health Institute, Inc. All ri eeeeeeeeee d.
  • 39. Social Networking — ‘ “‘x. f ‘ Follow a Proven _ Strategy ‘ ' I f q , ,_I .
  • 40. Social Media Is Not Private * ”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. ” - APA http: //www. apa. org/ about/ social-media-policy. aspx Copyright 2012 TeIeMenta| Health Institute, Inc. All rights reserved.
  • 41. Online Therapy Companies ~ 11 Psychological Services Delivered to or Through Organizations (a) Psychologists delivering services to or through organizations provide information beforehand to clients and when appropriate those directly affected by the services about - (1) the nature and objectives of the services, - (2) the intended recipients, - (3) which of the individuals are clients, - (4) the relationship the psychologist will have with each person and the organization, - (5) the probable uses of services provided and information obtained, - (6) who will have access to the information, and - (7) limits of confidentiality. As soon as feasible, they provide information about the results and conclusions of such services to appropriate persons.
  • 42. OCPM Step 1: Professiona| ’s Self Care * Boundaries I”; T‘ — Office hours 9’ I Elk)‘ — Unplug ~ gt I «I Reputation . ,_. ,l_. _._. ‘ management ’ ’—; .,i; .,_‘ff/ ' "‘ . _'_ I - Community of like— re: ,/ minded pros ~ , . , . ‘. ' ‘3 ‘I . _
  • 43. Summary Competence as Ethical Issue — Multicultural, diversity, linguistic Demonstrate competence — Research — Technology Be clear about client & patient selection Self care Have an emergency plan Consider developing psycho—education
  • 44. "It would be strange, and embarrassing, if clinical psychologists, supposedly sophisticated methodologically and quantitatively trained, were to lag behind internal medicine, investment analysis, and factory operations control in accepting the computer revolution. " - Paul Meehl, 1987 Please sign our petition: mnAnALsLp; a_pa_nat. l SOCIETY FOR .0, [ )* TECHNOLOGYAND f PSYCHOLOGY T
  • 45. QUESTIONS? Coming next. .. Clinical Issues ’ # What do mental health consumers want? Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 46. American Telemedicine Association Videoconferencing Guidelines — Emergencies (2009) A patient site assessment If Emergency preteeds Sha” be U“de”5ake“r shall be created with i“C'Udi“9 Obtaining clear explanation of roles information 0“ I003‘ & responsibilities in regulations & emergency emergencies resources, and identification of potential local collaborators to help with emergencies
  • 47. 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
  • 48. American Telemedicine Association Videoconferencing Guidelines — Emergencies (2009) ' Be eWeie Otthe impact - Be aware of safety issues 0t iemete Cate 0“ with patients displaying |0i0ViCiei'5 Peteeletien 0t strong affective or control (or lack thereof) benavierai States upon OVerthe CIlniCa| Condusion ofa interaction, and how Session, and new this might impact patients may then |0i0V'Ciei'5 interact with remote site management inhabitants
  • 49. OCPM Step 6:s Direct Clinical Care Explain & sign informed consent document I: - Conduct a formal intake — no shortcuts <: I Meet in—person or video I: - Take a full history, medications, illnesses, abuse, stressors, support system, use of other technology, drug/ alcohol use, suicide/ homicide intent, mental status I: - Decide iii then which technology is appropriate Obtain names & contact information for all other key providers, get all appropriate releases to contact them
  • 50. OCPM Step 6; Direct Clinical Care Contract for short, protoco| —driven tx «: I Authenticate & set ground rules at every session ~: I Enforce boundaries (privacy, family, social media) Have backup emergency plan I; Evaluate at regular intervals
  • 51. Clinical Issues <“ Save all proof of Have a social media training or consultation policy <“ Records: <c Have an addendum to — Document, document, your informed Consent document , - Communicate often to your local, state and national professional associations Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 52. E W. 3 Ju. mW All 4. 3. 3 E 3 , T W , . ml W V g aa W F‘ . a_, _.. ____x%. WV. a ; 2 . .. ..x s Copyright 201 2 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 53. OCPM Step 3 Legal Issues: Which Technologies to Use? 0 No Guesswork Needed —— wrvIiiTL I’ HIPAA c°mDli. mt Hand ff - arY De? I' Sessions b°‘Wt‘L‘n Ice over any Network — Sweeping’ . MlO§»)“: _'“ ‘ ‘I ’. ._. ... .‘ EL F
  • 54. Which features do we need in VTC? Dependson population served — General adult — Pediatrics (room, table -4. "ii top ' - — Gerontology (adaptive V _E 5 ‘ devices) V}/ ~_; ’ , — Correctional facilities ‘rr, /;: ”r** (videophones) Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • 55. Internet-based, VTC Companies Claiming HIPAA Comp| iance* -vnuilgiil mv ””’AA Cmnpliant Handoff * arY Devi Sessions b““’t‘L‘n ce over any Networi. ‘ Sweeping " 89*‘/ aobilem __ c""" ’ www. te| ehea| th. org/ video *TMH Institute has partnered with some of these companies and will receive a referral fee if you mention TMH| .You may also get an added discount. Copyright 2012 TeIeMentaI Health Institute, Inc. All rights resented.
  • 56. OCPM: Online Clinical Practice Management I l . Step 1:Training Step 2: Referrals Step 3: Patient Education Step 4: Legalities Step 5: Assessment SIep_6_°_[l'LLecI_Ca. Le Step 7: Reimbursement
  • 57. OCPM Step 6:: Direct Clinical Care «: - Explain & sign informed consent document ~: - Conduct a formal intake — no shortcuts a: » Meet in—person or video, take full history, medications, illnesses, abuse, stressors, support system, use of other technology, drug/ alcohol use, suicide/ homicide intent, mental status Decide if, then which technology is appropriate : - Obtain names of all other key providers, get all appropriate
  • 58. OCPM Step 6: Direct Clinical Care 9 Contract for short, protoco| —driven tx 9 Authenticate & set ground rules at every session 9 Enforce boundaries (privacy, family, social media) 9 Have backup emergency plan 9 Evaluate at regular intervals
  • 59. ,3». , _: 9 , . O - -. ’_ _ *' -25.‘: ‘T I 0 I1 '4. 5;. — V. I . I :1 "‘: “-3'. ’ ". Know technical aspects (camera position, ‘ lighting , audio, noise, clock, etc. )
  • 60. CLINICAL MODEL§ supponnso BY THE EVIDENCE BASE Coming next. .. p Which models “" should we follow? Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 61. Migration Model Start with your current clients Select those who are reliable, have good support systems and with whom you have a good workign relationship Consider their diagnosis Take the time to prepare them Plan in—person sessions at regular intervals Do not work through their secretaries or others
  • 62. “Nursing Homes
  • 63. 14/ I, , . I I’ . . — Ir Il~' : ‘ I , .-_o- ___. ‘7 : ( ' ‘I 2‘-; . V.
  • 64. Hospitals
  • 65. Rural Hospitals
  • 66. Correction; Facilities
  • 67. Home Health I63 -I I}: (V. J’ «I.
  • 68. Military & Veteran's Administration
  • 69. I I fl _ ’ Opinion 62° Sunday". June 17. 2012 Last update: 8:28 pm. NEWS POLITICS BUSINESS HEALTH SPORTS OUTDOORS LIVING OPINION OBITUARIES EVENTS . I_-RRYME CONTACT I‘I-: —.: : I; I‘: ‘lTl cur I: I:IITI~: I_II'IIt State I An: i‘I*I I‘-. I_II; LI-ata I Ban-; I:<rI DI: I». xn East I H3nI: I:II: F’ : LewIstI Aiuaurn I I. lIC! —II: lElIfl-E‘ I I. III3cI: =as. t I Pen . I’I: ItI F‘isI: atauuis I Portland . Search this site -‘l3'; |I'1l Prewous story: Next story: -- Republicans are moving Maine backward ALBERT . -_l_'ISTIl' DL'I'TO. ' >> Eorroms 3" ‘ IE] GET NEWS EMAIL UPDATES Surviving war to die in Maine T % T . ‘ ' " ” News .1 . ~.. .- 1. 2o~_‘earAold Appalachian Trail hiker drowns in pond in remote tOTlSl1ip 2. 4 motorcyclists die in crashes across LI. _ _; ,c13,, : , mi NH at start ofbike week : S‘LV}te national anthent was played. .Iaine‘s 'orld War II veterans and other meirbers ot the milir. ar_' and 3. Police identify man killed in Amherst -d thousands of spectators as they saluted the I_’. S. flag during the 2o1o is. banqordaiIvnews. com/ ,nm, I,. “ash
  • 70. Questions?
  • 71. Best Practices for Product Development and Online Marketing of Self-help Materials Coming next. .. Proven Paths to Follow in the ’’IM’’ Space Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 72. Does Telehealth Include Psychoeducation ? “ Absolutely I’ I ‘ ' Anywhere, Anytime / Serve More People 7 Part—time y y Practice Generator «.2; Lower Risk ‘ Non—therapeutic Relationship <* Clearer Legal/ ethical Mandates Copyright 2012 TeIeMental Health Institute, Inc. All rights reserved.
  • 73. Federal Trade Commission Competent and Reliable Scientific Evidence What It Isn’t What It I_s O Anecdotal evidence from . Meth°d°I99ICaIIy 5°. ‘l“d Consumers tests, studies, scientific research . 0 Based on expertise of professionals in Popular press articles fie| d . Sales materials from O Objectively conducted by qualified manufacturer people 9 Using procedures accepted as Low return rate accurate MOney_baCk guarantee 0 Yielding statistically significant results Copyright 2011 Affiliate Summit West
  • 74. .-. ’ I . -. I I APA Ethics Code — Standard 5 5.01 Avoidance of False or Deceptive Statements -- ads, endorsements, resumes, CVs, published materials 5.02 Statements by Others —— we remain responsible, do not compensate media, clearly identify paid ads — webmasters and plagiarism 5.03 Descriptions ofWorkshops and Non—Degree—Granting Educational Programs — accurate 5.04 Media Presentations — based on literature and practice 5.05 Testimonials — not from current clients 5.06 | n—Person Solicitation — protect others from our undue influence Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 75. Path #1 Print Book or eBook? Coming next. .. Proven Steps ’ k to Follow Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 76. Book vs. eBook Zero delivery costs No printing No inventory No shipping Instant access Can charge premium prices List on Amazon Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. l: |l: l|: l
  • 77. Copyright 2005 by Randy Glasbergen. www. gIasbcrgcn. com 5?? purpose {Ill I . ; l(A)aL'I'reria| I I GLASBEFGE “Stress management is for wimps! ”
  • 78. Path #5 Use Social Media to Develop a Market Coming next. .. ‘L Which social media platforms to use and how? Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 79. «- ~ 4. —- 3? ¢ t_‘ ~ T- ’ <2 ' ‘ - ’. ‘‘ _ _ Q, ‘ A: _ , , u—f‘_— Copyright 2012 TeIeMenta[ Health Institute, Inc. All rights reserved.
  • 80. ‘ L Iuri~1(= i-Iliir-inirziit-zi-raiii-Iiizim . itinmzlir-1:: I-iuliizralliii. (atair= nliiii~lr-: iii»iramliiv2IiiiI(>lt= -iiir: iél'r-I'lii= , About Us Articles Blog Books Calendar Discussion Glossary Interviews 'A'l_'tt' ti ‘ ‘Mg: ' 'A'£_I_[l i)_Il! )n , .§II, ll - I911!-at I0)‘_J. D;-: ’t_I Ll_l_: .t§Pg1“}_ini5Y= '£4l9l! o_'F'! ),I m. .:: .7h), Ile. -uumunun. iVlll1'i‘II'll= ,II= ,l= "'i'§‘J, ‘, 'l= |i&<‘--rl! l=: .-u: I-iti, laiIi- Reimbursement: Recent Legal and Marketplace Changes by Dr Llaheu on 11.i‘12.i'11 at1 00 am Increasingly Technical lylarlretplace Changes Standard Therapy lylodels Hlk 1-houiTraining Webinar iL| ’vEi Wrap up this year with an essential discussion of current events to predict next year's focus on telemental health and online therapy This month's guestwill be Tania S lilalii: J D , Founder and President ofCOPEtoday as Dr l. laheu‘s guest. she will discuss : ] Full Sto Suicide Preparedness: 7' Strategies for Telemental Health or Online Therapy by Dr Llahieu on O-1i“l2l‘l‘l 312 29 pm Potentially suicidal clients and patients pose one ofthe most rigorous challenges faced by telemental health professionals This brief article will give a glimpse ofthe advance preparation you might consider Institutional Telemental Health Practice l. lany institutional work settings already have emergency response systems in place Examples ofsuch 0l'g3Tl|13l|0TlS include the military. the ; l Full Story lL-XNDATED CHILD ABUSE REPORTING IN ONLINE THERAPY —— A sobering Reality? by Dr Llaheu on 2‘Ii“I1i"l‘I at 4 45 am Copyright 20l2Te| eMenta| Health | nstitute, |nc. All rights reserved. The mr-. :.nvDnnn Qtatn Fhilri cmivsi amigo immsl-ii. nninoc in ': riinriamnnvai nmhlmnthal team: on he. rminn ~‘1!lIl€I= .|‘[. ‘Ell =1=lsIruZr« Training Programs Ii-; iiiiii: ;in. ~ Featured Tags Dr Llaheu They are the same, exceptyciu put —GT as a qualifi »‘¥lii: ia Cantor What would be the CPT code for telehealth? ‘ The Online Counselling Service lnterestingl Thanr _OUlCl| ' sharing this article Camliider lm impressed’ 'y‘9Fy useful llllCill'l‘l3il0ll specially Port-“= .nswer Caller Solutions Thanks icirthe intormation' Free Reimbursement Handbook With TeIeMentaIHeaIthNews Signup! Full Name Primary Email Free Access 'Hl’: l-'Jl': tII Want to Practice 0nline? _. .. ilugiliii _I. ll~’_1'I'[_l" J um-A Dafianie
  • 81. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved. Linkedmo Go to Linlecln Ads n V Marlene M Maheu, Ph I3 Add Connections Home Profile Contacts Groups Jobs lnhox ‘WI Companies News More TeleMenta| Health Institute (TMHI) Discussions Members Promotions Jobs Search Manage More Share group l Group rul-as Manager's Choice Take a minute to set up your open group for success Modify write permissions in Group Settings 19 Edit your Group Rules » How Accessible FREE replay of today's webinar “Psychological Assessment Telemental Health Strategies Using Video" , . i"3rie i"3heu in: Seeali. Latest Updates Kristina Welker, PsyD commented in the group on Hi Everyone‘ I am a r’ I '2 Doctor ofPsycho| ogy and a Licensed Professional Counselor in private ractice in Phoenix l also trite Suicide Preparedness 7 Strategies for Telemental Health or Online Therapy gmwcai adme 3.-mes rmyou, mar Potentially suicidal clients and patients pose one of the most rigorous challenges faced by Ahwamkeg Foothmg p. m., -5 7 Hi Dean telemental health professionals. This brief . . we do have good an museums’ : ) And our winter weather is absolutely incredible. I think an online advice site could work well. .. Like Ccrnmentil lhiur agc Medical sensors could phone for help rr1ultitJriefs. ccim 4 people have]-oined the gum Aman struggling with drug addiction feels a craving coming on, but his nexttherapy appointment is including cheme Momson P'h D notfor another week. Right away, his cellphone bunes, otienng a breathing exercise, a motivational Niamh Maher and Sm“ S2)" ' " message, or even Just a distra F r: urs 3;: * WT li:3:: ;?. :‘i, :W; ;ii: :iiEi: *“ [ ; Hi' I'm a clinical psychologist in Los ‘ Using telephone field notes in qualitative research analysis Angeles County i am looking mm ‘ Hey. i'm in a bit ofa pickle. l'm currently conducting research and I received fantastic using technology to reach client ~ unexpected phone calls and am planning on _ populations In rural areas , Like (1) ‘l rim’; 3;: l- -.1 . $55 (“UTE )4 See all updates Hi All I am wondering what are the most commonly used services for online 9kIrrnIi I hm". kn. ..‘ an-i. ..A. »n v-rurn: -rr/ r mrirwn rlruin/ s Inna PHRTFOI I0 PFRFHPMANCF
  • 82. /< In this ISSUE . Suicide Preparedness Strategies . FREE Webinar: Reimbursement 7 Strategies for Working with Suicide in Telemental Health or Online Therapy Potentially suicidal clients and patients pose one of the most rigorous challenges faced by telemental health professionals, This brief article will give a glimpse of the advance preparation you might consider Institutional Telemental Health Practice May institutional work settings already have emergency TELEMENTAL HEALTH N E V S What our colleagues are saying ‘Dr. Maheu is psychology's telehealth visionary, leading our colteagues through professional training in ethics and innovative technologies since the mid—90's.
  • 83. acebook Search "V http: //awebencom/ t/QFefL‘i Access to training 8. teletonsults in exchange for work in developing our training facility. Send your name, degree, specific skills for barter to: < irifo@te| ementalhealth. r.om> Telenlelnizlflealzlllllslitlntie (« a waeHne| euanizIneaIuinewsnrid, oaoemberzi), zo11 1 Person Reached l. Like ’ Cornmerit December 20. 2011 at Z: -Jam via Atiieber Email Marlceong Tdernultalflulflilllstitute SIii: ‘ilePrepai't(hss75t: rat: e9‘sfor1'e| emuni Haiti: or Olin: Then-aw Teleflemal Health liens . http: //aweber. ccm/ t/Sfsva 5 People Reached I. Like ' Comment ' December 10. 2011a! 1:19am via Aweber Emad Marketnng Yelemental IIHIHI Institute fick filthy Teleflanfi Health & Electronic Shopping Guide _ http: //aweber. i:om/ t/KNVQO Need CE training anyhme in the next 5 years? Get it online. from the comfort of your home/ office. and all from the fidds leaders in helementd health training. You'll find the most comprehensrve, resource-filled, and cutting edge mformatmn anywhere. Use the coupon code below in our shopping car 5 People Reached l“ Like 'Cominent ' November 25, 20!! at 10:1-Sam via Aweber Email Marlreting Telellnelvlalllultillllstihme | 77' OIflAll| seRqIorI: 'IIgwiiI()| iI| e1he| -apvanll I? " relenuauniiieaitlunaiuneus -. htlp: //avt-eber. :om/ IJQ lady 6 People Reached l. Like ‘Comment - l‘la= ;emlJei 24, 2011 at 3:02pm via Aweber Email lflaikeong Tdelllclltnllleaflllllsfihllle FRE£It£PlAVoI'| |oIItnDevelopITlIriv‘ng Te| eInentalHealt: lIPractioeflonIVoIrtIIune'THIl1 Vlehinar
  • 84. A Home Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. ((9 Cciriiiecl W P ilk-‘BEE Q Search Kevin Pho. M. D. The Confrontation (A Les Miserables Parody) youtu be/ G7BCDQFr_w5o Thanks tzdoggmd Marlene Maheu Suicide Preparedness 7 Strategies for Telemental Health or Online Therapy inkd invic ? .—Gn evin ‘ 0. . . " ‘W What you need to know about popular diets is gdl‘7JpC6S Kevin Pho. M. D. Why the family meeting is important is gd/ aWmTCz ESPN Syracuse just sent a message to everyone watching “You do not want to play us in March " Jennifer Barbour 30-1 Best regular season record in Syracuseu basketball history Not too shabby raise Jennifer Barbour Thanks to kr: sio32 and wscoopiardine for4 years rcuse ‘seniorday Jennifer Barbour Lets go —'Cuse "~Deal| OLllSVlll€ Kevin Pho, M. D. Doctors Don't be ashamed about going bankrupt is gdilmgO4q APAHeIpCenter The Psychologists Daily is out! on lyrdygVgT > Top stories today via voabyshnnk I drsnepp "DlZDSyCl‘l Kevin Pho. M. D.
  • 85. DE E OP A WEBINAR I INSTITUTE Blog Partners Resources Services Store Tra ng About Us TMHI Webinars Skype Update 2012: The Good, the Bad, the Ugly -- and Affordable Alternatives by Marlene M. Maheu, Ph. D FREE 1-hour Training webinar (LIVE) Have yes; or you colleagues been using Skype? Do yC~. J fully Lin-: }:—rstand the platform so as to property exzplam nsxs and benefits to your ct-ens or patients? Dc you knots your cost . cient altematwes For HEPAA compliant {or HIPAA certified) piatforms ayaiacée today? Do you lcioiu what else you need to be doirg to meet both privacy and security laws on both the federal (HIPAA in the US", and state levels? Join Dr‘ Marlene Maheu as she dlS: l.l5SES nsks and benefits cf usmg Skype. tune: a put in yet: informed consent docunierit and how to evaluate the range of piatfcrrns that are nova available as alternatwas to Skype. Why use video as a platform Tc! psychotherapy‘ 0 Skype codate: what is Nlscrosoft o-orig to improve Skyp-2'5 HIPAA ccrrpoarsce’ What | l'YIpllCal]Ol'lS do Microsoft's recent acbons have for mental health professionals using Skype now? what is the difference between . -ITP-1A compliance and HIPAA ceroicabon? which features do mental heaidi professionals need in a video platform for cmeling, drierapy or supervision? which aiterriative piatfoms are available for realthcare pro-’ess>: mals7 What else do healthcare professionals need to know to be compiant with HIPAA regulations today’ Free Webinar Date: March 27, 2012 FREE Ileiubursemeal HaodbooOrlI'¢IellenIaI Mealfi ueusieuev Regnsbatiou News. Ev: -war. El-lill View My Cart What others are saying "Dr. Maheu is psychology’: tekhealth visionary. leading our miiesgnes through prorecssonai <1 training in Efllits and innovative technologies since we rnid—90's. Teleosvchologv is the 21st century and our practitioners in particular must become knowledgeable. ' Bat Deleon. Pi-. D.. mm, 10, r: «~——e« 2» eat, 5"ie'i: e'I is-. i:"oii: n_: -;a - ‘av. Vateu IS a lea: -r. ;i «aims —. zr twe aacsice-'_i: ri of «croi: -;v I‘! :ee~I'ea’. .*, chine seruices and use c‘ we. 1E-L‘ll'D>3; eS 2: s. -p: :—_ ar-3 ecienzt your Vacflce. variene nus : e"fic ; .c~is>-. :;»s—: o-i‘: miss then’ If . v—. - ~. a>. . a race -.9 see ‘is’ if 5: »n. mi I ‘I l'. l : :"= :!J: a| seeps t: e>Je'i: wt: wact-2 aw: rrpri: -E you’ sen IIES . IS"‘i; ms laces ta; ti*: Q.: ; es Ih gt reccrrrrecd Dr. iiarieo. ’ Jatnes Bray. mu. 5&5: Dre dent I-. 'iefi: e'i rem-slag-:3 sscc stow mare r-‘—r: —'esscv 2: Ee, io' Csilege r: ‘ Véiiar-E ‘Marlene has Iorked at the *5 forefront ol telehealth for many years and has substantial >1 elven-tise in the area. I strongly recommend her as a speaker and collsullant in this arena. ‘ , G”‘
  • 86. CREATE YOUTUBE VIDEO OF A TALK, DISCUSSION OR A DEMO Not Sure Where to Start or Get Funding for Telemedicine? Mental Health www. TeIeMentaIHealth. com
  • 87. 0. Browse l/ levies Upload l7VlH‘Cl‘3””‘? l I ‘Q TMHlChannel's channel T T - T T Featured Search Channel I1- ‘5— About TMHlChannel's channel Edli l’_’. ’ J Add a featured video Postachamrelcomment ‘I. -3 «- __. —’_ Posr . { T Uploaded videos run a ‘ J '>4lL=2 . In? jgv-1-~TI'-~-7 M . ,, _,, ,_l, .,_, ,,, . _ Crealed by l‘ -l , M, T » . ‘ ' 3 ' Latesmcnvnty '1. -' ' ~' Society for Technology 8. Telepsychol. .. Dale Joined : N L ‘ Featured Playlists Edll OS or — Online Therapy 8- New York Times Uploaded megs Other Channels New Perspectives Ethics in Therapy E. .. , .lf‘.3
  • 88. DEVELOP A COURSE OR PROGRAM Course Catalog Contact Us M‘, 'Ho"1e » My Courses » smc An, TeleF‘lal: > 7 Erttergerrci-: -5 and Terwtlnatlirg Contents Managing Crises & Emergencies Munagmgcrisesa Emergencies ESSENTML POINTS 0 Proper screening will eliminate many of the problems associated with emergencies o solo prolessionals operating online may be less able than Ur- Call On ‘/ atiilltin and Dir! of Llln: prolessionals who work in institutions to gather crucial -e, "._, ,,mg mi p, W55,m, information or act with sufficient speed to address a client in F-‘elaircnsh crisis ‘ivnen 'errn-ratlng lsr» : the Em Definitions course co ts Crises and emergencies lead to U Navlgatlng thls Course heightened (but not novel) risks It's all a matter ot degree. There is no v Lessons: standard definition of an H Lesson One emergency or a Crisis. In practice, a LESSW Two labeling a situation an emergency is a Lesson Three a mechanism torjustifying a course = Lesson Four of action selected on the basis of a Lesson Fwe numerous considerations, many of = Lesson 80 which may be subject to dispute or =1 Lesson Seven hard to describe uLesson Eight a Lesson Mme unless there is widespread abuse of the concept, society prefers to avert its gaze and rely on the responsible judgment of the people on the front lines Cit course, there are occasional gross MISJUGQIDEMS, people who exploit the looseness of the definition. cases of negligence, or simply bad results, any of which can lead to a lawsuit and an adverse outcome for the defendant Thus. practitioners are forced to weigh the benefits of professional freedom (which speaks to their strengths) against the benefits of constnctive standards (which may protect against their weaknesses). “Sneak Peeks “Learning Lounge Community FOFUFH “Post~Test “Course Evaluation Icourse Certlficate
  • 89. Path #5 Process Review * Blog * Linkedln * Newsletter a Facebook * Twitter ~s Webinar * YouTube Courses *** Consultation ***
  • 90. Path #6 Affiliate Program Coming next. .. Proven Steps ’ k to Follow Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 91. .Mi@rrk<e“~* I ltiw‘ir1s ii) g , _:. A 0 l I‘ - ‘f « Marlene M. I)ELI'IiDe1'SI 111) inmsr. -t 1I_ 1[Lk»3 Joseph Joe L25 'I‘1J. ui: vt]_t§' EV-3 AL; -im Keely M‘fl"‘"l Pl’ D Natolt Young IIi: .Ien. "ui. ti. i Bswuuese Posen Lmy Nels/ gu Ktilmes JD MI). -TD P11. 1». MD PhD Psy. 1». Prog ‘Z1111 May 21, 22, 29 & June 4 8. 5 Web Conference Summary 10 Legal & Ethical CEs V Howto Get Started V Licensure « Informed consent document V Skype IL HIPAA v Social media policies v Facebook. Yelp Si Linkedln . » Reimbursement « Medicare 8. Medicaid V Accountable Care Organizations W205) « Online marketing strategies —— Legal issues with P ’f‘ ‘R professional websites Manx »« Innovative practice models . , Handling emergencies with children and adults w Free sources oliriformation
  • 92. Affiliate Marketing Promote to mailing lists — Don't share lists but rather cross-refer, or cross-promote — Classic editor—mode| — Instant credibility a Very tightly regulated online — be careful Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.
  • 93. DEVELOP / # l. /lA| l.lllG LIST AND USE IT ’ESPONS| BLY ll’l: l_El/ I|: l*d'I’: ’~€L lit/ -‘xLl’lw‘ I IR‘ 3' ‘I II II Jfl ll IE Enter your name. .. Enter your email. .. GET I. '. S"l'. l."I‘ . l( '1 ‘IISS
  • 94. OFFER FREE INFORMATION-PACKED VIDEOS . . ,4 ’L‘c Maheu is Q / Yalnnnan? uI5IM’»3f‘, ‘ nearing Uul r. ::| l¢-ilgms tlvcugti ptcfiusssorial lrsvlmg 7| uI'IiE 2 am mm. ai~«-- lactnnlrmq-as since the Ind '10: leleosy-, hiiIo1_}, v I: in no term, am: nu f(2l'l-llulw". l'I giamciiiz mun he-Mime lnov<I'vi1-_1r-arts‘ -. -o. L.>« A--. _ um _ . ,.. .. finszavwy A. ... ;.. an A51 apt»)- T-: l. laI‘9.4 IE a It-3-Sfiu nan-: r.ai lII[€fl rm inc ; IFC<: .I. t1ur- :4 as : »<: vi: ~ In Trlereillfi uiiim-: - zsmm ar1.i: s : >‘nn| - Is-m 44:0». -5 mu Dvidlrll our»: -n am 4--win . .~. .. 5-. Fr r but E‘Ov&<‘l . t.. .«a-v~. . c. .. Al‘: flI! :r- "9’-All r—«-, «.. ..~. I -M u. = 3-. Man-uiu ha: P¢“. >1I ed A II‘( . iovsvcm It I: I!Ile.1II'l Iul "IBM 5il’- 4 J A It}: $u: r:I: Y|fl.1I . that I! ‘ live sin u! ‘ _p, ,- . -r. an1 mu as a :98.-pr an-1 . J'l: uVA’¢I1lVI-S arena
  • 95. Learning Objectives Intelligently discuss 3 controversial risk management issues in telepractice and/ or telesupervision. Identify 3 specific legal, regulatory or ethical issues in telepractice. Discuss how mu| ti—cu| tura| issues are relevant to telepractice. Name at least 2 sources of reliable information to keep current with the rapidly changing healthcare reimbursement options, including Accountable Care Organizations (ACOs). Outline 3 potential uses of store—and—forward technology with psychology clients. List at least 3 essential best practice considerations for using smartphone "apps" with psychology clients, students, researchers or practitioners. Identify 3 ways to legally, ethically and profitably promote se| f—he| p services or materials online.
  • 96. Questions?
  • 97. Policies & Guidelines “HE, _EE. I. .| H ES . m I. Guseh JS 2nd, Brendel RW, Brendel DH. . J Med Ethics. 2009;35(9):584—6. S. |H| . | |H| .|EE. _! . | l. E. I. 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. Gabbard GO, Kassaw KA, Perez—Garcia G, Professional boundaries in the era ofthe internet. Acad Psych. 201 1;35:1 68-74. 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? Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  • 98. Commentaries - Farnan JM, Paro JA, Higa JT, et al. Commentary: The relationship status of digital media and professionalism: it's complicated. Acad Med. 2009;84(1 1):1 479-81. - Greysen SR, Kind T, Chretien KC. Online Professionalism and the Mirror of Social Media. J Gen Intern Med. 2010 Nov;25(11):1227—9. - Chretien KC. (Opinion—Editoria| ). USA Today. June 10,2010. Mostaghimi A, Crotty BH. Professionalism in the digital age. Ann Intern Med.2011;154(8):560—2. Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  • 99. Papers Chretien KC, Greysen SR, Chretien JP, Kind T. Online posting of unprofessional content by medical students. JAMA. 2009 Sep 23;302(12):1309-15. Thompson LA, Dawson K, Ferdig R, Black EW, BoyerJ, Coutts J, et a| .The intersection of online social networking with medical professiona| ism. J Gen Intern Med. 2008 Ju| ;23(7):954—7. Lagu T, Kaufman EJ, Asch DA, Armstrong K. Content of weblogs written by health professionals. J Gen Intern Med. 2008 Oct;23(10):1642—6. Garner J, O’Su| |ivan H. Facebook and the professional behaviours of undergraduate medical students. Clin Teach. 2010;7(2):1 12-5. Kind T, Genrich G, Sodhi A, Chretien KC. Social Media Policies at US Medical Schools. Med Educ Online. 2010 Sep15;15.doi:10.3402/meo. v15iO.5324. Chretien KC, Gold man EF, Beckman L, Kind T. It's your own risk: students’ perspectives on online professionalism. Acad Med. 2010;85(10)S1—S4. Farnan JM, Paro JA, Higa J, Edelson J, Arora VM. The YouTube generation: Implications for medical professionalism. Perspectives in Biology & Medicine. 2008;51(4):517-24. Chretien KC, Azar J, Kind T. Physicians on Twitter. JAMA. 201 1: 305(6):566-8. Copyright 2012 Te| eMental Health Institute, Inc. All rights reserved.
  • 100. Resources ° mm ° www. te| ehea| th. ORG/ ethics
  • 101. Th onl: Marlene M. Maheu, Ph. D. Te| eMental Health Institute, Inc. Phone: 619-255-2788 Email: mmaheu@te| ehea| th. ORG Copyright 2012 TeleMental Health Institute, Inc. All rights reserved.

×