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Advanced Telehealth Clinical Best Practices: Crisis Planning.pptx
1.
Crisis Planning Shawna Wright, PhD
2.
© 1994-2023 Telehealth.org, LLC All Rights Reserved. Telehealth.org, LLC Consulting, Staffing,
Credentialing and Professional Training (CEs) in Ethically – Required Competencies www.telehealth.org
3.
© 1994-2023 Telehealth.org, LLC All Rights Reserved. • 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 yourself as 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. Disclaimer
4.
© 1994-2022. Telebehavioral Health Institute, LLC. All Rights Reserved. 4 Informed Consent • Verbal
and written informed consent • Treatment and Technology
5.
© 1994-2023 Telehealth.org, LLC All rights reserved. 5 American Telemedicine Association Practice Guidelines • Local,
regional, and national laws shall be followed • Consent should include all information contained for in-person care (structure/timing of services, record keeping, scheduling, privacy, potential risks, confidentiality, mandatory reporting, and billing)
6.
© 1994-2023 Telehealth.org, LLC All rights reserved. 6 American Telemedicine Association Practice Guidelines • Information
shall be provided in a language that can be easily understood by the patient • Key topics that shall be reviewed with the use of televideo/videoconferencing technology: • Confidentiality and the limits of confidentiality in electronic communication, an agreed upon emergency plan, process by which patient information will be documented and stored, the potential for technical failure, procedures for coordination of care with other professionals, a protocol for the contact between sessions, conditions under which telemental health services may be terminated and a referral made to in- person care.
7.
© 1994-2023 Telehealth.org, LLC All Rights Reserved. • Crisis planning
needs to be considered and introduced at the first contact with the client/patient and is often more extensive than in-person treatment. • Crisis planning should be developed according to the patient’s location (i.e., supervised versus unsupervised setting). Crisis Planning 7
8.
© 1994-2023 Telehealth.org, LLC All Rights Reserved. • Telehealth professionals
need to know and understand the jurisdictional mental health involuntary hospitalization and duty-to-notify laws where the patient is receiving care. • In supervised settings, telehealth providers should be familiar with the facility’s emergency procedures. Crisis Planning 8
9.
© 1994-2023 Telehealth.org, LLC All Rights Reserved. • In unsupervised
settings, telehealth professionals may request contact information of a family or community member who could be called upon for support in case of an emergency (e.g, The Patient Support Person”). • In case the patient or the “patient support person” is uncooperative during a time of mental health crisis, telehealth professionals, crisis planning shall include local emergency personal and knowledge of available resources in case of involuntary hospitalization. Crisis Planning 9
10.
© 1994-2023 Telehealth.org, LLC All Rights Reserved. • Telehealth professionals
should assess the limitations the patient has in terms of self-transporting and/or access to transportation. • Telehealth professionals shall acquire telephone numbers for local resources in the patient’s community and have them readily available at the beginning of each session. Prior to each session, the provider shall also determine the patient's location and whether there have been any changes to the patient’s personal support system or emergency management protocol. Crisis Planning 10
11.
© 1994-2022. Telebehavioral Health Institute, LLC. All Rights Reserved. 11 Questions?
12.
© 1994-2022. Telebehavioral Health Institute, LLC. All Rights Reserved. 12 Informed Consent • Verbal
and written informed consent • Treatment and Technology
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