Lesson 3 Setting Up Your Video-Based Office for Telehealth.pptx
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Lesson 3 Setting Up Your Video-Based Office for Telehealth.pptx
- 1. Setting Up Your Video- Based Office for Telehealth Lesson 3
- 2. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 2 Training • (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.
- 3. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • 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 Telemental Health Guidelines & Standards 3
- 4. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • 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 Telemental Health Guidelines & Standards 4
- 5. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • 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 Telemental Health Practice Guidelines for Videoconferencing Based Telemental Health New “Desktop and Mobile Telemental Health Workgroup” (2011 -present) • 2012 Royal New Australian and New Zealand College of Psychiatrists Telehealth Brief Guide to Address Practice Issues and Working with the Community Telemental Health Guidelines & Standards 5
- 6. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 6 Your Computer is Your “Office” Understand the features of your platform • Test with friends / family • Use sales or technical staff for the platform you choose • Trust yourself
- 8. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 8 Privacy and Confidentiality • Remind clients/patients at the onset of every session • Sets a professional tone
- 9. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 9 Be Aware of How You Are Experienced by Your Clients
- 11. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. From Wikipedia, the free encyclopedia Jump to: navigation, search A telepresence system in 2007 Telepresence refers to a set of technologies which allow a person to feel as if they were present, to give the appearance of being present, or to have an effect, via telerobotics, at a place other than their true location. Telepresence requires that the users' senses be provided with such stimuli as to give the feeling of being in that other location. Additionally, users may be given the ability to affect the remote location. In this case, the user's position, movements, actions, voice, etc. may be sensed, transmitted and duplicated in the remote location to bring about this effect. Therefore information may be traveling in both directions between the user and the remote location. Telepresence 11
- 12. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 12 Practical / Technical: Audio • Background Noise • Types • Busy Streets, Telephones, Faxes, Stairs, Kitchen, Vacuums, Trains/Airplanes Patient Side, Therapist Side • Distractions (Practice Directorate, 1980’s, Task Force for Telephone Counseling, Summary Paper) • Audio Clarity & Continuity • Equipment Quality • Type of Microphone • Headsets vs. Free Standing • Microphone Placement • Speaker Location
- 13. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • Professional attire above the waist • No Loud Colors • No Sharply Contrasting Clothes • No Checks/Plaids • No Stripes • No black/white • No jangly jewelry or reflective materials • Eye Glasses • Powder • Chin • Forehead • Balding Spots • Nose • Highlighting • Eye Makeup • Lip color How to Dress and Groom Yourself 13 Yourself with Clothes Your Makeup
- 14. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • Background Pictures • Excessive Gesturing • Glossy Surfaces • Quick Side-to-Side Movements • Leaning Forward • Camera Being Too High, Low • “One-eyeball Effect” • Showing Your Client the Inside of Your Nose • Messy Backgrounds • Noisy Children, Spouses, Curious Cats or a Barking Dog(s) • Doorbells (put sign on door) Avoid 14
- 15. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • Transmission Channel Speed • Camera Quality • Camera Positioning • Reliability of all Equipment • Audio is the Most Essential Channel • Use Telephone as Backup System –get #s • Speaker location • Lighting • Gel Filters • Shadows • Natural and/or Artificial Lighting • Illuminate Your Face • 60/40 Split Frontal Top & Bottom • Hot Spots • Uplighting • Backlighting for adding dimension Video Clarity and Continuity 15
- 16. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • Reverberation • Patient or Client won’t necessarily tell you • Sound Absorbers: • Carpeting • Plush couches • Drapes • Pillows • Enlist Aid of Your Office Mates • Behaviors to Avoid • Sniffing, Sniffling, Snorting • “Ahhhh”s • Scratching, (Filing Nails) • Tapping Fingers • Shuffling papers • Typing • Pen Chewing • Eating or drinking loudly • Audible Body Functions (especially into microphone or on leather…) Practical/Technical: Audio 16
- 17. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • Any number of things can go wrong - discuss during informed consent process • Clock 8 – 10 hours of training with your chosen technology before opening your camera to clients/patients • If you take notes, make sure your client knows why and where they will go • They may hear you typing and ask to see notes • Be mindful of MU requirements right around the corner Practice Sessions 17
- 18. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. • Read TMH Institute Coursework • ATA Guidelines • Ethical Guidelines for Your Association • Answer their questions • Have a few practice sessions with you • Connect with other Study Group members now to see what they see in your setting • Practice how to train your admin How to Train Your Admin if Relevant 18
- 19. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 19 Surprises • If working from home, family may barge in without realizing you are working • How will you handle it? • The same may happen on the client/patient side • How will you handle it?
- 20. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 20 Surprises • Be aware that when you treat people in their homes, they may be dis-inhibited. They may have hidden agendas and indulge in them off camera • How will you deal with it? • What will you say or do?
- 21. © 1994-2022 Telebehavioral Health Institute, LLC All Rights Reserved. 21 Surprises • What if a client isn’t experiencing psychosis, but rather, simply is provocative? • What types of provocation can you imagine? • What about a suicide or homicide threat? Abuse? • What would you say or do?