Thriving with
Telehealth:  7 Legal and
Ethical Strategies to
Expand Practice
Opportunities Online
with 21 st Century Skill...
(, 

(, 

Disclaimer

WHO I AM:  I am a licensed psychologist,  not an attorney,  physician, 
marketing or information tec...
1.

Learning Objectives

Describe 3 ethical dilemmas related to Skype, 
Google and Facebook,  blogging and the ethical
cod...
CI-IIlG E

Change is good .  .  you go first. 
---Dilbert
OCPM:  Online Clinical Practice

Management
/ 

  

Step 1:Training

Step 2: Referrals

Step 3: Patient Education
Step 4: ...
We Are Re—tooIing

9/21/2012 6
MARRIAGE
COUNSELOR

“You don’t blog.  you don’t Twitter,  you have no RSS feed,  you’re

not on Facebook. ..and you wonder...
‘E 2007 by Randy Glasbergen.  www. gIasbergen. (om

a’; 

L‘

“How can I trust your information when
. ,,2., ,., ., you’re...
“Q;  ;t'

Inspiration

r What's Happening
t Myths vs.  Realities

<:  Opportunities for Us
and Our Clients
Definition of Terms

Behavioral Telehealth
Eheahh

Telehealth
Telemedicine
Telemental Health
Telepsychology
Online Counsel...
What's the Problem? 

Email

Chat

Text Messaging
Telephone / Vo| P
Video Chat
Smartphone
Tablet PC
Peripherals

VPN /  Cl...
What's the Problem? 

~ Different Professions /  Professional Associations &
Their Respective Ethical Codes: 
— Psychiatri...
Copyright 2008 by Randy Glasbc-(gen
www, gIasbc-rgertcom

 

‘‘I agree with much of what you’re saying,  mostly
the brief ...
Benefits ofTraditiona|  Video—Based Te| ehea| th*

Increased client satisfaction

Decreased travel time

Decreased travel,...
The Is Video Teleconferencing
(VTC) Effective? 

° Yes

— Medicare & Medicaid required to pay

° Outcomes are relatively c...
ll| .ICIl

Question is | |o Longer but ”How”

Table of Contents for Psychological Services,  Volume:  9 Issue:  2
Regular ...
Recent Supporting Research

- Godleski,  Darkins & Peters reported in April of 201 2 that
hospital utilization in psychiat...
Recent Supporting Research

Backhaus and colleagues (May,  2012) reported in t. beir_a. bsILact_of_a_I: neJ: a:
analysis t...
Guidelines as a Shortcut to the Literature

- American Medical Association.  (2000).  Guidelines for Patient—Physician Ele...
2010 OPA Telepsychology Guidelines

1: 
 | esl2 Q I 1 lQ6LC)J2ATeIepsyc
lZLQI. Og_}LG. LLI£_elII   “n e_s4.-1Z1_Q. .I1c5'_f
Types of Health Care Technology

Bioinfonnatics Hardware 6’
Proteornics 5°flV'3'° 0

Communications

_ _ Biosensors
- Iflele...
APA Proposed Society for Technology & Psychology

       
       
 
   
   
       
       
         
     
     
     
  ...
,.  .5.

.  IvI. I;| iVI

r
. 
ll lull
I’:  A
in o s
.  I
. _  
.  _. 
-

l. ..l. .n.  

"‘<
v. .u. ,..  .. _ - -

Edited by H.  GERNSBACK

 

25 Cents

April
I924

Over 200 Illustrations

—. ——1

I THE RADIO DOCTOR...
rfi ’‘ 2 A
_~. .‘ ~_-.  r ‘T i‘ 19-‘ —-
’‘| .-—2 ‘K-4 s l 8.4 l ‘-4

<-t.  A V_

4 r‘ T O.  ‘ "1 ’. "‘= 

u. " lt‘: -.4 ’ »...
9/21/2012 26
Traditional Telemedicine

 

specialists. 

Copyright 2012 Te| eMenta|  Health Institute,  Inc.  All rights reserved.
The Internet
Opens a
Window to
Professionals

5
A
.  ,_
' r
H’ _ i
I
- >’.  .3 _ I
. ‘ —-  ',  I‘ ‘ ii
.  l, ., I
.4 A 1 ....
9/21/20-12

-~-. ._, _.,  ,
_.  — _
“ 5 - 2-‘
L.  ’ T
.1 7 

29
Video Teleconferencing (VTC)
A l1i? l'lflI“ ~‘*“*'
gt-‘I3l'i. ii I. 

lbllfllr‘ EM . .

47% of Americans Have a Smart phone

 

9/21/2012
Copyright 2012 TeleMenta|  Health Institute,  Inc.  All rights reserved.
Wearable Computers (Glasses)
' Future Studies

.  Moore's Law
Moore 5 Law V5’ The Fifth Paradigm

Single Atom
Transmitter

Logarithmic Pia! 

- The num...
@. 
I. "'i"G Personal Robots Group

mi!  media lab Vii int;  it-: '.'. ':. ’.' iw. '7 rcvlfio:  1.

Home

Welcome to the Pe...
Patient

(0 E g g E 9
T9 -5 ii’ 0 0 5 § "Q L’ é
‘a o O Q,  m E a) 8 D in % 8
<0 E c L m o E <0 n.  I
E _ —:  . G, 
E 3 8 §...
M3 USA

Home About AB USA

For Physicians For Clients FAQ

About M3 USA Main Page

Management

* Press Room

For Investors...
Q’ AMERICAN PSYCHOLOGICAL ASSOCIATION ”°"

AboutAPA PsychologyTopics Publications Psychology Help Center News&Events Resea...
ATA:  Telemedicine Benefits from supreme Court’s PPACA Ruling

(July 28, 2012 - Washington,  DC) According to the American ...
XInternet World Stats

Usage and Population Statistics

Google AoWords

9/2l/2012

Put your ad online. 

New Stats

Start ...
. .  ~ ~ r-I.  .

-~‘- ---I-I 1- r-~ rs urn‘-

. .I Q. .. . -C- . ’ J.  .. ,!, :=, LS i= et>°°l<
Statistics

 

Usage and ...
F'IId keywords
Based an are or ‘rnth dihe follomng
II0tllU[f'EeV| I; £54’/ |l‘lEl rgege
cnline o: Lr-seir-; 
3 Lccatcvs U'...
Practitioner Adoption? 

- Over 1/2 million Google search results: 

— ”on| ine counse| ing” =  210,000 + searches

— ”on|...
OCPM:  Online Clinical Practice

Management
 / 

S ]_ I .  .
Step 2: Referrals

Step 3: Patient Education
Step 4: Legaliti...
Competence

- (i) A psychologist shall
not practice outside his
or her particular field or
fields of competence as
establi...
4 I ‘ I
. ’ _ _' 7‘
i  V;  ‘. .I ,  I » ‘E-A.  L l
 I  g  ‘I V ml: f"
II. ‘ : I If-I I 3"

. ,'_
If I
[Cl 1 ,  
_: -». ,.;...
N

»~ -

News briefs and information from Federal agencies and Capitol Hill on government
activities,  legislation,  and g...
Client & Patient Selection

Study the evidence base (research)

People with almost all diagnostic symptoms have
been treat...
Online Norm vs.  Standard of Care

~:  Mostly Email & Chat vs.  Video

' Anonymity/  No Patient Records

~* Avoid Responsi...
Online Norm vs.  Standard of Care

- No Contact with Other Treating Clinicians

- No Authentication of Consumer/ 
Professi...
APA Stanclard;  Diversity
Racial,  Linguistic,  Religious & Cultural Differences

 

Copyright 2012 TeIeMentaI Health Inst...
American Psychological Association, 
Ethical Principles & Standards (2002)

It Psychologists must be

aware of multicultur...
Multicultural/ Multilingual Issues (1)
Se| fhe| pMagazine. com

Canada r Singapore
Netherlands r Greece
United Kingdom r S...
Multicultural/ Multilingual Issues (2)

Se| fhe| pMagazine. com
I Malaysia I Ireland
I Israel II France
I Belgium I Russia...
Multicultural/ Multilingual Issues (3)
Se| fhe| pMagazine. com

II Denmark I Thailand

I Argentina I Croatia

II Turkey I ...
Multicultural/ Multilingual Issues (4)
Se| fhe| pMagazine. com

Brunei Darussalam - Bulgaria
Latvia ° Uruguay
Ecuador - Fo...
Multicultural/ Multilingual Issues (5)
Se| fhe| pMagazine. com

| ran ° Aruba
Nicaragua ' Qatar
Guatemala - E| Sa| vadorJo...
Multicultural/ Multilingual Issues (6)
Se| fhe| pMagazine. com

Andorra - Iceland
Jamaica ° Egypt
Maldives - China
SriLank...
Multicultural/ Multilingual Issues (7)
Se| fhe| pMagazine. com

" Taiwan <n Moldavia

' Lebanon r Yemen

' Dominican Repub...
ACA Code of Ethics (2005)

* A.12.c.  Inappropriate Services

— When techno| ogy—assisted distance
counseling services are...
Practitioner Adoption?  . r

_.  I

' Over 1/2 million Google search results: 

— ”on| ine counseling” =  210,000+ searche...
Australian Psychological Society

(2011 revision of Internet Guidelines)

° Research—based protocols

— 1.6 ”Psychologists...
ACES TECI-l| || CAL COMPENTEI| C|ES

* TECHNICAL COMPETENCIES FOR COUNSELOR

EDUCATION:  RECOMMENDED GUIDELINES
FOR PROGRA...
OCPM Step 1: Professiona| ’s Self Care

* Boundaries P’;   T‘
— Office hours '7‘ I  QT‘
— Unplug ~ g ‘I

<=  Reputation  ....
OCPM:  Online Clinical Practice
Management

Step 1:Training
SJ'. ep_2'_Bef. eLtaIs

Step 3: Patient Education
Step 4: Lega...
Vignette of Email Referral

° You receive an email referral.  You're not sure of
the referral source,  because it isn't me...
Vignette of Email Referral

° The email describes the details of how a
prospective patient ”had to punish" her
elderly gra...
Vignette of Email Referral

° You have her name,  street address and

telephone number,  as well as that of her
grandmothe...
OCPM Step 2: Referrals

 Email
I: » Discuss risks and benefits
of email communication

in your informed consent
process

-...
OCPM Step 2: Referral Solutions

— Only give referrals to professionals you trust are
following state and federal legal (c...
Clinical Email

Acquaint your patient with tech no| ogy’s limitations

— Speed of response
— Language skills of both parti...
Clinical Email,  2

amusing,  humorous
Proof before sending
Check the”To” line

a Joe Friday:  Just the facts,  ma’am
— No...
OCPM Step 4-:  Email

Encryption
— Hushmail,  etc. 

Better:  Have clients go to Practitioners
secured website (mpg)

— Le...
Secure Email

:  Be aware of technical jargon and symbols

that can be used to communicate client
information,  e. g.,  SM...
Secure Email

a Internet,  email,  SMS and other

teleccommunications from clients are not

forwarded by psychologists to ...
CLINICAL MODEL§
SUPPORTED BY
THE EVIDENCE
BASE

Coming next. ..

p Which models
“" should we follow? 

 

9/21/2012

 

76...
Migration Model

- Start with your current clients

- Select those who are reliable,  have good
support systems and with w...
Nursing Homes
14/
I, 
, . 
O I’ . . —
H‘
lI~' : ‘
I , .-_o- ___. ‘7 : 
( ' 7
2‘-; .
V.
£310

Hospitals
Rural Hospitals

21/2C
Correction: 
Facilities

9/21/2012 82
Home Health .
Military & Veteran's
Administration

/ =' 
 
/ $5 I ‘I ‘ ’/ /VV 1 I/ ’
. _ ",  II 

9/21/2012
ValueOptions and American Well Partner to Deploy the First
National Behavioral Telehealth Network

f -~-3  mfinrc g*1,

NOR...
9/21/2012

Social ixletworkirtg

86
‘ .1 1L>"l

9/21/2012 ‘‘I can see my zit on Google Earth! ”
Social Media Is Not Private

”Anything you say,  post,  link to,  comment on, 
upload,  etc. , can and may be used against...
9/Zl/2012

 

Best Practices for
Product
Development and
Online Marketing of
Self-help Materials

Coming next. ..

Proven ...
Does Telehealth Include Psychoeducation ? 

1* Absolutely   ’ id
“ Anywhere,  Anytime I /  9,
* Serve More People  I ‘
Par...
fl  Home Articles» Blog» Forums Features» Self—helpProducIs» About»

min i ll, I‘ lnr ‘-1,“!  rump run-,  mymi. i.». i;y i'...
9/21/20-12

-~-. ._, _.,  ,
_.  — _
“ 5 - 2-‘
L.  ’ ’
.1 7 

92
Selfhelpltr/ Iagazvittwg

mm ir,  -n my ‘rrr -. -- mi .  . rr m. ..

Se| fhelpMagazine Blog

Home Ai1|CiE‘S » Blog Forums
...
OCPM Step 2: Referrals or Internet
Marketing (IM)
- Provider lists
- Colleagues with telehealth training
- Professional we...
5;; 

Popular Social Networks

- Facebook,  YouTu be,  MySpace,  Twitter, 
Ning,  Flickr,  blogs,  eBay,  Craigslist, 
Sky...
SOCIAL Merlin EXQNNED
‘ 

 TWITIER l'l‘l Emiiie,  A itooiiiir

eglifilflglfllil

  

t '. ’‘n 137 PHOTOS‘ 245 FOLLOWERS

Eu-:...
l

TELEMENTAL HEALTH
l N S T l T U T E

>—‘Ol| .‘lE

Blog

8 Easy Steps To Combat Mobile Device Security Threats

i"«BCi. ...
l"<: i=irl~, i iTai. 'i‘: .l>i; <i’i3c-ii i i__’, ilri~: -,= :i: --. ;:-: 'i‘.  :'r»i‘i'i

 

9/21/2012

“In lieu of a rai...
?’. 

It is ethical
to have a
”Time| ine”
Page on
Facebook
or a similar
advertising
page on
Goog| e+

9/21/2012

(ii Telem...
Search for people,  placesand tfilrigs 0. $1 . '.mi: a.m. -.. ..: mna- flIliIIi'IHi: iL< : :.nu~. 
.

Privacy Settings

 
...
APA Ethics Code — Standard 5

5.01 Avoidance of False or Deceptive Statements —— ads,  endorsements, 
resumes,  CVs,  publ...
Marlene Mahi

r% or o
. .:u'J . / ~/  .. 

Google Search I'm Feeling Lucky
The playground IS open.  lli w.  :9  ‘—. l ‘- ‘...
Google

Search

Web
Images
Mapa
Videos
Naw: 
Shopping

More

San Dloao.  CA
Change location

Show search tools

9/21/2012
...
Google
Search

Web
Images
Maps
Videos
News
Shopping

More

San Diego,  CA
Change location

Any duration
Short (0-4 min )
M...
one e n
W AMERICAN PSYCHOLOGICAL ASSOCIATION “ '” ""”"" “"°"“"’”"°'°""‘ "

About APA Psyrhnliigy l()()li’ Puhlimitioris Ps...
§l’t[lo; :.ll Mlrifiloll= i~*~9if‘? k1'l0liioltoigl’l= lie
* : .inio‘l- iroioita-oi : ioino7lIiioil
llrl-llllillttgflllllnli...
OCPM:  Online Clinical Practice
Management

Step 1:Training

Step 2: Referrals

Step 4: Legalities

Step 5: Assessment
Ste...
Patient Education

Email flexting

Social networking

File exchange

Computer repair

Clinical records

Insurance

Reports...
Texting

* Convergence

* HIPAA compliance

* Lost/ Stolen Phones

* HiTECT Act — report to client
* Download to patient f...
Obarna’s Antiquated Cell Phone Breach! 

 

: :m-rw‘él't

on.  re :5!" rear ‘/ DI.  root.  8

As President-elect Obama com...
OCPM Step 4: Legalities

- Texting

— 152.7 billion text messages sent monthly in 2009 (Cellular
Telecommunications and In...
OCPM Step 4: Legalities

° Texting Security

° 2008 survey Credant Technologies,  a data security
company based in Dallas:...
OCPM Step 4: Legalities

° In response,  the Department of Health and
Human Services amended HIPAA

— Effective February 1...
WaveSeoure  I M I

MAY THE PHONE BE WITH YOU my 2 »

 

WAVESECURE BUY BLOG MEDIA SUPPORT CONTACT US

Download Wax/ eSecur...
/T

r

I (kgllcrypt Secure Phone Calls

 Wherever You Are

   

Solutions Partners News 8: Events About Us

       

Headl...
OCPM Step 4: Legalities

° Texting

— Informed consent process might explain: 

- That text messages and cell phone calls ...
ACA Code of Ethics (2005)

° A.12.a.  Benefits and Limitations

Counselors inform clients of the benefits and limitations ...
ACA Code of Ethics (2005)

° A.12.g. Techno| ogy and Informed Consent

° As part of the process of establishing informed c...
OCPM Step 3: Patient Education

Avoid Misleading Patient Education

° If you are licensed,  you are responsible for your p...
English ~

 
 

Near (Address.  Neighborhood.  City,  State or. 
San Francisco,  CA

 
 

  Search for (e. g. taco,  cheap...
Rating Sites:  Yelp (Keely Kolmes,  Psy. D.)

Your right / Gently discourage for these reasons: 

I.  The American Psychol...
Rating Sites:  Yelp (Keely Kolmes,  Psy. D.)

It 2. Unlike other business owners who may respond

to their Yelp reviews,  ...
Rating Sit€SZ Yelp (Keely Kolmes,  Psy. D.)

- 3. lhope that if we work together,  we can discuss your
feelings about our ...
Rating Sites:  Yelp (Keely Kolmes,  Psy. D.)

I 4. If you still choose to write something about

my practice on Yelp,  rem...
Social Media Policy Sample

- http: //drkko| mes. com/ for-
clinicians/ socia| —media—po| icy/
Avoid Multiple Roles

Available Modes Of Communication
email/ chat H

Most Recent Client Reviews (Read all 506 reviews)

i...
HK. 
K flu SanDle9o, CA
03

n_J_j_}__J1/180010 Qfirsteoneview

Stay awayll No therapist who works for them,  no matter how g...
Internet Ratings:  Where are we going? 

° Expect ratings and quality surveys by healthcare
providers to become standard o...
OCPM:  Online Clinical Practice
Management

Step 1:Training

Step 2: Referrals

Step 3: Patient Education
SJ; epA_'J_egaLl...
9/2l/2012

All
Existing
Legal
and
Ethical
Rules

Apply
g _ '1 .  ‘r I
.  I ,  — _ -
_ “ .  .
a_ . 
'0 y _

.  ~_—.  _ , 

‘ I

' .  :I ‘ v ~‘

,  . I  .  . . 
‘I ; _ v‘ I‘ '1
. ...
J’ l-
iii ‘Ii
I TOOK THE ‘:3 P
LAST cup '
OF C0FFE, E I  TOO MUCH
priests -< 
MAKE A I U / 

'U95J9q99l9 Kpueu oooz «:5:

...
Duty to Report /  Duty to Warn

California State Law

- (v) Failing to comply with
the child abuse reporting
requirements ...
9/21/2012

 

Home condltlorissolsorders Quizzes ask NA Drugs Blogs News Research Resources Find Help community

Alcoholis...
Anxiety library
Dozens of articles

   

Reco mmended
Resou rces

 

Related Disorders

i: .-

Related topics

 

 

0 rea...
» Next lfl Senes:  [(7
Related ‘topics

Le. :rn more about smuery d-: o!ders. _

    

H<zppm. ':. ' : .’. ~;u-r: /.: ‘: er...
9/21/2012

[E > Vvgvvzfi. -«f"5 inxhg > Forurig pg ‘3 ‘gap "dgzgfii

Consult an Online Counselor now. 

our cemhea personamy...
9/21/2012

.1

 

C, ” 

     
 

 

 
 

| ’l. -,)Au- Huh‘

Cm’ he Counselmq rs not
aonrcpnare for 31‘-mos cf
D'G': 'c~‘-...
You arenlngned 9:.  Log‘. -a C? »-¢. 'II. $’hqr:  L‘;  L'o: .u-x: do- Saw:  (‘:3

Home Findacounselor Forums FAQ

To compl...
Skip to Content l Footer l Accessibility
DepartmentofCansumerAffairs ‘

-GOV Board of Behavioral Sciences

Search BBS

 

...
Online Psychotherapy Services

- ’’In 1996 California passed legislation regulating the practice of
”te| emedicine” (SB 16...
Online Psychotherapy Services

”.  . . "interactive" means an audio,  video,  or data communication
involving a real time ...
APA Standard 10: Informed Consent

3.1 O Informed Consent

(a) When psychologists  obtain the informed consent of the
indi...
APA Standard 10: Informed Consent

3.10 Informed Consent
(d) Psychologists appropriately document written

or oral consent...
APA Ethical Standard 6: Record Keeping

6.01 Documentation of Professional and

Scientific Work and Maintenance of Records...
APA Ethical Standard 2: Research—based
Protocols

2.04 Bases for Scientific and Professional

Judgments

Psychologists‘ wo...
APA Ethical Standard 2: Research—based
Protocols

- Where do you find
research? 

- Lookat

— funding sources
— meta—ana| ...
APA Ethical Standard 9: Assessment

9.01 Bases for Assessments

9.02 Use of Assessments

9.03 Informed Consent in Assessme...
Choice ofTechno| ogy

° Choice of Communication Channel (modality)
— Responsibility of Professional? 

° Technology specif...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
OPA  Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipme...
Upcoming SlideShare
Loading in …5
×

OPA Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipment workshop 2012

1,219 views

Published on

Dr. Maheu presents a telehealth workshop to the Oregon Psychological Association (OPA) on September 21, 2012 in Portland. She will outline 7 ways in which clinicians can legally and ethically expand their practice opportunities.

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

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

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

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

  • Be the first to like this

No Downloads
Views
Total views
1,219
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

OPA Telehealth: 7 legal and ethical strategies to expand practice opportunities online with 21st century skills & equipment workshop 2012

  1. 1. Thriving with Telehealth: 7 Legal and Ethical Strategies to Expand Practice Opportunities Online with 21 st Century Skills and Equipment OPA, September 21, 2012 Marlene M. Maheu, Ph. D.
  2. 2. (, (, 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 TeIeMentaI Health Institute, Inc. All rights reserved.
  3. 3. 1. Learning Objectives Describe 3 ethical dilemmas related to Skype, Google and Facebook, blogging and the ethical codes that help practitioners think through those dilemmas. Discuss the legal issues related to practicing over state lines or international borders, HIPAA and informed consent when practicing online. Outline 3 key elements ofa risk management plan for working online with clients to deliver care.
  4. 4. CI-IIlG E Change is good . . you go first. ---Dilbert
  5. 5. OCPM: Online Clinical Practice Management / Step 1:Training Step 2: Referrals Step 3: Patient Education Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement 9/21/2012 Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved.
  6. 6. We Are Re—tooIing 9/21/2012 6
  7. 7. MARRIAGE COUNSELOR “You don’t blog. you don’t Twitter, you have no RSS feed, you’re not on Facebook. ..and you wonder why you can’t communicate? !” 9/21/2012 7
  8. 8. ‘E 2007 by Randy Glasbergen. www. gIasbergen. (om a’; L‘ “How can I trust your information when . ,,2., ,., ., you’re using such outdated technology ” 8
  9. 9. “Q; ;t' Inspiration r What's Happening t Myths vs. Realities <: Opportunities for Us and Our Clients
  10. 10. Definition of Terms Behavioral Telehealth Eheahh Telehealth Telemedicine Telemental Health Telepsychology Online Counseling On| ineTherapy mHea| th
  11. 11. What's the Problem? Email Chat Text Messaging Telephone / Vo| P Video Chat Smartphone Tablet PC Peripherals VPN / Cloud Video
  12. 12. What's the Problem? ~ Different Professions / Professional Associations & Their Respective Ethical Codes: — Psychiatrists — Psychologists — Social workers — Counselors - Regular - Fami| y&Chi| d - Pastoral - Substance Abuse
  13. 13. Copyright 2008 by Randy Glasbc-(gen www, gIasbc-rgertcom ‘‘I agree with much of what you’re saying, mostly the brief silent parts between the words. ”
  14. 14. 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.
  15. 15. 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 TeIeMentaI Health Institute, Inc. All rights reserved.
  16. 16. ll| .ICIl Question is | |o Longer 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 self—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 Com munity Treatment Settings - The Use of Internet Technology for Psychoeducation and Support With Dementia Caregivers - Telephone-delivered Psychotherapy for Late—Iife 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
  17. 17. 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, telemen tal 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.
  18. 18. Recent Supporting Research Backhaus and colleagues (May, 2012) reported in t. beir_a. bsILact_of_a_I: neJ: a: analysis that: - 821 potential articles were iden tified, 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:
  19. 19. 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_tI_1e 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, Inc. , 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| epsycho| ogy Guidelines
  20. 20. 2010 OPA Telepsychology Guidelines 1: | esl2 Q I 1 lQ6LC)J2ATeIepsyc lZLQI. Og_}LG. LLI£_elII “n e_s4.-1Z1_Q. .I1c5'_f
  21. 21. Types of Health Care Technology Bioinfonnatics Hardware 6’ Proteornics 5°flV'3'° 0 Communications _ _ Biosensors - Ifleleflllfl Mmflumc llanodevites Mg ne“, ,e, y Nanosensiirs Nanohiotedmology Nalloeleftfolllc Elertriral ~ Structural - Biomedical Energy 81 Environment Arrorsfil‘ With permission from Teri Louden of the Louden Network and Adapted from: Biology, Bioconvergence, Information and Enterprise: Taking the Broad View, May 20, 2004, Alan Barrel
  22. 22. APA Proposed Society for Technology & Psychology COMMUNICATION 8: Practice °°i, ::"; ;;*g; ‘;; '°" Science (e. g., Internet, Blogging, Social media; Cybernetics [e. g., Biosensingl Feedback]; Social networking) COMPUTING METHODOLOGIES (e. g., Artificial Intelligence; TELECOMMUNCATIONS Eaturtal Lass Péocessirtwg; _ 4 ' o o ics; ser ompu er (e-g-. Electronic Mail; PFC posed SOClety intenaces [e_g__ Cofnputer Telepsychology; Remote Vision Tracking, Haptic Sensing; Wireless, 8: Training r h n 0 | & Interfaces]; Computer Technology; Telephones [e. g., Simulations [e. g., Virtual Mobile Phones, mHealth, H‘-"T13" Agents/ AV3t3I'5 31 Messaging]; Video h 0 l E"Vl| '°nment5l} Microcomputers; 3D Imaging; Conferencing; Interactive software lelguvideo Games] Voice Response) Legal & Ethical Issues; Education DeVel0Pm€nt. Public Interest Implementation & HEALTH IT & INFORMATICS Tra n n g (e. g., Big Data; Controlled Vocabs [e. g., ICD-10]; Decision Making 8: Support; Data OTHER TECHNOLOGIES Mining; Electronic Health and (E g Biotechnoiogy Personal Health Records; Néhotechnolo ' Electronic Data Privacy, Nanomedicinil)/ ' Security and Integrity; Health Information Exchange; HITECH; Information Storage 8: Retrieval; Interoperability Copyright (c) 2012 by Marlene M. Maheu, Ph. D.
  23. 23. ,. .5. . IvI. I;| iVI r . ll lull I’: A in o s . I . _ . _. - l. ..l. .n. "‘<
  24. 24. v. .u. ,.. .. _ - - Edited by H. GERNSBACK 25 Cents April I924 Over 200 Illustrations —. ——1 I THE RADIO DOCTOR- Maybe! ‘ . I THE I00“/ .3 RADIO MAGAZINE IN THIS ISSUE: Sir Oliver LocIgx-. F. R 5. Dr. J. A. Flaming. F. R.S. g " , F. W. Dunmorc -mi F. H. Emu-I . .i H .4.. . . »i ~u-. .i. ..-. H. ,l-mi 5. P, -I. yninurd Foolc
  25. 25. rfi ’‘ 2 A _~. .‘ ~_-. r ‘T i‘ 19-‘ —- ’‘| .-—2 ‘K-4 s l 8.4 l ‘-4 <-t. A V_ 4 r‘ T O. ‘ "1 ’. "‘= u. " lt‘: -.4 ’ » 4 .4 Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved. , . ‘; if ‘i "»~«—I '. 1'? ‘ 0 Zn 4. I ‘ I - W-—, ;_ —————. ;:-_ : ..‘= ' M5: -'_ . Q*f‘; . " : .. ,4-5.
  26. 26. 9/21/2012 26
  27. 27. Traditional Telemedicine specialists. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  28. 28. The Internet Opens a Window to Professionals 5 A . ,_ ' r H’ _ i I - >’. .3 _ I . ‘ —- ', I‘ ‘ ii . l, ., I .4 A 1 . ‘ -. ~ _ ‘I 's_ . . _4 7 '_ I . . ‘V ‘ °i — ' . . , k‘i‘ ' '. ' 5 ' I‘ v 'v 1 — ' . _ _L a ‘ i O. I 1 . nk J ‘ up * ‘~. ' ‘. . ‘ - - ' ‘A '- ‘ . ‘ ' . ._ _‘ I’. ‘ , - ~‘ ' '. .- '1 . ;:r, .~. 'i. L:1I-! ;:». , . . , » ‘V . _~ ‘~ Iii‘:
  29. 29. 9/21/20-12 -~-. ._, _., , _. — _ “ 5 - 2-‘ L. ’ T .1 7 29
  30. 30. Video Teleconferencing (VTC)
  31. 31. A l1i? l'lflI“ ~‘*“*' gt-‘I3l'i. ii I. lbllfllr‘ EM . . 47% of Americans Have a Smart phone 9/21/2012
  32. 32. Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  33. 33. Wearable Computers (Glasses)
  34. 34. ' Future Studies . Moore's Law Moore 5 Law V5’ The Fifth Paradigm Single Atom Transmitter Logarithmic Pia! - The number of transistors that can be placed on a processor will double approximately every 18 months. - The latest Intel chip, the "Sandy Bridge, " uses a manufacturing process to place 2.3 billion transistors 32 nanometers rt. Irin lvul-In l: mmii, ' Ri'l. iI. ' Iiii . -riiiv: Itch‘ Inn ir I/ rt‘. -rim’ L‘i"LlIlI Reprinted with permission from 1901) 1910 1920 I930 1940 I 950 19m) 1970 I980 I990 Ztilfliil Ray Kurzweil, 2005 Year 0 O 0. . - II) c in O. ‘U C o O u: U) - 0 Q U) C 9 . . £9 3 .9 (U U I‘.
  35. 35. @. I. "'i"G Personal Robots Group mi! media lab Vii int; it-: '.'. ':. ’.' iw. '7 rcvlfio: 1. Home Welcome to the Personal Robots Group 35
  36. 36. Patient (0 E g g E 9 T9 -5 ii’ 0 0 5 § "Q L’ é ‘a o O Q, m E a) 8 D in % 8 <0 E c L m o E <0 n. I E _ —: . G, E 3 8 §_. > g’ 5 3 g 5 2 _I I- Care Delivery Systems Electronic Health Records Telecommunications Informatics Infrastructure National U. S. Health Information Infrastructure and Telehealth
  37. 37. M3 USA Home About AB USA For Physicians For Clients FAQ About M3 USA Main Page Management * Press Room For Investors 9/2i/2012 Press Room MDLinx Doc Survey: 26% of Small Private Practices Say They Could Close Within A Year More than 75 percent report austerity measures, going into debt or tapping personal assets to keep practices open Washington, DC, June 27, 2012 - In an MDLinx (www. mdlinx. com) survey of U. S. physicians with ownership of practices of ten physicians or less, 26.4 percent reported that given the financial environment, they could foresee closing their practices within the next year. MDLinx, a web property of M3 USA (http: //usa. m3.com) is the nation’s leading specialty physician portal. “This poll is quite startling in the revelations about small practices. the healthcare lifelines to many communities, " said Stephen Smith, Chief Marketing Officer for MDLinx. “Physicians have had missiles raining in on 37 their practices at an increasing pace — the economy. regulations,
  38. 38. Q’ AMERICAN PSYCHOLOGICAL ASSOCIATION ”°" AboutAPA PsychologyTopics Publications Psychology Help Center News&Events Research Ed SEARCH IN News&Events v E Home » News & Events » Press Room » APA Response to Supreme Court Decision ” NEWS 3* EVENTS APA Response to Supreme Court Decision on - Psychology Newswire Affordable Care Act ' APA in the News The decision of the U. S. Supreme Court to uphold the Affordable Care Act moves our country forward on the path to extending health coverage to tens of millions of ' P| 'e55 R00m uninsured persons, reducing health care costs and ending discriminatory insurance practices. Since the passage of the act two years ago, millions have benefited from Press Reteeeee health insurance coverage — including children with pre-existing conditions (including mental disorders), young adults who can now stay on their parents’ health Policy Statements plan until age 26 and older adults via access to prescription drugs at affordable rates. Certain vital preventive services are now covered free of charge by private insurers, News Responses as well as by Medicare and a Prevention and Public Health Fund was created. Furthermore, when the state insurance exchanges go into effect in 2014. millions Op—Eds more individuals will have access to health coverage for mental and behavioral health and substance use services as “essential health benefits” and with the same Task Force Reports level of access and coverage they enjoy for physical health services. z(/1261 8 :01 2 The Affordable Care Act recognizes the importance of care that is focused on tee whnla nnrcnn and dnliuarnri hI intnrdicninlinnnl rnmmunifI-h.1cnr| {name nf haalfh
  39. 39. ATA: Telemedicine Benefits from supreme Court’s PPACA Ruling (July 28, 2012 - Washington, DC) According to the American Telemedicine Association, today’s Supreme Court’s decision to uphold the Patient Protection and Affordable Care Act (PPACA) will have a positive impact on the development and adoption of telehealth. The ruling will further accelerate the deployment rate for telemedicine, mHea| th and other remote healthcare technologies. The Association cites four reasons for this projection: 1. The announcement lifts the cloud of uncertainty that has caused many health providers to delay decisions to modernize and invest in such areas as telemedicine and related technologies. 2. Upholding the PPACA protects valuable investments in telemedicine made by the Center for Medicare and Medicaid innovation (CMMl. ) Over the past two years, the CMMI has invested heavily in telemedicine pilot projects and other remote healthcare services. The funding status for these programs is unaffected. 3. The Court’s affinnation does not affect any of the bipartisan drivers behind the growth and adoption of telemedicine, in particular the provisions for managed and accountable care, medical homes, and care coordination. Telemedicine, as a healthcare delivery service, is crucial to the success of these programs. 4. The fundamental value proposition of telemedicine remains strong. Telemedicine has consistently proven to deliver a wide-range of quality, cost-effective healthcare services, anywhere at any time. Moreover, telemedicine enjoys high levels of patient satisfaction and customer demand. “NowSti¥ét3th'é Supreme Court has ruled, we can move forward with the modernization of our healthcare 39 Hnlhuaru euefarn infnnrafinn flalarnnrlit-inn in imnrntln r-arc rnrhu-A I-Aefe and int-rnaen at-I-nee ‘Far nunnlnnn in
  40. 40. XInternet World Stats Usage and Population Statistics Google AoWords 9/2l/2012 Put your ad online. New Stats Start with $75 free Internet Users in the World Distribution by World Regions - 2011 12.0% 10.4% I Asia 44.8% I Europe 22.1% I Ilorih America 12.0% I Lat Am / Caribb 10.4% I Africa 6.2% I Middle Easi 3.4% I Oceania / Australia 1.1% Source: Internet W0l’ld Stats - www. internetworldstats. com/ stats. htm Basis: 2,267,233,742 Internet users on December 31, 2011 Copyright 2012, Miniwatts Marketing Group 1,695 Facebook ~9 Tweet l’s> 40
  41. 41. . . ~ ~ r-I. . -~‘- ---I-I 1- r-~ rs urn‘- . .I Q. .. . -C- . ’ J. .. ,!, :=, LS i= et>°°l< Statistics Usage and Population Statistics . ‘I‘1'1s: -.3» 1:-lk. Anuafln»-.13 t-IL: As-11:‘ -J 1:-IL: E1ll! ]un. .§"‘ - 1:-IL: EH3 ti}: rill-_l‘3.s-1I'. J ti}: .I’x5=t- -I111:-‘. .:t~ his 2011 Industg Trends What's in store for 2011? Access predictions. interviews 8. analyses. J-al: It: -3 am -3 Intelligence Trends Study qobal Market Intelligence Trends 2015 - Download free white paper! <; l::3lI“1-allig-3' Unified Telecommunications Unlimited Voice. IM. Neb Meeting Fax. Email. Presence. Mobility ea-ia~a~er. -.- 5 Ads by Google INTERN ET USAGE STATISTICS The Internet Big Picture Vorld Internet Users and Population Stats VORLD INTERNET USAGE AND POPULATION STATISTICS World Re ions Population Internet Users Internet Users Penetration Growth Users % g ( 2010 Est. ) Dec. 31, 2000 Latest Data (% Population) 2000-2010 of Table Africa I 1.013.779.o50| 4.514400 11o,931,7oo| 10.9 %| 2.3573 % 5.6 % Asia I 3.834.792.852I 114304000 825,094,396I 21.5 %| 621.8 % 42.0 % Europe I 313.319.511I 105096.093 475,069,448I 58.4 %I 352.0 % 24.2 % Middle East I 212.336.924I 3.234300 63,240,946I 29.8 %I 18253 % 3.2 % North America 344124.450 108,096,800 266,224,500 774 % 146.3 % 13.5 % Latin America/ Caribbean I 592.556.972I 18,068,919 204,689,836I 34.5 %| 10323 % 10,4 % gcgg/ i,_i_aSgAustraIia I 34.700201 I 7.620.480 21,2e3,99o| 61.3 %| 179.0 % 1.31% WORLD TOTAL I 6.845.609.9150 I 3eo.9s5.492 1,966,514,816 I 28.7 *7. I 4443 % 100.0 %
  42. 42. F'IId keywords Based an are or ‘rnth dihe follomng II0tllU[f'EeV| I; £54’/ |l‘lEl rgege cnline o: Lr-seir-; 3 Lccatcvs U'll‘3G was LangLIages: E'I; isr .1‘lCa: eg: :»rIes KEYWOTUUBBS 3;’ ‘»IItl1jIuur»'4It‘i‘i’2rIls ‘o; r rfitrrramtc seetéieflillsetolideasfnrtlis Search ~; ;_- ~ 333-; 2 I Sorted b, 3': - 3 v I ll£1'10fl1 Coirpetmon Glwel "hi; Searches Local l. lonL“, ' Searciies Local Search trends ‘ 3*" '1’ _ ’ '2:‘: .'22 2: 5’. 135.300 11:02-21 5 f " ; 5‘, 49.5110 50:»: I 22200 222‘? ! g 131:0 14.ec-:4 ’ W: 9.900 8103 7 ' '3i"? ' 1" 3355‘ '2 9.900 8103 _ g mi 3103 Comaim "33" 3-- 5? E E‘ 8130 B103 5”“ "’°"""" =3 5.410 442-: J; All i . .. I ma : :-:1 ’. counseling ‘ W ’. cnunsefing mine L’ Q 5400 5-1133 { ncuuiseirig . . _ : = . . no ': ’ l'lSEllO2i counseling ‘i — 2 i M“ ’. onlne ctir , 5:09 540. counseling ‘SW21/201 2 42 Z online course’ it 3-55“ 3593‘
  43. 43. Practitioner Adoption? - Over 1/2 million Google search results: — ”on| ine counse| ing” = 210,000 + searches — ”on| ine therapy” = 143,000 + searches — ”on| ine counsel| ing” = 83,100 + searches — "on| ine therapy” = 65,900 + searches ' = 502,200 searches
  44. 44. 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 /201 2 Copyright 2012 TeleMental Health Institute, Inc. All rights reserved. 44
  45. 45. 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. China has the largest telehealth network in the world. Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved.
  46. 46. 4 I ‘ I . ’ _ _' 7‘ i V; ‘. .I , I » ‘E-A. L l I g ‘I V ml: f" II. ‘ : I If-I I 3" . ,'_ If I [Cl 1 , _: -». ,.; .~, __ _W I‘; J ‘ gr/ cg «f . P C . ' ‘-’_'. "e' | _ * I ‘ ‘ 1 ‘ V. ‘ -' - -If ‘ . :2-‘ a A’; #_J ‘ I .4 I‘ - ,4 —' - - . ' F - ,3 ,1 Jr L7’ Racial, Linguistic, Gender, Religious & Cultural Diversity Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved. Competence
  47. 47. N »~ - News briefs and information from Federal agencies and Capitol Hill on government activities, legislation, and grants of interest to the telemedicine, telehealth, and health IT community. Edited by Carolyn Bloch. Key research reports: Federal Agencies - Revised for 2012: More than 25 government agencies provide grants and contracting opportunities in telemedicine, telehealth, and health IT. What programs are getting funded? Find out in this new 260-page report. Learn more. Includes FREE bonus report: How to Sell to HHS: This beginner's guide will help you navigate the complex federal A marketplace, find agency contacts, and write a winning proposal. Learn more. Archiavze/2012 Tuesday, June 26, 2012 I Telepsychiatry Program Saves Money More than 10,000 telepsychiatry consultations are offered through the South Carolina Department of Mental Health. (DMH) currently provide comprehensive 3 consultations to 23 urban and rural state hospital emergency departments with six additional hospitals being added according to the DMH newsletter, “Mental Health Matters. ” The Telepsychiatry Consultation Program developed by the state DMH requested assistance from The Duke Endowment located in Charlotte North Carolina to develop a statewide telepsychiatry network for all South Carolina hospitals and their operating emergency departments. To date, the program has received more than $6.3 million. The funding will enable the hospitals to better serve behavioral health patients. The telepsychiatry consultations have increased the quality and timeliness of triage, assessment and initial treatment of patients, reduced the number of individuals and length of stay in emergency departments, an‘li7
  48. 48. 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
  49. 49. Online Norm vs. Standard of Care ~: Mostly Email & Chat vs. Video ' Anonymity/ No Patient Records ~* Avoid Responsibility w/ Website Disclaimers I No Clear Channels for Mandated Reporting
  50. 50. Online Norm vs. Standard of Care - No Contact with Other Treating Clinicians - No Authentication of Consumer/ Professional - No Emergency Backup Procedures - Misunderstanding ofC| inica| Processes (suicide) - Scant Research for Unsupervised Settings
  51. 51. APA Stanclard; Diversity Racial, Linguistic, Religious & Cultural Differences Copyright 2012 TeIeMentaI Health Institute, Inc. All rights reserved.
  52. 52. American Psychological Association, Ethical Principles & Standards (2002) It Psychologists must be aware of multicultural and diversity issues. ' , . T D I , ' I‘ ' I . .
  53. 53. Multicultural/ Multilingual Issues (1) Se| fhe| pMagazine. com Canada r Singapore Netherlands r Greece United Kingdom r South Africa Australia in Malaysia ' Japan in Israel Germany in Belgium New Zealand in Sweden Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved,
  54. 54. Multicultural/ Multilingual Issues (2) Se| fhe| pMagazine. com I Malaysia I Ireland I Israel II France I Belgium I Russia I Sweden I Spain II Mexico I Brazil I Finland I Austria I Saudi Arabia II Poland
  55. 55. Multicultural/ Multilingual Issues (3) Se| fhe| pMagazine. com II Denmark I Thailand I Argentina I Croatia II Turkey I Indonesia II Philippines I Norway II Portugal I Romania I Peru II Italy I Hong Kong I United Arab Emirates II Pakistan I Cyprus
  56. 56. Multicultural/ Multilingual Issues (4) Se| fhe| pMagazine. com Brunei Darussalam - Bulgaria Latvia ° Uruguay Ecuador - Former USSR Venezuela - Lithuania Mauritius - Kazakhstan Bosnia-Herzegovina - Ukraine Slovak Republic - Zimbabwe South Korea - Georgia
  57. 57. Multicultural/ Multilingual Issues (5) Se| fhe| pMagazine. com | ran ° Aruba Nicaragua ' Qatar Guatemala - E| Sa| vadorJordan Virginlslands (USA) ° Kenya . Macedonia - Papua New Guinea . D . . Netherlands Antilles Omlmca - Madagascar Botswana _ Malta Oman - Namibia
  58. 58. Multicultural/ Multilingual Issues (6) Se| fhe| pMagazine. com Andorra - Iceland Jamaica ° Egypt Maldives - China SriLanka - Chile Faroe Islands - Czech Republic Zambia - Luxembourg Estonia - India Trinidad and Tobago - Colombia Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  59. 59. Multicultural/ Multilingual Issues (7) Se| fhe| pMagazine. com " Taiwan <n Moldavia ' Lebanon r Yemen ' Dominican Republic <n Switzerland in Yugoslavia in Bolivia * Bermuda <n Ethiopia * Slovenia in Burkina Faso " Hungary * Bahamas * Costa Rica Belarus
  60. 60. ACA Code of Ethics (2005) * A.12.c. Inappropriate Services — When techno| ogy—assisted distance counseling services are deemed inappropriate by the counselor or client, counselors consider delivering services face to face. — How do you decide what's appropriate? Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  61. 61. Practitioner Adoption? . r _. I ' Over 1/2 million Google search results: — ”on| ine counseling” = 210,000+ searches — ”on| ine therapy” = 143,000+ searches — ”on| ine counselling”: 83,100+ searches — ”on| ine therapy” = 65,900+ searches = 502,200 searches
  62. 62. Australian Psychological Society (2011 revision of Internet Guidelines) ° Research—based protocols — 1.6 ”Psychologists using the internet to provide a psychological service should be aware of the extent to which therapeutic interventions via the internet are supported by research or may be contra—indicated Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  63. 63. ACES TECI-l| || CAL COMPENTEI| C|ES * TECHNICAL COMPETENCIES FOR COUNSELOR EDUCATION: RECOMMENDED GUIDELINES FOR PROGRAM DEVELOPMENT
  64. 64. OCPM Step 1: Professiona| ’s Self Care * Boundaries P’; T‘ — Office hours '7‘ I QT‘ — Unplug ~ g ‘I <= Reputation . ,_. ,I_: _._. ‘ management ’ ’—; .,i; ;,_‘ff/ ' "‘ . _'_ I - Community of like— re: ,/ minded pros ~ , . .1 ‘. ' ‘3 I . _
  65. 65. OCPM: Online Clinical Practice Management Step 1:Training SJ'. ep_2'_Bef. eLtaIs Step 3: Patient Education Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement 9/ 2 I / 20 I 2 Copyright 2012 TeIeMenta| Health Institute, Inc. All rights reserved. 65
  66. 66. Vignette of Email Referral ° You receive an email referral. You're not sure of the referral source, because it isn't mentioned. The person doesn't mention where they live, so you ask. They type their street address, and you see they are in your county. 9/? l/? Oi7 66
  67. 67. Vignette of Email Referral ° The email describes the details of how a prospective patient ”had to punish" her elderly grandmother for not eating and not bathing last nigh t. The consumer is requesting your professional services for managing her anger toward her grandmother. 9/? l/? Ol7 67
  68. 68. Vignette of Email Referral ° You have her name, street address and telephone number, as well as that of her grandmother. ° The note describes the punishment in enough detail that you have reason to report her for elder abuse. The consumer awaits your response. - What do you do? 9/? l/? Oi7 68
  69. 69. OCPM Step 2: Referrals Email I: » Discuss risks and benefits of email communication in your informed consent process -: Outline how your mandated duties to report/ warn will be handled
  70. 70. OCPM Step 2: Referral Solutions — Only give referrals to professionals you trust are following state and federal legal (civil court — tort law), regulatory (state board) and ethical (professional association) codes — Ifyour colleagues can’t discuss the required codes related to telemental health intelligently, and are using technology for their practice, they probably aren't following them carefully — How much liability are you prepared to accept? 9/91/2012 70
  71. 71. Clinical Email Acquaint your patient with tech no| ogy’s limitations — Speed of response — Language skills of both participants Admonition: Not for emergencies — 911, ER, local provider — Emergency back—up can be difficult to arrange and all but impossible to assure — Extract a written pledge
  72. 72. Clinical Email, 2 amusing, humorous Proof before sending Check the”To” line a Joe Friday: Just the facts, ma’am — Not the time to be clever, flippant, cute, T— VF’ l 3 V ”‘I"‘ - 1 'v .5 ' . ’ _ ~: .~. <: ==v§. ~:; - / :11-‘. .-ill‘-*. J . M11:
  73. 73. OCPM Step 4-: Email Encryption — Hushmail, etc. Better: Have clients go to Practitioners secured website (mpg) — Leave an email on website — Website generates an email to Client email box informing them ”A message is waiting for you”on Practitioners website 1 Security Certificate for $200— $300 per year
  74. 74. Secure Email : Be aware of technical jargon and symbols that can be used to communicate client information, e. g., SMS text messages and email characterisations. : Clients are encouraged to confirm that clients have received the psychologists email Avoid using the’Rep| y—to—a| |’ prompt
  75. 75. Secure Email a Internet, email, SMS and other teleccommunications from clients are not forwarded by psychologists to others without the consent of the client. : Psychologists are particularly aware of ‘strings of messages’ contained within communications.
  76. 76. CLINICAL MODEL§ SUPPORTED BY THE EVIDENCE BASE Coming next. .. p Which models “" should we follow? 9/21/2012 76 Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  77. 77. 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 - Considertheir diagnosis - Take the time to prepare them - Plan in—person sessions at regular intervals - Do not work through their secretaries or others 9/71/? O17 77
  78. 78. Nursing Homes
  79. 79. 14/ I, , . O I’ . . — H‘ lI~' : ‘ I , .-_o- ___. ‘7 : ( ' 7 2‘-; . V.
  80. 80. £310 Hospitals
  81. 81. Rural Hospitals 21/2C
  82. 82. Correction: Facilities 9/21/2012 82
  83. 83. Home Health .
  84. 84. Military & Veteran's Administration / =' / $5 I ‘I ‘ ’/ /VV 1 I/ ’ . _ ", II 9/21/2012
  85. 85. ValueOptions and American Well Partner to Deploy the First National Behavioral Telehealth Network f -~-3 mfinrc g*1, NORFOLK, Va. and BOSTON. June 27, 2012 / PRNewswire/ — VaIueOptions®, a health improvement company that specializes in emotional wellbeing and recovery, and American Well” today announced a partnership to bring critically-needed behavioral healthcare to patients wherever they are, whenever they need it. Using American WeII's industry-leading Online Care telehealth solution, Valueoptions will transform behavioral healthcare by offering members immediate, live and clinically meaningful consultations. With American Well technology, Valueoptions will develop a first-of-its-kind, national network of telehealth-enabled providers. Through Online Care, Valueoptions members will have secure and private access to skilled behavioral specialists from home, work or any location where they have Intemet connectivity. Telehealth removes many barriers to healthcare such as distance, mobility and time constraints and can help lessen the stigma sometimes associated with behavioral health. Online Care provides Valueoptions an efficient and convenient solution to dramatically enhance behavioral healthcare access and quality for its diverse membership, which includes both commercial and public sector employees and their families; military servicemen and women and their dependents; as well as Medicaid, Medicare and dual eligible populations. ‘With over 130.000 provider locations. we have one of the nation's largest behavioral health networks. However. the reality is that there are still not enough providers to serve the growing demand for quality behavioral health services in every comer of the United States. Access to care is an issue for many, " said Heyward Donigan, president and CEO of Valueoptions. "Growing demand for telebehavioral health services is evidenced by the speed at which reimbursement is accelerating. Today, 34 state Medicaid programs have recognized the need and the value of telehealth services. These 34 states already reimburse for such services, and 14 states are mandating telehealth reimbursement. Additionally, we continue to witness increased demand for telehealth in the Federal marketplace as well as a growing interest in our commercial business segments. " "Online Care telehealth allows us to bring behavioral health directly to our members, " adds Dr. Hal Levine, chief medical officer of Valueoptions. ‘Whether location or transportation inhibits access, or perhaps a member is simply having trouble taking that important first step toward engaging available services, telehealth enables us to connect with the member where they are — not just where they are located. but where they are in mindset when it comes to seeking treatment. " Valueoptions will harness telehealth to reduce the rate of missed appointments and increase compliance. Moreover, with Online Care, Valueoptions will build a more efficient, more convenient model for care delivery that will complement existing in-person servicész léztilltb better health outcomes for members, enhance the bottom line for providers, and eventually, reduce costs flir the system of care.
  86. 86. 9/21/2012 Social ixletworkirtg 86
  87. 87. ‘ .1 1L>"l 9/21/2012 ‘‘I can see my zit on Google Earth! ”
  88. 88. 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/ socia| —media—po| icy. aspx Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  89. 89. 9/Zl/2012 Best Practices for Product Development and Online Marketing of Self-help Materials Coming next. .. Proven Paths to Follow in the ’’IM’’ Space 89 Copyright 2012 TeleMenta| Health Institute, Inc. All rights reserved.
  90. 90. Does Telehealth Include Psychoeducation ? 1* Absolutely ’ id “ Anywhere, Anytime I / 9, * Serve More People I ‘ Part—time , ’ Practice Generator Z524?” Lower Risk ' Non—therapeutic Relationship : Clearer Legal/ ethical Mandates Copyright 2012 TeIeMenta| Health Institute, Inc. All rights reserved.
  91. 91. fl Home Articles» Blog» Forums Features» Self—helpProducIs» About» min i ll, I‘ lnr ‘-1,“! rump run-, mymi. i.». i;y i'lll' r. n-mvmser r wu: The Psychology of C Attraction larn attractedto you I advance toward you ‘r u turn awayirpm m 3 p pu who you llciw you are attracted to me llLlll'l ayvayfrrrm you you stop pursuing me The patternl repeats This rcimantii: pursuit ere Jany car in any city at he world and you ll _ . ll in call it the attrar: tIcin-re} to the Internets rnosltrusteo self~he| p 8. psychology portal developed riy‘ hundreds ofvolunieers as a lapor oflove Since 1994. our Ircensed professionals sting you the science 0lDSyCl'lOlCigy, complete with a worldwide support community C mon in - and help yourselfl C> Free Newsletters Parenting Drug Education Sex 6 Lust Relationships 7 GL8’ I" Health is Wellness . Because the Olympics only come once every four years, how do Olympic athletes Job & Career ‘ Selflhelp Boots prepare themselves mentally for a one—shot deal? What are the levels of pressure Email and anxiety they feel dunng training? l7p}ge Age. .. 7 Dr Murphy its true that the fact ofthe Olympics coming only every‘ four years places Gl. Afilh'aDl special pressures on all Olympic athletes, out these athletes are Lisedto dealing Wllll “Pm trying to be a good listener, pressure The ‘. l.'0llCl Cup circuit the X Games elite athletes constantly‘ have to confront but you keg, breahng , _ V V _ concentration by talking. e ernons o anxie y ear o ai Lire. an worry apou iniiiry or e mo em a e e Free Determination eBook lh d r r r it I a 1 F th a ml 1 2' I E ‘Q 2‘lq'3"? “' thoughts‘ HERE consistent mental training IS as much a key to success as I5 great physical preparation gl Only a lew minutes Psychtoons Throughout practice and training. part oftheir preparation I5 howlo deal with org-event
  92. 92. 9/21/20-12 -~-. ._, _., , _. — _ “ 5 - 2-‘ L. ’ ’ .1 7 92
  93. 93. Selfhelpltr/ Iagazvittwg mm ir, -n my ‘rrr -. -- mi . . rr m. .. Se| fhelpMagazine Blog Home Ai1|CiE‘S » Blog Forums Features » E-if-Help Products >> About >> Welcome to the lntemefs most trusted sellthelp 8. psychology portal, developed by hundreds ofvoiunteers as a labor of love. Since 1 994. our licensed professionals bring you the science of psychology, complete with a worlmivide support community. C'mon ln « and help yourself! categories Aging Anxiety and Self-esteem bullying Children CLIPS FROM SHM DISCUSSION FORUMS Crassdressing D/ ber—romance. Cyber-stalking and Cyber- Infidelity Depression. Bi—poIar & Anxiety Difficuit People domesticviolence DR. MAHEU Dreams , Drugs & Alcohol Eating Disorders Gay, Lesbian, Bi-sexual and Transexual 9/21/2012 Health Are You Uneasy with Skype sessions for Counseling Or 111erapy? :7 ":4 Dr. Maheu some therapists seem to be inviting their clients to join them online using consumer grade video platforms such as Skype. Google Tall: and a host of other free platforms. Rather than using videoconferencing equipment that meets federal regulations for both protecting your privacy and security (HIPAA), some therapists are choosing to use free platforms up on the open Intemet. These therapists may. .. What If You Have An Emergency or Feel suicidal While Receiving Online Therapy? 3 by Dr. Maheu Working with emergencies and suicidal clients can be a challenge for any therapist. The more well-trained yourtharapist is. both in handling dinical issues such as suicidal feelings or other emergencies, as well as online cminselinn ortheranv the better he or she will Will "APPS" soon Replace Your Therapist? :7 by Dr. Maheu A recent FEW report dated March 1st. 2012 stated: Nearly half (46%) or American adults are smartphone owners as of Feoniary 2012, an increase of 11 percentage points over the 35% oflxmericans who owned a smartphone last May. Two in five adults (41%) own a cell phone that is not a smartphone, meaning that smartphone owners are now more prevalent within the overall population than owners of more. .. Mistreated by An Online 111erapist or Doctor? Your 3 Best solutions 2 Dr. Mahieu Working online with a professional has many benefits. but when it comes to reporting a professional for unprofessional behavior, your options are limited ‘rfyou 93 didn‘t do your homework first That homework involves verifvina the credentials ofthe nrnfnssinnal vnii have
  94. 94. OCPM Step 2: Referrals or Internet Marketing (IM) - Provider lists - Colleagues with telehealth training - Professional websites, blogs, apps all lPhone Apps for "mental health" n time. T -001’! up -cw on 9- rm ‘ iiii mi in. .. I: w: -3.; -T an: -. -.- XI 5 I -IV II flill NQIM It WI L» ueani I 9. lease: he ‘ II In em Mental Kevin numnq 91. men Prev mm Deenll rnapu Your input! Dnlyrniil umul nu: :: ::. = u: -. u may Ill l I‘ l~ sec P. ’ :2‘: NIH" ' HHHJV ' “SE1! ' in -2 in iiiii Ii I i. ..imn Eur: :-: -:J. Copyrlg}lt?2mQl ? Te| eMenta lth llitstltute, Inc. l - 94 5,
  95. 95. 5;; Popular Social Networks - Facebook, YouTu be, MySpace, Twitter, Ning, Flickr, blogs, eBay, Craigslist, Skype, de| .icio. ous, Second Life, Linkedln, social bookmarking, wikis, vlogs, epinions, World ofWarcraft, Google Groups, Youmeo, etc.
  96. 96. SOCIAL Merlin EXQNNED ‘ TWITIER l'l‘l Emiiie, A itooiiiir eglifilflglfllil t '. ’‘n 137 PHOTOS‘ 245 FOLLOWERS Eu-: .al l.9lei: iia Efivlfi-lll’: >': ’ij a is @Tl= reeSlii: :;l. l~: dia v. ii3Liglasi‘. rag, IS using lliSlEiCrEi’7‘ — a fun 8. ClUi: h_, ‘ wax in -‘hare your F El FMEPOOK | “K6 PWWS ll? "“”Q§‘§JE3;3f. T‘lf§3§l. .i§iii“ "; T.. ”‘. ;‘§‘; ‘?. ".iZ? ;i. ”il’3i‘r‘-1IiF‘i, 'lL'. i reap around fi: :;e»>:4r l f“C>Uir5Q; iLe W5 l5 “RESP r . ‘ ear DONUTS (V 1 , ‘_ , ~_ . N . . ‘i pay». ' ll»§lF6ilUiil] H6023 A viiriiiac 3.‘ [x ‘:5, ti‘. l Oiioto or my i>o~tIl' F T Z_ -,7 W I Em-‘N, q A PM/ ‘T Zfiili1E'. TE l‘ L/ “Lay M SLlu. $ INCLUDE DOWT EATIW lvidalx an Eiiuiai for <3~ l A RECIPE _ mattsepliton “"0 Press Grealwork L/ sr FM Nov LisieiIill4T<>“DWV" «tflrimmvkarn ¢<~'. i.Q E><. i:us»: ~ rag, ‘ French out i fiitvziiig lCi. ‘E‘ iliisl = v‘a-xiesianwt» 4 will ‘ l E‘ :1 8 0 55 3 ‘St : ‘rweei 135K Eltiié ilk douglaswray A
  97. 97. l TELEMENTAL HEALTH l N S T l T U T E >—‘Ol| .‘lE Blog 8 Easy Steps To Combat Mobile Device Security Threats i"«BCi. J'l J5 BLOC C0184./ _T'xCi 3y Jill Squyres, Ph. D. a Most of us love our tech devices and the‘; have mace our clinical practice much eas. -er in innumerable ways l-lowever. the use ofthese devices. including triurnb or- _. miartphones. external hard UWVQS4 tablets and laptops. can pose a sei iijus risk of uniritentionallv exposing o personally identifiable informatiori (PH? and protected health inforrnat on (Pl-ill Read more Jill Souyres PnD's blog Add new comment Why Bother To Comment On The American Psychological Association‘s Guidelines For The Practice OfTelepsychology9 clients‘ APA Telepsychology Task Force has released its draft of Telepsychology Guidelines. and is asking for public comment. Read more Dr Maheu'5 blog Add new comment Master Study Group "Video Teleconferencing For The Pros" Starts Tuesday, August l4 At 3 P m. EST Want to feel cornpeteiu and confident when using video teleconferencing? New VideoTe! ecorlferencing for Pros Master Study Group is forming for inn ‘ tiv-= i t ’ nous professionals thisweeiq This program Will p: 'O‘IlL'E you ‘. /lU‘»: COL"-? SE'SE~P'v‘OC S RESOURCES SL. ‘7l"l_lES Individual Courses and a 40—CE Unit Certificate Program Will Give You the Skills 8. Confidence to: I Migrate Your Practice Online - Slash Office Overhead Costs and I Ei1j-33,‘ the Freedom of l/ v‘t: rlciri, g_ from ‘/ our Laptop CE: are Co-sponsored by A/ //ant Internatlonal University Register for Training Now l». ‘A'i. ‘lE EMAIL Submit
  98. 98. l"<: i=irl~, i iTai. 'i‘: .l>i; <i’i3c-ii i i__’, ilri~: -,= :i: --. ;:-: 'i‘. :'r»i‘i'i 9/21/2012 “In lieu of a raise or promotion, I will agree to friend you on Facebook. ” 98
  99. 99. ?’. It is ethical to have a ”Time| ine” Page on Facebook or a similar advertising page on Goog| e+ 9/21/2012 (ii Telemental Health Institute Trmeine ' Now V Highights ' Telell/ lgital Health Institute 3 Healb . i<iel; g LeéI; §?__T . i~i°fii$’l"i*: é.i1ii: .ii§”2filiii i: — 3 ii "E‘i‘: ,;li -isi : s:i: —tn: a "'Z'M°m"i H“ [h mi") Researdrfiased Professional Training for Telehealth. TdeMenIa| Health & Online Therapy "b°“' Photos i_ status Pllotn / Video Event, Mdestone + ( Telementalflealth Institute: i: —*s: :- link 3 — ese -2 : — 8 Easy Mobile ecurity Tips, Telerlental Hea News, August P 25, 2012 :3-psgchologisbi, 3 car a Telemental Health Institute Heaittfi _ Goodtherapyorg counseling Admin Panel Ebhicaligflewtm herap 99 I [$.31 M “U°"e §“é| i3”F: ‘°9'” r now . Webinar: :,. ‘1ieleMenba| *»*a»ei5i57«i5~i‘? ai. ing§, ;‘ izbelemedicine praclflce —— O ’§§. :r“* §gSecurii: .i: g”; ‘:__; f:, ;T'__‘, ,.. ,,§ , ,,, L E E» I U)
  100. 100. Search for people, placesand tfilrigs 0. $1 . '.mi: a.m. -.. ..: mna- flIliIIi'IHi: iL< : :.nu~. . Privacy Settings Control Privacy when Vou Post You can manage the privacy of your status updates, photos and information using the inline audience selector — when you share or aflennards. Remember: the people you share with can always share your information with others, including apps. Try editing your basic info to see how it worle or learn more. Oontrnl Vour Default Privacy This setting will apply to status updates and photos you post to your tjmeline from a Facebook app that doesn't have the inline audience selector, like Facebook for Blackberry. (1. _ - V, 3/ . ' is Public Friends ,3}; How Vou Connect Control how you connect with people you know. Edit Settings F Tlnfine and Taggiig Control what happens when friends tag you or your content, or post on your timeline. Edit settings 93 Ads, Apps and Websita Manage your settings for ads, apps, games and websites. Edit Settings IE Liiiiit the Audience for Past Posts unit the audience for posts you shared with friends of friends or Piblic Manage Past Post Visibility 0 mocked People and Apps 9/2.] /201 2 Manage the people and apps you've blocked. Manage Blodong 1 O0 1/.7ref: |oq0
  101. 101. 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 9/? l / ?Ol 7 l 01 Copyright 2012 Te| eMental Health Institute, Inc. All rights reserved.
  102. 102. Marlene Mahi r% or o . .:u'J . / ~/ .. Google Search I'm Feeling Lucky The playground IS open. lli w. :9 ‘—. l ‘- ‘l llll i. ll[Il, l( I g . » . 3 L , mm, pg l l _ _ L 9/21/2012 102
  103. 103. Google Search Web Images Mapa Videos Naw: Shopping More San Dloao. CA Change location Show search tools 9/21/2012 Marlene maheu lll[viir’i’ili1lr. i.ilt' um um plllfil i. .». i,iy. niarlernrnahou ci: m/ Marlena Malian Navigation Menu Dr Matieu haa haan working in telehealth tor over 18 year: as I practitioner. lrainar and cunlultant She can help you E~haalth Telehealth, and Telemedicine I Marlene Maheu marlenarriaheu carnIe—haaltn-telehealth-and-tolemadiciriel by Martens Mahsu. Pamela Whitten. and Ace Allen Access the power oi health care telecommunication technologies E-health. Telehealth. Ind Tolomodicins in marlonorrinheu cant/ presentational Home in Presentations Amarican Counalling AISDCIIIIUI1, Cytiorcounauling Legal and Ethical Iuuaa in Social Networking. March 21. 2012 Chair Donna Ford C IC I I e iiiarlenomaheu r. tiin/ i.-urnculurri~ntaa/ Curriculum Vitae Experience Pioneer Development. Senior Management Consultation (July 1999 — Present) Silicon Valley. New Vork City. Washington, D C , Marlene M Matter; Ph D I TsIsMental Health Institute telehealth org/ llarlone-llahou Marlene M Moheu. Ph D Psychologist lAuthor I Consultant I Sneaking Schedule I Trllrlll I What Others Are Saying Dr Mahlu is a leader in tolcmnntol health tlluhollth org! ‘Technology is crucial to our advancement as s prolsssion in the 21st csntury Marlene Malian has been I lorarunnar in thin endeavor to bring telepsychology to Mgr_lgngM Mahgu Ph D Liukodln www Iinksdin com/ inliriarlenornaheu San Diego Cslilornia 7 Executive Director at Talemenlal Health Institute View Marlono M Maheu, Ph D '3 prolsssioriol profile on Linkedln Linkedln is the world's largest business network. helping prolessionals like Marlene M Malieu. Mar1onoM Mahou Ph D Telehealth islsheattn nstlstd/ drrrimaheu Dr Malian is the President and CEO oi Planner Development Ruourcao Inc A: Inch. she is thy Founder and has bun the Editor-in-Chiulol Sa| lhv| pMa9aziriI nun‘. Ilnhnaa klnut r: :.m-. m,~r. .., ..- cw. ..-. ~ In Thnraanu cw-mm Marlena Mat-ieu Contact lrilo Two holds Ill battar than all! From Google Coiitacts Vl'5lhI>‘- only is Vou huml rnarlana rnahouggmail corn Your prolile is 45% complete Stand out lrom other people named Marlene Maheu. update your profile llpdlll your Drama 1007» Marlena Mahsu I03
  104. 104. Google Search Web Images Maps Videos News Shopping More San Diego, CA Change location Any duration Short (0-4 min ) Medium (4-20 min) Long 120+ min ) More search tools 9/Zl/2012 Suzie Cue Suzi-Cue Pool Hall » University District - Columbus OH wwwyelp com > Nightlife > Pool Halls fifffii Rating 4 5 - 8 reviews - Price range 5 8 Reviews of Suzi Cue Pool Hall "I have been to two pool halls in my life. The first one was in Groton. Connecticut, I don't remember its name now. but it was host Suzie Q - Wikifiia. the free engrclopedia en wikipedia, org/ wiki/ Suzie_0 Suzie Q, Susie Q. or Suzy 0 may refer to. in music. "Susie 0'' (song). a 1956 song by Dale Hawkins. covered by The Astronauts‘ Bobby McFerrin 8. Richard Bona. Experienced professional Boston DJ Suzie Cue - Suzanne Lockwood www dpuziecue corri/ Expenenced. professional Boston DJ for Weddings. Bar Mitzvahs, Bat Mitzvahs, Reunions. and Parties. Suzie Cue Facebook wmvfecebook corn/ Snz| eCueMusic Hi friends of Suzie Cuel! I need your help! ! Please vote for me in the Luden's Jingle Contest! !| I'm at the bottom of the food chain right now and DESPERATELY Creedence Clearwater Revival Suzie Q - YouTube ‘é NW - - wwwyoutube corn/ watch7v=1mxaA Jul 29 2008 - 5 min - Uploaded by rnasteroiacdcsuckaS Creedence Clearwater Revival Suzie 0 Creedence Clearwater Revrval Lyncs Oh Suzie 0 Oh Suzie 0 Oh four ways to sun 9 - YouTube www youtube com/ watch’? v No‘/1 2006 - 58 sec » Uploaded by sweavo From a discussion on dance fonirns, Mixing onZ basic with suzy-q beginning on 1 .5. or 6 Music in background Suzie Cue cover of "Gravel" @ Petra STL 05/13/11 - YouTube www youtube corn/ watchw May 13 2011 — 4 min — Uploaded by DeeksPeeks Suzie Cue cover of "Gravel" @ Petra STL 05/13/11. DeeksPeeks Suzie Cue cover of Dylan's "The Man Suzie Cue 7 YouTube I04 Marlene Mahe
  105. 105. one e n W AMERICAN PSYCHOLOGICAL ASSOCIATION “ '” ""”"" “"°"“"’”"°'°""‘ " About APA Psyrhnliigy l()()li’ Puhlimitioris Psychology Help hen er News 8. Fverils Resflallll l’d| ll. ’dl|0ll I. rareers emtiersliip SEARCH IN Ethics Office v ME-MAJL I alarm Home » Ethics Office » Ethical Principles of Psychologi Table of Contents - introduction and Applicability , » - Preamble PrlnClpleS Cf Psy ‘ y . General Principles and Code of Conduct . . . Standardi Resolving Ethical Issues lnclud g 2010Amendrnenl3 . I . siandm 2 C0mpe[en| :e I Standard 3 Human RelailOn$ Smndard 45 P"lV3CY arld confldemlallty - Standard 4. Privacy and Confidentiality I Standard 5 Advertising and Other Public 4.01 Maintaining confidentiality Swlemems Psychologists have a primary obligation and take reasonable precautions to protect confidential infonnation obtained through or stored in any medium. recognizing that the extent and limits of confidentiality may be regulated by law or established by institutional - Standard 6 Record Keeping and Fees rules or professional or scientific relationship, (See also Standard 2 O5 Delegation of Work to Others) _ Standard 7 Educamn and Training 4.02 Discussing the Limits of Confidentiality - Standard 8 Research and Publication (a) Psychologists discuss with persons (including. to the extent feasible. persons who are legally incapable of giving informed consent and their legal representatives) and organizations with whom they establish a scientific or professional relationship (1) the relevant limits of confidentiality and (2) the foreseeable uses of the information generated through their psychological activities, (See - standard to Therapy also Standard 3 t0. Infonned Consent. ) - Standard 9 Assessment - History and Effective Date (b) Unless it is not feasible or is contraindicated. the discussion of confidentiality occurs at the outset of the relationship and - Language or me 2002 Emics code with thereafter as new circumstances may warrant. changes Marked (c) Psychologists who offer services, products. or information via electronic transmission infonn clientslpatients of the risks to privacy and limits of confidentiality, Download the Ethical Principles of 4.03 Recording Psychologists and Code of Conduct (PDF. Before recording the voices or images of individuals to whom they provide services, psychologists obtain pennission from all such 223KB) persons or their legal representatives, (See also Standards 8 03 informed Consent for Recording Voices and Images in Research; 8 O5 Dispensing with informed Consent for Research: and 8 O7 Deception in Research. ) The 1992 Ethics Code was no longer 4.09 Intrusions on Privacy effective as of June 1, 2003 1 05 (3) Psychologists include in written and oral FEDOHS and consultations. only infomiation gemiane [O the purpose for WhlCh the gem me 1992 Emits Coca El communication l5 made
  106. 106. §l’t[lo; :.ll Mlrifiloll= i~*~9if‘? k1'l0liioltoigl’l= lie * : .inio‘l- iroioita-oi : ioino7lIiioil llrl-llllillttgflllllnliil liil: lilt: = Geiieial Plllifiliilefi This section consists of General Principles. General Principles, as opposed to Ethical Standards, are aspirational in nature. Their intent is to guide and inspire psychologists toward the very highest ethical ideals of the profession. General Principles, in contrast to Ethical Standards. do not represent obligations and should not form the basis for imposing sanctions. Relying upon General Principles for either ofthese reasons distorts both their meaning and purpose. Principle A: Beneficence and Nonmaleficence Psychologists strive to benefit those with whom they work and take care to do no harm. In their professional actions, psychologists seek to safeguard the welfare and rights ofthose with whom they interact professionally and other affected persons and the welfare of animal subjects of research. When conflicts occur among psychologists‘ obligations or concems. they attempt to resolve these conflicts in a responsible fashion that avoids or minimizes hann. Because psychologists‘ scientific and professional judgments and actions may affect the lives of others. they are alert to and guard against personal, financial. social. organizational or political factors that might lead to misuse oftheir influence. Psychologists strive to be aware ofthe possible effect oftheir own physical and mental health on their ability to help those with whom they work. Principle B: Fidelity and Responsibility Psychologists establish relationships of tnist with those with whom they work. They are aware oftheir professional and scientific responsibilities to society and to the specific communities in which they work. Psychologists uphold professional standards of conduct. clarify their professional roles and obligations. accept appropriate responsibility for their behavior and seek to manage conflicts of interest'that coulH'| ead'1o exploitation or harm Psychologists consult with, referto, or cooperate vinth other professionals and institutions to the extent needed to serve the best interests ofthose with whom they work. They are concemed about the ethical compliance of their colleagues‘ scientific and professional conduct. Psychologists strive to contribute a portion of their . ofessional time for little or no comensation or ersonal advantae. Principle C: Integrity Psychologists seek to promote accuracy, honesty and tnithfulness in the science, teaching and practice of psychology. In these activities psychologists do not steal, cheat or engage in fraud. subterfiige or intentional misrepresentation offact. Psychologists strive to keep their promises and to avoid unwise or unclear commitments. In situations in which deception may be ethically justifiable to maximize benefits and minimize harm, psychologists have a serious obligation to consider the need for, the possible consequences of. and their responsibility to correct any resulting mistrust or other harmful effects that arise from the use of such techniques. Prlnclple D: Justice Psychologists recognize that faimess and justice entitle all persons to access to and benefit from the contributions of psychology and to equal quality in the processes, procedures and services being conducted by psychologists. Psychologists exercise reasonable judgment and take precautions to ensure that their potential biases, the boundaries oftheir competence and the limitations oftheir expertise do not lead to or condone unjust practices. Principle E: Respect for People's Rights and Dignity Psychologists respect the dignity and worth of all people, and the rights ofindividuals to privacy, confidentiality, and selfcetermination. Psychologists are aware that special safeguards may be necessary to protect the rights and welfare of persons or communities whose vulnerabilities impair autonomous decision making. Psychologists are aware of and respect cultural, in WI US an fl) 9 erences, INC U mg 059 356 Ofl 399, QEI1 er, 99!! Eli ETI I y, race. E l1|Cl y. CU ure, 713 | Ol'l3 Uflglrl, Y9 IQIUT1, 9/ Eeitifllhiiintation, disability, language and socioeconomic status and consider these factors when working with members of such groups. Psychologists try to eliminate the effect on their work of biases based on those factors. and they do not knowingly participate in or condone activities of others based upon such preiudices. : iutiliI‘! o;ii: iI! (. - introduction and Applicability - Preamble - General Principles - Standard 1 Resolving Ethical lssues - Standard 2 Competence - Standard 3 Human Relations - Standard 4 Privacy and Confidentiality I Standard 5 Advertising and Other Public Staternents - Standard 6 Record Keeping and Fees - Standard 7 Education and Training - Standard 8 Research and Publication I Standard 9 Assessment - Standard 10 Therapy - History and Effective Date - Language ofthe 2002 Ethics Code with Changes Marked Download the Ethical Principles of Psychologists and Code ofconduct (PDF, HSKB) The 1992 Ethics Code was no longer etfective as ofJune 1, 2003. F r . . Effective date June 1, 2010. Copyright © 2010 American Psychological Association. All rights reserved. 3.3+? ' 2010 Amendments to the 2002 "Ethical Principles of Psychologists and Code of Conduct" (PDF. 39KB) I Compare the 1992 and 2002 Ethics Codes I APA Ethics Committee Rules and 106 Procedures
  107. 107. OCPM: Online Clinical Practice Management Step 1:Training Step 2: Referrals Step 4: Legalities Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement 9/21/201 2 Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reseiir-ea.
  108. 108. Patient Education Email flexting Social networking File exchange Computer repair Clinical records Insurance Reports Lateness / Missed sessions Non—comp| iance/ Avoidance
  109. 109. Texting * Convergence * HIPAA compliance * Lost/ Stolen Phones * HiTECT Act — report to client * Download to patient file
  110. 110. Obarna’s Antiquated Cell Phone Breach! : :m-rw‘él't on. re :5!" rear ‘/ DI. root. 8 As President-elect Obama comes to grips with the fact that he may very well be facing four or more years without a BlackBerry. here's some news that might make it a bit easier for him to unplug: In an internal company e-mail sent on 'ednesda_‘. Verizon Wireless revealed that Obamas wireless account had been "accessed by employees not authorized to do so. ‘ Chilling! Or not. really? The account had been inactive for several months. so it's just. like. shady. Verizon claims that these rogue staffers were just looking at billing records and ‘nobody was monitoring voicemail or anything like that. ’ Good — that makes it easier to resist indulging our half-baked theory that the Verizon Guy is a spy for Hillary. It wouldye been a lonely tangent. So we guess this was just a matter of kindly Verizon employees volunteering for some non—carnpaign-finance monitoring? That's nice of them to help keep track of the not-so—rele'ant books. But really. rather than get all indignant and paranoid about it. let's be realistic about what probably happened: On some boring summer night in Boise, a few stoner employees probably went out for some beers after work —- and dude. wouldnt it be hilarious if they went back to the office right now and. like. looked up famous names on the billing computer? Just to see what comes up? Ha. yeah. lets finish smoking this and then well go screw around! Right. Also worth mentioning: The wireless account in question was 'a simple voice flip~phone' that couldn't access email or the Web. .-w! ‘'e remember our first 9/2] , Sj_t@r'l'QAC like it was just yesterday. .. Obanias Cell Phone Records Breached [C. ‘3.'] Now playing on your HDTV CElISuo‘_Z‘n Sesrrr Daily Intel 1 . ' =2 tic" _': i s- IESSICAPILSSLER W 5 ‘EFT '3 1: E-r~. -.ail ti- NI CK E‘. -1'L'I'. ‘CI Get the P55 lees DANAMIEA iur | i,l| wit~i>. iiri«. I. ECEV'I' N"E'S All Blogs Daily Intel bid Bradle_' llanning Share Classified Documents 'i th NikiLeaks for Attention? lll A EornentV'i th the Reverend Police Help Harlem . Ian Set New Bullet-VVound Record Naomizcanrpbell Disappointed That Blood Diamonds V‘eren‘t Shinier Chopsticlu-Frierldl)‘ Pop-Tarts Are. Finally. a Reality Campaigning Denis Asking for FLOTCS BP's Cernent Plug Has Hardened I’a‘~v fltsnbuvunvn Donna‘ A6 . .ol. MOST COBQETED Daily Intel Vulture Grub Street The Cut
  111. 111. OCPM Step 4: Legalities - Texting — 152.7 billion text messages sent monthly in 2009 (Cellular Telecommunications and Internet Association, 2010) — Teenagers are known to readily text each other while sitting in the same room — Many young people have no land line and subscribe only to a mobile phone service — Adoption by some professionals is inevitable 9/? l/2012 lll
  112. 112. OCPM Step 4: Legalities ° Texting Security ° 2008 survey Credant Technologies, a data security company based in Dallas: — Over one—third of healthcare professionals store patient data on — Smart phones — USB drives — Laptops - Most of those interviewed admitted that they did not take the necessary precautions to secure data on their mobile devices 9/91/2012 112
  113. 113. OCPM Step 4: Legalities ° In response, the Department of Health and Human Services amended HIPAA — Effective February 18, 2009, the maximum civil penalty for illegally accessing health records from $25,000 to $1.5 million (Dolan, 2010) — Therapists could face the threat of such fines if they fail to install encryption software on their mobile devices 9/? l/? Ol7 H3
  114. 114. WaveSeoure I M I MAY THE PHONE BE WITH YOU my 2 » WAVESECURE BUY BLOG MEDIA SUPPORT CONTACT US Download Wax/ eSecure McAfee Acquires W S Choose to download WaveSecure to your mobile phone or your PC. (“0r1il3ll"i(‘ D'0le(: rori and (Or“. rO| ol your rnonlo Q Mobile phone . oovrces and data, anytime and anywrtore I 9 , Dvvavesecurg . Personal Computer About WaveSecure @Locat 1 & SIM Tracking Find out about WaveSecure, the award»win ning mobile security servi ce. '3' CI 0 D Q 0 I D Remotely lock down your Back up your data from your Locate your lost phone and plot :5: device phone or remotely on the web the locations on a map Wipe out important data Access your data online from Track SIM cards inserted and b . a n stored on your mobile to anywhere‘ Restore your data to phone calls made to help get protect your privacy a new phone your lost phone back @ Windows phone II4 lava
  115. 115. /T r I (kgllcrypt Secure Phone Calls Wherever You Are Solutions Partners News 8: Events About Us Headlines 37 Jul‘; ZMH Cellcrypt Launches Secure Cell Phone Conference Calling Are you sure your cell calls are secure? ' Cellcrypt provides secure voice calling on your cell phone 0 Protect confidential voice calls on smartphones 0 Unmatched call quality across 200+ countries 0 Govemment-grade encryption validated to FIPS 140-2‘ ll: - . lui'rr: - 201'" Cellcrypt iswarded AT&T Solution Certification for Blackflerrytfi Smartphones Zll l'. ’Ia', ‘ 201:1 Cellcrypl Achieves FIPS 1-‘.0-2 Validation for Secure Voice Calling D. ‘ Arirrl Ilifiil-< Cellcrypl Launches Secure Mobile-to-Oifice Voice Calling Searre Mobile-to-Oflice Voice (ailing Now Available! Satellite Solution GSM Cracking Enterprise Solution Discover GSM Cracking ll satemte your ‘officlefl Vhuundnlllndiuklnfllustldbyllnykululcu Phone 5Y5tem Cellcrypl provides govemmentgrade encryption of voice calls over standard cell phones such as Nokia Symbian and Blacl: Beny srnartphones Cellcrypts easy~to—use software application offers unparalleled voice quamy and performance over cellular, W»Fr and satellite networks that is as easy to use as making a normal phone call By providing end~to—end cell phone encryption solutions, Cellcrypt protects against the risk of call interception over multiple segments of the call path between callers, which includes the wireless network between cell phone and base stations. fixed lines within and between carrier 1 15 networks and Internet baclthaut
  116. 116. OCPM Step 4: Legalities ° Texting — Informed consent process might explain: - That text messages and cell phone calls will be documented just like any other communication in the patient file ° What to do when calls drop - How they will be notified of data breach - Your security measures 9/91/2012 116
  117. 117. ACA Code of Ethics (2005) ° A.12.a. Benefits and Limitations Counselors inform clients of the benefits and limitations of using information technology applications in the counseling process and in business/ billing procedures. Such technologies include, but are not limited to, computer hardware and software, telephones, the World Wide Web, the Internet, online assessment instruments and other communication devices. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved. 9/? l/? Ol7 H7
  118. 118. ACA Code of Ethics (2005) ° A.12.g. Techno| ogy and Informed Consent ° As part of the process of establishing informed consent, counselors do the following: — 7. Address issues related to the difficulty of maintaining the con fiden tiality of electronically transmitted communications. — 2. Inform clients of all colleagues, supervisors, and employees, such as Informational Technology (IT) administrators, who might have authorized or unauthorized access to electronic transmissions. Copyright 2012 Te| eMental Health Institute, Inc. All rights reserved. 9l? I/? OI7 I18
  119. 119. OCPM Step 3: Patient Education Avoid Misleading Patient Education ° If you are licensed, you are responsible for your patient welfare regardless of what your employer, webmaster or online vendor tells you is ok - Make sure everything on any website has been approved by informed legal and clinical counsel — Misperceptions and misunderstandings are common, especially among upset, medicated and sometimes characterologically impaired mental health clients - Be careful with social media 9l? I/? OI7 II9
  120. 120. English ~ Near (Address. Neighborhood. City, State or. San Francisco, CA Search for (e. g. taco, cheap dinner. Max's) Real people. Real reviews. 5 Find Reviews Welcome Aboume WrlteaRevlew FlndFriends Messaging Talk Events don't miss TODAY'S deal from A781’ Keely Kolmes, PsyD Category: Counseling 8. Mental Health [Edit] 220 Montgomery Street {I3 Suite 400 (between Bush St& Pine St) San Francisco, CA 94104 Neighborhood: Financial District www. drl<koImes. com Hours: 9! Appointment Only: Yes Mon 1 pm - 7:30 pm Tue-Wed 11 am- 7 pm Thu-Fri 11 am — 5 pm View Larger Mapll Edit Business Info Browse Neamv: Restaurants | Nightl 4 Write e Review Deals Nearby 0 10% on Ayurvedic consunations at Ayurveda for Balance - Debra Riordan CAS fell: Ad 575 for 5 .9&‘? :3_, nnn_n Magnoli: .yelp. com/ map/ keely-lcolms-psyd-San-francisco lifestyle recommendations and seasonal cleansing with , "" I 33" Fla‘
  121. 121. Rating Sites: Yelp (Keely Kolmes, Psy. D.) Your right / Gently discourage for these reasons: I. The American Psychological Association '5 Ethics Code states that it is unethical for psychologists to solicit testimonials: Principle 5.05 "Psychologists do not solicit testimonials from current therapy clien ts/ patien ts or other persons who because of their particular circumstances are vulnerable to undue influence. " Since you may decide to return to therapy with me at a later date, I do not request testimonials from people who have ended therapy with me. Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  122. 122. Rating Sites: Yelp (Keely Kolmes, Psy. D.) It 2. Unlike other business owners who may respond to their Yelp reviews, as a psychologist, I must provide confidentiality to my clients. It This means I am restricted from responding in any way that acknowledges whether someone has been in my care. It Thus, I do not intend to respond to any reviews.
  123. 123. Rating Sit€SZ Yelp (Keely Kolmes, Psy. D.) - 3. lhope that if we work together, we can discuss your feelings about our work directly and in person. - This may not always feel comfortable, but the discussion of positive and negative reactions to our process can be an important part of your therapy. - If it is simply a matter of poor fit, I'm always happy to help you find a therapist who is a better match. Copyright 2012 Te| eMental Health Institute, Inc. All rights reserved.
  124. 124. Rating Sites: Yelp (Keely Kolmes, Psy. D.) I 4. If you still choose to write something about my practice on Yelp, remember that this is a public forum and you may be sharing personally revealing information with a wide range of readers. It To preserve your privacy, consider using a pseudonym that is not linked to your regular email address or friend networks.
  125. 125. Social Media Policy Sample - http: //drkko| mes. com/ for- clinicians/ socia| —media—po| icy/
  126. 126. Avoid Multiple Roles Available Modes Of Communication email/ chat H Most Recent Client Reviews (Read all 506 reviews) i i i i W by User_wywqw2 on Mar 17 2010 Dr. Kate's brilliant! She's solid as a rock and reads amazingly well between the lines. I'm so grateful to have found her. fifth by Mike scan on Mar 15 2010 She really cares. You never wonder, you just know she cares. if i i i W by Michael Nyden on Mar 15 2010 i * iii by User_wyvrqvr2 on Mar 14 2010 Dr. Kate is extremely helpful and truly a professional. I don't know what I would have done with out her these past sessions. I felt lost and she gave me much needed perspective. i K i i K by User_wywqw2 on Mar 14 2010 She's amazing! !! I highly recommend her. Clearly a standout amongst an already high caliber of counselors. ' 9/21 2(hI2 lRea a 506 reviews)
  127. 127. HK. K flu SanDle9o, CA 03 n_J_j_}__J1/180010 Qfirsteoneview Stay awayll No therapist who works for them, no matter how good, worth the DI. 2 of their therapists at2 different stages in my lite. The tirsttime. I canceled an an for the doctor. The receptionist never gave the doc the message and then they ha payment Countless hours wasted on phone calls 8. letters of documentation. The 2nd time (it was years later 8. I'd forgotten that I already hated them - big mist copay. I called my insurance co. and the representative called Psycare with me to 45 minutes 8. 3 transfers later. we finally talked to someone in Billing. By thattiml Ever hear your insurance rep do your yelling for you? It's hysterical! Along the same lines, every time I called, regardess of the reason, I was on hold exaggeration. Wasthisreview . .-? j<4> -(3) § efloisoaunm I Send to a Friend funk to This Review 127
  128. 128. Internet Ratings: Where are we going? ° Expect ratings and quality surveys by healthcare providers to become standard operating procedure by smartphone app users. ° Yelp — Consumers can rate you, but you can’t fully defend yourself without violating confidentiality 9/91/7017 128
  129. 129. OCPM: Online Clinical Practice Management Step 1:Training Step 2: Referrals Step 3: Patient Education SJ; epA_'J_egaLl. ssues Step 5: Assessment Step 6: Direct Care Step 7: Reimbursement 9/21/2012 129
  130. 130. 9/2l/2012 All Existing Legal and Ethical Rules Apply
  131. 131. g _ '1 . ‘r I . I , — _ - _ “ . . a_ . '0 y _ . ~_—. _ , ‘ I ' . :I ‘ v ~‘ , . I . . . ‘I ; _ v‘ I‘ '1 . . g " ‘ __s - _ 4 ’ . v . _ -’ ‘.1 ‘ — ‘ _v , . . ‘ . . . I I ' A- ‘ , ‘ l- I . I-‘. . . ‘; , I , ~ ‘ ‘ ' . A . — - K _
  132. 132. J’ l- iii ‘Ii I TOOK THE ‘:3 P LAST cup ' OF C0FFE, E I TOO MUCH priests -< MAKE A I U / 'U95J9q99l9 Kpueu oooz «:5: 6m9 9/21 W2 WHITE COLLAR CRIMES 132
  133. 133. Duty to Report / Duty to Warn California State Law - (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 of the Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont. )
  134. 134. 9/21/2012 Home condltlorissolsorders Quizzes ask NA Drugs Blogs News Research Resources Find Help community Alcoholism Anxiety (4 Panic Attention Deficit (ADHD) Bipolar Disorder Child Disorders Depression Eating Disorders Personality Disorders FTSD Schizophrenia Sexual Issues Sleep Problems Something Else. .. A Review of the DSM-5 Draft Reviewing the Good, The Bad, and The Ugly in the New Mental Diagnosis Draft Manual »‘«1:l= e:rer‘s Grief is. Lc: : : a'er: irig v5.~, l,cMthf"oDI; ' ti n . » 5 : :r: $S° 5 D News Headlines Survivors of Family 1. alence Should Ewld on -‘i¢: ..7:¢nc'i me lrIv'lue. rc-1; “O5‘—D<! -‘! u"‘. Depress on ‘. /acaticn Uniil-. cly : e Improve Overall Happiness I5‘ LC-V Sexual D€5l'E Has Emc'. .ana! lmcar. Flecci‘. Finds tlanyuena Has The-'aL‘eut. : ‘ii"a’ue I I‘-lood int‘-uei-cc: Sl-caning Cecisoris Cell ehora Die: r-rindiiilress 7'5 ri-cg He': ilul for the 2-1 ‘itary nine. um Sentfiti riugiaiinbia Suisido All About Bay: El"‘. ‘y‘ClC'CCdl} cu . Intern-. : add LG” Men: -3‘ Sarvv Score jr. becoming the old me in the new year 'i' Depressed and No One Cares ET ANSWERS Ask the Therapist Get"Answers from Others 3 can: concentrate on ANYTHING‘ I dri. .. ' i-r. ee'. sng my boyfriend’: children Kiss From Our Blogs I Family rvfentai Health A'i: _nd the Web, issue :3 FALL 00 " The G? ! of Arger ‘I ti Yoga Net for Your Mom‘ I? ‘ M. ;: item. -ii-ist. i:s Se Corwcnr. ;r~ai? ‘' Ease i: '’ use Trumps Security Every Time I? ‘ Relatrcrich : i 'i'. 'isd: :m: Pei-spe: t:i. e and Fatiei-ce " Johnny ‘. “-ir Shh. -id 31 SS‘-‘Elli’. GET UP EIGHT -. .p Uklfig H»: Giittcr ‘tie, my dep'ess. on, my ’. 'FiI'il4l ng, my 9:‘: step rd. .. 5 Therapy 'i‘i‘orl(7 W Ans-ixer ll'l Audio 8 Text Ear Diszrdcr QEA: is There Sarncthi. -g Better and Safe’. .. ~' U"Id€-'$Il3l'dl. ”; HOW Nuznenzs aria Had ca: -ens lnzeraa Sex-er Ways To Access Your fine’ Cheerleader On Rad cal Body Love, Yo-Yo Dieting S Eeiri; r‘ea". hy' . 4' 9-I nd‘». i'ne5s ‘nvlll Cl-I fdreri: in lnremew with Susan Kaiser G'eenla. I ri-:5 Share Lives and Bodies (‘»/ icr. -cl '- 7 t-. a:. :s of EXi; .§. ’V. ‘5ll't 'i‘»b'a: I.t Lwirq ' LEE! None Can‘! Cu’: Mental illness ‘ mi-. ‘.er Blues and Hope subscnhe to Ourweeldy llewsieiier , . . omailaddreso SMIW Bediolthu Heath: ll| l.i.1lll l The Essential Family Guide to 4' My persistent dishorasty is ruining my life * my wife not coming home Borderline 4~ Dru; lnteraqionv Ready to die . .-. ._. .-. ... ._. Personality Disorder ' Tum between two men v‘ Gallstones pair. is HORRIBLE >: ( “N ""““""'| V '1' Huron; Student Worried About Being please How do i left them‘! hndboek ‘M hm“'“' Mentally Ill Headed down a Dange'r. ~.~s Road, Age :17 lnlltiu I '1 -—--~— ---~-
  135. 135. Anxiety library Dozens of articles Reco mmended Resou rces Related Disorders i: .- Related topics 0 rear or contusion I Inability to relax 0 Constant worry I Shortness of breath 0 Palpitations 0 Upset stomach 0 P00! concentration These symptoms are severe and upsetting enough to make individuals feel extremely uncomfortable. out of control and helpless. Anxiety disorders fall into a set of separate diagnoses, depending upon the symptoms and seventy of the anxiety the person experiences. The anxiety disorders discussed in this series on anxiety are: : n , .—. ,1(, -.Vi. .i rV_[i gm-i: (GAD) I 6" :7." i (including panic attacks) - ~- W-'_lj_l'_ ‘lfi : « (also known as social anxiety disorder) i . (also known as simple phobias) Although obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) are considered anxiety disorders, they are covered ~2lsewh-: -r~: - independently on - Next in Series: ~ i (GAD) Learn more . iboul anxiety disorders. .. I Cs: ..r: 't"-ri ' 'l~ i~i' »—' Q ~a. i-: L- ¢. .»; .¢H, .‘i. i.. .v. .. V , , . 1 _ . J I -: .7 . il: cti'. : in. " . .u. .u. - email address 7 Subscnbe . —‘; "ct2iiitE: '2TIx‘ Find a . . . ' ’ Therapist ZIP code isgaegi. (: O0dUii~i. ipy0r; m ~m. _w_, _,__, _| dlhoditxionaindo ‘C. l.Oi‘r US 0‘! ‘l"i'. lYTE3’ find uson l -. '. Facebook
  136. 136. » Next lfl Senes: [(7 Related ‘topics Le. :rn more about smuery d-: o!ders. _ H<zppm. ':. ' : .’. ~;u-r: /.: ‘: er: otuzcs - A ~_': u:. ': . P|y.0 Do you and 1 Iomcm; baud’ Undo-xun: m~; u-x. : , ‘ 52.75 -mm Need Io (hat with someane now? 4:; 12 Ian M‘: yen gun tools Ind lluflj Ill! «I Use’. .. S).99‘— «.1: {H V1:
  137. 137. 9/21/2012 [E > Vvgvvzfi. -«f"5 inxhg > Forurig pg ‘3 ‘gap "dgzgfii Consult an Online Counselor now. our cemhea personamy and ernouonal ausomer tnerapxsts can heap All sessions are private and star! free Proletslonal Counselovs: SERVICES Do you need a soundmu board? Uncerslznaano, msnonflul. non-xudgemenlal and real counseioc new to help REVIEWS G RATE "**.1.¥l. |nsn Cha 52 79 on mmuie ELEIJEE "-“"*«“' nuns: ' P5 - aw: SERVICES I can new you gain Iools and skulls Ihai will nelo your reiabonsmps um famaly, Ir-ends. wworms, mom males lwull new you succeed overcommq mese obslaaes REVIEWS 8- RATE Iffiifg7__m_ Cnat$399pe: rnmuIe : n.m. w.m E-an-' SERVIC E S rm an exam IO treatment 01 long-slananu personaldy dssovaers No needto stay In these panems I can uwde a rnemoacal Ieavnent tor mange REVIEWS & RATE '***. &4_mm Chat 52 67 per mmuie ELELE vH'I>"uI» 4. '91:“, Ywnrenouqnedn ‘iv » I .9" . v: I Ouowltworksc J Cucxlovegusletand stanyouv ' cmflorftee 5 M9!‘ )‘0UI 910911 and Elnlalfl [DUI ISSUO ‘ Hare the exam mat mm us! to: you Ifit: > Admaoas > Fersonamyano Emmonal DISMGQIS > Pacenmg > Semevapg > Eaamg Dusoroers > Other
  138. 138. 9/21/2012 .1 C, ” | ’l. -,)Au- Huh‘ Cm’ he Counselmq rs not aonrcpnare for 31‘-mos cf D'G': 'c~‘-5. ll you have 5l. lC'd.1'lFCL. 'Q""5,l{-S mocvla-'2 -J-.3! you see‘: help immediately. You are not alone. " louted r~ the L5. :3 1-800-764-2433 or 9!! and ask For 3* r your country and area. Or‘ M: $1.89 per minute ($173.4/hour) 7 . : r w Error’. No Romeo or lullet be? All's well that ends well; come solve it w/ Incl Degrees -- PhD, Amencan Psychologrcal Assn (APA)-approved (USO); clerksh'p. .'scholars. h D4 v- MA, APA-approved graduaté school (USD): clerkslwp/ scholarslvp, -» BA, Psychology 8. Socnology, magna (wnth hrgh honors). llhnoas Stale Scholarshrp. -- Internship/ Residency, ADA-approved medzcal center. Chosen over 700 applicants. LICENSURE »- State of Illinois Lxcense to Pracbce Psychology, =07]-002729. SAMPLE OF AWARDS §Tv. -Ice honored as ‘Fellow’ by APA, for rmpeccable EIhlCS and ‘outstanding an unusual contributions to (lie science a profession of psychology. " Featured rn APA Directory 0! Media Experts; recomn: -:-nded to press as expert on many to, -xcs My Expert Service Are you happy? Are you where you want to be? If not, than WELCOME! Noted Psychologlsl, Relalronshrp Expert 5. Author, 2; IN! As . a Professional PhD-Level Psychologist For Over 25 years: can help you: ~ Conquer stress; anxxety, deprr. -sszon, anger, resentment, revenge, Jealousy, -envy. -- Grow your career, balance your personal 5 professrona‘ Me. ~ Overcome drlfucull behavxors 3. problems--n-Innng -- your own r. your mate's! As Author 0! 3 Popular Books on Relationships, can help you wurhz -- Communrcauon, love, romance, sex, datnng, marnage, UIVOYCE 8. startrng over. »- RelationsIu'ps Ior Dummies » . . Love Secrets - - Los secretes deumor W. -)rm. caring. -)mon'orl.2!ly supponive 5 empathic. gives Imlplul lips Illa. ’ you ran use right away Experience & Qualifications AS A TNERAPIS1’: §'You have helped me rn such .2 prolound way. I have been msp red and exerted by you. You'v-: - been .3 part of my Me. Thark you. ‘ §'l sent her so many panents for pam, relanonsl-ups and so many other problems. Not only dad she heal everyone v-: «ry qurzkly, they a‘! Ir’-: -ad her besides! we had no farlures. what more can you ask for? She xs szsnply the BEST! ‘ -— , Medical Neurologast AS A RELATIONSHIP EXPERY: §“5he's nnrerwewed wrth Oprah and PM Donahue, Trme, The New York Trmes, USA Today, The washrngton Post, Redbook and Cosmopo-‘Man. Clearly engages m no false advertzsrng — she’: a na[lOna! 'y acclarmed relanonsrvp expert. ‘
  139. 139. You arenlngned 9:. Log‘. -a C? »-¢. 'II. $’hqr: L‘; L'o: .u-x: do- Saw: (‘:3 Home Findacounselor Forums FAQ To comply mm state laws you may onry hold sessmns wnn counse: ors ncensed an your stale R""" Y°‘" 5""-"' Keyword Showing 1 - 10 xesuhs for all counselon Feedback Professional Counseior ’ All Svecvafiles Abuse i <2 -4‘ It ‘ » r‘ I _ - » Addictions ’ v I Jrv. ?.'v~; .s7m- ADHD &2IVac. S0vIhr S75-hr In Petson: S85v'hr Video: S75-'hr MOWOH Alzhemws Farrutues Ange: Management Anxiety Pgychyamg ‘ Anvumu/ Dannr - I ; -_l, »_ 3. . ,7, , g‘ _ . ,. 3“ Meavlupcodeoccny l D State All States Pnce Range (Hourly) : ‘vC"‘ 4 ’ ’ K ‘V ‘ " so 3*: 514;: srw s. »:. =:" $33»: In Person: 5150:? » 1 . . Professnonal Counselor Insurance Pro-aders 5 '-: ~ ewe- —. ‘.. —» Ina. ‘ ‘ Phone: S100mr In Pusan: My Any lndemnxty Plan Any FPO 9/ 2 1 /201 2 Am; AmenHealm m , S120/ht
  140. 140. Skip to Content l Footer l Accessibility DepartmentofCansumerAffairs ‘ -GOV Board of Behavioral Sciences Search BBS Home Board Activity CONSUMER RELATED TOPICS . ... ... ... -_ D D D D V QUICK HITS >) >) >> >) >> D >) >> >) >) us What's New Board Meetings Customer Satisfaction Survey Consumer Complaint Form Department of Consumer Affairs Frequently Asked Questions Online License Verification Pending Decisions and Opportunities for Public Participation Recommended Links Statutes aevfiltomrqre Qnherrihm I Eat iH>n- / /IAAAIIAI 1-: nru/ Consumers App| icantJRegistrant LPCC Exams Licensees Forms/ Pubs Contact Us ’. ‘-: -r“. al ~93 tl‘ -/ -r‘i‘3't}" . ..C<. .>. I.e! .J. ;1r. <.= .!. lrrfrarfsrarrtirrxt. !§9sers! it1s.9e1ie§. ?§xeh9t1terepy . ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. Notice to California Consumers Regarding Psychotherapy on the Intemet The Board of Behavioral Sciences (BBS) would like to make the following recommendations to Califomia consumers who choose to seek therapy or counseling over the Intemet. Individuals who provide psychotherapy or counseling, either in person, by telephone, or over the Intemet, are required by law to be licensed. Licensing requirements vary by state. Individuals who provide psychotherapy or counseling to persons in Califomia are required to be licensed in Califomia. Such licensure permits the consumer to pursue recourse against the licensee should the consumer believe that the licensee engaged in unprofessional conduct. Be a cautious consumer when seeking therapy over the Internet, or by any other means, by doing the following: -->> Verify that the practitioner has a current and valid license in the State of Califomia. -~» Be sure you understand the fee that you will be charged for the services to be rendered and that you frilly understand how and to whom the fee is to be paid. -~>> Be sure you are satisfied with the methods used to ensure your communications with and by the therapist will be confidential. -->> Be sure you are aware of the risks and benefits of doing therapy, over the Internet or by any other means, so you can make an informed choice about the therapy or counseling to be provided. ~>> According to Business and Professions Code Section 2290 5, prior to the delivery of health care via telehealth, the health care provider at the originating site shall verbally inform the patient that telehealth may be used and obtain verbal consent from the patient for this use, The verbal consent shall be documented in the patient’s medical record. All laws regarding the confidentiality of health care inforrriation and a patient’s right to his or her medical information shall apply to telehealth interactions. Business and Professions Code Section 2290.5 (a) For purposes ofthis division, the following definitions shall apply: (1) ‘Asynchronous store and forward‘ means the transmission of a patient’s medical information from an originating site to the health care provider at a distant site without the presence of the patient. (2) ‘Distant site’ means a site where a health care provider who provides health care services is located while providing these services via a telecommunications system. (3) ‘Health care provider’ means a person who is licensed under this division. (4) ‘Originating site‘ means a site where a patient is located at the time health care services are provided via a telecommunications system or where the asynchronous store and forward service originates. (5) ‘Synchronous interaction‘ means a real-time interaction between a patient and a health care provider located at a distant site. 1 40 (6) Telehealth’ means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, out-io. v.. u.o Mr. ..--ioin» . --m. n. -u. -uumuuio and “tr: n. -m-umnuuio .6 R . .-ioimtom In-ilory. .--rm Iuhiln arm n-ioimii i. - are ORA . ..; -;. .-ioim. .-‘.9. -um um kn-IIOH . --m. .m. ..; A.u in -in -. As. -o-mo pun
  141. 141. Online Psychotherapy Services - ’’In 1996 California passed legislation regulating the practice of ”te| emedicine” (SB 1665, c. 864). As defined in Business and Professions (B&P) Code Section 2290.5, telemedicine means: .. .the practice of health care delivery, diagnosis, consultation, treatment, transfer of medical data, and education using interactive audio, video, or data communications. Neither a telephone conversation nor an electronic mail message between a health care practitioner and patient constitutes "te| emedicine" for purposes of this section. ” - http: //www. bbs. ca. gov/ Iicensees/ psych_on| ine. shtm| 9/91/2012 141
  142. 142. Online Psychotherapy Services ”. . . "interactive" means an audio, video, or data communication involving a real time (synchronous) or near real time (asynchronous) two—way transfer of medical data and information. ” In 1999 the law was expanded by adding MFTs and LCSWs to the definition ofa ’’health care practitioner”who is required to comply (AB 352, c. 252). a violation of the telemedicine statute to the definition of unprofessional conduct for MFTs and LCSWs. This legislation would help to affirm that, even though B&P Code Section 2290.5 is contained in the Medical Practices Act, it should also be treated as part of Board law. http: //www. bbs. ca. gov/ licensees/ psych_on| ine. shtm| 9/91/2012 14?
  143. 143. APA Standard 10: Informed Consent 3.1 O 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. 9/? l/? Ol7 M3
  144. 144. 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
  145. 145. 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. a pa. org/ ethics/ code/ index. aspx 9/? l/? Ol7 M5
  146. 146. 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. 9/? l/? Ol7 M6
  147. 147. APA Ethical Standard 2: Research—based Protocols - Where do you find research? - Lookat — funding sources — meta—ana| yses Copyright 2012 Te| eMenta| Health Institute, Inc. All rights reserved.
  148. 148. 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 9/91/2012 148
  149. 149. Choice ofTechno| ogy ° Choice of Communication Channel (modality) — Responsibility of Professional? ° Technology specific training/ proficiency for each modality + combination of modalities Copyright 201 2 TeleMental Health Institute, Inc. All ri eeeeeeeeee d.

×