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Distance Counseling

Distance Counseling . EAP and technology John Allen, LCSW, CEAP, SPHR www.HERE4TN.com. History Of eap technology. Phone/Fax Crisis Line Appointments Support Tool Assessments Online information Articles Resources Distance Counseling E-mail Discussion Forums Chats/Instant Message

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Distance Counseling

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  1. Distance Counseling EAP and technology John Allen, LCSW, CEAP, SPHR www.HERE4TN.com

  2. History Of eap technology • Phone/Fax • Crisis Line • Appointments • Support Tool • Assessments • Online information • Articles • Resources • Distance Counseling • E-mail • Discussion Forums • Chats/Instant Message • Video Conferencing • Virtual Worlds

  3. Cultural expectations • Accessing help 24/7 • Social Media • “Apple” culture • Access expanding

  4. Technology basics • Encryption • Backup Systems • Password Protection • Firewalls • Virus Protection

  5. Ethical issues • EAPA Code of Ethics 2.12 – Delivering EAP services via telephone or other remote technologies • American Counseling Association Ethics Code 2005 – Considered “best practice” • Informed Consent • Client Suitability • EAP professional’s credentials, competence, and training (Distance Credentialed Counselor) • Confidentiality • Rights of redress

  6. The research • Northwestern University Study • Lower drop out rate than face to face (4.3% vs. 13%) • 6 months post treatment, face to face group reported less depression • Veterans Affairs Telemental Study • Patients had 24% fewer psychiatric hospital addmissions • 27% reduction in total days of psychiatric hospitalization • 55,000 patients and 140,000 “telemental” sessions in 2011

  7. Distance counseling Benefits Challenges • Reduced stigma • Posting resources, assessments, and information online • Convenience/Flexibility • Rural access • Boundaries • Is the client really who they say they are? • Ethical Concerns • Privacy/Confidentiality • Unrealistic client expectations surrounding access

  8. Case Study • Review email interaction with Anne • Review chat transcript

  9. Current trends in technology • eGetGoing Online Addiction Treatment • 12 step based • Participate in group via video or chat • SleepCoach.net • “Interactive cognitive behavioral therapy program” • Coaches are masters prepared or above and International Coach Federation’s ACC level coach certification or above

  10. Current trends in technology • TherapyOnline • Canadian Group • TherapEmail™ • Research based • Centerstone's Recovery Engagement Center • Recovery Coaches • Peer Recovery Support • Live Chat

  11. Resources • Online Therapy Institute • Distance Credentialed Counselor Training • Guidelines for Use of EAPA Related Social Media • DeeAnnaMerz Nagel, LPC • Informed Consent • TILT Magazine

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