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Therapy Inside the Box: From My Computer to Yours

Therapy Inside the Box: From My Computer to Yours. Dr. Susan Meyerle, LIMHP Life Resources, LLC mailto:susan@2liferesources.com. Our Objectives. Explore regulations related to effective electronic practice to ensure ethical behavior.

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Therapy Inside the Box: From My Computer to Yours

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  1. Therapy Inside the Box:From My Computer to Yours Dr. Susan Meyerle, LIMHP Life Resources, LLC mailto:susan@2liferesources.com

  2. Our Objectives • Explore regulations related to effective electronic practice to ensure ethical behavior. • Identify best practices for providing quality client care.

  3. Terminology • Telemental Health • Telemedicine • Distance Counseling • Cybercounseling • E-therapy • Others?

  4. Trends in Regulation • 19 states regulate electronic communications for counselors (but only within the state lines) • 19 states + DC have no regulations • 6 states specifically state they do not support electronic communications under their scope of practice for PCs. (MD, NM, SD, TN, VA, IN) • Source: Licensure Requirements for Professional Counselors, ACA, 2016.

  5. Licensure needed! BOTTOM LINE: You must be licensed in the state in which you are providing services.

  6. So…??? • Get trained in electronic practice because you may be a… trailblazer!

  7. Modalities in Regulation Note: There is no video playing here.

  8. “Proving” Competence • No state requires a specific credential (as of 3/17/17) • Training options: • DCC through NBCC replaced by BC-TMHP • 9 core areas of training required • Exam • Telemental Health Institute • Life Resources, LLC

  9. Telemental Health Practice Nitty, gritty details

  10. Client Verification • Confirming the client is who you believe they are • Confirming current location of the client • Recommended to begin EACH session

  11. Establishing the Relationship • Best practice: Provide a quick consultation with client to ensure all is set up smoothly (This is not covered by insurance) • Test internet speeds with at http://www.speedtest.net • Signed Informed Consent (specifying additional risks of electronic practice) • Note: Does jurisdiction allow for electronic signatures?

  12. Information for Client • Your training in teletherapy • Risks/benefits • How to contact you if an emergency arises • License # and how to contact the Board • Insurance coverage for the client • Information collected and any passive tracking mechanisms utilized.

  13. Client Screening • Consider technological aptitude of client • Appropriateness of video therapy for client and, their presenting as well as assessed issues

  14. Documentation • Traditional record-keeping applies • IF the session is recorded, consent is required as is information about storage/destruction of video record.

  15. Emergency Management • Know what your options are for EPC (and what its called in each jurisdiction) • What are options for hospitalization? • What about other supports in the community? (e.g., Lincoln has Keya House)

  16. Technology Disruption • Emergency: • Need to be determined at onset of therapy what the protocol will be. • Non-Emergency: • What other options are available? • Protocol for rescheduling or reconnecting

  17. Technology Standards • Point-to-point encryption • Virus protection up-to-date (therapist & client) • Robust passwords • HIPAA compliant, follow HITECH requirements

  18. Best Practice Tip! • “Therapists shall retain copies of all written communications with clients.” • AMFTRB Teletherapy Guidelines, September 2016 • State regulations revisions are now including all correspondence. Are you prepared?

  19. Just for you! Use code WVCA2019 for a 20% discount on trainings listed on http://www.2liferesources.com

  20. Commandment #3 • Thou shall not engage in a “personal virtual relationship” with a client.

  21. Commandment #10 Thou shall conduct compliance reviews.

  22. Dr. Susan Meyerle http://www.2liferesources.com mailto:susan@2liferesources.com (402) 477-0651

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