Certified TeleMental Health Physician

To obtain the credential of Certified TeleMental Health Physician each of the courses must be completed:

  • TeleMental Health Professional Orientation
  • TeleMental Health Patient Practitioner Protocol
  • TeleMental Health Disclosure and Informed Consent
  • TeleMental Health Technology
  • TeleMental Health Legal Considerations and Compliance
  • TeleMental Health Crisis Management

 

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Telemental health is the use of electronic means or technology to provide mental health services by any mental health discipline. It is not a separate medical or mental health services. It is simply a different means through which a practitioner can deliver services that have historically been delivered in person in the mental health field. Telemental health is discipline neutral, meaning that all mental health disciplines can use the technology modality to provide services.

The need for mental health has dramatically increased and, with advances in technology and current health concerns, the use of patient care at a distance has also increased. All age groups and all diagnoses have shown an increase in the need of treatment. With the increased use of telemental health there is an increased need for education concerning legal considerations and compliance during a telemental health appointment.

The research into telemental health has consistently shown it to be an effective delivery system for mental health services. Some studies have even found that telemental health services may actually be preferable to in-person care in certain populations and situations. Children and adolescents and veterans in particular, seem to especially benefit from the use of telemental health. Telemental health is NOT the be-all and end-all in the delivery of therapy. Nor is it for every patient or every practitioner. Clearly, there are limitations. The limitations may be driven by a particular practitioner’s level of skill or confidence in treating certain cases online. This certification course is to provide education concerning telemental health professional orientation, patient practitioner protocol, disclosure and informed consent, technology, legal considerations and compliance, and crisis management.

Learning Outcomes TeleMental Health Professional Orientation:

  • Distinguish between various technological modalities.
  • Use telemental health as part of an integrative approach.
  • Implement the disclosure process.
  • Use ethical guidelines with social media.
  • Apply ethical practices to manage practitioner values and biases.
  • Terminology relevant to telemental health.
  • Differences between telemental health and non telemental health practices.
  • The public need for telemental health.
  • The evolution of telemental health.
  • The different settings for telemental practices.
  • The telemental health disclosure process.
  • The ethical responsibility within the disclosure process.
  • The ethical responsibilities toward ongoing training, knowledge, and supervision.

 

Learning Outcomes TeleMental Health Patient Practitioner Protocol:

  • Implement Screening for Suitability to Engage in TMH
  • Use Ethically Sound Practices when Conducting Appropriate Screening and Intake
  • Ethics Related to Screening and Intake
  • Perform Ongoing Patient Risk Assessments
  • Risk Factors for Domestic Violence, Suicidality, Homicidally
  • Demonstrate Ethical Responsibility for Understanding How the Patient Self-Identifies
  • Conduct a General Patient Assessment
  • Apply Mental Health Theory and Interventions
  • Mental Health Theories
  • Conduct Assessment of the Patient’s Personal Resources and Abilities
  • Develop Rapport with Patients
  • Sustain Appropriate Practitioner Relationships and Boundaries
  • Obtain and Maintain Proper Documentation
  • Implement and Execute Setting of Expectations for Appointments
  • Evaluate Ongoing Effectiveness of TMH
  • Contraindications for TMH
  • Demonstrate How to Make Appropriate Referrals
  • Appropriate and Effective TMH Interventions
  • Patient Community Resources in the Geographic Area in Which a Patient Lives
  • Ethics and Guidelines Regarding Practitioner Relationships and Boundaries
  • Proper Documentation
  • Ethics Regarding Documentation
  • Scope of Process of TMH
  • National and Local Patient Resources
  • Ability to Elicit Information Regarding Patient Resources and Abilities in Relation to TMH
  • Ability to Develop Rapport Including Recognition of Facial Expressions and Nonverbal Communication
  • Ability to Implement Assessments
  • Ability to Use Questions, Affirmations, Reflections, and Summaries Effectively
  • Ability to Facilitate Patient’s Cultural Self-Identification

 

Learning Outcomes TeleMental Health Disclosure and Informed Consent:

  • Patient Understanding of Disclosures and Providing Informed Consent
  • Aspects of Informed Consent Specific to TMH
  • Protocol for Social Media
  • Protocol for Establishing Local Resources and Emergency Contact
  • Apply Procedures for Emergencies
  • Protocol for Verification of Patient Location
  • Establish Patient Location Prior to Appointment
  • Protocol for Verification of Patient Identity
  • Establish Patient Identity Prior to Appointment
  • Protocol for Verification of Patient Privacy
  • Establish Patient Privacy Prior to Appointment
  • Protocol for Verification of Patient Safety
  • Establish Patient Safety Prior to Appointment
  • Requirements Establish Patient Identity in TMH
  • Protocol Management for Technical Difficulties
  • Unique Challenges and Risks of TMH
  • Address Concerns of Patients Related to TMH
  • Monitor Ongoing Informed Consent
  • Managing Disclosures in TMH
  • Informed Consent Process in TMH
  • Ethically Gathering Informed Consent
  • Appropriate Use of Social Media
  • Elements of a Patient Safety Plan
  • Resources Available to Troubleshoot TMH Issues

 

Learning Outcomes Technology:

  • Benefits and Risks of Modalities
  • Evaluate and Select Technologies
  • Different Platforms and Modalities
  • Implement Chosen Technology
  • Patient Set Up of Chosen Technology
  • Patient and Practitioner Etiquette
  • Technology Security Aspects and Protocols
  • Appropriate Storage, Rules, Regulations and Guidelines of Appointment Recordings and Documentation
  • Ethical Guidelines Regarding the Destruction of Appointment Recordings and Documentation.
  • Troubleshoot Technical Difficulties and Poor Quality of Communication
  • Ethical Responsibilities Regarding Technology
  • Ethical Responsibilities of Confidentiality
  • Terms Related to Technology
  • Hardware, Software, and Internet Connection Needs
  • Technology for People with Disabilities

 

Learning Outcomes TeleMental Health Legal Considerations and Compliance:

  • Apply privacy law requirements related to telemental health.
  • Apply state and federal laws directing telemental health practice.
  • Apply HIPAA compliance.
  • Apply the Privacy Rule.
  • Apply the limits of malpractice.
  • Demonstrate appropriate response to security breaches.
  • Demonstrate appropriate response to data loss.
  • Apply setting specified security needs.
  • Conduct technology risk assessments.
  • Understand privacy law requirements related to telemental health.
  • The order of authority between state level and federal regulations.
  • HIPAA understanding and telemental health.
  • HITECH understanding and telemental health.
  • Covered entities under HIPAA.
  • Protected health information definitions.
  • Who can and cannot access protected health information.
  • The role of a privacy officer.
  • The Patient’s Bill of Rights.
  • Understanding business associate agreements.
  • Risks of security breaches.
  • What constitutes a breach.
  • Understanding of the HIPAA security rule.
  • The types of safeguards including technological, administrative, and physical safeguards for risks and threats.
  • The consequences of non-compliance.
  • The ethical responsibility regarding scope of practice.

 

Learning Outcomes TeleMental Health Crisis Management:

  • Understanding and identifying a patient in crisis during a telemental health appointment.
  • Developing an emergency management plan.
  • The importance of a local emergency services listings at distant locations.
  • Establishing protocol bounds and responsibilities of practitioners.
  • TeleMental health de-escalation strategies.
  • Identifying mental and medical health status during a telemental health appointment.
  • Understanding culturally appropriate crisis interventions.
  • Identifying the involuntary commitment process.
  • Identifying the signs of a patient in crisis.
  • Understanding the need and options for local patient support.
  • Appreciate the cultural contexts of the local area of the patient.
  • Identifying the mental status of a patient using telemental health.
  • Discussing the benefits and consequences of interventions.

 

Course Format TeleMental Health Professional Orientation:

TeleMental Health Professional Orientation Part 1

  • Evolution of Telemental Health
  • Settings for Telemental Health
  • Terminology Relevant to Telemental Health
  • Technological Modalities

 

TeleMental Health Professional Orientation Part 2

  • Public Health Need
  • Integrative Approach
  • Disclosure Process

 

TeleMental Health Professional Orientation Part 3

  • Differences of TMH and Non TMH Practices
  • Social Media Ethical Guidelines
  • Apply Ethical Practices to Manage Practitioner Biases and Values

 

Course Format TeleMental Health Patient Practitioner Protocol:

TeleMental Health Patient – Practitioner Protocol Part 1

  • Implement Screening for Suitability to Engage in TMH
  • Use Ethically Sound Practices when Conducting Appropriate Screening and Intake
  • Ethics Related to Screening and Intake
  • Perform Ongoing Patient Risk Assessments
  • Risk Factors for Domestic Violence, Suicidality, Homicidally

 

TeleMental Health Patient – Practitioner Protocol Part 2

  • Demonstrate Ethical Responsibility for Understanding How the Patient Self-Identifies
  • Conduct a General Patient Assessment
  • Apply Mental Health Theory and Interventions
  • Mental Health Theories
  • Conduct Assessment of the Patient’s Personal Resources and Abilities
  • Develop Rapport with Patients

 

TeleMental Health Patient – Practitioner Protocol Part 3

  • Sustain Appropriate Practitioner Relationships and Boundaries
  • Obtain and Maintain Proper Documentation
  • Implement and Execute Setting of Expectations for Appointments
  • Evaluate Ongoing Effectiveness of TMH
  • Contraindications for TMH
  • Demonstrate How to Make Appropriate Referrals

 

TeleMental Health Patient – Practitioner Protocol Part 4

  • Appropriate and Effective TMH Interventions
  • Patient Community Resources in the Geographic Area in Which a Patient Lives
  • Ethics and Guidelines Regarding Practitioner Relationships and Boundaries
  • Proper Documentation
  • Ethics Regarding Documentation
  • Scope of Process of TMH
  • National and Local Patient Resources

 

TeleMental Health Patient – Practitioner Protocol Part 5

  • Ability to Elicit Information Regarding Patient Resources and Abilities in Relation to TMH
  • Ability to Develop Rapport Including Recognition of Facial Expressions and Nonverbal Communication
  • Ability to Implement Assessments
  • Ability to Use Questions, Affirmations, Reflections, and Summaries Effectively
  • Ability to Facilitate Patient’s Cultural Self-Identification

 

Course Format TeleMental Health Disclosure and Informed Consent:

TeleMental Health Disclosure and Informed Consent Part 1

  • Patient Understanding of Disclosures and Providing Informed Consent
  • Aspects of Informed Consent Specific to TMH
  • Protocol for Social Media
  • Protocol for Establishing Local Resources and Emergency Contact

 

TeleMental Health Disclosure and Informed Consent Part 2

  • Apply Procedures for Emergencies
  • Protocol for Verification of Patient Location
  • Establish Patient Location Prior to Appointment
  • Protocol for Verification of Patient Identity
  • Establish Patient Identity Prior to Appointment
  • Protocol for Verification of Patient Privacy
  • Establish Patient Privacy Prior to Appointment
  • Protocol for Verification of Patient Safety
  • Establish Patient Safety Prior to Appointment
  • Requirements Establish Patient Identity in TMH
  • Protocol Management for Technical Difficulties
  • Unique Challenges and Risks of TMH

 

TeleMental Health Disclosure and Informed Consent Part 3

  • Address Concerns of Patients Related to TMH
  • Monitor Ongoing Informed Consent
  • Managing Disclosures in TMH
  • Informed Consent Process in TMH

 

TeleMental Health Disclosure and Informed Consent Part 4

  • Ethically Gathering Informed Consent
  • Appropriate Use of Social Media
  • Elements of a Patient Safety Plan
  • Resources Available to Troubleshoot TMH Issues

 

Course Format Technology:

TeleMental Health Technology Part 1

  • Benefits and Risks of Modalities
  • Evaluate and Select Technologies
  • Different Platforms and Modalities

 

TeleMental Health Technology Part 2

  • Implement Chosen Technology
  • Patient Set Up of Chosen Technology
  • Patient and Practitioner Etiquette
  • Technology Security Aspects and Protocols

 

TeleMental Health Technology Part 3

  • Appropriate Storage, Rules, Regulations and Guidelines of Appointment Recordings and Documentation
  • Ethical Guidelines Regarding the Destruction of Appointment Recordings and Documentation
  • Troubleshoot Technical Difficulties and Poor Quality of Communication
  • Ethical Responsibilities Regarding Technology
  • Ethical Responsibilities of Confidentiality

 

TeleMental Health Technology Part 4

  • Terms Related to Technology
  • Hardware, Software, and Internet Connection Needs
  • Technology for People with Disabilities

 

Course Format TeleMental Health Legal Considerations and Compliance:

TeleMental Health Legal Considerations and Compliance Part 1

  • Definition of HIPAA
  • Why is there a need for HIPAA?
  • HIPAA Rules
  • HIPAA Privacy Rule
  • HIPAA Privacy Rule Covered Entities
  • HIPAA Privacy Rule Breach Response
  • HIPAA Privacy Rule Laws Related to Telemental Health
  • HIPAA Privacy Rule and Security Rule Training
  • HIPAA Security Rule Officers
  • HIPAA Security Rule Role of Compliance Officer
  • HIPAA Security Rule Role of Security Officer
  • HIPAA Security Rule Role of Privacy Officer

 

TeleMental Health Legal Considerations and Compliance Part 2

  • HIPAA Security Rule
  • HIPAA Security Rule Administrative Safeguards
  • HIPAA Security Rule Physical Safeguards
  • HIPAA Security Rule Technical Safeguards
  • HIPAA Security Rule Technology Risk Assessment

 

TeleMental Health Legal Considerations and Compliance Part 3

  • HIPAA Security Rule for Settings
  • HIPAA Omnibus Rule
  • HIPAA Omnibus Rule Business Associate Agreements
  • HIPAA Omnibus Rule Response to Security Breach
  • HIPAA Omnibus Rule HITECH Act
  • HIPAA Breach Notification Rule
  • HIPAA Breach Filing
  • HIPAA Enforcement Rule

 

TeleMental Health Legal Considerations and Compliance Part 4

  • Order of Authority for Telemental Health
  • HIPAA Rules Consequences of Non-Compliance
  • State and Federal Laws in Telemental Health
  • Malpractice and Telemental Health
  • Patient’s Bill of Rights
  • Scope of Practice Ethical Responsibility

 

Course Format TeleMental Health Crisis Management:

TeleMental Health Crisis Management Part 1

  • Understanding the Signs of a Crisis
  • Mental and Medical Status of the Patient
  • Crisis Management
  • Emergency Management Plan
  • List of Active Patient – Local Emergency Services

 

TeleMental Health Crisis Management Part 2

  • Ongoing Verification of Local Emergency Services
  • Establish Practitioner Protocol, Bounds and Requirements During a Crisis
  • De-escalation Strategies in Crisis
  • Need and Options for Local Support

 

TeleMental Health Crisis Management Part 3

  • Involuntary Commitment Process
  • Best Practices in Culturally Appropriate Crisis Intervention

 

TeleMental Health Crisis Management Part 4

  • Local Area Systems and Cultural Context
  • Benefits and Consequences of Interventions

 

Learning Outcomes Condi2ons:
Complete self-paced certification in its entirety.
Pass all quizzes and final with 80% or better.

Education Hours:
You will receive a completion certificate with 11.0 AMA PRA Category 1 Credits from MedChi The Maryland State Medical Society for this course when all Learning Outcomes Conditions have been met.

Approximate Learning Time: 11.0 – 13.0 hours
This certification course is online and should take approximately 11.0 – 13.0 hours to complete.

 

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