Board Certified TeleMental Health Program

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

  1. TeleMental Health Professional Orientation
  2. TeleMental Health Patient Practitioner Protocol
  3. TeleMental Health Disclosure and Informed Consent
  4. TeleMental Health Technology
  5. TeleMental Health Legal Considerations and Compliance Standards
  6. TeleMental Health Crisis Management

 

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

The need for medical and mental health has dramatically increased and, with advances in technology and current health concerns, the use of client 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 medical and 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 client 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 course is to provide education concerning Telemental Health professional orientation.

This course brings attention to client treatment during distancing. The course is designed to provide education on Professional Orientation, Client – Practitioner Protocol, Disclosure and Informed Consent, Technology, Professional, Legal and Ethical Considerations and Compliance Standards, and Crisis Management for practitioners who use Telemental Health.

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 Health 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 Client – Practitioner Protocol:

  • Implement screening for suitability to engage in Telemental Health
  • Use ethically sound practices when conducting appropriate screening and intake
  • Perform ongoing client risk assessments
  • Demonstrate ethical responsibility for understanding how the client self-identifies
  • Conduct client assessment (general)
  • Apply mental health theory and interventions
  • Conduct assessment of the client’s personal resources and abilities
  • Develop rapport with clients
  • Sustain appropriate clinician relationships/boundaries
  • Obtain and maintain proper documentation
  • Implement and execute setting of expectations sessions
  • Evaluate ongoing effectiveness of Telemental Health
  • Demonstrate how to make appropriate referrals
  • Contraindications for Telemental Health
  • Ethics related to screening and intake
  • Risk factors such as domestic violence, suicidality, homicidally
  • Mental health theories
  • Appropriate and effective Telemental Health interventions
  • Client community resources in the geographic area in which client lives
  • Ethics and guidelines regarding clinician relationships/boundaries
  • Proper documentation
  • Ethics regarding documentation
  • Scope of process of Telemental Health
  • National and client-local resources
  • Ability to elicit information regarding client resources and abilities in relation to Telemental Health
  • Ability to develop rapport including recognition of facial expressions and nonverbal communication
  • Ability to implement assessments
  • Ability to use summaries, reflections, affirmations, and questions effectively
  • Ability to facilitate client’s cultural self-identification

 

Learning Outcomes Telemental Health Disclosure and Informed Consent:

  • Ensure the Client Understands the Disclosures and is able to Provide Informed Consent
  • Address the Aspects of Informed Consent Specific to Telemental Health
  • Establish a Protocol for Social Media
  • Prepare a Protocol for Establishing Local Resources and Emergency Contact
  • Apply Procedures for Emergencies
  • Prepare a Protocol for Verification of Location
  • Establish Client Location Prior to Session
  • Prepare a Protocol for Verification of Client Identity
  • Establish Client Identity Prior to Session
  • Prepare a Protocol for Verification of Privacy
  • Establish Client Privacy Prior to Session
  • Prepare a Protocol for Verification of Safety
  • Establish Client Safety Prior to Appointment
  • Requirements Establish Client Identity in Telemental Health
  • Prepare a Protocol for Management of Technical Difficulties
  • Explain Unique Challenges and Risks of Telemental Health
  • Address Concerns of Clients Related to Telemental Health
  • Monitor Ongoing Informed Consent
  • Managing Disclosures in Telemental Health
  • Informed Consent Process in Telemental Health
  • Ethically Gathering Informed Consent
  • Appropriate Use of Social Media
  • Elements of a Safety Plan
  • What is Required to Establish Client Identity in a Virtual Environment
  • Unique Challenged and Risks of Telemental Health
  • Resources Available to Troubleshoot Telemental Health Issues

 

Learning Outcomes Telemental Health Technology:

  • Explain the Benefits and Risks of Different Telemental Health Modalities
  • Evaluate and Select Technologies for Telemental Health
  • Choose Appropriate Platform within Chosen Modality
  • Implement Chosen Technology
  • Demonstrate to the Client How to Set Up Chosen Technology
  • Instruct Client Etiquette Amond Different Modalities
  • Practitioner Telemental Health Etiquette within Different Modalities
  • Apply Required Technology Security Protocols
  • Demonstrate Appropriate Storage of Session Recordings and Documentation
  • Demonstrate How to Troubleshoot Technical Difficulties and Poor Quality of Communication
  • Benefits and Risks of Different TMH Modalities
  • Different Platforms and Modalities
  • Security Aspects of Different Technologies
  • Rules and Regulations Related to Recording Sessions and Documentation
  • Ethical Guidelines Regarding the Destruction of Session Recordings and Documentation
  • 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 Professional, Legal and Ethical Considerations and Compliance Standards:

  • 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.
  • Privacy law requirements related to Telemental Health.
  • Order of authority between state level and federal regulations.
  • HIPAA understanding and Telemental Health.
  • HITECH understanding and Telemental Health.
  • Covered entities under HIPAA.
  • Definition of Protected Health Information (PHI)
  • 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:

  • Create an emergency management plan
  • Assemble a list of active client – local emergency services
  • Conduct ongoing verification of status of client – local emergency services
  • Establish protocol to clarify bounds and requirements of the practitioner within client is in crisis
  • Employ de-escalation strategies in crisis
  • Assess if client is in crisis
  • Apply best practices in culturally appropriate crisis intervention
  • Demonstrate ability to manage involuntary commitment
  • The signs of crisis
  • The need for local supports (mobile teams, welfare/wellness checks)
  • Systems and cultural context of local area
  • The mental status of the client
  • The benefits/consequences of specific interventions
  • The process of involuntary commitment

 

Learning Outcomes Conditions:
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 9.0 CE for this course with NBCC ACEP No. 7167 when all Learning Outcomes Conditions have been met

Approximate Learning Time: 9.0 hours

 

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