Segments in this Video

Introduction: Telehealth 101 for Mental Health Professionals: Best Practices for the Basics and Beyond (08:34)


Many professionals have not anticipated in engaging in long-term mental health practices. Dr. Jeff Ashby cites his credentials and disclosures and outlines the webinar.

Clinical Services Definitions (06:21)

The COVID-19 pandemic forces many to shift to a telehealth platform. Ashby discusses terms used to describe "not in person" services; ethical codes and state guidelines speak to these specific terms.

Synchronous vs. Asynchronous (08:54)

Ashby discusses synchronous and asynchronous communication, and originating site and distant site; be mindful of state laws.

Telemental Health Research (02:58)

Health models highlight the suitability of the client. Studies suggest that teleservices have similar outcomes to in-person services.

Ethical Perspective (13:47)

Ashby discusses the meta-ethical principle of non-malfeasance, practicing across state lines, the notification of enforcement discretion, the HIPPA security rule, and the HIPPA omnibus rule.

Reimbursement and Opportunities (03:13)

During the COVID-19 pandemic, several restrictions on reimbursement coverage have been lifted. Opportunities include a streamlined process for becoming a Medicare provider, additional reimbursements, and the ability to reach more clients with less effort.

Informed Consent (20:36)

An updated or amended informed consent is important when switching modalities. Ashby cites guidelines from the APA, NASW, AAMFT, and ACA, links to example policies, and sample language.

Tip #1: Pick a Platform (15:40)

Ashby introduces 10 tips for telehealth mental health practices and reiterates HIPPA compliance information. He discusses seven factors to consider when picking a communication platform, platform resources, and risk management.

Tip #2: Educate Your Clients (05:20)

Educate telehealth clients on the initial technology set-up, privacy protection at the originating site, and the session process.

Tip #3: Connection Loss (04:12)

Ashby discusses seven steps to be prepared for a connection loss during a telehealth session.

Tip #4: Crisis Plan (05:13)

Develop a crisis plan for all clients and consider utilizing a local collaborator. Plans should include information for the client's contact person and originating site information for law enforcement, hospital, and crisis response teams.

Tip #5: Confirmations (09:00)

Confirm the client's identity, location, and privacy. Develop an opening session ritual; Ashby cites six components.

Tip #6: Ongoing Assessment (06:20)

Make safety checks a regular ritual with current clients. Monitor client engagement by tracking/commenting on ambiguous behaviors. Regularly check in with clients who initially expressed a disinterest in telehealth.

Tip #7: Documentation (06:25)

Document all interactions. Include informed consent specific to telehealth, dropped connections, interruptions/intrusions, lighting, progress toward goals, technology impact, peer consultations, and terminations.

Tip #8: Professional Boundaries (30:52)

The flexibility of telehealth services may lead to more frequent and casual behaviors; some may assume that physical distance makes the relationship immune to boundary violations. Ashby discusses increased intimacy, start and stop times, casual dress, commiseration, social media, online self-disclosure, and recommendations.

Tip #9: Growing Into Competence (15:28)

Competencies for telebehavioral health include seven domains, five subdomains, 49 objectives, 146 competencies, and three levels. Ashby cites components of ACA, AAMFT, and APA competencies, and encourages obtaining telehealth competency.

Tip #10: Consultation/Supervision (04:03)

Assess your clinical, technological, general telemental health, and multicultural competencies. Ashby discusses consultation versus supervision.

Recommendations (03:04)

Ashby quickly reviews the top 10 tips for telehealth mental health practices and provides teleservice recommendations from Barnett & Kolmes.

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Telehealth 101 for Mental Health Professionals: Best Practices for the Basics and Beyond

DVD (Chaptered) Price: $199.95
DVD + 3-Year Streaming Price: $299.93
3-Year Streaming Price: $199.95



This video seminar with professor of counseling Dr. Jeff Ashby reviews the legal and ethical landscape for telehealth, discussing the Good Faith assumption, HIPAA, ethical codes, and practice across state lines. Dr. Ashby considers how to pick a telehealth platform, the benefits and risks of telehealth, documentation, and emergency planning. He also presents tips for obtaining informed consent, dealing with technical issues, and managing client expectations.

Length: 171 minutes

Item#: BVL240783

ISBN: 978-1-63722-461-8

Copyright date: ©2020

Closed Captioned

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Not available to Home Video and Publisher customers.