A Mental Health Provider’s Guide to Telehealth: Providing Outpatient Videoconferencing Services - A Mental Health Provider’s Guide to Telehealth: Providing Outpatient Videoconferencing Services -

Preface Acknowledgments Defining Telehealth, Telepsychology, and Associated Terms Historical Variability in the Terminology of Telehealth Historical Challenges with Defining Telehealth Current Definition of Telehealth Current Definition of Telepsychology Interviews and Initial Diagnostic Meetings Psychological and Neuropsychological Assessment Data and Health-Related Management Among Providers Data Transmission and Monitoring of Patients Professional Services Summary Points References Mental Health Disparity and the Utility of Videoconferencing Telepsychology The Ongoing Disparity of Psychological Care Internet-Based Telepsychology to Address Mental Health Disparity The Advent of Videoconferencing for Mental Healthcare Research Supporting Videoconferencing Telepsychological Services Patient Desire for Videoconferencing Services Provider Attitudes Towards Videoconferencing Services Summary Points References Guidebooks and Recommendations for Ethical and Legal Practice Guiding Organization Recommendations for Ethical Practice The Need for Competence and Upholding of Ethical Standards The Clinical Relationship Standards of Care for the Delivery of Interventions Testing and Assessment Informed Consent Confidentiality Data Security Disposal of Data and Hardware Logistics of Practice Legal Considerations Non-universally Agreed Principle: Ensuring Ongoing Professional Development Summary Points References Factors to Consider in Order to Ensure an Ethical and Legal Videoconferencing Practice Licensing and Jurisdiction Cross-State Practice Multiple Licenses Interjurisdictional Compact The Identification of Minimal Contact Evaluating Patient Appropriateness Diagnostic Considerations Technical Considerations Setting Considerations Logistical Considerations Structured Guide for the Assessment of Suitability for Home-Based Telemental Health (ASH-25)Informed Consent Videoconferencing-Specific Informed Consent Factors Providing Both Verbal and Written Consent Content of the Informed Consent Indication of General Practice Strengths and Limitations General Delivery Factors Communication Troubleshooting Administrative Safety Planning Data Security: HIPAA Privacy Rule Physical Safeguards Administrative Safeguards Technical Safeguards Enforcement Rule Breach Notification Rule Additional Considerations for Videoconferencing Summary Points References Videoconferencing Logistics: Overview Videoconferencing Logistics: System Considerations Hardware Considerations CPU RAM Selecting Hardware Software Considerations Restricting Access Evaluating the CPU, RAM, and OS Summary Points References Videoconferencing Logistics: Video Camera Considerations Desired Features Easy to Install and Problem-Solve Camera Software Image Quality Settings Resolution Options Compression Options Summary Points References Videoconferencing Logistics: Display Screen Considerations Desired Features Display Screen Resolution and Size Summary Points Videoconferencing Logistics: Microphone Considerations Types of Microphones Condenser Desired Features Easy to Install and Problem-Solve Summary Points References Videoconferencing Logistics: Videoconferencing Platform Considerations General Functions Number of Simultaneous Users Security Design Integration with Current Systems Cost Comparing Platforms Summary Points References Videoconferencing Logistics: Bandwidth and Latency Considerations Bandwidth Latency Testing Speeds Summary Points References Videoconferencing Logistics: Room Setup Considerations Room Size General Room Selection and Background Appearance Privacy and Interruptions Lighting Camera Placements Angles for Image Quality Angles to Include All Participants Angles for Eye Gaze Use of Two Cameras for Multi-Views Special Considerations for Young Children Using Toys in the Session Room Summary Points Videoconferencing Logistics: Video Tips Clothing Before-Session Factors During-Session Factors Post-Session Factors Summary Points References Videoconferencing Logistics: Audio Tips Clothing Before-Session Factors During-Session Factors Post-Session Factors Summary Points References Videoconferencing Logistics: Documentation General Factors to Include Rationale for Videoconferencing Being Rendered Platforms Used If Issues Were Recognized with the Platform and How They Were Remedied Provider Location Details (i.e., Distant Site Information)Patient Location Details (i.e., Originating Site Information)Statement of Ongoing Appropriateness of Videoconferencing for Patient Statement of Verification of the Patient’s Identity Emergency Contact Information Initial Contact-Specific Documentation Assessment-Specific Modifications Summary Points References Setting Up the Videoconferencing Processes Conducting the Videoconferencing Sessions Self-Care Practices Physical Strategies for Self-Care Ocular Strategies for Self-Care Summary Points References (Brief) Answers to Common Questions About Videoconferencing Practice General Topics How Do I Stay Up to Date of Changes?What If I’m Concerned About a Patient Recording or Taking Screenshots of the Sessions?Delivery of Services Topics How Do I Engage Children in the Videoconferencing Sessions?How Can I Make Group Videoconferencing Sessions Run Smoothly?How Do I Conduct Mental Status Examinations Through Videoconferencing?How Do I Help Patients Set Up Their Videoconferencing Process?Administrative Topics Does My Malpractice Insurance Cover Videoconferencing Sessions?Appendix A Acronyms Used in This Book Appendix B Helpful Videoconferencing-Specific Definitions Appendix C Consolidated Mental Health Resources Appendix D Consolidated Mental Health Resources Appendix E Consolidated Mental Health Resources Appendix F Helpful Journals and Books Appendix G Continuing Education Programming Appendix I Comprehensive Videoconferencing Provider Checklist Appendix J Simplified Videoconferencing Provider Checklist Appendix K Videoconferencing Coloring Pages for Children Appendix L Preparing for Videoconferencing Patient Handout