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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
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