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


PrefaceAcknowledgmentsDefining Telehealth, Telepsychology, and Associated TermsHistorical Variability in the Terminology of TelehealthHistorical Challenges with Defining TelehealthCurrent Definition of TelehealthCurrent Definition of TelepsychologyInterviews and Initial Diagnostic MeetingsPsychological and Neuropsychological AssessmentData and Health-Related Management Among ProvidersData Transmission and Monitoring of PatientsProfessional ServicesSummary PointsReferencesMental Health Disparity and the Utility of Videoconferencing TelepsychologyThe Ongoing Disparity of Psychological CareInternet-Based Telepsychology to Address Mental Health DisparityThe Advent of Videoconferencing for Mental HealthcareResearch Supporting Videoconferencing Telepsychological ServicesPatient Desire for Videoconferencing ServicesProvider Attitudes Towards Videoconferencing ServicesSummary PointsReferencesGuidebooks and Recommendations for Ethical and Legal PracticeGuiding Organization Recommendations for Ethical PracticeThe Need for Competence and Upholding of Ethical StandardsThe Clinical RelationshipStandards of Care for the Delivery of InterventionsTesting and AssessmentInformed ConsentConfidentialityData SecurityDisposal of Data and HardwareLogistics of PracticeLegal ConsiderationsNon-universally Agreed Principle: Ensuring Ongoing Professional DevelopmentSummary PointsReferencesFactors to Consider in Order to Ensure an Ethical and Legal Videoconferencing PracticeLicensing and JurisdictionCross-State PracticeMultiple LicensesInterjurisdictional CompactThe Identification of Minimal ContactEvaluating Patient AppropriatenessDiagnostic ConsiderationsTechnical ConsiderationsSetting ConsiderationsLogistical ConsiderationsStructured Guide for the Assessment of Suitability for Home-Based Telemental Health (ASH-25)Informed ConsentVideoconferencing-Specific Informed Consent FactorsProviding Both Verbal and Written ConsentContent of the Informed ConsentIndication of General PracticeStrengths and LimitationsGeneral Delivery FactorsCommunicationTroubleshootingAdministrativeSafety PlanningData Security: HIPAAPrivacy RulePhysical SafeguardsAdministrative SafeguardsTechnical SafeguardsEnforcement RuleBreach Notification RuleAdditional Considerations for VideoconferencingSummary PointsReferencesVideoconferencing Logistics: OverviewVideoconferencing Logistics: System ConsiderationsHardware ConsiderationsCPURAMSelecting HardwareSoftware ConsiderationsRestricting AccessEvaluating the CPU, RAM, and OSSummary PointsReferencesVideoconferencing Logistics: Video Camera ConsiderationsDesired FeaturesEasy to Install and Problem-SolveCamera SoftwareImage Quality SettingsResolution OptionsCompression OptionsSummary PointsReferencesVideoconferencing Logistics: Display Screen ConsiderationsDesired FeaturesDisplay Screen Resolution and SizeSummary PointsVideoconferencing Logistics: Microphone ConsiderationsTypes of MicrophonesCondenserDesired FeaturesEasy to Install and Problem-SolveSummary PointsReferencesVideoconferencing Logistics: Videoconferencing Platform ConsiderationsGeneral FunctionsNumber of Simultaneous UsersSecurityDesignIntegration with Current SystemsCostComparing PlatformsSummary PointsReferencesVideoconferencing Logistics: Bandwidth and Latency ConsiderationsBandwidthLatencyTesting SpeedsSummary PointsReferencesVideoconferencing Logistics: Room Setup ConsiderationsRoom SizeGeneral Room Selection and Background AppearancePrivacy and InterruptionsLightingCamera PlacementsAngles for Image QualityAngles to Include All ParticipantsAngles for Eye GazeUse of Two Cameras for Multi-ViewsSpecial Considerations for Young Children Using Toys in the Session RoomSummary PointsVideoconferencing Logistics: Video TipsClothingBefore-Session FactorsDuring-Session FactorsPost-Session FactorsSummary PointsReferencesVideoconferencing Logistics: Audio TipsClothingBefore-Session FactorsDuring-Session FactorsPost-Session FactorsSummary PointsReferencesVideoconferencing Logistics: DocumentationGeneral Factors to IncludeRationale for Videoconferencing Being RenderedPlatforms UsedIf Issues Were Recognized with the Platform and How They Were RemediedProvider Location Details (i.e., Distant Site Information)Patient Location Details (i.e., Originating Site Information)Statement of Ongoing Appropriateness of Videoconferencing for PatientStatement of Verification of the Patient’s IdentityEmergency Contact InformationInitial Contact-Specific DocumentationAssessment-Specific ModificationsSummary PointsReferencesSetting Up the Videoconferencing ProcessesConducting the Videoconferencing SessionsSelf-Care PracticesPhysical Strategies for Self-CareOcular Strategies for Self-CareSummary PointsReferences(Brief) Answers to Common Questions About Videoconferencing PracticeGeneral TopicsHow 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 TopicsHow 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 TopicsDoes My Malpractice Insurance Cover Videoconferencing Sessions?Appendix A Acronyms Used in This BookAppendix B Helpful Videoconferencing-Specific DefinitionsAppendix C Consolidated Mental Health ResourcesAppendix D Consolidated Mental Health ResourcesAppendix E Consolidated Mental Health ResourcesAppendix F Helpful Journals and BooksAppendix G Continuing Education ProgrammingAppendix I Comprehensive Videoconferencing Provider ChecklistAppendix J Simplified Videoconferencing Provider ChecklistAppendix K Videoconferencing Coloring Pages for ChildrenAppendix L Preparing for Videoconferencing Patient Handout
 
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