Telepsychiatry - a provider administers psychiatric care from a distance through a technological
interface
-a subset of telehealth
-telepsychiatric services
• psychiatric interview
• psychiatric evaluations
• therapy
• medication management
• consultation
• client education
The American Psychiatric Association (APA, 2020) supports telemedicine as a legitimate component of a
mental health delivery system when telepsychiatry services: - -benefit the client
-maintain client autonomy, confidentiality, and privacy
-when used consistent with APA medical ethics policies and established telepsychiatry laws
Telepsychiatry services are provided in diverse settings, including: - • private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through: - • videoconferencing technology
• websites
• recorded medical information
• support or chat groups
,• asynchronous client-provider interactions social media
• links to self-directed or assisted assessment
Benefits of telepsychiatry services: - • improved access to care
• reduced costs
• improved efficiency
• improved integration of care
• decreased emergency department visits
• fewer delays in care
• improved continuity of care
• reduction of transportation-associated barriers
Telepsychiatry __________, _________, _________, and _________ outcomes are comparable to in-
person services. - validity, reliability, assessment, and treatment outcomes
most common modalities for providing telepsychiatric services is via _______________________ -
videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the American Telemedicine
Association (ATA) developed: - best practices for providing videoconferencing-based telepsychiatric care
-guidelines inform the technical considerations and administrative requirements needed to provide
these services
best practices for providing videoconferencing-based telepsychiatric care: - -Use of a designated
technology platform. Telesessions should not be conducted using alternate platforms; however, an
alternate plan, such as a telephone call, may be used in case of technology failure.
-Provisions for the verification of confidential and secure client information.
-Sufficient bandwidth to provide clear, appropriate video and audio quality.
, -Device compliance with Health Insurance Portability and Accountability Act of 1996 (HIPAA) and state
requirements.
During telepsychiatry sessions, both the provider and client locations should be treated as a
______________ - confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - -the discussion cannot be
overheard by other
-adequate lighting and ambiance is provided that is appropriate to the session
-place the camera so that the eyes and face of the participants are visible
Telepsychiatry Legal and Regulatory Considerations: Best practices - -Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance - Malpractice insurance is
required and some policies require additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements - Licensure requirements
differ from in-person practice.
-Providers must hold a license to practice in the state where the client resides.
-The PMHNP is responsible for following standards for the state in which they are practicing.
Telepsychiatry Legal and Regulatory Considerations: Federal and state prescribing guidelines - Federal
and state prescribing guidelines differ for telepsychiatry.
-The Ryan Haight Online Pharmacy Consumer Protection Act of 2008 governs the prescribing of
controlled substances via teleconferencing.
• To safely prescribe, the provider must conduct an in-person medical evaluation at least once every 24
months and comply with all federal and state prescribing guidelines.
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