Telehealth: Telehealth: Computer Assisted Behavioral Computer Assisted Behavioral HealthcareHealthcare

Presented by:Presented by:

Rhonda G. Patrick, LCSW, MPARhonda G. Patrick, LCSW, MPA

2010 Texas Behavioral Health Institute2010 Texas Behavioral Health Institute

Presentation OutlinePresentation OutlineWhat is Telebehavioral HealthcareWhat is Telebehavioral Healthcare

DefinitionDefinitionHistoryHistoryLiteratureLiteratureImplication/BenefitsImplication/BenefitsMedicolegal & Regulatory IssuesMedicolegal & Regulatory Issues

Developing & Implementing Telebehavioral Developing & Implementing Telebehavioral HealthcareHealthcare

Identifying NeedsIdentifying NeedsInfrastructureInfrastructurePartnershipsPartnershipsStructure/ConfigurationStructure/ConfigurationPilotingPilotingSolicitationSolicitation

Presentation OutlinePresentation OutlineUsing Telebehavioral HealthcareUsing Telebehavioral Healthcare

Room & EquipmentRoom & EquipmentVideoconferencing EtiquetteVideoconferencing EtiquetteVerbal/Nonverbal CommunicationVerbal/Nonverbal CommunicationSpecial PopulationsSpecial Populations

Sustaining Telebehavioral HealthcareSustaining Telebehavioral HealthcareReimbursement & CPT CodesReimbursement & CPT CodesMultiple Uses of Telebehavioral HealthcareMultiple Uses of Telebehavioral Healthcare

Defining Telebehavioral Defining Telebehavioral HealthHealth

TelemedicineTelemedicine

Telemental HealthTelemental Health

Telebehavioral HealthTelebehavioral Health

Store and Forward TechnologiesStore and Forward Technologies

Live, Interactive TechnologiesLive, Interactive Technologies

History of Telebehavioral History of Telebehavioral HealthcareHealthcare

IntroductionIntroduction

1960’s1960’s

1970’s-1080’s1970’s-1080’s

1990’s1990’s

2000 and into the future2000 and into the future

Telehealth LiteratureTelehealth Literature

Summary of published LiteratureSummary of published Literature

Early History and publicationsEarly History and publications

Current Publications Current Publications

Summary of Meta- Analysis Summary of Meta- Analysis

Clinical TrialsClinical Trials

Telebehavioral Healthcare Telebehavioral Healthcare Implications/BenefitsImplications/Benefits

Access to CareAccess to Care

Client ManagementClient Management

Care CoordinationCare Coordination

Continuity of CareContinuity of Care

Future DirectionsFuture Directions

Telebehavioral Healthcare Telebehavioral Healthcare Medicolegal/Regulatory IssuesMedicolegal/Regulatory Issues

Licensing & CredentialingLicensing & Credentialing

MalpracticeMalpractice

Informed ConsentInformed Consent

Privacy & ConfidentialityPrivacy & Confidentiality

Developing & Developing & Implementing Implementing Telebehavioral HealthcareTelebehavioral Healthcare

Identifying NeedsIdentifying Needs

InfrastructureInfrastructure

PartnershipsPartnerships

Structure/Structure/ConfigurationConfiguration

PilotingPiloting

SolidificationSolidification

Developing & Developing & Implementing Implementing Telebehavioral HealthcareTelebehavioral Healthcare

Identify NeedsIdentify NeedsStep 1Step 1

InfrastructureInfrastructureStep 2Step 2

PartnershipsPartnershipsStep 3Step 3

StructureStructureStep 4Step 4

PilotingPilotingStep 5Step 5

SolidificationSolidificationStep 6Step 6

Using Telebehavioral Using Telebehavioral Healthcare Room & Healthcare Room & EquipmentEquipment

High End Versus Low End High End Versus Low End EquipmentEquipment

CameraCamera

MicrophoneMicrophone

Broadband and BandwidthBroadband and Bandwidth

LightingLighting

BackgroundsBackgrounds

Clinician ConsiderationsClinician Considerations

Using Telebehavioral Using Telebehavioral HealthcareHealthcare

Practice Practice CompetencyCompetency

Written Written CommunicationCommunication

VideoconferencingVideoconferencing

Using Telebehavioral Using Telebehavioral HealthcareHealthcare

Cultural CompetenceCultural Competence

DefinitionsDefinitions

Client/Counselor Client/Counselor InteractionsInteractions

In substance abuse In substance abuse and mental health and mental health treatment treatment interventionsinterventions

Using Telebehavioral Using Telebehavioral HealthcareHealthcare

Managing client Managing client schedulesschedules

VideoconferencingVideoconferencing

Email and chattingEmail and chatting

When clients need When clients need in-person sessionsin-person sessions

Using Telebehavioral Using Telebehavioral HealthcareHealthcare

Key Aspects of Videoconferencing communicationKey Aspects of Videoconferencing communication

Verbal and Nonverbal communication with Verbal and Nonverbal communication with videoconferencingvideoconferencing

Key Aspects of email and chat communicationKey Aspects of email and chat communication

Using Telebehavioral Using Telebehavioral HealthcareHealthcare

Special PopulationsSpecial Populations

ElderlyElderly

YouthYouth

Ethnic GroupsEthnic Groups

Sustaining Telebehavioral Sustaining Telebehavioral HealthcareHealthcare

CMS Reimbursement CMS Reimbursement policiespolicies

CPT CodesCPT Codes

Other Federal Other Federal Sources of RevenueSources of Revenue

Texas Texas ReimbursementsReimbursements

PublicPublic

PrivatePrivate

Sustaining Telebehavioral Sustaining Telebehavioral HealthcareHealthcare

Multiple UsesMultiple Uses

Administrative UsesAdministrative Uses

ResearchResearch

TrainingTraining

Family MembersFamily Members

Fiscal UsesFiscal Uses

Questions & Additional Questions & Additional ResourcesResources

American Association of TelemedicineAmerican Association of Telemedicine

University of California DavisUniversity of California Davis

Texas Tech UniversityTexas Tech University

University of Colorado-School of MedicineUniversity of Colorado-School of Medicine

American Association of Online CounselingAmerican Association of Online Counseling

Substance Abuse & Mental Health Services Substance Abuse & Mental Health Services Administration (SAMHSA)Administration (SAMHSA)