Telepsychiatry __________, _________, _________, and _________ outcomes are
comparable to in-person services. - CORRECT ANSWER-validity, reliability,
assessment, and treatment outcomes
most common modalities for providing telepsychiatric services is via
_______________________ - CORRECT ANSWER-videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - CORRECT ANSWER-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: - CORRECT
ANSWER--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 ______________ - CORRECT ANSWER-confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - CORRECT
ANSWER--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 - CORRECT
ANSWER--Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
, Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance -
CORRECT ANSWER-Malpractice insurance is required and some policies require
additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements -
CORRECT ANSWER-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 - CORRECT ANSWER-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.
Telepsychiatry Legal and Regulatory Considerations: Billing and Reimbursement -
CORRECT ANSWER--Reimbursement varies by state and insurance provider.
• Currently, 48 states provide Medicaid reimbursement for telepsychiatry services.
-pt made aware of any and all financial charges that may arise from the services prior to
the commencement of initial services
Telepsychiatry - CORRECT ANSWER-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: -
CORRECT ANSWER--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: - CORRECT
ANSWER-• private practice
• outpatient clinics
• schools