NR548 Final Exam
Telepsychiatry - ✔✔- ANS: 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: - ✔✔- ANS: -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: - ✔✔- ANS: •
private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through: - ✔✔- ANS: • 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: - ✔✔- ANS: • 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. - ✔✔- ANS: validity, reliability,
assessment, and treatment outcomes
most common modalities for providing telepsychiatric services is via
_______________________ - ✔✔- ANS: videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the
American Telemedicine Association (ATA) developed: - ✔✔- ANS: 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: - ✔✔-
ANS: -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 ______________ - ✔✔- ANS: confidential space
, During telepsychiatry sessions, provisions must be taken to ensure: - ✔✔- ANS:
-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 - ✔✔- ANS:
-Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance -
✔✔- ANS: Malpractice insurance is required and some policies require
additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements -
✔✔- ANS: 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 - ✔✔- ANS: 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
- ✔✔- ANS: -Reimbursement varies by state and insurance provider.
• Currently, 48 states provide Medicaid reimbursement for telepsychiatry
services.
Telepsychiatry - ✔✔- ANS: 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: - ✔✔- ANS: -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: - ✔✔- ANS: •
private practice
• outpatient clinics
• schools
• nursing homes
• correctional facilities
• military facilities
telepsychiatry services are delivered through: - ✔✔- ANS: • 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: - ✔✔- ANS: • 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. - ✔✔- ANS: validity, reliability,
assessment, and treatment outcomes
most common modalities for providing telepsychiatric services is via
_______________________ - ✔✔- ANS: videoconferencing technology
In 2018, the American Psychiatric Association (APA), in conjunction with the
American Telemedicine Association (ATA) developed: - ✔✔- ANS: 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: - ✔✔-
ANS: -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 ______________ - ✔✔- ANS: confidential space
, During telepsychiatry sessions, provisions must be taken to ensure: - ✔✔- ANS:
-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 - ✔✔- ANS:
-Malpractice insurance
-Licensure requirements
-Federal and state prescribing guidelines
-Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance -
✔✔- ANS: Malpractice insurance is required and some policies require
additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements -
✔✔- ANS: 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 - ✔✔- ANS: 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
- ✔✔- ANS: -Reimbursement varies by state and insurance provider.
• Currently, 48 states provide Medicaid reimbursement for telepsychiatry
services.
