QUESTIONS AND CORRECT VERIFIED
ANSWERS| WELL GRADED A+|| LATEST
UPDATE
In 2018, the American Psychiatric Association (APA), in conjunction with the American
Telemedicine Association (ATA) developed: - CORRECT ANSWERS-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
ANSWERS--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 ANSWERS-Confidential space
During telepsychiatry sessions, provisions must be taken to ensure: - CORRECT
ANSWERS--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
ANSWERS--Malpractice insurance-Licensure requirements-Federal and state
prescribing guidelines -Reimbursement
Telepsychiatry Legal and Regulatory Considerations: Malpractice insurance -
CORRECT ANSWERS-Malpractice insurance is required and some policies require
additional policies for telehealth.
Telepsychiatry Legal and Regulatory Considerations: Licensure requirements -
CORRECT ANSWERS-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 ANSWERS-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 ANSWERS--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
Best practices for determining the appropriateness of telepsychiatry services include
consideration of the following: - CORRECT ANSWERS--cognitive capacity of the client-
client history and medical status -geographic distance to emergency facilities -client
support system
Best practices related to special populations: Forensic and Correctional - CORRECT
ANSWERS--follow applicable standards of consent in terms of client's legal status and
rights -develop clear, site-specific protocols
Telemental health Children and Adolescents: environment - CORRECT ANSWERS-
should facilitate the assessment by providing an adequate room size, furniture
arrangement, toys, and activities that allow the youth to engage with the accompanying
parent, presenter, and provider and demonstrate age-appropriate skills
best practices related to special populations: Children and Adolescents - CORRECT
ANSWERS-follow the same guidelines presented for adults•modify care based on
developmental status (motor functioning, speech and language capabilities,
relatedness, and relevant regulatory issues)-include family as appropriate-Providers
should consider how the presenter's involvement can affect service delivery -
Appropriateness for telemental care shall consider safety of the youth, the availability of
supportive adults, the mental health status of those adults, and ability of the site to
respond to any urgent or emergent situations.
Best practices related to special populations: Geriatric - CORRECT ANSWERS--include
family as clinically appropriate-adapt care for cognitive or sensory impairment
best practices related to special populations: Military and Veteran - CORRECT
ANSWERS--be familiar with federal and organizational structures and guidelines -be
familiar with military cultural competence
best practices related to special populations: Substance Use Disorder Treatment -
CORRECT ANSWERS-comply with federal, state, and local regulations related to
prescribing controlled substances