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1. 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
2. The American Psychiatric -benefit the client
Association (APA, 2020) -maintain client autonomy, confidentiality, and
supports telemedicine as privacy
a legitimate component of -when used consistent with APA medical
a mental health delivery ethics policies and established telepsychiatry
system when telepsychiatry laws
services:
3. Telepsychiatry services are • private practice
provided in diverse settings, • outpatient clinics
including: • schools
• nursing homes
• correctional facilities
• military facilities
4. telepsychiatry services are • videoconferencing technology
delivered through: • websites
• recorded medical information
• support or chat groups
• asynchronous client-provider interactions so-
cial media
• links to self-directed or assisted assessment
5. Benefits of telepsychiatry • improved access to care
services: • reduced costs
• improved efficiency
• improved integration of care
• decreased emergency department visits
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• fewer delays in care
• improved continuity of care
• reduction of transportation-associated barri-
ers
6. Telepsychiatry __________, validity, reliability, assessment, and treatment
_________, _________, and outcomes
_________ outcomes are
comparable to in-person
services.
7. most common modali- videoconferencing technology
ties for providing telepsy-
chiatric services is via
_______________________
8. In 2018, the American Psy- best practices for providing videoconferenc-
chiatric Association (APA), ing-based telepsychiatric care
in conjunction with the -guidelines inform the technical considera-
American Telemedicine As- tions and administrative requirements needed
sociation (ATA) developed: to provide these services
9. best practices for pro- -Use of a designated technology platform.
viding videoconferenc- Telesessions should not be conducted us-
ing-based telepsychiatric ing alternate platforms; however, an alternate
care: 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, appro-
priate video and audio quality.
-Device compliance with Health Insurance
Portability and Accountability Act of 1996
(HIPAA) and state requirements.
10. During telepsychiatry ses- confidential space
sions, both the provider
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and client locations
should be treated as a
______________
11. During telepsychiatry ses- -the discussion cannot be overheard by other
sions, provisions must be
taken to ensure: -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
12. Telepsychiatry Legal and -Malpractice insurance
Regulatory Considerations: -Licensure requirements
Best practices -Federal and state prescribing guidelines
-Reimbursement
13. Telepsychiatry Legal and Malpractice insurance is required and some
Regulatory Considerations: policies require additional policies for tele-
Malpractice insurance health.
14. Telepsychiatry Legal and Licensure requirements differ from in-person
Regulatory Considerations: practice.
Licensure requirements -Providers must hold a license to practice in
the state where the client resides.
-The PMHNP is responsible for following stan-
dards for the state in which they are practicing.
15. Telepsychiatry Legal and Federal and state prescribing guidelines differ
Regulatory Considerations: for telepsychiatry.
Federal and state prescrib- -The Ryan Haight Online Pharmacy Con-
ing guidelines sumer Protection Act of 2008 governs the pre-
scribing of controlled substances via telecon-
ferencing.
• To safely prescribe, the provider must con-
duct an in-person medical evaluation at least
once every 24 months and comply with all
federal and state prescribing guidelines.
16.