June 18 Introduction to Professional Telecounseling Ethical and Legal Considerations July 2 General Telecounseling Practice Considerations July 16 Professional TeleSCHOOL Counseling July 30 Professional Clinical ID: 933087
Download Presentation The PPT/PDF document "Telecounseling Professional Development..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Telecounseling
Professional Development Series
June 18 Introduction to Professional
Telecounseling
: Ethical and Legal Considerations | July 2 General Telecounseling Practice Considerations July 16 Professional TeleSCHOOL Counseling | July 30 Professional Clinical Telemental Health CounselingThe Webinar Will Begin Shortly
Slide2Dr. Jeffrey M. Warren, PhD, LCMHCS, LSC, NCC, NCSC
Chair, Department of Counseling, Associate Professor of School Counseling
Slide3Dr. Nicole Stargell, PhD, LCMHCA, LSC, NCC, BC-TMH
Associate Professor, Department of Counseling
Slide4General Telecounseling
Practice Considerations
Department of Counseling The University of North Carolina at PembrokeCollege of Health Sciences
4
Slide5CSI Phi Sigma
Telecounseling Professional Development Series
Obtaining CE Clock Hours with Certificate
5
Slide6Obtain Clock H
ours for the Live Webinar
Attend the whole webinar.After completion of the live webinar, a program evaluation will pop up in your browser.Complete the program evaluation survey.
Your certificate will be emailed after all four presentations in this series.The recorded webinar, PPT slides, & handouts will be posted online.
6
Slide7Obtain Clock H
ours for the Recorded Webinar
Watch the whole webinar.Complete the posttest online.After completion of the posttest, you will receive an email with a link to the CE evaluation.
Complete the CE evaluation survey.Your certificate will be emailed within 10 business days.
7
Slide8Agenda
Brief Review of Legal and Ethical ConsiderationsDiscuss General Practice Considerations for Professional Counselors
8
Slide9Telecounseling
Healthcare Provider in One Place
Patient or Client in Another PlaceHealthcare Administered via Technology (HRSA, 2019)Professional Teleschool CounselingIndividual Student Planning Responsive ServicesClinical
Telemental Health Counseling 9
Slide10Poll Question
On a scale of 1-7, how confident are you with your telecounseling skills?
Very Little Very Much___________________________________1 4 710
Slide11Ethics
School Counselors adhere to the same ethical guidelines in a virtual/distance setting (ASCA, 2016, A.15.)
Counselors understand that the profession of counseling may no longer be limited to in-person, face-to-face interactions. (ACA, 2014, Section H)11
Slide12Legal
“…the North Carolina Board of Licensed Clinical Mental Health Counselors has confirmed that it has no separate view per se with regard to the provision of services via electronic means as long as a licensee is practicing in a manner consistent with his/her training and
experience…”www.ncblcmhc.org12
Slide13Legal
NC DPI (2020) Remote Instruction Plan “Guidance counselors may use the virtual environment to convene groups of students as they would in a face-to-face setting
.”Develop opportunities for Instructional Support Personnel to sustain the school’s instructional program as articulated by leadership.Consider how these employees will support the social-emotional needs of students and families in a virtual environment.
Consider how these employees will adapt their in-person programming to the offsite programming.13
Slide14Students Using Telecounseling
Some states have specific rulesIn general, students can do what their supervisors do
“The practice of counseling may be provided in North Carolina by…qualified counselor interns, who are providing services that constitute a part of the supervised course of study…through electronic means such as telehealth.” (NCBLPC, 2014)
14
Slide15Supervision
Telecounseling supervisionSome states allow, some don’tSame that applies to practice, applies to supervision
“Video supervision is permitted as long as the session is synchronous and involves verbal and visual interaction during the supervision.” (NCBLPC, 2014)15
Slide16Supervision
UNCP Students requireCo-Telecounseling/Live Supervision
Direct supervision at all timesProfessional counselors follow supervision guidelines for their licensure16
Slide17Determine Scope of Practice
Determine your scope of practiceCMHCTypical clinical hourAge range and specialty
Types of interventionsTalk therapyCreative interventions17
Slide18Determine Scope of Practice
PSC
Individual Student PlanningResponsive ServicesReceiving referrals/Crisis ResponseShort-term counseling Group counseling Long-term counseling Family counselingConsult with administrationHow much time should be spent in direct service?
18
Slide19Determine the Technology
What is available to you?Consult AdministratorsPeersComputer or Tablet
Encrypted EmailTelephoneFile Storage—hardware/softwareBAA19
Slide20Determine the Technology
Video PlatformDoxy.meSimple Practice
Consult Administrators/Technical TeamBAAHow will the client sign informed consent?EHRPostal Mail-SASE to workplace to be scannedEmail
20
Slide21Scheduling
When are you available?Who will schedule the sessions?How will you remind clients?
21
Slide22Counseling Considerations
ScreeningPast or present NSSI, SI, HILevel of comfort with technology
Access to technology and privacyIssues of privilegeOngoing assessment of client suitabilityNature and severity of symptomsMental Status ExamCrisis (frequency)
22
Slide23Best Practices
Ongoing training in telecounselingAbide by relevant codes of ethics
Verify jurisdictionVerify client location (guardian location)Verify client identityDisplay credentials with linksAssess client suitability and access23
Slide24Best Practices cont’d
Telecounseling informed consentConsent for Minors (parent/legal guardian)Ongoing
Alternative communication for technical issuesEmergency contactPrivacy and safety of clientConfidentiality and data security24
Slide25Best Practices cont’d
Viable referralCommunication policies for between sessions
(Center for Credentialing and Education, 2016)25
Slide26Counseling Considerations
Professional liability insurancePracticing across multiple counties or statesLocal Management Entity (LME)Managed Care Organization (MCO)
Emergency ResourcesReferral Sources26
Slide27Counseling Considerations
Private Location for Counselor and Client Closed doorSound machine, headphonesDo not disturb sign
Flat wall color (blue or green), limited distractions, no open doors or open airLightingFlexibility with interruptions on client’s endReading Client Nonverbals
27
Slide28Counseling Considerations
What if the client prefers texting?What if clients want to use videoconferencing software without a BAA?
What if clients want to do a session in a public setting?28
Slide29Counseling Considerations
Master the TechnologyPracticeTroubleshoot with a colleagueSecure Internet
ConnectionTest internet speedRestart device regularly29
Slide30Counseling Considerations
Maintain strong boundariesYou are in the client’s homeThey are in yoursMight have sessions outside standard business hours
Maintain telecounseling records for 7 years (NBCC says 5, but other entities might require 7)30
Slide31Prepare for Session
Does the client need any materials?Worksheets/booksPaper and pencil
ToysDo I need any materials?Adapt Treatment PlansRefer if you don’t feel competent addressing the issue in an online setting31
Slide32Building the Therapeutic Relationship
Remember your basic helping skillsAdjust for communication challengesUse immediacyFocus and relax
Start off slow and get a feel for the process32
Slide33Supervision
Seek SupervisionFormalPeerConsultation
Lifelong Learning33
Slide34Counseling Considerations
Telecounseling with minorsAdapt Informed Consent AccordinglyHave an adult present at all times
Determine if/when guardians will participate in sessionConfirm location and identityConfidentiality and collaboration34
Slide35Counseling Considerations
Group telecounselingIncreased risk to confidentiality
Cannot control what other group members do outside of groupOnline members taking recordings/screenshots prohibitedMember location/privacy and technology Use nicknames or initials on screenMute microphone while not speaking
35
Slide36Counseling Considerations
Self-CareLeave work in your officeManage your own life outside of session
Bring everything you need to be comfortable before sessionMinimize disruptions36
Slide37Poll Question
Have you been getting enough self-care?Yes
No37
Slide38Up Next
Discussion Hour07/16/20 3pm
Professional TeleSCHOOL Counseling07/30/20 3pm Professional Clinical Telemental Health Counseling
38
Slide39Advanced School Counseling for Postsecondary Success Graduate Certificate
12 Credit Hours
CNS 5650: School Counselor as Leader, Advocate, and Consultant (3)CNS 5750: College and Career Readiness (3)CNS 5770: Evidence-Based School Counseling (3)CNS 5780: Addressing the Achievement Gap and Issues of Social Justice (3)
All courses available online.
Contact Dr. Shenika Jonesshenika.jones@uncp.edu
Slide40Play Therapy Graduate Certificate
12 Credit Hours CNS
5810: Introduction to Play TherapyCNS 5820: Play Therapy Theories and TechniquesCNS 5830: Play Therapy for Specific ChallengesCNS 5840: Filial and Family Play Therapy
Meets education requirements for Registered Play Therapist (RPT) and School-Based Registered Play Therapist (SB-RPT) credentials.
Contact Dr. Jonathan Ricksjonathan.ricks@uncp.edu
Slide41Graduate Certificate in Addictions Counseling
12 Credit HoursCNS
5900: Issues in Addictions (Prerequisite for other three courses)CNS 5860: Contemporary Issues and Special Population in AddictionCNS 5870: The Family and AddictionCNS 5890: Diagnosis, Treatment, and Psychopharmacology in AddictionApply for Fall or Spring semesters.All courses available online.
Contact Dr. Stephanie RobinsonStephanie.robinson@uncp.edu
Slide42Dr.
Jonathan Ricks,
PhD, LCMHC,
LSC, NCC
, RPTAssistant Professor & Field Placement Coordinator for Professional School Counseling
Slide43Slide44Discussion
What questions do you still have around ethical and effective offering of telecounseling
services?44
Slide45Discussion
What are your hopes and fears around conducting telecounseling services?
45
Slide46Discussion
What are some ethical considerations that may be specific to your site in the Fall?
46
Slide47References
American Counseling Association. (2014). ACA code of ethics. Retrieved from https://www.counseling.org/resources/aca-code-of-ethics.pdf
American School Counselor Association. (2016). Ethical standards for school counselors. Retrieved fromhttps://www.schoolcounselor.org/asca/media/asca/Ethics/EthicalStandards2016.pdf
47
Slide48References
Health Resources & Services Administration. (2019). Telehealth programs. Retrieved from https://
www.hrsa.gov/rural-health/telehealthNorth Carolina Board of Licensed Clinical Mental Health Counselors. (2014). Chapter 53- Board of licensed professional counselors, Administrative Rule 21 NCAC 53 .0212. Retrieved from https://www.ncblpc.org/Assets/LawsAndCodes/NCBLCMHC_Administrative_Rules(NCACTitle21Chapter53).
pdf https://www.ncblpc.org/Home/Information#:~:text=The%20practice%20of%20counseling%20may,that%20constitute%20a%20part%20of
48
Slide49References
North Carolina Department of Public Instruction. (2020). Remote instruction plans. Retrieved from
https://docs.google.com/document/d/e/2PACX-1vSJtcSkW-irSr19EJXe_Cy4VhyMdjx_UghtMG_u65HGcKu7qFA_Do_P1mM9FI0obQx0FBI69Z9eUUGq/pub Key Resource within this reference: https://
drive.google.com/file/d/1IFCJlFokFfTeUGiIFYMn8nqUU4iieuh2/view 49