Clinical Discussions on Tele-mental Health vs. In-Person Decisions
Navigate the complexities of deciding between tele-mental health and in-person sessions in mental health practice. Explore clinical, ethical, and practical considerations alongside learnings from the challenges and benefits of each approach. Access resources for informed decision-making and next steps in professional practice.
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Welcome to Clinical Discussions for Mental Health Professionals Tele-mental Health vs In-Person Decisions and Learnings Ronnie Hochberg, CRC, LMHC Andrea Arzt, LCSW, MSCS Help us with attendance: Type your name into the chat box If you joined by phone email your name to: sallie.Stephens@nmss.org 1
APsaA Report Abstract (edited) Returning to In-Person Treatment During COVID-19: If, When, and How Reopening Taskforce: Daniel W. Prezant, Ph.D. (Chair), Holly Crisp-Han, M.D., Todd Essig, Ph.D., Jonathan Kersun, M.D., Linda Michaels, Psy.D., Cynthia Playfair, M.D., Timothy Rayner, M.D., Mark Smaller, Ph.D., and Wylie Tene How are we making decisions regarding return to office or not? Physical Safety: Local Prevalence of Covid-19 Office Setting Physical Actions to take to keep safety, reduce risk of spreading, reduce liability Psychological Safety: Meaning of safe therapeutic space Patient s psychological diagnosis, issues, fears, behaviors Whose decision is it? Abandonment and change 2
Why was this report chosen? Timely issues with which most mental health providers are grappling The consequences of our decisions and how to make them are new to most of us we are all learning together The issues are practical, ethical and clinical APsaA report is written in the language of psychoanalysis, but relates to any modality where relationship, safety and partnership in treatment is involved. (And food for thought for all.) 3
Discussion Questions How are we deciding when or if to return to in person meetings? What are the clinical, ethical and practical considerations regarding these decisions? What have we learned about the benefits and challenges of tele-mental health for the client and the clinician? 4
Next Steps (Action and/or Learning) Links to Professional Organizations Guidelines and related articles From NASW COVID 19 Practice guidelines for Reopening Social Work Practices https://www.socialworkers.org/LinkClick.aspx?fileticket=akHuTIoFNPM%3d&portali d=0 Legal Considerations https://www.socialworkers.org/About/Legal/Legal-Issue-of-the-Month/Legal- Considerations-for-Social-Workers-Resuming-In-Person-Services From CSWA (Clinical Social Work Association) https://www.clinicalsocialworkassociation.org/page-18273 American Mental Health Counselors Association COVID resources https://www.amhca.org/publications/practiceguidelines/coronavirus/about Getting your workplace Ready for COVID-19 https://www.who.int/docs/default-source/coronaviruse/getting-workplace-ready-for- covid-19.pdf 5
Next Steps (Action and/or Learning) continued. Links to Professional Organizations Guidelines and related articles Articles from the APA website Telehealth Guidance by State: https://www.apaservices.org/practice/clinic/covid-19-telehealth-state- summary When is it Okay to Resume In-Person Services : https://www.apaservices.org/practice/news/in-person-services-covid- 19 And What the Ethics Code says about Reopening Your Practice https://www.apaservices.org/practice/news/reopening-practice-covid- 19?_ga=2.85224400.852190370.1597844708- 1962655687.1587397002 6
Thank you for joining us The next Clinical Discussion(s) for Mental Health Professional Thursday, November 19, 2020 Thursday, January 17, 2021 2 pm 3 pm ET PLEASE COMPLETE THE OUTCOME SURVEY WE NEED YOUR INPUT!! To register: https://www.surveymonkey.com/r/MSClinicalDiscussionRegistration 7
