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Responding to Domestic Abuse and Violence with TeleMental Health Services

Responding to Domestic Abuse and Violence with TeleMental Health Services

In the midst of the global pandemic caused by Covid-19, there has not been a greater moment in time for telehealth services to be utilized with a variety of individuals who are experiencing feelings of isolation, stressors from social and economic impact of the virus, restrictions with their day to day movements, and also the potential added level of control associated with domestic abuse and violence that has been brought to the forefront as result of the virus.

Join us in examining and discussing the impact that Covid-19 crisis has had on the state of mental health services and its subsequent impact on domestic abuse and violence withTherese Hugg, the Vice President of Therapy Services at Community Violence Intervention Center (CVIC) in Grand Forks, North Dakota. Ms. Hugg provides insight into how telehealth is being incorporated into the services that are being provided to clients of domestic abuse or violence. 

Ms. Hugg is a licensed professional counselor with 14 years of experience in the field of domestic and sexual abuse. At her current role she works to maintain the stability of crisis shelters and therapeutic services that are delivered to more than 1400 people on an annual basis. With about $3 million in grants Ms. Hugg seeks to provide safety and healing services in collaboration with a statewide treatment collaborative for individuals who have experienced trauma or are victims of trauma. At the heart of these services, CVIC serves as the catalyst for positive changes within the community by providing education, services, training, and actions that focus largely on addressing and ending domestic abuse and violence. The services are particularly unique in those direct services that are provided to both victims of domestic abuse and the abusers.

Ms. Hugg states that before the pandemic CVIC was working diligently to train staff and was able to quickly launch a telehealth service which was originally geared towards rural clients. With the onset of the COVID-19 the format quickly transitioned into one of only a few methods that CVIC could utilize to connect with its clients.In addition to the telehealth service, the crisis line and advocacy services were continuing to be offered by CVIC. According to Ms. Hugg, the advent of telehealth services allows for the provision of ongoing support, advocacy, and therapy services to victims of domestic violence. However, there have been some noteworthy considerations when it comes to the use of telehealth for domestic violence victims such as being aware of the potential of not being able to engage in therapy in the same space as the abuser due to the lack of a safe environment. The victim of domestic violence and the abuser may be residing more closely within the same space possibly due to stay at home orders and this may pose as a barrier to providing therapy services.  An example of a way that safety can be assessed in this situation would be to have the client use the camera to show their whole space. This can help to show that no one is there and deliver a sense of privacy within the given location. Ms. Hugg notes that there can be potential for the abuser to be monitoring the room through the use of various technologies so a recommendation is to assess the person being abused and the abuser to ensure that the person who is being abused is not using technology that the abuser may have access to. The ability to devise a safety plan and to formulate different scenarios in the event the abuser were to come home during the telehealth session is to be discussed prior to the established sessions. For instance, Ms. Hugg indicates that the use of coming up with passwords after specific phrases that one would have with the person who is being abused is one strategy or having a situational story in mind in the event someone were to come into the environment and talking was no longer an option. The ability to ensure the safety of the victim of domestic violence is key whether it through proper verification of identity for anyone who is calling for information or if the presenting issue is not abuse but the clinician suspects that it is present being able to talk about safety in general terms to the clients.

Ms. Hugg highlights that CVIC is also working to branch out with the use of telehealth with the launch of online support groups and also the potential for online chats on the road. As it currently stands, Ms. Hugg states that they are using Facebook and Instagram as a means for people to reach out for services. The abuse shelters still remain open as there is still a great need. While CVIC is based in North Dakota Ms. Hugg states that services are still able to be provided to those who call from out of state requesting services, but a significant amount of trainings and presentations are in North Dakota. For clinicians, it is important to be aware of mandated reporting requirements and recognizing when services may be needed and for clients is it also reporting if they have a suspicion of abuse or neglect in order to end violence within the community. 

 

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Course was very informative!
David Hopkins
MS, LPC / Thriveworks Woodstock
Informative and brief
Tracy Gilbert
Well designed. informative, comprehensive program broken down into manageable segments.
Dawn M. Miskus
Licensed Clinical Professional Counselor (LCPC) / Conscious Counseling & Coaching, Ltd.
This course offered a great overview of TeleMental Health and the important considerations that should be addressed when establishing an online practice.
Helen Geris
Registered Psychotherapist
Wonderful and approachable presenter, great information!
Sabrina Eads
I have completed the course requirements. Thank you a great program of videos and information.
Linda Lovisi-Dwyer
LCSW-R / Linda Lovisi-Dwyer, LCSW-R
Good introduction
Sylvia D. Jessup, MBA, MA
Owner / Sylvia Jessup Counseling Services PLLC
Very clear emergency planning laid out in this course, Helpful for many situation and settings.
Jane Schindler
The course was detailed.
Kelly Villarreal
MFT / Alan Behrman & Associates
EXCELLENT PRESENTATION
DAVID F. CIAMPI, Ph.D., LMHC.
Really chuck full of information and very helpful
Carolyn Spencer
social work
Great course!
Lashonda Jones
Ray's program is engaging and informative. I'm excited to extend my professional reach online.
Pamela Madsen
LAPC / Empower Counseling Center, LLC

Very informative session.

Valrey Richards-Lucas

Video was good, a little slow

Jessica Walraven

This is great material!

Erika T Johnson

Very Informative!!!!

DALAYNA MILLER

Really good training so far!

Erika T Johnson
LAC

Excellent information, extremely generous resources and so well paced. I am really grateful.

Carolyn Spencer
LCSW / Carolyn Spencer

Very thorough and informative

DALAYNA MILLER

This program is very informative and easy to use.

Gania Bruno Harrold
LCSW / IN THERAPY WE TRUST

Love the convenience and easy-to-understand information in this course.

Natalia Gourlay-Fernandez
LAMFT / Rock Springs Positive Coaching, Caring, and Counseling

Very informative. Help give an overview of tele therapy and starting an online practice.

Meg Maginn
L.C.S.W Private Practice / Eating Disorder Associates

The course was easy to follow and provided a lot of valuable insight into the benefits and limitations to teletherapy.

Katie-Ann Magnuson
Mental Heath Therapist / Kwenyan Professional Health Services

Wonderfully compact and rich in information, many areas i had not even considered!

VIRGINIA PROVENCHER
therapist / private practice
Very informative and guiding in educating all that you need to grasp to be properly compliant and aware.
Dena Damaskinos
A great overview for telehealth, including state to state
Susan Cortilet Jones
Integrative Lifeskills Coach

Great presentation!

Cristina Lazaro-Garcia
Mental Health Clinician, APC / CETPA, View Point Health
Oustanding presentation!!!
Michelle Collins

Helpful and inviting information to get started. Feel empowered to get this going and eager to start!

Dena Damaskinos

Well presented, easy to access and understand.

Sedonia Perrier
CEO / Steelhead LLC

This was very informative.

Wendy Pazdur
Substance Abuse Counselor / Transformation therapy
This course was full of detailed information, that I will utilize in my practice. I highly recommend this training to all interested in adding to their existing practice or transitioning to Telehealth Services.
Utopia Session
Class was informative.
Kimberly Horrell
This course was short yet informative.
Annette Cornish
Therapist / Dust 2 Destiny Counseling & Wellness
Great training!
Jacqueline Hayes, M.Ed., LPC, LMHP
Professional Counselor 4 / State of LA
Ray was a wonderful, interactive instructor who really captured the heart of counseling in the world of Telehealth. The course was thorough and beneficial. Two thumbs up!
Rachel Morales
Licensed Professional Counselor
Ray does a spectacular job presenting the ethics in technology! Thank you!
Elaine Marie Barclay
Licensed Professional Counselor/ Assistant Professor / Shorter University/ Capella University
Very beneficial and useful to the direction i am moving of providing therapy
Linda Marie Margosian, MS, NCC, LMHC
I thought the video was very informative and gave me a good back ground on Telehealth , hippa laws and things I needed to know to run an ethical and hippa complent practice .
Meg Maginn
Director /private practitioner / Eating Disorder Associates

I believe this is a good course to take because this is the new wave of society. As a therapist I would like to be able to offer clients the best tools available.

Wihletta Michelle Davis MA, LPC
Therapist / Find the Miracle Within...

Thank you for the introduction to telemental health.

Michele Frances Purvin
Psychotherapist / Michele Frances Purvin, LCSW, LCDC

Very good.

Franklin Castillo

Really excellent training full of valuable information and resources - surpassed my expectations!

Dori Ryherd
Therapist / The Cognitive Refinery

Great information with step by step instructions

Donna Tucker
Addiction Counselor / Spectrum Health

What a superb introduction to telemental health, well organized and packed with useful tips. I so appreciate this. Thank you.

Ann P Cahouet
Owner - Clinician / Equine Assisted Solutions LLC

Awesome job! This is a very insightful presentation.

ZUNILDA CHAUDRY
Licensed Therapist, LPC / Seasons of Change Behavioral Health Services, Inc
Ray is down-to-earth, warm, pragmatic and exceptionally well-informed.
G. Reid Doster, LPC, LMFT
Director of Behavioral Health, EXCELth Inc.Primary Health Network & Private Practice Psychotherapist / www.excelth.com

An excellent course, but needs more legal information regarding where the patient needs to reside.

Barry Barmann
Clinical Psychologist / Behavior Therapy & Family Counseling Clinic
This legal course was phenomenal saturated with much detail and clarity!
Elaine Marie Barclay
Licensed Professional Counselor, Assistant Professor / Capella University and Shorter University
Great and very informative! Will help me take my skills to a new level. Gave me a great idea of how the session should go.
Jessica Latin
LPC / JL Counseling

Course provided several case scenarios regarding Interstate counseling and resource websites for further research.

Cowenda Jefferson
Clinical Director / Wise Life Choices LLC
Course provided additional information regarding the legal aspects of TeleMental Health.
Cowenda Jefferson
Clinical Director / Wise LIfe Choices LLC
I have completed prior training by Raymond and greatly appreciate his detailed and thorough trainings.
Dr Lynn Duffy, PsyD, LCPC, NCC, CCMHC, BCPCC, BC-TMH, Diplomate/CMH in Trauma
Director/Counselor/Mediator / Lighthouse Counseling & Consulting Services
This course was most helpful in helping me make my practice more compliant for me and my clients.
Marlene Small
Private Psychotherapist
This is the 4th TMH course I have taken with Ray and it is BY FAR the best TMH training out there. I've learned so much that I can use every day in my practice.
Dawn Ferrara
LPC-S, LMFT

Very Informative

Naomie Pierre
community clinician / nps
I loved this course. It was very informative and provide a great deal of information about ethics.
Tracey Marshall
Easy to learn and easy to follow. User friendly on-line course.
Kelly Johnson
Licensed Mental Health Therapist

Awesome

Melissa J Davis
LAPC- counselor
This was a phenomenal training and necessary for the continued growth of all helping professionals. This will certainly improve the manner in which I conduct counseling.
Elaine Marie Barclay
This training was extremely informative and supportive for professionals looking to gain further knowledge in Telemental health.
Marcy Abramsky
LCSW / Marcy Abramsky LCSW, InspireAmind TM Counseling and Consulting
I found this video to be very informative and helpful.
Michelle Parker
Contract Therapist

Great course, very informative!

Ashley Simmons
BCBA / Northstar Psychological Services

Love the course, worth every penny!!! Definitely helped jump start my Tele-mental health services!

Nakia Clark
Owner/ Therapist / Insightfullly You, LLC

This gave me and my staff some important insights and information regarding telehealth..

Larry Cowan
Executive Director / Samaritan Counseling and Growth

This course was easy and user friendly

Vanessa Reiser
Social Worker / JBFCS

I learned a great deal from this program and look forward to implementing telemental health in my therapy practice.

Michelle Hitchcock
Therapist

It was fantastic! Just the forms he provides are worth the cost of the course!

Mark Wagemaker, LPC, NCC, DCC, CPCS
Counselor, Clinical Supervisor / Transitions Counseling

This was an excellent class and worth my time.  Ray provided great information and is clearly an expert in TMH!

Jennifer Stuckert
Director / Restoration Counselor of Atlanta, LLC

I found these courses informative and helpful. They make establishing best practices policies and procedures for telemental health services and supervising those who provide them. so much easier. I highly recommend his courses.

Nena Rybarczyk, MA, EMBA, LPC, NCC, CPCS
Counselor / Strategies for Life Counseling, LLC

Ray's workshop was one of the most informative I have taken in years. He brought clarity to took a topic which has been intimidating and I left feeling empowered!

TRUDY POST SPRUNK, LMFT-S LPC CPCS RPT-S CPT-S EMD
Clinical Supervisor and Play Therapist / Georgia Association for Play Therapy