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Thursday, 20 October 2016 09:41

North Carolina

Counseling:

North Carolina Board of Licensed Professional Counselors

Provision of Services via Electronic, Distance Professional Counseling Services, and Supervision

http://www.ncblpc.org/

Effective Date: February 2, 2017

In response to inquiries from licensees, supervisors and other interested parties, the North Carolina Board of Licensed Professional 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, is receiving supervision as is appropriate, and the medium for doing so is not an issue. Counselors consider the differences between face-toface and electronic communication (nonverbal and verbal cues) and how these may affect the counseling process. Counselors educate clients on how to prevent and address potential misunderstandings arising from the lack of visual cues and voice intonations when communicating electronically.

The Board considers that the practice of counseling occurs both where the counselor who is providing counseling services is located and where the individuals (clients) who are receiving services are located. In order for an individual to provide counseling services in North Carolina, that individual must be licensed by the North Carolina Board of Licensed Professional Counselors or be exempt under the Licensed Professional Counselors Act. On this basis, if an individual licensed in North Carolina renders services electronically to an out-of-state client, it is the responsibility of the counselor to ensure that the counselor is complying with the laws and rules in the other state. Licensees are advised to review the North Carolina Licensed Professional Counselors Act and Section H of the ACA Code of Ethics (2014).

Delivery of clinical services via technology-assisted media such as telephones, use of video, or the internet requires the counselor to be sensitive to various issues. The counselor must consider and address a multitude of issues in the areas of structuring the relationship to include: informed consent, confidentiality, acquiring required signatures on intake forms (consent to treat, release of information, professional disclosure forms, consent to treat minors, consent to tape, etc.), determining the basis for professional judgments, boundaries of competence, computer security, avoiding harm dealing with fees and financial arrangements, and advertising. Other specific challenges include, but are not limited to verifying the identity of the client, determining if the client is a minor, explaining to the clients the procedures for contacting the counselor when he or she is off-line, discussing the possibility of technology failure and alternate means of communication if technology failure occurs, exploring how to cope with potential misunderstandings when visual cues do not exist, identifying an appropriately trained professional who can provide local assistance (including crisis intervention), if needed. It is imperative that when providing services through electronic methods, the client and counselor be knowledgeable regarding emergency services available in the communities where their clients live.

It is necessary for counselors to use encrypted technology. Because changes in technology are constantly evolving, the Board cannot provide advice regarding the specific technology to use. Clients should be informed of the encryption methods used to help ensure the security of communications and be made aware of the potential hazards of unsecured communication on the internet. Also, counselors should inform clients as to whether session data is being preserved and if so, in what manner and for how long. In addition, clients need to be informed regarding the procedures that will be in place in receiving and releasing client information received through the internet and other electronic sources

Licensees are advised to review the following:
NC General Statutes - Chapter 90 Article 24
American Counseling Association (2014). ACA Code of Ethics. Alexandria, VA: Author. (Specifically Section H: Distance Counseling, Technology, and Social Media and F.2.c.).
North Carolina Administrative Code Chapter 53 - Board of Licensed Professional Counselors

Marriage and Family Therapy:

Take from North Carolina Marriage and Family Therapy Licensing Board
 http://www.nclmft.org/position_statements

Provision of Services via Electronic Means Adopted by North Carolina Marriage and Family Therapy Licensure Board August 30, 2012 In response to inquiries from licensees and other interested parties, the Board has confirmed that it has no separate view per se with regard to provision of services via electronic means. As long as a licensee is practicing in a manner consistent with his/her training and experience, and is receiving supervision as is appropriate, the medium for doing so is not at issue. However, it is incumbent upon any licensed marriage and family therapist (LMFT or LMFTA) to recognize that as he or she moves away from direct contact with clients, the therapist incrementally loses much of the richness of interaction which, as any therapist knows, comes with traditional face-to-face contact in an individual session with a client. Delivery of clinical services by technology-assisted media such as telephone, use of video, and the internet obligate the therapist in the areas of structuring the relationship, informed consent, confidentiality, determining the basis for professional judgments, boundaries of competence, computer security, avoiding harm, dealing with fees and financial arrangements, and advertising. Specific challenges include, but are not limited to, verifying the identity of the client, determining if a client is a minor, explaining to clients the procedure for contacting the therapist when he or she is off-line, discussing the possibility of technology failure and alternative modes of communication if that failure occurs, exploring how to cope with potential misunderstandings when visual cues do not exist, identifying an appropriately trained professional who can provide local assistance (including crisis intervention) if needed, informing internet clients of encryption methods used to help ensure the security of communications, informing clients of the potential hazards of unsecured communication on the internet, telling internet clients whether session data are being preserved (and if so, in what manner and for how long), and determining and communicating procedures regarding the release of client information received through the internet with other electronic sources. The Board considers that the practice of marriage and family therapy occurs both where the therapist who is providing therapeutic services is located and where the individual (patient/client) who is receiving the service is located. In order for an individual to provide marriage and family therapy services in North Carolina, that individual must be licensed by the North Carolina Marriage and Family Therapy Licensure Board or be exempt under the North Carolina Marriage and Family Therapy Licensure Act. On this basis, if a North Carolina licensee renders marriage and family therapy services electronically to an out-of-state client, it is recommended that the licensee contact the marriage and family therapy licensing board in the state in which the patient/client resides to determine whether or not such practice is permitted in that jurisdiction. Licensees are advised to review the North Carolina Licensure Act and the AAMFT Ethics Codes (adopted by the North Carolina Marriage and Family Therapy Licensure Board.

Social Work:

Take from North Carolina Social Work Certification and Licensure Board
http://www.ncswboard.org/files/Position_Stmt_on_Tech_Facil_Services_Amended_2017.2.1.pdf

Position Statement on Technology Facilitate Services 2011.8.5; Amended 2012.2.4 1 N.C. Social Work Certification and Licensure Board POSITION STATEMENT ON TECHNOLOGY FACILITATED SERVICES Purpose: Pursuant to N.C. Gen. Stat. § 90B-2, it is the purpose of the North Carolina Social Work Certification and Licensure Board (hereafter Board) to protect the public by setting standards for qualification, training, and experience for those who seek to represent themselves to the public as certified social workers or licensed clinical social workers and by promoting high standards of professional performance for those engaged in the practice of social work. While the Board strongly encourages in-person interactions, we recognize that advancement in technology has impacted social work practice both in the delivery of services and obtaining information. As the definition of general social work practice and clinical social work practice in North Carolina includes the phrase “by whatever means of communications,” it is the position of the Board that technology facilitated services are one of several means of providing professional services, and as such, remain fully subject to the statutes and rules governing social work practice as outlined in N.C.G.S. § 90B and Title 21, Chapter 63 of the NC Administrative Code. North Carolina practitioners are reminded that pursuant to NCAC 63 .0211, appropriate supervision of provisional licensees providing clinical social work services to satisfy the requirements for LCSW, shall not be acceptable by any means other than in person. The Board does NOT consider delivery of supervision via telemed, webcasting, skype or other similar audio/video broadcast to be acceptable in satisfying the requirement for in person supervision. Technology facilitated services (e.g. technology assisted services between participants in different locations ) are increasingly used in meeting professional social work functions, including clinical and supervisory interactions. The purpose of this position statement is to clearly define the standards of expectation the Board has for social workers with regard to the use of technology facilitated services in professional social work practice, including supervision and the delivery of social work services to consumers. While this applies to more mature technologies (such as telephone and facsimiles) this position statement expands to address the use of recent and emerging technologies, such as telepractice, electronic therapy, distance therapy, electronic supervision, Webconferencing, Video-conferencing, Webcasts, etc. Practitioner Responsibility: A certified or licensed social worker who uses these means to provide services shall abide by the provisions set forth in the Social Worker Certification and Licensure Act [N.C.G.S. § 90B] and Title 21, Chapter 63 of the N.C. Administrative Code. It is the social worker’s responsibility to Position Statement on Technology Facilitate Services 2011.8.5; Amended 2012.2.4 2 ensure that professional and ethical standards are upheld, and the following practice considerations are addressed: 1. Accurate representation of clinician and services offered: a) Credential type and number is identified for each state where credentialed b) Specify nature and extent of services offered c) Location of practice d) Clinician’s contact information for use in case of technology failure e) Emergency contact information for clinician and client f) Contact information for the regulatory boards from which the clinician is credentialed 2. Compliance with regulatory/licensure requirements for the jurisdiction in which the social worker provides services as well as the jurisdiction in which the client receives services. 3. Knowledge of professional liability requirements/limitations. 4. Clinical Competence: a) Safe, ethical, and appropriate use of technology facilitated services for the specific need, to ensure the use of the most appropriate intervention modality, b) Crisis plan c) Provider’s cultural, clinical and technological competence, to include assessment of the client’s needs, willingness and ability to engage in technology facilitated services d) Awareness and assessment of non-verbal/non-written behavior e) Setting and review of goals, intervention modalities and schedules f) Any expectation for face-to-face contact 5. Augmented Informed Consent to address the additional risks associated with services rendered through the use of technology. 6. Confidentiality: a) Clear identification of what is confidential and the limits of confidentiality b) Knowledge of and adherence to HIPAA requirements c) Documentation adequate to meet professional responsibilities d) Security of confidential information transmitted and stored, including security software, potential risks, ethical considerations, data record storage, etc. 7. Administrative Issues: a) Clear business practices, including service-specific billing b) Administrative record keeping c) Technology availability and technical support 8. Practitioner’s maintenance of professional boundaries in public media, such as social networking.

Psychology:

Take from North Carolina Psychology Board 
http://www.ncpsychologyboard.org/office/ElectronicServices.htm

North Carolina Psychology Board

March, 2005

Provision of Services Via Electronic Means

In response to inquiries from licensees and other interested parties, the Board has confirmed that it has no separate view per se with regard to provision of services via electronic means. As long as a licensee is practicing in a manner consistent with his/her training and experience, and is receiving supervision as is appropriate, the medium for doing so is not at issue. However, it is incumbent upon any psychologist to recognize that as he or she moves away from direct contact with clientele, the psychologist incrementally loses much of the richness of interaction which, as any psychologist knows, comes with traditional face-to-face contact in an individual session with a client.

Delivery of clinical services by technology-assisted media such as telephone, use of video, and the internet obligate the psychologist to carefully consider and address a myriad of issues in the areas of structuring the relationship, informed consent, confidentiality, determining the basis for professional judgments, boundaries of competence, computer security, avoiding harm, dealing with fees and financial arrangements, and advertising. Specific challenges include, but are not limited to, verifying the identity of the client, determining if a client is a minor, explaining to clients the procedure for contacting the psychologist when he or she is off-line, discussing the possibility of technology failure and alternative modes of communication if that failure occurs, exploring how to cope with potential misunderstandings when visual cues do not exist, identifying an appropriately trained professional who can provide local assistance (including crisis intervention) if needed, informing internet clients of encryption methods used to help ensure the security of communications, informing clients of the potential hazards of unsecured communication on the internet, telling internet clients whether session data are being preserved (and if so, in what manner and for how long), and determining and communicating procedures regarding the release of client information received through the internet with other electronic sources.

The Board considers that the practice of psychology occurs both where the psychologist who is providing therapeutic services is located and where the individual (patient/client) who is receiving the service is located. In order for an individual to provide psychological services in North Carolina, that individual must be licensed by the Psychology Board or be exempt under the Psychology Practice Act. On this basis, if a North Carolina licensee renders psychological services electronically to an out-of-state client, it is recommended that the licensee contact the psychology licensing board in the state in which the patient/client resides to determine whether or not such practice is permitted in that jurisdiction. Licensees are advised to review the North Carolina Psychology Practice Act, specifically the Code of Conduct, and the APA Ethical Principles of Psychologists and Code of Conduct (Standards 3.10(a), 4.02(c), 5.01(a), and 5.04 specifically address electronic transmissions).

Saturday, 08 October 2016 16:14

North Carolina CEU

North Carolina Continuing Education for Counselors and Marriage and Family Therapists

Telehealth Certification Institute, LLC has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6693. Programs that do not qualify for NBCC credit are clearly identified. Telehealth Certification Institute, LLC is solely responsible for all aspects of the programs.

NBCC CE hours are accepted by the North Carolina Board of Licensed Professional Counselors.

North Carolina Continuing Education for Social Workers

Telehealth Certification Institute, LLC, #1609, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Telehealth Certification Institute, LLC maintains responsibility for the program. ASWB Approval Period: 05/02/2018 – 05/02/2021. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Some of our courses are approved by the National Association of Social Works.  Please refer to the details tab on the individual course page.

ASWB and NASW CE hours are accepted by the North Carolina Social Work Certification and Licensure Board.

North Carolina Continuing Education for Psychologists

Telehealth Certification Institute, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. Telehealth Certification Institute, LLC maintains responsibility for the program.

APA hours are accepted by the North Carolina Psychology Board.

Link to Your Licensing Board Website for Further Information on Your Continuing Education Requirements:

LPCs, LPCAs, and LPCSs:
North Carolina Board of Licensed Professional Counselors at (844) 622-3572 or (336) 217-6007 http://www.ncblpc.org/license-info/renewal#ContinuingEducationRequirements

LMFTs and LMFTAs:
North Carolina Marriage & Family Therapy Licensure Board at (919) 654-6914 http://www.nclmft.org/images/uploads/other_pdfs/Administrative_Rules_for_Continuing_Education1.pdf

North Carolina Social Work Certification and Licensure Board at (800) 550-7009 http://www.ncswboard.org/page/continuing-education-information

North Carolina Psychology Board at (828) 262-2258 http://www.ncpsychologyboard.org/Office/cerules.htm

 

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