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Technological improvements nationwide have meant an increase in telehealth services since patients and providers can communicate in a variety of two-way, real-time methods that provide remote consultation, home monitoring, and counseling, to name just a few.

However, specialized treatment is often elusive in rural areas. In order for states to adequately handle the rapid expansion of telehealth services, significant development of remote connections is necessary when providing access to a variety of specialists in both telemedicine and telemental health.

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Telehealth services and their availability are expanding rapidly and the state of New York is prepared. Numerous avenues exist for those seeking services and providers are in place as well.

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Telehealth is a constantly evolving mode of healthcare and there are numerous aspects of the field in need of clarification so that statutes, policies and practices follow the same guidelines. Telehealth is not a type of health care, rather it is the manner in which care is given. And as the standards for that care become more defined and the use of this mode more prevalent, so will the need for caregivers who are adequately trained and licensed to deliver telehealth.

In 2016, the State of Florida created the Telehealth Advisory Council in order to survey, research and recommend changes to telehealth in order to better serve those living in the state.  The increase in both access and use of telehealth will also require an increase in health care practitioners offering telehealth services.

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Georgia is using telemental health for assessments, treatment, supervision, coordination of care, school-based services, and in many other facilities. The Partnership Georgia Partnership for Telehealth has had 240,000 telehealth patient visits in 2014, and it currently includes over 600 locations with over 200 specialists and healthcare partners. Georgia has had a telehealth parity law since 2006. Georgia has been requiring counselors, social workers, and MFTs to receive 6 hours of CE training in telemental health. Georgia’s Office of Telehealth & Telemedicine is establishing a new sophisticated telemedicine network.


If you are wanting to begin offering telebehavioral health services in Georgia, I highly recommend earning a certification. A certification in telebehavioral health will not only teach you important best practices but will inform referral sources of your credibility.

Read about Georgia's CE requirement for telemental health.

 

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North Carolina is greatly utilizing telemental health. The Statewide Telepsychiatry Program (NC-STeP) in NC anticipates connecting eighty or more hospital emergency departments with psychiatric assessments and consultations. Most major insurance companies in NC are reimbursing for telebehavioral health services. The Center for Rural Health Innovation’s Health-e-Schools program provides school-based telehealth services to thirty-three schools in four counties. North Carolina has a proposed telehealth parity law, HB 283. Both Licensed Professional Counselors and Social Workers in North Carolina can now receive supervision hours through the use of technology.


The expansion of telemental health in North Carolina is helping overcome the barriers to access to treatment. If you are a behavioral health clinician in North Carolina, I encourage you to seek training in telemental health.


You can earn you Telemental Health Training Certificate (THTC) by taking one of our upcoming courses. Click here to find a training closest to you.

Published in Blog
Wednesday, 14 September 2016 15:04

The Results of Georgia’s Telemental Health Rule

The results are coming in from the Georgia Telemental Health Rule.  Should other states follow suit?

Georgia requires that Social Workers, Marriage and Family Therapists, and Licensed Professional Counselors, who provide telemental health services, attend at least a 6 hour CE training on telemental health counseling.  Clinical supervisors are required to take an additional 3 CE hour course on how to supervise telemental health counseling.

Published in Blog
Friday, 22 January 2016 08:51

States' Rules and Regulations

Law ImageTeleMental Health services by state:

This page is for giving guidance on the rules, regulations, and ethics of providing telemental health services, telebehavioral health, e-counseling, virtual counseling, technology-assisted counseling, cyber-counseling, and distance counseling.
Telehealth is a rapidly changing field.  We cannot guarantee the accuracy of any of the content shared on this site or any of the sites referenced.  This information is not intended to give any legal advice.  When practicing telehealth it is important to contact your own attorney and the state licensing board of both your location and the location of the client!  
Below is a spreadsheet that can be used as a starting point before you call the individual licensing boards to verify their rules and regulations.  Below the spreadsheet is a list of states and corresponding information from their websites.  Again, it is your responsibility to ensure the accuracy of the information provided here.
Since most states require the following requirements when providing telebehavioral health services they are not included in this spreadsheet:
  • Obtaining an adequate informed consent including such items as: the risks and benefits; the clinician's license information; backup plans; how to contact the clinician; an emergency management plan; and the process of receiving services.
  • Verifying the client’s identity.
  • Assessing for fit.
  • Protect confidentiality by using secure means of communication.
  • Be licensed by or approved by the licensing board of the state in which the client is physically located during the time of the session.
If you are aware of any updated information please leave a comment so that I can update this information.

Published in Resources
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...
This course was very informative for me as a clinician and for my profession
Roseline Ngoeh
Community Clinician / NPS

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