Telehealth Certification Institute

The COVID-19 pandemic has been in place since March of 2020, almost three years. The majority of clinical social workers, and other mental health clinicians, have been providing mental health services virtually during this time.  The initial switch from seeing patients in-person to seeing them virtually was a difficult one for many clinicians, even one that violated the way that some Codes of Ethics say that psychotherapy should be practiced.  

The question of whether psychotherapy should be conducted through videoconferencing or audio-only platforms has shifted to whether it is safe to return to the office to provide the ever-increasing need for mental health treatment (from 20% to 50% of the country).  About 30-40% of clinicians have decided to maintain their practices virtually and have given up their offices.  For clinicians who have been debating whether they want to return to the office and/or are anxious to do so, there are several factors to consider, as follows:

There are many factors that contribute to the success of a telehealth encounter, as there are many factors that contribute to the success of an in-person encounter. Ideally technology should not represent a barrier or challenge to conducting a successful telehealth visit, especially in terms of establishing a feeling of rapport between patient and provider. Technology is just the means to accomplish an end – providing effective and efficient healthcare to patients. The expectation that it is the same as in-person is misplaced as the expectation really is that it should be equivalent. It cannot be denied that the use of technology as a means of communication fundamentally changes the nature of an encounter. This change however should not be regarded as negative – there are actually some people who communicate better virtually than in person and vice versa. The differences between in-person and virtual encounters need to be acknowledged and participants need to be aware of these differences and learn how to adjust their actions and communication styles to accommodate the differences.

We've invited Terrance Williams, founder of Meta Wellness. His company provides virtual reality platforms for mental health professionals to host their Telehealth sessions in virtual reality. Terrance has been a pivotal pioneer in bringing Telehealth into the next stage of technology: Virtual Reality.

Meta Wellness specializes in creating virtual reality spaces for behavioral health clinicians and their clients in the metaverse. Terrance was inspired by the virtual reality space a couple of years ago. He wanted to make a valuable impact in the telehealth space by creating virtual reality platforms that were fun, challenging, and different. Terrance prides himself on making clients feel less shamed and judged in sessions within the creative digital spaces. He shared that a mental health therapist just recently thanked him for saving clients' lives by developing this innovative and interactive platform.

Like all behavioral health professionals, social workers are making increased use of technology to deliver services to clients, communicate with clients, gather information about clients, and educate students and practitioners. The advent of technology—including Internet, text (SMS), email, video, social media and networking, cloud storage, and other forms of digital communication and software—has introduced novel and unprecedented ethical and risk management challenges. These dramatic changes in the ways that social workers use technology have led to major efforts to develop new standards in the profession. These efforts have occurred in three distinct, albeit related, domains: (1) practice standards, (2) regulatory and licensing standards, and (3) code of ethics standards. It is essential that today's social workers be thoroughly familiar with these significant developments to ensure that their practice complies with prevailing standards.

Since the COVID-19 pandemic, many educational systems have adapted their service  delivery model to serve the needs of students. The impact of COVID-19 continues to  disrupt traditional forms of education, and many schools and universities have turned to  virtual learning to continue providing education to students. While virtual learning can  offer flexibility and convenience, it can also bring its own challenges that can negatively  impact students' mental health. Providing psychological support to students in a virtual  context is essential to ensure their well-being and academic success. 

This essay highlights the advancement and necessity of an Empowerment approach for supporting help-seekers. Empowerment Psychology has its roots in community psychology, multicultural, and social work theories. The early emphasis on empowerment is associated with building up disenfranchised communities and supporting individuals through a sociopolitical lens (Rappaport, 1981). Zimmerman and Warschausky (1998) argued that the empowerment construct has inherent variance according to one's access to resources, but must include intrapersonal, interactional, and behavioral components. Various empowerment models express these components (Bakari, 2022; Cattaneo & Chapman, 2010; Masin-Moyer, Kim, Engstrom & Solomon, 2022). 

What characteristics make a phenomenal supervisor? What about a not-so-great one? It has been an amazing few years of holding space for the community’s stories of mental health and clinical supervision, including the need for something different, something modern, and something more. For many mental health professionals, we’ve had a challenging experience of feeling unsupported or unheard by a clinical supervisor. It’s an experience that feels ever more significant when we recognize that supervisors shape us as new clinicians in the field.

It Started Out Personal

Poor supervision is how my journey started. I left graduate school with an experience of supervision that felt confusing and concerning because of an absence of boundaries. Fortunately, Christina (now my co-author and co-founder) was my next supervisor in agency work and she showed me what it was like to receive compassionate support and empowered leadership, which resulted in me meeting my full potential as a young clinician. Several years into the field, I was promoted into a supervisor role and was determined to do something different for my supervisees.

Dr. Jennifer Sweeton, neuroscientist, clinical and forensic psychologist, best-selling author, and expert on trauma, talks with Ray Barrett from Telehealth Certification Institute about neuroscience and telemental health services.  Dr. Sweeton offers her passion and unparalleled insight about how mental health professionals can activate neurological processes with clients using various telmental health platforms. She will both shock and inspire you with her insight about services and the ways that clients can benefit from them.