1. Michelle E. Wade, MS, M.Ed., NCC, LCPC Ethics Specialist, American Counseling Association

2.   Reasoning behind looking at technology  Technologies being used currently  Ethical Considerations  Laws and Regulations already existing Objectives

3. Social Media World

4.   Skype/Video Conferencing  Twitter  IM chats  Blogs  Apps Technologies Being Used

5.   Confidentiality  Encryption  Security  Who controls the confidentiality? Ethical Considerations

6.   Authentication  Client Verification  Counselor Verification  Credentials Ethical Considerations

7.   Emergencies  Crisis Plan  Technology Difficulties  24/7 Ethical Considerations

8.   Privacy  Client’s rights  Google  Yelp Ethical Considerations

9.   Seventeen (17) states (Alaska, Arkansas, California, Colorado, Iowa, Louisiana, Massachusetts, Minnesota, Nebraska, New York, North Carolina, Oregon, South Carolina, Ohio, Texas, Utah, and West Virginia) do regulate electronic communications for counselors, but only within their particular state.  Colorado makes the recommendation that the first session should be face-to-face and to meet periodically face-to-face with the client. Laws and Regulations

10.   Twenty (20) state counseling boards (Alabama,, Arizona, Connecticut, Delaware,, Florida, Georgia, Hawaii,, Kentucky,, Maine, Michigan,, Missouri, New Hampshire, North Dakota, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Vermont, Washington and Wyoming) and the District of Columbia report an absence of any law, rule, or regulation addressing the use of the internet with clients. Laws and Regulations

11.   Arkansas, has an addendum to their licensure requirements specifically geared towards technology assisted therapy: The Technology Assisted Counseling Specialization license requires additional education and supervision.  Five (5) states (Maryland, New Mexico, Tennessee, Virginia and Indiana) specifically state that they do not support electronic communications under their scope of practice for professional counselors. Laws and Regulations

12.   Mississippi will only grant licensure to state residents and/or those who pay state income tax.  Louisiana no longer requires an applicant to be a US citizen or a resident of Louisiana as of July 20, 2013.  Idaho proposed to change their board duties to include: “To establish by rule the standards and requirements for the use of communication technology in the practice of counseling and marriage and family therapy, including supervision; interactive webinars permitted.” Laws and Regulations

13.   Louisiana and North Carolina allow videoconferencing clinical supervision hours to be as long as it is synchronous. Kansas requires it to be conducted via confidential electronic communications. Colorado requires audio and video for electronic supervision and must meet face-to-face occasionally.  Indiana allows at least half of their continuing education hours to be taken online and/or through distance learning.  Iowa, Ohio, and South Carolina consider distance learning continuing education hours as live continuing education hours if they are interactive  Ohio defined one continuing education hour as 10,000 words with regards to distance learning courses. Laws and Regulations

14. Questions/Comments?