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Telehealth: Computer Assisted Behavioral Healthcare Presented by: Rhonda G. Patrick, LCSW, MPA 2010 Texas Behavioral Health Institute
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Presentation Outline What is Telebehavioral Healthcare DefinitionHistoryLiteratureImplication/Benefits Medicolegal & Regulatory Issues Developing & Implementing Telebehavioral Healthcare Identifying Needs InfrastructurePartnershipsStructure/ConfigurationPilotingSolicitation
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Presentation Outline Using Telebehavioral Healthcare Room & Equipment Videoconferencing Etiquette Verbal/Nonverbal Communication Special Populations Sustaining Telebehavioral Healthcare Reimbursement & CPT Codes Multiple Uses of Telebehavioral Healthcare
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Defining Telebehavioral Health Telemedicine Telemental Health Telebehavioral Health Store and Forward Technologies Live, Interactive Technologies
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History of Telebehavioral Healthcare Introduction1960s1970s-1080s1990s 2000 and into the future
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Telehealth Literature Summary of published Literature Early History and publications Current Publications Summary of Meta- Analysis Clinical Trials
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Telebehavioral Healthcare Implications/Benefits Access to Care Client Management Care Coordination Continuity of Care Future Directions
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Telebehavioral Healthcare Medicolegal/Regulatory Issues Licensing & Credentialing Malpractice Informed Consent Privacy & Confidentiality
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Developing & Implementing Telebehavioral Healthcare Identifying Needs InfrastructurePartnerships Structure/Configuratio n PilotingSolidification
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Developing & Implementing Telebehavioral Healthcare Identify Needs Step 1 Infrastructure Step 2 Partnerships Step 3 Structure Step 4 Piloting Step 5 Solidification Step 6
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Using Telebehavioral Healthcare Room & Equipment High End Versus Low End Equipment CameraMicrophone Broadband and Bandwidth LightingBackgrounds Clinician Considerations
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Using Telebehavioral Healthcare Practice Competency Written Communication Videoconferencing
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Using Telebehavioral Healthcare Cultural Competence Definitions Client/Counselor Interactions In substance abuse and mental health treatment interventions
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Using Telebehavioral Healthcare Managing client schedules Videoconferencing Email and chatting When clients need in- person sessions
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Using Telebehavioral Healthcare Key Aspects of Videoconferencing communication Verbal and Nonverbal communication with videoconferencing Key Aspects of email and chat communication
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Using Telebehavioral Healthcare Special Populations ElderlyYouth Ethnic Groups
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Sustaining Telebehavioral Healthcare CMS Reimbursement policies CPT Codes Other Federal Sources of Revenue Texas Reimbursements PublicPrivate
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Sustaining Telebehavioral Healthcare Multiple Uses Administrative Uses ResearchTraining Family Members Fiscal Uses
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Questions & Additional Resources American Association of Telemedicine University of California Davis Texas Tech University University of Colorado-School of Medicine American Association of Online Counseling Substance Abuse & Mental Health Services Administration (SAMHSA)
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