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SUD Telehealth Training

SUD Telehealth Training. January 2019| Provider Network Management. Telehealth goes by many names. Telehealth. Tele-Behavioral Health. Video Counseling. Tele- HealthCare. Tele- mental Health. Telecare. Agenda. Overview of Telehealth

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SUD Telehealth Training

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  1. SUD Telehealth Training January 2019| Provider Network Management

  2. Telehealth goes by many names Telehealth Tele-Behavioral Health Video Counseling Tele- HealthCare Tele- mental Health Telecare

  3. Agenda Overview of Telehealth How to become qualified to provide Telehealth to SUD Clients Tips Survey

  4. WHY TELEHEALTH? Secure video link Easy, convenient, and free Access to clients in rural areas Reduce no-shows Easy to facilitate groups

  5. IS IT EFFECTIVE? “.... the video counseling modality is just as powerful as in-person counseling…” Edward R. Jones, Ph.D.

  6. Telehealth Effectiveness Comparing In-Person to Videoconference-Based Cognitive Behavioral Therapy for Mood and Anxiety Disorders: Randomized Controlled Trial Conclusion-The findings of this controlled trial indicate that CBT was effective in significantly reducing symptoms of depression, anxiety, and stress and increasing quality of life in both in-person and videoconferencing conditions, with no significant differences being observed between the two. Stubblings, D., Rees, C., Roberts, L., & Kane, R. (2013). Comparing In-Person to Videoconference-Based Cognitive Behavioral Therapy for Mood and Anxiety Disorders: Randomized Controlled Trial. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842436/). A simple Google search will result in a plethora of peer-reviewed articles attesting to the effectiveness of telehealth.

  7. What Services can be Provided? Group Family Individual Case Management GAIN Assessment

  8. Limitations Telehealth may not be appropriate for: • Higher complexity clients • A client who is known to be suicidal • Assisting in UA requirements • Clients without internet access available in a private area. • EBPs that require direct provider supervision

  9. Becoming a SUD TBH Provider HIPAA Compliant Platform Qualifying Video Session How do I get credentialed? Certification by PNM

  10. Choosing a HIPAA Compliant Video Platform There are many options to choose from Any option you pick must provide a Business Associate Agreement (BAA) that will be required by BPA Health Skype and Facebook are not HIPAA compliant Or….

  11. Zoom.us BPA Health will provide you with a free Zoom license. • It is a basic membership, free to you as long as BPA holds their overall license with Zoom • Includes unlimited 1 to 1 meetings, 40 min group meetings, video conferencing, and more • And, you may use this license for non-SUD client business as well • If you need a group meeting for more than 40 minutes, we will loan you a video room for that purpose….call us to schedule

  12. Zoom.us Support

  13. Billing in WITS list “Telehealth” as the location State in the encounter notes that the client participated in the session via telehealth Pay is the same for a telehealth visit as an in-person visit

  14. Policy What should be included in your policy? How will you contact local EMS if needed? Do you have consents for your clients? Confidentiality for all group members? How will you ensure client privacy? Pro Tip: SAMHSA TIP 60 is a great resource!! (pgs. 26 & 27)

  15. Responsibilities Establishing a Provider-Client relationship Determine appropriateness of client Determine if limitations are a show-stopper Understanding State and Federal guidelines.

  16. Tips Do Use Headphones Check lighting Choose a private setting, and encourage Clients to do the same. Consider background noise Restart your computer daily and allow updates Promote yourself

  17. Tips Cont. Don’t Use bad camera angles! Distracting wall décor or clutter Look at yourself, be sure to make eye contact with the client Allow clients to have other streaming going on in the house

  18. Compare BAD GOOD • Bad camera angle • Bad Lighting • Distracting Background in public area • No Headphones • Good camera angle • Good Lighting • Private area, no distractions • Headphones

  19. Taking it to the Next Level Credentialing (Not a Requirement) Center for Credentialing and Education • Board Certified-TeleMental Health Provider (BC-TMH) Telebehavioral Health Institute • Distance Credentialed Counselor (DCC)

  20. Survey We know you are busy but… Surveys help us improve services They are a great way to get your voice heard They help us tell the Partners about the great work you do!

  21. Questions? “.... Asking questions is the first way to begin change…” Kubra Sait

  22. Thank you!

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