1. Telehealth: Computer Assisted Behavioral Healthcare Presented by: Rhonda G. Patrick, LCSW, MPA 2010 Texas Behavioral Health Institute

2. Presentation Outline What is Telebehavioral Healthcare DefinitionHistoryLiteratureImplication/Benefits Medicolegal & Regulatory Issues Developing & Implementing Telebehavioral Healthcare Identifying Needs InfrastructurePartnershipsStructure/ConfigurationPilotingSolicitation

3. 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

4. Defining Telebehavioral Health Telemedicine Telemental Health Telebehavioral Health Store and Forward Technologies Live, Interactive Technologies

5. History of Telebehavioral Healthcare Introduction1960s1970s-1080s1990s 2000 and into the future

6. Telehealth Literature Summary of published Literature Early History and publications Current Publications Summary of Meta- Analysis Clinical Trials

7. Telebehavioral Healthcare Implications/Benefits Access to Care Client Management Care Coordination Continuity of Care Future Directions

8. Telebehavioral Healthcare Medicolegal/Regulatory Issues Licensing & Credentialing Malpractice Informed Consent Privacy & Confidentiality

9. Developing & Implementing Telebehavioral Healthcare Identifying Needs InfrastructurePartnerships Structure/Configuratio n PilotingSolidification

10. Developing & Implementing Telebehavioral Healthcare Identify Needs Step 1 Infrastructure Step 2 Partnerships Step 3 Structure Step 4 Piloting Step 5 Solidification Step 6

11. Using Telebehavioral Healthcare Room & Equipment High End Versus Low End Equipment CameraMicrophone Broadband and Bandwidth LightingBackgrounds Clinician Considerations

12. Using Telebehavioral Healthcare Practice Competency Written Communication Videoconferencing

13. Using Telebehavioral Healthcare Cultural Competence Definitions Client/Counselor Interactions In substance abuse and mental health treatment interventions

14. Using Telebehavioral Healthcare Managing client schedules Videoconferencing Email and chatting When clients need in- person sessions

15. Using Telebehavioral Healthcare Key Aspects of Videoconferencing communication Verbal and Nonverbal communication with videoconferencing Key Aspects of email and chat communication

16. Using Telebehavioral Healthcare Special Populations ElderlyYouth Ethnic Groups

17. Sustaining Telebehavioral Healthcare CMS Reimbursement policies CPT Codes Other Federal Sources of Revenue Texas Reimbursements PublicPrivate

18. Sustaining Telebehavioral Healthcare Multiple Uses Administrative Uses ResearchTraining Family Members Fiscal Uses

19. 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)