Distance Counseling and Supervision

10 Chapter 3: Bridging the Generational Technology Divide in Counseling Training, Practice, and Supervision Definition of Terms Technology in the Counseling Profession Scenarios for Discussion Questions to Explore Conclusion References

11 Chapter 4: Navigating the Regulatory Gauntlet The Current Landscape of Regulation and Oversight Important Terminology The Role of Regulatory Bodies Professional Associations’ Codes of Ethics and Standards of Practice HIPAA HITECH FERPA Licensing Boards Scenarios for Discussion Questions to Explore Conclusion References

12 Chapter 5: Distance Supervision Challenges to Finding Good Supervision The History of Clinical Supervision Questions to Ask a Potential Clinical Supervisor Scenarios for Discussion Conclusion References

13 Chapter 6: The Tools of Telebehavioral Health: How to Identify, Vet, and Deploy the Right Technology in Practice Federal Rules and Regulations: HIPAA and HITECH Family Educational Rights and Privacy Act of 1974 (FERPA) Security Standards Identifying, Vetting, and Deploying the Right Technology Types of Telehealth (Synchronous Video) Vendor Solutions Questions to Explore When Choosing Telehealth Tools What to Look for in a Vendor Conclusion References

14 Chapter 7: Counseling Training, Practice, and Supervision Using Avatars History Virtual Presence Avatar Platforms Qualities of Avatars Qualities of the Environment Application to Counseling and Counseling Preparation Ethical Practice Concerns Guidelines for Establishing Avatar-Based Practice Legal Limitations of Practice Conclusion References

15 Chapter 8: Incorporating Online Therapy Into a Private Practice Clinical Considerations Getting Started Clinical Strategies Scenarios for Discussion Conclusion References

16 Appendix A: Readiness for Online Counseling: Client Checklist

17 Appendix B: Video Call EtiquetteVideo Call Etiquette

18 Appendix C: Clinical Supervision AgreementClinical Supervision Agreement

19 Appendix D: Information, Authorization, and Consent to Technology-Assisted ServicesInformation, Authorization, and Consent to Technology-Assisted Services Faxing Medical Records

20 Index

21 Technical Support

22 End User License Agreement

1 Chapter 6Figure 6.1 Sample Telehealth Workflow

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edited by

Jennifer Nivin Williamson

Daniel G. Williamson

6101 Stevenson Avenue, Suite 600

Alexandria, VA 22304

www.counseling.org

Copyright © 2021 by the American Counseling Association. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

American Counseling Association

6101 Stevenson Avenue, Suite 600

Alexandria, VA 22304

Associate Publisher Carolyn C. Baker

Digital and Print Development Editor Nancy Driver

Senior Production Manager Bonny E. Gaston

Copy Editor Beth Ciha

Cover and text design by Bonny E. Gaston

Library of Congress Cataloging-in-Publication Data

Names: Williamson, Jennifer Nivin, editor. | Williamson, Daniel G., editor.

Title: Distance counseling and supervision : a guide for mental health clinicians / editors, Jennifer Nivin Williamson, Daniel G. Williamson.

Description: Alexandria, VA : American Counseling Association, [2021] | Includes bibliographical references and index.

Identifiers: LCCN 2020041305 | ISBN 9781556203930 (paperback)

Subjects: LCSH: Mental health counseling. | Counseling psychology. | Medical telematics. | Counselors—Supervision of.

Classification: LCC RC466 .D57 2021 | DDC 362.2/04256—dc23

LC record available at https://lccn.loc.gov/2020041305

The book is dedicated to our families,parents, mentors, students, and communities.You are the foundation and the future.

This book has been an exploration that began in 2016 when we were in an American Counseling Association (ACA) Ethics Committee town hall meeting. The conversation was rich with questions about telehealth, and there were more questions than answers. In an effort to better understand the complexities of this topic, we invited the leaders and many stakeholders from governing and advising bodies to contribute to a panel discussion. At that time, we included the cochair of the ACA Ethics Committee, the cochair of the ACA Policies and ByLaws Committee, the chair of the Council for Accreditation of Counseling and Related Educational Programs, the president of the American Association of State Counseling Boards, the founder of Motivo, the founder of WeCounsel, counselor educator and marriage and family leaders, and experts in the use of avatar and virtual platforms in counselor education. This conversation was so rich that this book was born.

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