Posts Tagged ‘ethical framework’

Kate will be presenting at a conference in Brussels that begins on June 17th and DeeAnna will present at a conference in Pennsylvania that begins June 28th.  Details of both conferences and sessions about online therapy follow:

Employee Assistance European Forum Brussels Conference 2010  See the link for the full agenda.

Best Practices for Providing EA Services via Email Exchange

Ms. Kate Anthony, Founder “The Online Therapy Institute”, President of the International Society for Mental Health Online, U.K.

 2010 EAP-MAP Conference Villanova Conference Center, PA See the link for the full agenda.

Panel Discussion – “Let your Fingers do the Talking: Adding Online Counseling to your Therapeutic Repertoire”
Jane Weiler, LCSW – Program Coordinator, NY Presbyterian Hospital Workplace Services
Mary Ellen Gornick, MA – Senior Vice President – Global Products, Workplace Options
DeeAnna Nagel, MEd, LPC, DCC – Co-Founder, The Online Therapy Institute
Cedric Speyer, MA, MAEd – Clinical Supervisor of E-Counseling, Shepell

We hope to see you there!

OTI has been remiss in offering regular blog posts these past couple of months but with good cause and great outcomes!

So what’s in store for 2010? Our authored book, Therapy Online: A Practical Guide was just released and we have another edited book, The Use of Technology in Mental Health: Applications, Ethics and Practice due out this summer. This book has 30 chapters with a total of 47 contributing authors from across the globe.

As promised, we are offering online training about online therapy. We have launched the first 6 workshops with more to come. Each workshop is the equivalent of 5 clock hours of instruction. The workshops are online and self-paced.  The cost per workshop is $119.00/70.00 £.

• Introduction to Cyberspace: A Primer for Helping Professionals
• Relationships in Cyberspace: An Introduction for Helping Professionals
• The Online Therapeutic Relationship: Theoretical Considerations
• Ethical Considerations of Online Therapy
• Working Therapeutically Using Asynchronous Email
• Working Therapeutically Using Synchronous Chat

The workshop details can be accessed at our training portal. We have partnered with DigitalChalk to bring you a user-friendly yet state-of-the-art experience. Continuing Education credits for U.S. psychologists, social workers and counselors will be available very soon.

www.onlinetherapyinstitute.digitalchalk.com.

Just create an account and peruse our catalog! Your account will remain active should you decide to return to take a course.

We are giving our website a facelift so resources are easier to navigate.

We will soon offer an Online Therapy Institute ~verified~ seal that will provide a way for online helping professionals to indicate to the public that their site meets standards of best practice.

We will be facilitating groups and workshops as well as co-sponsoring conferences online and at our Second Life location.

We are collaborating with others to add to our Ethical Framework resources.

We have created:

• Ethical Framework for the Use of Technology in Mental Health
• Ethical Framework for the Use of Technology for Career and School Guidance

Coming Soon:

• Ethical Framework for the Use of Technology in Professional Coaching
• Ethical Framework for the Use of Technology in Crisis, Disaster and Critical Incident Interventions
  

We are offering a directory listing to everyone who joins our social network at www.onlinetherapysocialnetwork.com and your listing will be posted at www.onlinetherapydirectory.net.

For OTI members who practice online, a website listing in the OTI Web Directory (online counseling category) will be added provided the following standards are met:

1. Offer encrypted services for email, chat and web conferencing.
2. List level of education, schools attended and dates graduated.
3. List certifications and licenses if applicable with verification web links.
4. List crisis information or a link on the website’s home page.
5. List therapist’s alternate contact information in addition to email.

Mostly, we will continue to encourage dialogue among our members and friends at Online Therapy Institute so that we can all learn and grow together!

Kate and DeeAnna

Some of you who are thinking about delivering therapy online are wondering what might be the best way to get started.  Some practitioners opt to deliver services straight from their own websites tapping into platforms such as Skype and Hushmail. Skype offers encrypted voice, web and chat services. Hushmail offers encrypted email and chat. Skype and Hushmail are but two examples of available services. Now many companies are offering encrypted communication platforms. Currently I use Skype and Hushmail because these services are free and user friendly for clients.

Others may opt to join an “E-Clinic” which is an easy way to describe a platform or portal that allows providers of services and potential clients to conduct therapy. There are some nuances across the E-Clinic menus but in a nutshell, it is a one-stop shop for the client and therapist. I have previously joined E-Clinics in the past and I am still listed on a few.  It might be interesting to note that I have been listed for several (a decade in some cases) years on some e-clinic sites and I rarely if ever receive an inquiry from a potential client. I’ll get back to that in a minute.  E-Clinics are convenient and easy. Some E-Clinics offer appointment setting, billing capability, credit card processing and an extensive listing. Conceivably, one could create a listing on such a site and use the listing as a website. Some E-Clinics offer customized or “branded” services so that you can integrate the platform into a custom website of your own.  And most E-Clinics conduct some variation of credentialing so that license and certification numbers as well as malpractice insurance information is verified.

So it sounds hassle-free. So, why not? Well, there are a few reasons why not.  One is cost. Some of these sites charge monthly fees. That’s great but if you also have a website of your own then you might be paying twice, so to speak. Remember I said previously that I rarely if ever receive client inquiries from these sites so just because they have a glossy “store front” and offer a suite of products to the therapist, it does not mean that the site is marketed well. If you want to know, do an internet search using keywords like online therapy, online counseling, online counselling, or etherapy. What comes up? Is the E-Clinic listed on the first page of results? That is but one way to find out how “popular” the service is.  The other way is to check press or media tabs on the websites. Has anyone interviewed the company? Is there any information about advertising campaigns, past, present or future?  Remember, you can create a listing anywhere on the World Wide Web. That does not mean people can find you. In the case of E-Clinics, make sure your money is working for you.

Another concern is security. Is the site encrypted? Is the information held on the company’s server? I often joke that we need to be careful about setting up our services using encrypted platforms that are hosted on Joe’s server located in Joe’s garage somewhere in an urban neighborhood across the country or the world. But seriously, the security and encryption of the site should meet very high standards. Does the E-Clinic serve via contract, any major government or insurance entities? That is one reasonable and simple way to know if the E-Clinic has “clout” so to speak. But even so, do your own security tests. Take the E-Clinic for a spin. Use their web, messaging or chat services with a colleague. When you are logged on, send the URL (which should begin with https://) via your regular email or chat (yahoo or gmail for instance). Can the person on the other end open the the URL? If so, the site is not secure. Why is this important? If you do this same test with sites like Amazon, Ebay or your bank once you have logged in, the other person will not be able to see your information and will most likely be sent to a login page for that site. The same process should occur for E-Clinic sites.

If you think you have found an E-Clinic you want to use, be sure to check out their Terms of Use, Privacy Policy and other Terms and Conditions.  You should be concerned with what you are agreeing to as the provider of services and what the consumer agrees to as the recipient of services. Does it match your legal and ethical responsibilities? Do you have the ability to upload your own informed consent documents to your clients? And if you take client referrals from these sites using their platform, what intake information do you receive? Does the site conduct any screening? Is the site set up to provide crisis intervention? If the site clearly states that online therapy is not for people in crisis, then consider whether you want to make yourself available immediately. Many of the E-Clinic sites offer instant sessions as a way to lure consumers into using the site. Some would say these E-Clinics are offering a viable service to people who are in immediate need. So I ask, is the immediate need a crisis or just needing to have a personal issue addressed right away, representing the immediacy of our culture? Be careful not to compromise standards of care. For instance, if you make yourself available immediately, what client information do you have on hand during this initial contact? Is the client allowed to remain anonymous? If so, what happens if the client is genuinely in crisis?  I recommend that if you are going to utilize the option of immediate availability that you use this option as an initial consultation- and treat that time much like you would if a client called on the phone inquiring about services.  Why? Well, consider your ethical responsibility to properly screen your client and to know the identity of your client. If you are providing crisis intervention then the site should clearly state that services are for people in crisis with the proper terms and conditions in place.  Counseling and psychotherapy services that occur within a contracted relationship are very different than crisis intervention services.

Remember that E-Clinics cater to many disciplines so be sure that you can follow your legal and ethical codes and that you remain within your scope of practice.  If you live in a geographic area that does not regulate your profession and you have no real code of ethics to fall back on for reference, then consider using best practice standards set forth by the Online Therapy Institute’s Ethical Frameworks for Mental Health Practitioners and Career and School Guidance.

Hoping this has been a helpful post~ perhaps this will generate a healthy discussion of the topic.

DeeAnna

Ethical Implications Online: Working and Socializing in Cyberspace
Presented by: DeeAnna Nagel, LPC, DCC
Dallas, Texas EAPA Pre-Conference Training
Co-Founder of the Online Therapy Institute

The Employee Assistance Professionals Association (EAPA) invites you to
Register For This Full-Day Ethics Course
Ethical Implications Online: Working and Socializing in Cyberspace
Tuesday, October 20 8:00 AM – 5:00 PM; 7.5 PDH/CE contact hours

This full-day workshop will discuss best practice with regard to communicating online with potential and existing clients, business associates, friends and other therapists. With the advent of Web 2.0 and Social Media, counselors and psychotherapists now must understand the boundaries of working and socializing in cyberspace. Topics to be covered include communicating confidentially with existing clients, how to handle the email inquiry from a potential client, the basics of ethical online counseling and the slippery slope of marketing your practice on the internet via social networking sites such as Facebook, LinkedIn and Twitter.

Special OTI Discounted Price: $295
(You Save $60!)

Add This Full-Day Business-Building Course
For Just $100 More!

Essential Sales Skills for the Non-Sales Professional
Wednesday, October 21 8:00 AM – 5:00 PM; 7.5 PDH/CE contact hours

Presented by: Shelley Plemons MS, LCDC
President/CEO, Strategic Sales Solutions

The economy is poor and the behavioral health marketplace is increasingly competitive. As a mental health professional, you may be faced with the challenge of maintaining your current work-load while becoming more involved in sales efforts. You want to increase your client base and land business, but sales is not your first profession, and feels daunting. What do you do?

First, don’t panic! Second, participate in this unique full-day training session! This is the only sales training program for non-sales professionals, written and presented by a fellow clinician, and targeted to building the sales capacity of mental health and employee assistance professionals and their programs. Shelley will introduce you to the principles and skills of consultative selling. It’s a logical, non-manipulative approach that focuses on being responsive to the needs of your prospective client and matching them to your products or services. Enhance your confidence by using your personality and skills in consultation, relationship building, and communication to build business!

Total OTI Discounted Price for Both Courses: $395
(You Save $315!)

Offer Expires September 30, 2009!

Don’t Wait ‘Til It’s Too Late!
Use This Special Form to Register Today!

Learn more about EAPA’s 2009 Annual World EAP conference or download the conference preview book.
PDH/CE credit hours provided by:
Employee Assistance Certification Commission (EACC)
National Association of Social Workers (NASW)
National Board for Certified Counselors (NBCC)
California Board of Behavioral Sciences
National Association of Alcohol and Drug Abuse Counselors (NAADAC)

Lyle Labardee offers a great overview of where the field of online counseling is today. This article was published in the Summer issue of EAP Digest.  The full article is available here:

Online Counseling Crosses the Chasm

Kate and DeeAnna were interviewed for the article as well as several of our colleagues.  The Online Therapy Institute’s Ethical Framework for the Use of Technology in Mental Health is summarized as well.

Lyle, thanks for a great article! It is a wonderful contribution to the literature!

The Online Therapy Institute offers an Ethical Framework for the Use of Technology in Mental Health that incorporates the major points of existing codes and guidelines offering practitioners a way to ensure that thier therpeutic work via technology covers best practice. 

The framework’s audience is global and as new technologies and ethical issues arise, the framework will be revised and updated.  Practitioners who practice according to the framework can know that they are implementing the best standard of care available to their clients.

The framework is posted on the OTI website and is also offered as a PDF download.  Members of OTI who offer therapy delivered via technology will be listed in the OTI Web Directory provided their practice follows the framework.  Anyone may join the Institute. but the directory will be reserved for practitioners and organizations who have implemented the framework into their practice.

We are excited about offering this framework to all mental health practitioners!

Best,

DeeAnna and Kate