Posts Tagged ‘online counseling’

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!

 

The BACP Guidelines for Online Counselling and Psychotherapy are now in their 3rd Edition (Anthony & Goss, 2009 – see also Goss et al., 2001; Anthony & Jamieson, 2005) and now the British Association for Counselling and Psychotherapy have revised and amended the main Ethical Framework to reflect this (the full link is below, with references).

This embraces the importance of recognising online therapy – and indeed the function of technology in general –  as a vital component of the profession.

The new Ethical Framework states:

Variations in client needs and the diversity of settings within which counselling and psychotherapyservices are delivered have also been carefully considered. Clients vary in their requirements in order tocommunicate effectively and to gain access to services. Ethically aware services strive to meet theseneeds and to avoid excluding someone from receiving a service or lowering the quality of that servicesolely on the grounds of a client’s learning difficulty or physical disability. Services may be provided bythe independent practitioner working alone, one or more practitioners working to provide a service withinan agency or large organisation, specialists working in multidisciplinary teams, and by specialist teamsof counsellors and psychotherapists. Most work is undertaken face to face but there are also a growingnumber of telephone and online services. Some practitioners are moving between these different settingsand modes of delivery during the course of their work and are therefore required to consider whatconstitutes good practice in different settings. All practitioners encounter the challenge of responding tothe diversity of their clients and finding ways of working effectively with them. This statement thereforeresponds to the complexity of delivering counselling and psychotherapy services in contemporary societyby directing attention to significant issues that practitioners ought to consider and resolve in the specificcircumstances of their work.

The Online Therapy Institute embraces this amendment, as the work of BACP remains the basis of part of our own Ethical Framework for the Use of Technology in Mental Health (http://www.onlinetherapyinstitute.com/ethical-training/).

Kate

http://www.bacp.co.uk/ethical_framework/

Goss, S., Anthony, K., Jamieson, A. and Palmer, S. (2001) Guidelines for Online Counselling and Psychotherapy. Rugby: BACP.

Anthony, K. &  Jamieson, A. (2005) Guidelines for Online Counselling and Psychotherapy 2^nd Edition, including Guidelines for Online Supervision. Rugby: BACP.

Anthony, K. &  Goss, S. (2009) Guidelines for Online Counselling and Psychotherapy ^3rd Edition, including Guidelines for Online Supervision. Rugby: BACP.

The Online Therapy Institute is pleased to launch a series of online courses about online therapy.  We will be adding courses so do check back. Our 5 clock hour courses are reasonably priced at $69.99/£45.00. For an additional $25.00 we offer continuing education credits for most mental health disciplines in the United States. Currently our courses also qualify for Registered Social Worker professional development in Canada. We have also applied for PDH course approval for Certified Employee Assistance Professionals (CEAP) as well.

We will be adding new continuing education/professional development opportunities so if you would like our courses to count toward requirements in your country, please let us know and will will gladly look into it!

Our current list of courses:

.

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

Continuing Education is available for U.S. psychologists, social workers, counselors, addiction specialists, marriage and family therapists, nurses and educators.

Our courses are co-sponsored by R. Cassidy Seminars.  You will take a test and receive a certificate of completion within the course module but if you are a practitioner in the U.S. and you wish to obtain accredited continuing education hours, the cost is an additional $25.00 per workshop.

Online Therapy Institute Accreditation

Co- sponsored by R. Cassidy Seminars

Satisfactory Completion

Participants must have paid course fee, submitted signed verification statement, completed evaluation, and completed post-test with passing grade of 75% in order to receive a certificate. Failure to complete and submit these materials will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available.

Psychologists

R. Cassidy Seminars is approved by the American Psychological Association (APA) to offer continuing education for psychologists.  R. Cassidy Seminars maintains responsibility for this program.

Also covers LPCs, MFTs, and SWs in the District of Columbia

Social Workers

R. Cassidy Seminars, ACE provider #1082 is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) Program. Approval Period: April 15, 2009-April 15, 2012. R. Cassidy Seminars maintains responsibility for the program. Social workers should contact their regulatory board to determine course approval. Social workers will receive __#__ continuing education (clinical, social work ethics) clock hours in participating in this course.

Covers Social Workers in these states: AL, AK, AR, AZ, CT, DE, FL, GA, ID, IA, IL, IN, KS, KY, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, OK, OR, PA, RI, SC, SD, TN, TX, VA, VT, WA, WI, WY. Also covers Licensed Professional Counselors in PA

DC: See approval for Psychologists

CA: Course meets the qualifications for (#) hours of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences, Provider #PCE418.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for ( ) clock hours, #RCST110701

Counselors

R. Cassidy Seminars is recognized by the National Board for Certified Counselors to offer continuing education for certified counselors.  We adhere to NBCC continuing education guidelines.  Provider #6375.  (#) hours.

AK, AL, AR, AZ, CT, DE, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MN, MS, MT, NC, ND, NH, NJ, NM, OK, OR, RI, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for ( ) clock hours, #RCST110701

Marriage and Family Therapists

AK, AL, AR, AZ, CT, FL, IA, ID, IN, KS, MD, ME, MT, NE, NJ, NM, OK, OR, RI, SD TN, UT, VA, WA, WY. See approval for Counselors.

DC & MS: See approval for Psychologists

CA: Course meets the qualifications for (#) hours of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences, Provider #PCE418

IL: Illinois Dept of Professional Regulation, Approved Continuing Education Sponsor, #168-000141.  (#) hours.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for ( ) clock hours, #RCST110701

TX: Approved CE Sponsor through the Texas State Board of Examiners of Marriage & Family Therapists. Provider #151

Chemical Dependency Counselors

Provider approved by NAADAC Approved Education Provider Program for (#) contact hours.  Approval #000654.

CA: Provider approved by CAADAC, Provider #4N-00-434-0210 for (#) CEHs. CAADAC is an ICRC member which has reciprocity with most ICRC member states

TX: Provider approved by the TCBAP Standards Committee, Provider No. 1749-06, (#) hours general and/or (#) hours (specific specialization), Expires 3/2009.  Complaints about provider or workshop content may be directed to the TCBAP Standards Committee, 1005 Congress Avenue, Ste. 460, Austin, Texas 78701, Fax Number (512) 476-7297.

Nurses

CA: Provider approved by the CA Board of Registered Nursing, Provider #CeP12224, for (#) contact hours.

Teachers/Educators

IL: Provider approved by the Illinois State Board of Certification #080304164719171

TX: R. Cassidy Seminars is an approved provider with the Texas Education Agency CPE# 501456. This course is (#) CE Hours.

Please Note: Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

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

NEW LOW PRICE! $155.00 for the full-day session!

REGISTRATION FORM

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.

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)

This is to announce a conference that will be held in Second Life Sep 16-18.

This conference is free and offers CE through NBCC.

The conference is coordinated by Dr. Marty Jencius, Assistant Professor and Counselor Educator at Kent State as well as founder and list manager for CESNET-L, a professional listserv for counselor educators and co-founding editor of The Journal of Technology in Counseling, a web-based, peer reviewed journal.

Kate Anthony and DeeAnna Merz Nagel will be co-presenting a Keynote entitled: Online Therapy in Second Life and the Online Therapy Institute.

General Information:

http://sl.counseloreducation.org/Conference/conference.html

Conference Schedule:

http://sl.counseloreducation.org/vccschedule/vccschedule.html

Registration:

http://sl.counseloreducation.org/Registration/registration.php

Hope to see you inworld!

DeeAnna

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!

4FM Ireland’s Weekend Breakfast show with Michael Comyn interviewed Kate Anthony on Saturday May 30th about online therapy.  You can have a listen!   fm4ireland2 

Kate and DeeAnna have been working feverishly on our new book and while we are completing the first draft we thought we would share with you what we received in the post today!  Sage has listed the book in the latest catalogue and it should show on Amazon soon.  The book will be hot off the press in late 2009!