DEIPAR
The potential client is three years old and having challenges sleeping, mom asks for virtual sessions only.
What is diversity, what is equity, what age/developmentally appropriate for this client, what is the level of need, what is the context for this family.
The client joins the video session wearing only a towel.
What is asking the client to get themselves dressed and settled before beginning the session, acknowledge the expectation of both parties remaining fully clothed at all times, reschedule as appropriate
The clinician is eating during the video session.
What is importance of human relationships, dignity and worth of the person, cultural norms/boundaries, what is the client context, what are the differences between in-person and virtual sessions, what if the roles were reversed.
The client joins the video session from her boyfriend's house saying she has her headphones in so you can talk and she will just type her responses.
What is assess for safety, assess level of need, reschedule as appropriate.
The client is hearing impaired and will be joining the video session virtually.
What is inclusion, asking the client for their preferred platform/accommodations, what is utilizing closed captioning.
The client joins the video session while sitting in traffic.
What is you cannot operate machinery during therapy, you are liable for what happens to a client during the session, reschedule/rejoin the session when the client is in a secure location as appropriate.
The client joins the telehealth session from out of state.
What is service, asking the location of the client before beginning the session, what is only proceed with the session if they are in your state of jurisdiction under your license.
My dog won't stop barking during my session with a client.
What is handle your business, put the dog away, apologize to your client, acknowledge your humanness, communicate that you are working from home and assure confidentiality despite unexpected interruptions, reschedule as appropriate.
Client only has access to sessions via phone call.
What is accessibility, what is equity, what is diversity?
Your employee reports that they heard an unknown voice screaming at the client.
What is interpersonal violence, what are cultural norms, what is conducting a safety assessment.
Your agency connects clients to services based on telehealth reimbursement rates (higher reimbursement rates before lower).
What is core value of service, what is integrity, what is dignity and worth of person, what is social justice, what is self-interest?
The client sees a picture of my family in my background during session and asks how long I have been married.
What is implicit self-disclosure, what is of benefit to client to share, what is setting up working space with intentionality.
You ask your Latina employee to translate a client email in Spanish.
What is racism, what is diversity, what is power, what is intersectionality?
The client reports engaging in self-harm and will not turn their video on during the session.
What is assess for safety, what is schedule in-person visits as appropriate, what is refer to in-person IOP/hospitalization program as needed.
Your employee invites you to their child's Zoom graduation.
What is the importance of human relationships, what is the purpose?
The client is an aging adult who needs technology assistance to meet for the video session so the nurse's aide remains in the room for the duration of the call.
What is lack of confidentiality, what is best for this client's needs and safety.
Your agency tasks clinicians with determining client level of appropriateness for telehealth.
What is equity, what is power analysis, what privilege.
Client states that they are planning to end their life while on the call.
What is guide them to the emergency room, engage crisis networks, refer to their emergency contact form.
Your agency requires employees to complete a CEU about technology but does not cover the cost.
What is competency, what is equitable?
What is HIPPA compliance, what is confidentiality notice in all electronic communications.