Key Concepts
What is one platform commonly used for video conferencing or phone calls between the counselor and client?
Correct Responses:
Stacey is experiencing difficulty making it to in-person sessions with her therapist. She has responsibilities at home that she claims to be contributing to her difficulty making it to sessions. She wants continue her treatment with this therapist since she has seen good progress, but wants an easier and more flexible option. She could ask her therapist about:
a. Don't ask her therapist, she needs to adjust and start being there on-time.
b. Telehealth
c. Seeing a new therapist
B. Telehealth
H.3.- ______________: Counselors who engage in the use of distance counseling, technology, and/ or social media to interact with clients take steps to verify the client’s identity at the beginning and throughout the therapeutic process. Verification can include, but is not limited to, using code words, numbers, graphics, or other nondescript identifiers.
Client Verification
_________ is defined as the use of electronic information and telecommunication technologies to support long-distance clinical health care, patient and professional health-related education, health administration, and public health.
Telehealth
Name ONE of the reasons identified by patients to participate in telehealth.
Possible Correct Responses:
During a telehealth session, a client is speaking openly about trauma. The counselor notices someone occasionally entering the client’s room off-camera, but the client insists it is “not a problem.”
What should the counselor do first?
A. Continue the session without addressing it
B. Immediately end the session
C. Discuss privacy and confidentiality risks with the client
D. Report the client to the authorities
C. Discuss privacy and confidentiality risks with the client
H.1.a.- __________ & ___________: Counselors who engage in the use of distance counseling, technology, and/ or social media develop knowledge and skills regarding related technical, ethical, and legal considerations (e.g., special certifications, additional course work).
Knowledge and Competency
______ is a more specific subset of telehealth, focusing specifically on mental health services (such as therapy or counseling) provided remotely
Technology-Assisted Counseling
When did Telehealth experience significant growth?
COVID-19
A counselor begins seeing a new client through video sessions. The counselor explains confidentiality but does not discuss the risks of technology (like hacking or platform failures).
What ethical issue is most likely present in this scenario?
A. Dual relationships
B. Inadequate informed consent for telehealth
C. Misdiagnosis
D. Lack of cultural competence
B. Inadequate informed consent for telehealth
H.4.b - _____________: Counselors understand the necessity of maintaining a professional relationship with their clients. Counselors discuss and establish professional boundaries with clients regarding the appropriate use and/or application of technology and the limitations of its use within the counseling relationship (e.g., lack of confidentiality, times when not appropriate to use).
Professional Boundaries in Distance Counseling
____________ is the process in which counselors explain and document key information about counseling services before or during the initial stages of treatment, ensuring the client voluntarily agrees to participate with full understanding.
Informed Consent
Telehealth removes ___________ to attending counseling sessions, such as physical location or health concerns.
physical barriers
A client is expressing suicidal thoughts during a telehealth session. Suddenly, the video call disconnects, and the counselor cannot reconnect.
What is the most appropriate ethical response?
A. Wait until the next scheduled session
B. Attempt to contact the client using the established emergency plan
C. Ignore the situation due to technical issues
D. Document and move on without follow-up
B. Attempt to contact the client using the established emergency plan
H.4.f. - _____________: Counselors consider the differences between face-to-face and electronic communication (nonverbal and verbal cues) and how these may affect the counseling process. Counselors educate clients on how to prevent and address potential misunderstandings arising from the lack of visual cues and voice intonations when communicating electronically.
Communication Differences in Electronic Media
Technology-Assisted Counseling is conducted in a location of your choosing using a secure, user-friendly, ____________, video conferencing application or phone call.
HIPAA compliant