Essentials of Telebehavioral Health: A Practical Guide

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Telebehavioral Health (TBH), defined as the use of information and telecommunication technologies for remote behavioral health service delivery, has witnessed exponential growth in recent years. The increase in TBH adoption can be attributed to several factors such as: increasing demand for behavioral health services, increasing availability of high-speed internet, decreasing cost of technology, expansion of reimbursement, and growing scientific evidence demonstrating its effectiveness across various patient populations, psychiatric conditions, and clinical settings. The COVID-19 pandemic further catapulted TBH expansion and scaling, as social distancing and lockdown measures left both clinicians and patients with limited alternatives.

Essentials of Telebehavioral Health: A Practical Guide comes at a time when TBH’s effectiveness is well-established, its position in healthcare systems secure and uncontested, and the conversation around it shifting from “if” to “how” it could be implemented. The success of TBH programs is contingent on the careful planning, meticulous implementation, and continuous monitoring and evaluation of its essential components, with special emphasis on clinical, technical, legal and ethical considerations. While there are existing resources that offer road maps for TBH program implementation, what this book provides is hands-on support and guidance to set up and maintain a TBH practice, focusing on both its programmatic and clinical aspects. Its simple structure, succinctness, and scientific rigor make it suitable for both professional and educational settings.  In addition to contributing to the writeup, the editors enlisted several authors with a wealth of practical knowledge and firsthand clinical experience on TBH implementation and delivery. The user experience is enhanced through explanatory figures, synthesis tables, visual aids, end-of-section checklists, and summaries in bullet-point format.

 

 

Essentials of Telebehavioral Health: A Practical Guide is a concise and evidence-based guide that synthesizes decades’ worth of knowledge and experience into key pointers for clinicians, professionals, and interested learners on how to plan, implement, deliver, evaluate, and ensure the sustainability of TBH programs. As the most up-to-date text on TBH, this book serves as a go-to resource for healthcare professionals, clinicians, students and trainees with minimal to no formal education on TBH, to work towards adopting this modality in a  synthesised and easy to read format.


Author(s): Hossam Mahmoud, Hady Naal, Emile Whaibeh
Publisher: Springer
Year: 2022

Language: English
Pages: 164
City: Cham

Contents
Editors and Contributors
About the Editors
Contributors
Abbreviations
1: Introduction
References
2: Telebehavioral Health: The Basics
TBH Services
The Evolution of Telebehavioral Health in the United States
The Pioneering Experiments
The “Coming-of-Age” Period
The Resurgence of TBH in the 1990s
The 2000s and Beyond
The Evolving Role of TBH
References
3: The Originating Site
Geographic Location
Type of Originating Sites
Physical Setup
Accessibility
Privacy
Atmosphere
Communication
Safety
Teleclinician
Site Staff
Workflows and Protocols
Information and Communication Technologies
Documentation
Prescribing
Testing
Crisis Management
After-Hours Coverage
Training
References
4: The Patient Population
Patient Population
Child and Adolescent Populations
Geriatric Populations
Rural Populations
LGBTQ Communities
Populations with Substance Use Disorders
Patients with Communication Needs
Informed Consent and Patient Information
Referring Patients to In-person BHS
References
5: The Teleclinician
Prior to Sessions
Build an Online Profile
Appropriateness for TBH
Scheduling
Informed Consent and Patient Information
Technological Preparedness
Crisis Planning
Teleclinician Setup
During Sessions
The Basics
Rapport and Therapeutic Alliance
Clinical Considerations
Technological Issues
Crisis Management
Prescribing
Ending the Session
After Sessions
Documentation
Clinical Collaboration
Coding and Billing
Beyond Sessions
Ethical Considerations
Teleclinician Well-Being
References
6: Information and Communication Technologies
Software
Hardware
Connectivity
Contingency Planning
References
7: Cultural and Regulatory Context
Cultural Considerations
Culture and Behavioral Health
Culturally Appropriate Care
Regulatory Considerations
The Ryan Haight Act
Licensure
Reimbursement
Collaborative Agreements
References
8: Monitoring, Evaluation, and Quality Assurance
Originating Site
Wait-Time
Volume of Patients Served
Originating Site Staff Satisfaction
Cost-Efficiency
Patient Population
Nonclinical Outcomes
Clinical Outcomes
Teleclinician
Quality Assurance
Teleclinician Satisfaction
Information and Communication Technologies
Security
Support
Cultural and Regulatory Framework
Cultural Framework
Regulatory Compliance
Teleclinician Considerations
Other Considerations
References
9: Current Trends and Anticipated Directions in TBH
Current Trends
Care Management
Digital Health Solutions
Asynchronous Care
Higher Levels of Care
Tele-MAT
Consultative Models
Value-Based Care
Future Directions
References
Appendix
Index and Resources
Chapter 2: Telebehavioral Health: The Basics
Chapter 3: The Originating site
Chapter 5: The Teleclincian
Chapter 6: Information and Communications Technologies
Chapter 7: Cultural and Regulatory Frameworks
Chapter 8: Monitoring and Evaluation and Quality Assurance
Glossary
Index