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Tele-Counseling: What It Is and How It's Done!

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1.  What was the determination to develop telepractice as a service delivery model?
  1. There is an increasing need for services (such as special ed related services) and a lack of available providers.
  2. Telepractice is helpful in overcoming barriers of access caused by distance, unavailability of specialists, impaired mobility, and lack of access to services during school closures.
  3. Telepractice can extend clinical services to remote, rural, and underserved populations and to culturally and linguistically diverse populations.
  4. All of the above
2.  Select the statement below that is true regarding teletherapists and location.
  1. Teletherapists are not bound by location, meaning they have the opportunity to work with clients at a distance.
  2. Current teletherapy technology works best when therapists and clients are located within the same building.
  3. Teletherapists are required to make onsite visits to their telepractice clients at least once per week.
  4. Teletherapists are required to make onsite visits to their telepractice clients at least once per month.
3.  Which of the following statements iis true regarding telepractice and therapist licensure?
  1. Teletherapists are required to work with clients who live in the same state as the therapist.
  2. Teletherapists only need to be licensed in the state where they reside, not in the state where the client is located.
  3. The American Counseling Association is promoting a model for licensure portability that would allow licensure reciprocity across state lines.
  4. All of the above are true
4.  Therapists can complete the following activities via telepractice:
  1. Direct treatment only
  2. Consultations only
  3. Direct treatment, screenings and assessments (state regulations permitting), attending IEP meetings, and consultation with clients and caregivers
  4. Interaction with the client only as communication with the caregiver is not permitted via telepractice
5.  Select the statement below that is true regarding research evidence surrounding the topic of telepractice.
  1. Emerging research is revealing that most clients respond well to a teletherapy model, and that teletherapy can improve access to care.
  2. To this date, no research has been completed in the area of telepractice.
  3. No further research is needed in the area of telepractice.
  4. Emerging research is revealing that telepractice is not helpful in overcoming geographic barriers to receiving care.
6.  What equipment is needed to engage in teletherapy sessions?
  1. Laptop or desktop computer, webcam, headset (headset may be optional if sound quality is adequate through computer speakers)
  2. Specialized computer developed for the purpose of teletherapy
  3. iPad and headset
  4. iPhone only
7.  Which of the following best describes an adequate telepractice office set up?
  1. Use of a quiet library or coffee shop to optimize internet speed
  2. Private space, good lighting, high speed internet, secure online meeting platform, and privacy for sending and receiving documents with client information
  3. Private space, adequate lighting, non-distracting background, and use of free video conferencing software
  4. Use of any mobile device (such as iPad or phone) at any location that has an adequate internet connection
8.  To maintain student privacy in a telepractice model:
  1. Utilize an online meeting platform that includes security and encryption measures.
  2. Be sure to use full names of clients in email/electronic communication.
  3. Use a free online video conference platforms since they are more cost-effective
  4. It is not necessary to password protect docs if sent as an attachment in an email
9.  In a telepractice model, practitioners should follow the same ethical guidelines as they would when working onsite. However, there are some special ethical considerations in telepractice, these include:
  1. Mitigating any misunderstandings that could arise from a lack of nonverbal cues or body language.
  2. Preventing caregivers from any participation in the therapy process as this would contradict ethical mandates.
  3. Allowing outsiders to observe the therapy session to see what is involved.
  4. Engaging in personal relationships with clients on social networking sites is encouraged.
10.  What ethical considerations should be made regarding clients and social media?
  1. Practitioners should refrain from engaging in personal relationships with clients on social media to prevent boundary confusion, inappropriate relationships, or harm to clients.
  2. The option for whether or not to engage in personal relationships with the therapist on social media should be left up to the preference of the individual client.
  3. As telepractice involves online communication, personal social media relationships can extend the opportunities for intervention between the therapist and client.
  4. Engaging in personal relationships with clients on social networking sites is encouraged.

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