Abstract

Telemental Health

Highlights

  • The COVID-19 pandemic has brought about the advent of many new telehealth technologies as providers have been forced to shift their practice from the clinic to the cloud

  • The American Psychiatric Association, along with its partners in the American Telemedicine Association, states that “telemental health in the form of interactive videoconferencing has become a critical tool in the delivery of mental health care

  • The American Psychological Association states that “the expanding role of technology and the continuous development of new technologies that may be useful in the practice of psychology present unique opportunities, considerations, and challenges to practice.”[2] the point of this paper will be to examine whether the rapidly expanding system of telemental health is ethical based on its adherence to accepted standards of care, privacy concerns, and concerns about the boundaries of the patient-provider relationship

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Summary

Standard of Care Concerns

One of the most considerable objections to the broader implementation of telemental health services is the speculation that it is less effective than in-person treatment. The authors reviewed literature pertaining to crisis response teams and patients with severe mental illness Both studies demonstrated that telemental health visits for these patients were similar, if not better, than face-to-face visits. To an extent, their supposition is supported by the data presented by Lopez et al The low level of group cohesion in the video conference group could suggest that other group members seem unimportant to the participants. Dr Thomas Insel, former National Institute of Mental Health Director writes that while technology may hold the key to improving mental health on the population level, there is a human-sized piece of the puzzle missing from these interventions The solution, he asserts, lies somewhere in the integration of these two types of experiences, one that he terms “high-tech and high-touch.”[11] The lack of touch and physical presence is an obstacle for both patients and providers. At best this may lead to a slightly poorer providerpatient relationship and at worst may result in poorer quality care

Privacy & Confidentiality Concerns
Boundary Issues and Professionalism
CONCLUSION

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