Compulsory Treatment for Alcohol or Drug Addiction The Alcoholism and Drug Addiction Act 1966.
Ohio Department of Alcohol and Drug Addiction Services Telehealth Webinar August 25, 2010.
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Transcript of Ohio Department of Alcohol and Drug Addiction Services Telehealth Webinar August 25, 2010.
Ohio Department of Alcohol and Drug Addiction Services
Telehealth WebinarAugust 25, 2010
CSAT TA & Telehealth Blue Ribbon Panel Met monthly from February through
May 2010 Explore the benefits and limitations of
telehealth Define services – explore how telehealth
can be utilized across Ohio How to get paid Establish rules for AoD services Webinar recommendation
Telehealth
Telehealth, e-therapy, online counseling, telemedicine, telemental health, videotherapy, interactive videoconferencing, distance counseling, Internet-supported therapeutic interventions, e-health
TelehealthDefinition ODADAS rule – interactive
videoconferencing - use of secure, real-time audiovisual communications of such quality as to permit accurate and meaningful interaction between at least two persons
This expressly excludes telephone calls, facsimile machines, and text messages without visualization of the other person, i.e., electronic mail.
Telehealth Services considerations
Assessment Individual Counseling Group Counseling Case Mangement
TelehealthPotential Benefits Make it possible for clients to access services at any
time, any day of the week Take services to clients in remote and under-served
regions Reach out to clients who are physically unable to leave
their homes Provide confidentiality for clients in small communities Increase honesty and candor – experience shows clients
may be more forthcoming on the Internet than in person
Reach clients who are unwilling for a variety of reasons to seek face-to-face services
Give clients access to highly specialized practitioners, since geographical proximity is not an issue
TelehealthPotential Benefits Make services available to clients who are highly
mobile, since they can access services from any internet portal anywhere in the world
Reduces the time needed for the client and practitioner to develop rapport
Make help available to the client at the time of greatest need
Give the practitioner access to a larger pool of potential clients
Make it feasible for practitioners to develop more specialized practices
Allow practitioners more flexibility in their work schedules
TelehealthLimitations The potential for miscommunication may be greater online due to lack
of non-verbal and paralinguistic cues Lack of access to client’s non-verbal behavior may make it difficult to
correctly assess and diagnose disorders Online services may turn out to be ineffective – little research exists
on the efficacy of online services Differential effectiveness – online services may be completely
inappropriate for people experiencing psychotic symptoms whereas they may be very particularly appropriate for children with attention deficit disorder
Is difficult to insure the confidentiality of online communications The ability to intervene in emergency situations (e.g., suicidal client)
may be severely limited Clients may misrepresent themselves, undermining the integrity of the
services provided Fewer safeguards for clients increases the burden on them to be
intelligent consumers Online services are available only to clients who have access to the
internet and the skills to use it
Telehealth
Telehealth
Telehealth
Establish rules for AoD services
How does the state regulate Confidentiality Framework –group/individual/assessment Allow for flexibility
Confidentiality
All treatment services provided by interactive videoconferencing shall begin with a verification of the client through a name, password pin number
Confidentiality All data, including audio, video, text and
presentation materials shall be transferred using a minimum of 128 bit-encryption.
All treatment services rendered by interactive videoconferencing using the public internet must use at a minimum the Advanced Encryption Standard (AES) algorithim or be rendered through use of a Virtual Private Network (VPN) to ensure the transmission is secure.
Resources
SAMSHA http://download.ncadi.samhsa.gov/prevline/pdfs/sma09-4450/sma09-4450.pdf
NARBHA http://narbha.org/for-providers/telemedicine/
ODADAS TelehealthNext Steps
State participation in CSAT regional meeting
FAQs Filing of telehealth rule