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Quiz 1 - Course 3TMH

 

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1)
Telemental Health (TMH) uses electronic communication and information technology to provide behavioral health services when distance separates patients from the clinician -- such as in rural areas, tribal reservations, natural disasters, and pandemics.
 
True False
 
2)
Although TMH may utilize a variety of technologies, the modality which has been the most widely studied in research is
 
telephone discussions between the client and the clinician
Clinical Video Teleconferencing (CVT - also referred to as 'video telemental health')
email and text messaging
 
3)
Which service can be effectively provided through video telemental health?
 
clinical assessment and cognitive testing
individual and group psychotherapy
psychoeducational interventions
general psychiatry [medication management]
all of the above.
 
4)
Secure VIDEO telemental health is recommended by the US Department of Veteran Affairs and the Department of Defense for trauma-focused treatment of PTSD using Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), and Cognitive Behavioral Therapy for Insomnia (CBT-I).
 
True False
 
5)
The major benefit of any form of Telemental Health (TMH) is that it eliminates the risk of encountering other people whom a client may know, entering or exiting a treatment facility, thus ensuring personal privacy and avoiding stigma.
 
True False
 
6)
Research of the effectiveness of Clinical Video Teleconferencing (CVT or video telemental health) has found that CVT is not as effective when the clinician is conducting the session from their own home as it is when he or she is conducting the session from their office.
 
True False
 
7)
Home-Based Telemental Health (TMH) - in which the client is located in their home or another private location during the session using a laptop, tablet or mobile phone - is now acceptable in all insurance plans, using all types of electronic device including phones without video capability.
 
True False
 
8)
OUTCOMES: Which modality for treatment of PTSD is shown to be equally as effective when provided through home-based video telemental health, as when it is provided face-to-face in an office-based setting?
 
Individual Cognitive Processing Therapy (CPT)
Group Cognitive Processing Therapy (CPT)
Prolonged Exposure (PE)
all of the above
 
9)
ALLIANCE, DROPOUT, AND PREFERENCES: A common concern about Telemental Health is whether 'therapy process' factors (such as satisfaction, therapeutic alliance, attendance, and treatment compliance) are as effective when the patient and the provider are not in the same room, vs. an in-person in-office session. What has research found about this concern?
 
When virtual care is used to treat PTSD, most studies report that 'therapy process factors' tend to be as good as when in-person treatment is provided.
In some cases of virtual care to treat PTSD, the 'therapy process factors' may be even better than when in-person treatment is provided.
When virtual care is used to treat problems other than PTSD, CVT produced as much improvement in symptoms as in-person treatment.
all of the above are true
only the first and second choices above are true
 
10)
Recent studies found that when compared to traveling to the clinic for PTSD treatment, delivering PTSD evidence-based practices (EBPs) in the Veteran's home, either through home-based CVT or in-person, had lower dropout rates than when treatment is delivered in the office.
 
True False
 
11)
Two recent projects have found that __________ of veterans prefer to receive individual or couples-based PTSD treatments through home-based CVT.
 
about 3/4
about 1/3
about 1/2
 
12)
PATIENT SAFETY: Home-based CVT is contraindicated for treatment of high-risk clients with suicidality or a high level of substance abuse.
 
True False
 
13)
When treating a client for PTSD with home-based video telemental health, the provider should have a Clinical Emergency Protocol in place including asking for the location of the client at the start of every session, knowing an emergency contact name and number, and ensuring that the client knows the location of the nearest emergency room or clinic.
 
True False
 
14)
CREATING AN APPROPRIATE THERAPEUTIC SETTING: Prior to the first video telemental health session, what was not mentioned as an important thing to do?
 
Advise the client to treat CVT appointments as they would traditional care, such as wearing appropriate clothing, minimizing disruptions (e.g., pets in the room), and having a private location to meet.
Ask the client about any mobility or other physical impairments that may exist, which may not be evident in the camera's field of view, as these may impact practice assignments such as in-vivo exposure.
Ensure that there is a protocol for how each of you will electronically exchange information and materials such as homework and questionnaires and screen shots.
Ensure that both client and provider know the Time Zone in which each will be located during the session.
Ensure that the client has the capacity to use electronic video equipment.
 
15)
For group CPT sessions, a brief, structured check-in at the start of the session assists with containment of the group and orients the therapist to the emotional state of the clients.
 
True False
 
16)
Laws, regulations, licensure requirements, and interstate licensing rules are not applicable to Telemental Health.
 
True False
 
17)
The current literature suggests that Telemental Health, particularly Clinical Video Teleconferencing, ________ effective, feasible, accessible, and/or acceptable for treatment of trauma survivors with PTSD.
 
is
is not
is only partially
 

 

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