Quiz 1 - Course 3TMH

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

Although TMH may utilize a variety of technologies, the modality which has been the most widely studied in research is

Which service can be effectively provided through video telemental health?

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

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

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

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

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?

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?

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

Two recent projects have found that __________ of veterans prefer to receive individual or couples-based PTSD treatments through home-based CVT.

PATIENT SAFETY: Home-based CVT is contraindicated for treatment of high-risk clients with suicidality or a high level of substance abuse.

True False

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

CREATING AN APPROPRIATE THERAPEUTIC SETTING: Prior to the first video telemental health session, what was not mentioned as an important thing to do?

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

Laws, regulations, licensure requirements, and interstate licensing rules are not applicable to Telemental Health.

True False

The current literature suggests that Telemental Health, particularly Clinical Video Teleconferencing, ________ effective, feasible, accessible, and/or acceptable for treatment of trauma survivors with PTSD.