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This chapter provides an overview of safety issues encountered during telemental health (TMH) practice as well as the essential components required for safety plans and emergency protocols for TMH services. Safety planning is a necessary component of competent and ethical telepractice and a must for all practitioners across telepractice settings. Safety planning involves identifying steps and procedures for addressing situations that present a risk to the safety of clients/patients and other persons such as family members or clinical staff members during the course of telehealth services. In writing this chapter, we drew from the latest published standards and guidelines from professional organizations and from the existing telehealth literature. When conducted in accordance with evidence-based protocols there is not any evidence that TMH, including home-based TMH, is less safe than traditional in-office services. However, the TMH practitioner’s inquiries and interventions may be notably limited. Clinicians may do well to carefully consider the viability of specific techniques to both prevent and handle safety issues when working with distant populations. In some situations, TMH may offer additional safety because of the connections it affords across systems of care, allowing the consenting patient, behavioral health provider, and local health care professionals to work together around safety concerns. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Published: Jun 27, 2016
Keywords: telemental health; safety issues; safety plans; emergency protocols; evidence-based protocols
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