Responding to COVID-19 | Telehealth

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What is Telehealth?

The Center for Connected Health Policy defines telehealth as “Telehealth is a collection of means or methods for enhancing health care, public health and health education delivery and support using telecommunications technologies.”  Given the current public health emergency, telehealth has become an essential way to provide mental health services. 

 

Definitions and Evidence-Base

Agency for Healthcare Research and Quality - The Evidence Base for Telehealth: Reassurance in the Face of Rapid Expansion During the COVID-19 Pandemic

Center for Connected Health Policy National Telehealth Policy Resource Center

Telehealth Resource Centers: A Framework for Defining Telehealth 

 

Here we highlight MHTTC training and technical assistance products and resources related to telehealth, as well as a compilation of telehealth resources from other reputable organizations. 


MHTTC Upcoming Events:

 

 

mid america telehealth

 

Counseling Adolescents through Telehealth

Mid- America MHTTC

November 12, 1pm ET | Register 

 

 

 

 


MHTTC Products and Resources:

 

Administrators Consultation Office Hours: Best Practices for Telehealth | Southeast MHTTC

Expert consultants devoted the first segment of this hour-long session to discussing best practices in telehealth and then addressed questions submitted by registrants.


Best Practice Spotlight: The Brookline Center’s Approach to Transitioning to Telehealth during the PandemicNew England MHTTC

Within one week of Massachusetts Governor Charlie Baker’s stay-at-home order, The Brookline Center (Brookline, MA) had finalized their telehealth policies and procedures, trained all their staff, and launched their telehealth services with all 80 staff clinicians. Now, six weeks later, they conduct 1,000 remote client visits weekly and have begun to conduct online group sessions as well.


CBT Telehealth Adaptations for Providers of Mental Health Care for Latino Populations National Hispanic and Latino MHTTC 

Due to the need for many mental health providers to transition to online service delivery as a result of COVID-19, this webinar provided general guidance on the use of telehealth services and recommendations for adapting common Cognitive Behavioral Therapy tools (e.g., repeating assessment, homework tracking, etc.). Special linguistic and cultural considerations for providers of Latino clients were presented as well.


Clinical Innovations in Telehealth | Global MHTTC

Clinical Innovations in Telehealth Learning Series is a weekly online series targeting high-priority clinical issues for providers using telehealth. Experts in clinical care and telehealth devoted the first segment of each hour-long session to a specific topic, then addressed questions submitted by registrants.


Cultural and Linguistic Responsiveness in Telehealth | South Southwest MHTTC

This brief identifies issues to consider when conducting mental health services and supports through telehealth with culturally diverse communities and provides strategies to ensure that the national Culturally and Linguistically Appropriate Services (CLAS) standards continue to drive efforts towards culturally competent care. Now available in Spanish!


Engaging with Clients Over the Telephone and Using Text | Northeast and Caribbean MHTTC 

This resource provides information on tips and methods on how to engage clients during the pandemic and as well with those who live in remote, rural, and otherwise difficult to access areas. Please note that it is best to talk with your agency's administration to determine any potential issues or concerns with providing remote services, including, but not limited to, HIPAA compliance, reimbursement, and authorizations.


EPLC | Online Discussion Series 2 - Telehealth 101 & A Provider’s Perspective on TeleMental Health New England MHTTC 

Recently, the New England MHTTC held an online discussion session led by Reid Plimpton, MPH, and Terry Rabinowitz, MD, DDSIn this session, they discussed telehealth from a provider's perspective.


EPLC: Supporting Young People at Risk for Psychosis through Telehealth New England MHTTC 

This CEDAR Clinic clinical brief describes telehealth and discusses its benefits in the treatment of young people at risk for psychosis. It also discusses the benefits of using telehealth vs. traditional therapy.  


In's and Out's of Facilitating Virtual Support Groups | Great Lakes MHTTC

In this time of changing methods to deliver services, everyone is looking to make sure they have the skills and knowledge to provide clients with the best possible experience. This webinar provided an overview on how to facilitate a virtual support group with practical advice and experiences from two current facilitators.


Indian Health Care Providers Series | Northwest MHTTC

  • Part 1 - Addressing Barriers and Highlighting Innovations in Telebehavioral Health: This event is an open engagement/discussion among participants focused on addressing barriers and highlighting innovations in telebehavioral health. Recording coming soon!
  • Part 2 - Introduction to Telebehavioral Health: This event features Dr. Chris Fore, Director, IHS TeleBehavioral Health Center of Excellence at Indian Health Service, presents “Introduction to Telebehavioral Health for IHCPs”, covering topics such as defining telehealth, workflow considerations, configuring the space and privacy issues, billing and reimbursement and special considerations and more. Recording coming soon!

Let's Look For The Silver Lining: Using Evidence Based Practices For Remote Telehealth | Great Lakes MHTTC

Looking for the silver lining: Resolving our ambivalence about using MI in telehealth? This webinar discussed the differences between using MI face-to-face or via telehealth, discussed solutions to common barriers, and prepares you to use/improve your use of MI in the resolution of ambivalence via telehealth.


Making a Good Connection: Engaging Students and Families in School Tele-Mental Health | Global MHTTC

Making a Good Connection: Engaging Students and Families in School Tele-Mental Health is a three-part webinar series geared toward providers who are making the transition from in-person to telehealth services. Session content focused on practical strategies and equity concerns related to engaging children, adolescents and families using distance technology. All materials include the webinar recording, slide deck, and an FAQ document.


Mental Health Challenges, Racial Inequality, Burnout, & Telepsychiatry during COVID-19: An Overview  | Southeast MHTTC

This infographic highlights the current stressors that may impact mental health patients and providers during this time as well as provides additional resources for addressing these challenges.


Native Youth Telehealth Initiative | National American Indian and Alaska Native MHTTC

This is a recording of the Native Youth Telehealth Initiative Webinar, which took place on May 14, 2020. The recording begins at slide 12 of the presentation. Dr. George Baston, MHRD, Ed.D CTE, and Natasha Peterson, BS, covered how to implement telehealth using the “Let’s Talk Interactive” platform and opportunities to collaborate with the National American Indian and Alaska Native MHTTC.


Providing Mental Health Telehealth Services in Farming and Rural Communities | Great Lakes MHTTC and Mountain Plains MHTTC

This webinar addressed how the COVID-19 pandemic affects access to care, specifically mental health services. Presenters discussed how access to care is critical for farming and rural and frontier communities and highlighted the unique barriers these communities face.


Providing Telehealth Services and Instruction to Students and Clients with a Focus on those with Developmental Disabilities and on the Autism Spectrum Northeast and Caribbean MHTTC 

The focus of this webinar was to provide the support and information that teachers, supervisors, BCBAS, therapists and other professionals supporting youth during COVID 19 have been seeking. Topics discussed in this webinar include challenges for students and clients, strategies for outreaching and educating students through virtual classrooms, and how to support individuals with developmental disabilities and autism during the pandemic.


Region IV Telemental Health Landscape in Response to COVID-19 | Southeast MHTTC

This document presents a general landscape of state mental health licensing board responses to the COVID-19 public health emergency related to telemental health services and payment. It is important to note that many of these provisions are time-sensitive, and so may not remain in effect beyond the listed dates (or the date when states declare the end of the COVID-19 public health emergency).


Rising Telehealth Behavioral Health Practices-Centering the Needs of Historically Marginalized Youth in California | Pacific Southwest MHTTC 

COVID-19 has forced us into conditions that challenge best practices for serving the mental health needs of youth we marginalize. Through these two sessions, we supported California school mental health advocates, educators, administrators, and other school systems leaders in managing stress and trauma in their communities.


Suicide Prevention in Rural Primary Care: Intervention, Follow-up, and Telehealth Tips | Mountain Plains MHTTC

This 90 minute training is part two in a two-part series on suicide prevention in rural primary care offices. This session covers intervention including medication, safety planning, documentation, and follow-up for patients expressing suicidal ideation as well as tips for helping patients via telehealth. 

Recording coming soon!


Supporting WA State Behavioral Health Providers to Optimize Telehealth in Response to COVID-19 | Northwest MHTTC

The Northwest MHTTC and the Behavioral Health Training, Workforce and Policy Innovation Center of the BHI partnered to present an 8-session telehealth learning series for behavioral health providers across the continuum of behavioral health care in Washington State in response to COVID-19. The webinar series met twice weekly for four weeks and addressed a variety of topics related to telehealth, including operational and administrative issues (such as billing), equipment and technology requirements, and strategies to provide effective clinical care.


Telehealth Adapted Motivational Interviewing (MI) for Latino Populations National Hispanic and Latino MHTTC 

The current worldwide public health emergency has promoted many mental health providers to adapt to an online method of service delivery. This webinar provided general guidance on the integration of Latinx cultural values, motivational interviewing principles via telehealth, and on how to provide strategies for adapting motivational interviewing through a culturally affirming lens.


Telehealth Clinical and Technical Considerations for Mental Health ProvidersPacific Southwest MHTTC

The Pacific Southwest MHTTC’s new handbook is written for licensed behavioral health providers who are working to transition to telehealthcare. In this time of rapid change, clinicians need quick, accessible information on telehealth basics and best practices. Developed in consultation with mental health providers in our region, this guide includes tips and checklists, research-informed considerations, and more resources.


Telehealth in a Public Health Emergency: A Quick Start Guide | Great Lakes MHTTC

Presenter Jonathan Neufeld, director of the Great Plains Telehealth Resource and Assistance Center, provided an overview of telehealth issues for behavioral health providers as they rapidly transition to virtual delivery of services and supports. Topics covered include definitions, modalities, and basics of delivering psychotherapy and other specialty mental health services.


Telehealth Learning and Consultation (TLC) Tuesdays | Mountain Plains MHTTC, Mid-America MHTTC, and Mid-America ATTC

Hosted by the Mountain Plains MHTTC and the Mid- America MHTTC and ATTC, this weekly online series is for providers who are unfamiliar with telehealth. Our Technology Transfer Center (TTC) Network specialists devoted the first 20 minutes of each hour-long session to a specific topic, then addressed questions submitted by TLC Tuesday registrants. Recordings and FAQs of the 20-minute presentations are posted below.


Telehealth Pearls, Pitfalls, and Strategies to Improve Patient ExperiencePacific Southwest MHTTC

This session discusses some of the benefits of a telehealth practice, as well as reviewing the risks. Dr. James Armontrout places particular emphasis on discussions of potential pitfalls, both legal and clinical, that may be encountered in the telehealth setting.


Telemedicine in the wake of COVID-19: Updates on the landscape of telemedicine in Minnesota and nationally | Great Lakes MHTTC

This webinar discusses how telemedicine is positively impacting behavioral health care's ability to provide services during the COVID-19 pandemic. The webinar also provides updates on new and moving federal and state telemedicine policies.

Recording coming soon!


Telemental Health & Engagement | Mid-America MHTTC

This webinar, presented by Mid-America MHTTC faculty trainer Holly Roberts, Ph.D., introduces best practices in telemental health while exploring the importance of telephonics.

Recording coming soon!


Tele-Mental Health During Turbulent Times: Practical Tools to Enhance Your Practice | Southeast MHTTC

Dr. Glenda Wrenn provides an overview of the unique challenges created by the pandemic that impact mental health and present ways to mitigate provider fatigue and burnout while providing both telepsychiatry and in person care. She also discusses how the intersection of mental health and current racial tensions may impact your practice, with helpful tools to navigate the discomfort and uncertainty of these unprecedented times.

Recording coming soon!


Telepsychiatry During COVID-19 | Southeast MHTTC

This fact sheet is a summary of the information shared in the SMI Advisor Webinar titled Telepsychiatry in the Era of COVID-19. The fact sheet covers the telepsych regulation changes that are currently in place during the COVID-19 pandemic, and covers equipment, platforms, and license information that may be helpful to mental health clinicians during this time. 


TeleSupervision: Clinical Supervision for Pandemic Times | Pacific Southwest MHTTC

This presentation provided a brief overview of practices and strategies for telesupervision: clinical supervision provided via video or phone. Presenters addressed best practices for communicating through tele-modalities to ensure that supervisors can recreate nuanced communication practices akin to in-person approaches. This session explored ethical and legal considerations across a range of topics, from informed consent to managing crises that arise in supervisees’ clinical encounters.


Teletherapy Tip Sheets Central East MHTTC

Teletherapy connects clients to vital health care services through virtual formats, phone, or via other online or electronic means.

  • Burnout and Virtual Fatigue in Teletherapy - Videoconference-based psychotherapy can contribute to burnout due to the number of sessions held in a day, the extended time spent looking at a screen, the trials that come with working with clients in an online setting, and other challenges. This tip sheet offers strategies for ensuring behavioral health provider self-care and well-being.
  • Group Teletherapy - This tip sheet explores technical requirements, environmental standards, and logistical issues to consider when preparing for virtual group therapy sessions.
  • Teletherapy for Individual Services - This tip sheet focuses primarily on best practices, skills, and strategies for providing video and phone-based services.

The Effectiveness and Utility of Telebehavioral (Telehealth) Services: The Future is Here | National American Indian and Alaska Native MHTTC

This webinar includes a brief review of telebehavioral health research and its efficacy, strategies that promote skill development, and resources related to guidelines, privacy/security, and confidentiality rules/regulations. Finally, the virtualization of behavioral health services post PHE are highlighted.

Recording coming soon!


The Role of Technology in Peer Support ServicesCentral East MHTTC

The purpose of this four-webinar series is to disseminate information and discuss applications of person-centered tools available to help engage and activate individuals with serious mental illness and/or substance use disorders in person-centered treatment and services.


Tools for Behavioral Health Professionals During a Public Health Crisis | Northeast and Caribbean MHTTC

A public health crisis can cause distress for all involved, including providers of behavioral health services. Attending to your personal well-being during this time is just as important as supporting the individuals you serve. Providers are encouraged to be aware of the toll that working with others in distress can have on their own mental well-being.


Using Technology to Improve Access and Quality of Child Mental Health Care | Southeast MHTTC

Drs. Kenneth Ruggiero and Margaret Anton described strategies to address COVID-related and other barriers to care and demonstrated an iPad-based toolkit that houses a collection of games and activities clinicians can use to improve quality of care in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).


Virtual Learning Guide | Pacific Southwest MHTTC 

Pacific Southwest MHTTC provides a workbook resource that focuses on ways for facilitators to design and deliver effective and engaging digital learning during COVID-19. It includes tips, examples, and reflective questions for those who are leading online professional development and other group learning events. This guide provides technical and interactive strategies and approaches to virtual learning to support the mental and school mental health workforce. Two study sessions are also provided that specifically discuss technology and facilitation practice. Each session covered different sections of the guide.


What Peer Support Specialists Need to Know about Telehealth in the Current Crisis - Part 1 and Part 2Central East MHTTC

As peer support specialists seek to quickly and effectively offer digital peer support across the United States, it is important that they — and their organizations — know the practical aspects of using digital peer support to deliver support services. Hosted by the Central East MHTTC, this presentation covered topics including the latest scientific developments on digital peer support and presents guidelines and emerging best practices to support service users through remote and telehealth technologies.


Other Telehealth Resources:

 

Fact Sheets/FAQs

Center for Connected Health Policy, National Telehealth Policy Resource Center

National Organization of State Offices of Rural Health

SAMHSA 

U.S. Department of Health and Human Services Office for Civil Rights

 

Telehealth for Mental Health

American Psychiatric Association and The American Telemedicine Association
Best Practices in Video-Conferencing-Based Telemental Health

California School-Based Health Alliance
School Telehealth Webinar Series | May 14, 19, 21, 27

Center of Excellence for Protected Health Information (CoE-PHI)
Telehealth and Privacy: Federal Guidance for SUD and Mental Health Treatment Providers

Center for Practice Innovations at Columbia Psychiatric, New York State Psychiatric Institute
Telehealth Tips: Managing Suicidal Clients During the COVID-19 Pandemic

National Action Alliance for Suicide Prevention
Strengthening Faith Community Connectedness During the COVID-19 Pandemic

National Telebehavioral Health Institute 
Bibliography Telemental Health 

Northeast Telehealth Resource Center
Telehealth Resource Webliography for COVID-19 Pandemic

Office of the Assistant Secretary for Planning and Evaluation
Using Telehealth to Identify and Manage Health And Substance Use Disorder Conditions in Rural Areas

Project ECHO
Best Practices in Adoption of Telehealth: COVID 19 and Beyond Mini Series

SAMHSA
Rural Behavioral Health: Telehealth Challenges and Opportunities

SMI Adviser

Suicide Prevention Resource Center
Treating Suicidal Patients During COVID-19: Best Practices and Telehealth

TA Network
Early Childhood Learning Community Webinar – Supporting Mental Health Needs of Very Young Children Via Telehealth - August 20, 12-1pm PT / 3-4pm ET

Zero Suicide Institute
Telehealth and Suicide Care During the COVID-19 Pandemic

 

Toolkits

Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS)
Peers Supporting Recovery From Mental Health Conditions

Center for Medicare and Medicaid Services, Medicare Learning Network
Telehealth Services 

Great Plains Telehealth Resource and Assistance Center
Telehealth Start-Up and Resource Guide Version 1.1

National Consortium of Telehealth Resource Centers
COVID-19 Telehealth Toolkit

National Council for Behavioral Health
Resources and Tools for Addressing Coronavirus (COVID-19)

Rural Health Information Hub
Rural Prevention and Treatment of Substance Use Disorders Toolkit

SAMHSA
Treatment Improvement Protocol (TIP) 60: Using Technology-Based Therapeutic Tools in Behavioral Health

USC Adolescent Trauma Training Center
Trauma Teletherapy for Youth in the Era of the COVID-19 Pandemic: Adapting Evidence-Based Treatment Approaches

 

COVID-19: Policy Announcements

American Society of Addiction Medicine
COVID-19 Supporting Access to Telehealth

Centers for Medicare and Medicaid Services
Medicare Telemedicine Healthcare Provider Fact Sheet

***Institute for Innovation and Implementation, University of Maryland School of Social Work
COVID-19 Telehealth Medicaid Expansions: A State-by-State Guide (roll-over map; updated daily)

Office for Civil Rights, Department of Health and Human Services
Notification of Enforcement Discretion on Telehealth Remote Communications

U.S. Department of Health and Human Services 
Telemedicine and Prescribing Buprenorphine for the Treatment of Opioid Use Disorder

U.S. Department of Justice Drug Enforcement Administration
Use of Telemedicine While Providing Medication-Assisted Treatment 

SAMHSA
COVID-19 Public Health Emergency Response and 42 CFR Part 2 Guidance

 

National Resources for Telehealth Information

American Telemedicine Association

Center for Connected Health Policy National Telehealth Policy Resource Center 

Center for Medicare & and Medicaid Services Medicare Telemedicine Health Care Provider Fact Sheet

Center for Technology and Behavioral Health

Health Information Technology, Evaluation, and Quality Center 

Health Information Technology Training and Technical Assistance Center

National Consortium of Telehealth Resource Centers

Office of the National Coordinator for Health Information Technology

Rural Health Research Gateway

Telehealth Center of Excellence MUSC

Telehealth Center of Excellence UMMC

Telehealth Resource Centers


SAMHSA’s Disaster Distress Helpline is standing by 24/7 to support you during the pandemic & beyond. Toll-free, multilingual, & confidential support services are available to all residents in the U.S. & its territories. Call 1-800-985-5990 or text TalkWithUs to 66746 to connect with a trained counselor.

 

Thank you to the Great Lakes MHTTC for helping curate the content on this page.