If there ever was a time to get up to speed on the necessities and opportunities of online counseling, this is it. Some reevaluation decisions can be made based on data available prior to the school’s closure. Remember that confidentiality agreements can be different depending on the circumstances, but what is essential is that everyone knows what has been agreed to and is willing to follow the agreement. Ask for their ideas on how to best support students and families. Assessments must be administered in the manner in which they were developed and validated. The use of telehealth services is expected to grow from 250,000 persons in 2013 to 3.2 million persons in 2018 (National Conference of State Legislators Partnership Project on Telehealth, 2015). A multi-stakeholder letter from several medical, patient advocacy, and industry groups supported the call for such a report.1Initial searches in response to this request confirmed that there is a large volume of literature consisting of bo… x���Mk�@����=Jovf�!�8 )�����҃qe��X�r����mp��xe� ��J�3���3f�������n���%�^��4\��d��Z�lY�ɯ3�H��Q���Pl4M�a�!�v�rEW�i���eeM�de��m�ݦ�����[���� ���fl ���} �t*f�� :ϥ���N�e���Q` &%����5�*���u�w��2�{���4$�3��,����X��wVM�SFq���z���Ri�q������^q� �;���ͫr6�ɴ�%�rlT̋�"0�竧>�d���@����m6)��h��\�x��,H��`��1 �[�+��fu���˔�\�hyݗ�u\�Go���&��K��1>zߓ��:df�J�-�y|�prU��׊��׏/~���"��\A��ɮ���JT�!��l=�o����=��e���2>Ԃ����|�����e}(��{_Pi��ܘh}��}j�K�"�A�#t����ȥ�t�,l�—d�:�2Wt��z��8(�v��=P�$�t:xpkȆ�(\�6ܒGE室�3�? Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. The beneficiary must go to the originating site for the . The Telehealth Guidelines are available for sites that are part of a telehealth consultation (at both ends), to provide a 8. Consider also how to communicate this information to families with limited internet access (e.g., newsletters by mail, delivering packets to students’ homes). Obtain specific parental consent (and, when applicable, student assent) to provide telehealth services. Finally, it is important to use a preventive lens; we are trying to mitigate long-term effects from the crisis and be well-positioned to serve when schools reopen. Access your network of community supports, while remaining aware that the availability of these supports may also be impacted by the virus. Be kind to yourself and others as we progress through this crisis. Be sensitive to the multiple demands on students and parents/caregivers during school closures, and keep expectations reasonable for availability and communication. These relationships will likely matter more in supporting students’ eventual return to school than their academic work. Go. The guide is designed to support general practices in making use of Medicare Benefits Schedule (MBS)-supported telehealth video consultations, and provide safe facilitation and coordination of these consultations. Let them know you care and that they aren’t expected to know how to do this perfectly or even well. If the evaluation or reevaluation cannot be completed safely, ethically, and/or legally, school personnel should communicate with parents about this and request extensions to timelines until a date when the comprehensive evaluation can be completed with integrity. Confidentiality agreements should be renegotiated as needed. and payment for the provision of telehealth services by Medicare and private industry, the development of national guidelines for the practice of telepsychology is timely and needed. The federal government and state governments have provided guidance on the implementation of the Individuals Disability Act and where flexibility is appropriate, and this guidance is addressed in the COVID-19 “ Ask the Experts” webinar called. The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. Guidelines and Standards for Telemedicine Dr.B.S.Bedi* R.L.NMurthy"". ]. TELEHEALTH: The Department of Public Health has issued guidance that requires all commercial insurers, self-insured plans, and the Group Insurance Commission to cover medically necessary telehealth services, whether related to COVID-19 or not. The 2003 National Initiative for Telehealth (NIFTE) Guidelines and Clinical Standards and Outcomes were used a measure for alignment. Because students, families, and our colleagues need support during this time, and because we cannot be physically present with them to provide such supports, we are obligated to figure out how to best provide support within the limitations imposed by the COVID-19 crisis. The participant will be linked to an extensive, categorized, annotated list of resources that is maintained by the author. As many situations will not have perfect solutions, utilize collaborative problem-solving, ongoing evaluation (and documentation) of the chosen solution, and adjustment of solutions as needed. These ideas are discussed in the “Ask the Experts” webinars that address strategies for engaging and supporting, Depending on the history of your previous interactions, your teachers and administrators may not know what kind of valuable services you can offer at this time. This travel warning arises from a board regulation related to the delivery of health care services through telehealth. Discuss with students and parents and work with the IEP team to adjust IEPs as needed. Some students who do not currently receive services may need brief school psychological services during school closures. How Field Supervisors Can Encourage Advocacy Efforts Among Interns, Suicide Prevention within COVID 19 Pandemic, COVID-19 School Psychologist Practice Impact Survey, National and State School Psychology Association Membership Amidst a Global Pandemic, Secretary DeVos issues Waiver Requests to Congress, Senate Passes COVID-19 Education Stimulus Fund, Developing Relationships: Friend, Foe, or It’s Complicated, Vision 2020 - Advocacy in Action at Convention, Applications Open for FY 2019 STOP School Violence Grants, NASP Priorities Funded in FY 2020 Spending Bills, Nevada Finds its Advocacy Focus for SPAW 2019, What is Your Focus? These guidelines are designed to address the developing area of psychological service provision commonly known as telepsychology. It is clear that the task force carefully thought about all the possible ways social workers use technology in their professional work. An equity lens must also be used so that the most vulnerable youth are not further disadvantaged by decisions that neglect their needs. NASP also welcomes school psychologists and districts who engage in telehealth practices to provide NASP 2021 Virtual Convention. 299 0 obj <>/Filter/FlateDecode/ID[<0D14F7DFC1462047BC6BCE3A9D5F6B66>]/Index[292 18]/Info 291 0 R/Length 61/Prev 348694/Root 293 0 R/Size 310/Type/XRef/W[1 3 1]>>stream Emphasize the need to maintain positive relationships with students. 916.442.4565 • Fax. It … Work with school administrators to establish methods for students or families to contact you when such needs arise. This informed consent includes discussing with parents any modifications or adaptations to services being provided, as well as limitations, risks, and benefits that result from remote delivery. 309 0 obj <>stream Offer suggestions and educate them about the breadth of your skills and how they might be helpful at this time. The motivation for this technical brief emanates from U.S. Introduction of health care and medical education through Telemedicine is here to stay and grow. Why Should School Psychologists Care About Medicaid? Ask how you can be supportive. Guidelines on the appropriate role of occupational therapy during a pandemic; NASP COVID-19 Resource Center. The integrity and therapeutic value of the relationship between client and health care practitioner should be maintained and not diminished by the use of Telehealth technology. As school psychologists are called on to provide services remotely, questions continue to arise regarding legal, ethical, and pragmatic limits on what activities school psychologists can and should perform. Be sure to consider the needs of low income, economically marginalized families, English learners, and the needs of students with disabilities. h�bbd```b``:"��� ɜ&+�$S����������q3H���?�� �7� Regulations, policies, and standards are in flux until a "gold standard" becomes consensus; but that has not stopped technology from entering into mainstream practice. Additionally, many high school students may be in the role of caregiver for younger siblings if their parents are away from the home working and classroom demands might need to be adjusted for them. Student Mental Health During COVID: Telehealth, Licensure, and Responding to Students in Need Virtual Live Briefings Health, Safety, and Well-being Student Success AVP or "Number Two" Mid-Level Senior Level VP for Student Affairs School-Based Mental Health Advocacy Day in Missouri! We recognize that standard assessment practices may not be possible, and we want to provide guidance on how you can use PAR products via telehealth technology while still retaining the integrity and security of the measures. Telehealth encompasses a broad definition of technology-enabled health care services. Exhibitors Opportunities; Live Sessions; When making decisions about practice, follow a detailed, ethical decision-making process as reviewed in. The guidelines have been developed through a collaborative, consultative process amongst the BC Health Authorities. Generally, a state-issued credential to provide school psychological services does not limit the ability to provide telehealth services. Telehealth services substitute for an in-person encounter. Selecting a Technology Platform. Such practices could also yield unreliable or invalid results. 9. NASP Influence on Efforts to Reduce Violence and Improve School Safety, NASP Hosts Congressional Briefing on School Safety, 2018 GW/NASP Public Policy Institute: Early Bird Registration Ends 5/28, Federal Legislation to Address the Critical Shortage of School Psychologists, Statement of NASP President John Kelly Federal School Safety Commission Public Listening Session, NASP Leader Addresses the Effect of Media Coverage on School Violence at Federal Safety Commission Meeting, Advocacy, Leadership and Legislation...”Are we there yet?”, Advocating for School Mental Health Services within State Policy, Congress Poised to Provide Increased investments in Education, Mental Health, and School Safety, Government & Professional Relations Awards, Paul H. Henkin Memorial Scholarship Award, Resources to Assist States/Territories Recovering from Natural Disasters, Large-Scale Natural Disasters: Helping Children Cope, Helping Children After a Wildfire: Tips for Parents and Teachers, Relocating to a New School: Tips for Families, New Schools for Students With Disabilities: Tips for Relocated Families, Natural Disasters and Relocated Students With Special Needs, Legal and Ethical Decisions for Remote School Psychological Services.”, “Wading through a Sea of Ambiguity: Charting a Course for Special Education Services in the Pandemic.”, Strategies for Engaging and Supporting Parents During the Pandemic”. Resources for Clinical Telehealth Guidelines, Standards, Policies . Telehealth is an emerging area of practice for many health care professionals. Ask them how those strategies might work now. Celebrating School Psychology Awareness Week, US Department of Education Hosts First Ever School Psychology Roundtable, U.S. Department of Education School Ambassador Fellowship, "Nothing is More Powerful than an Idea Whose Time has Come", Joint Statement from Members of the Disability Community and Allies on Gun Violence Prevention Policy and Mental Health Disabilities, School Safety and Gun Violence Prevention Messaging Should Not Escalate Anxiety, Namaste: Incorporating Advocacy into your "Practice" - Back to School 2019, Building Capacity for Safe and Successful Schools: 2019 Public Policy Institute Recap, 2019 NASP/GW Public Policy Institute Featured Speakers, House spending proposal addresses several NASP priorities, Affecting Change Through Social Media: Tips to Stay Engaged and Informed After Convention is Over. h�b```��� Ā B�@���q��a5����=|AL�m�����4(v;wß�?/^�������Vu%^p0h4�u0D��f��� р� f`��Ҭ@�`;E��c^���(��@��@��մH330���d`~ ��X��\� ��1 Note that telehealth service delivery includes technology-based services (e.g., using Zoom or other video platforms, email) as well as more traditional methods (e.g., phone calls, notes or resources sent via standard mail). School psychologists may have great resources to share, yet emails sent to families may get lost amidst the many communications coming from the school. Students may need to grieve a wide variety of losses, and it is important to allow for processing not just of obvious losses, such as deaths, but more subtle ones (e.g., loss of transition experiences like graduation or prom). Obtain the appropriate licensure/certification—and, if needed, liability insurance—to cover telehealth services. The Telehealth Guidelines are a generic high level resource, and include a toolkit of templates and checklists which can be customised to meet local need. Public Health Institute Center for Connected Help administrators and other colleagues recognize that there will be a lot of time when neither students nor teachers will be available for instruction. Provide encouragement and assist families in problem solving. Senators Bill Nelson and John Thune, who asked for a literature review on the value of telehealth and remote patient monitoring, particularly for the chronically ill, with a focus on expanding access to care and reducing costs. Although rating scales, interviews, and possibly home-based observations could be conducted remotely, it is important to remember that students’ behavior during the time of school closure may not be typical for that student, which may reduce the utility of those assessments, particularly when planning interventions that may eventually be delivered when school resumes. . Although most school psychologists will benefit from continuing professional development in best practice for telehealth service delivery, it is permissible under NASP’s ethical standards to provide services remotely that an individual has the skills to deliver face-to-face, so long as the particular practices are appropriate (or appropriately adapted) for this delivery modality. The ATA developed guidelines for live, on demand, Primary and Urgent Care. The RACGP’s Telehealth video consultations guide has effectively consolidated current resources into a single point of reference. Research about telehealth is still relatively new, but it's growing. The new CMS guidelines recommend a gradual transition and encourage health care providers to coordinate with local and state public health officials, and to review the availability of personal protective equipment (PPE) and other supplies, workforce availability, facility readiness, and testing capacity when making the decision to re-start or increase in-person care. Assessments should be administered remotely only on platforms designed for that purpose. Advocate for sensible workloads for teachers (and yourselves). Telepractice is the application of telecommunications technology to the delivery of speech language pathology and audiology professional services at a distance by linking clinician to client or clinician to clinician for assessment, intervention, and/or consultation.. Even when appropriate supports are available, school psychologists should still identify and report any validity issues given the student’s level of anxiety, disruptions during the testing session, etc. Telehealth may provide opportunities to make health care more efficient, better coordinated and closer to home. Teachers and administrators are figuring things out as they go, just as school psychologists are. Some schools are providing hardware (e.g., Chromebooks), mobile hotspots, or alternatives to electronic communications (e.g., delivering materials to students at home). Telehealth includes telemedicine (diagnosis and treatment It may be more important to discuss current coping strategies, celebrate small successes, and plan for return to school, rather than focus on past difficulties. It is recommended that organizations and individuals providing Telehealth services Telehealth in the schools has been rapidly expanding in a range of professions, including school psychology. While some parents are at home with their children, many may also be trying to balance home and remote work responsibilities. Services requiring face-to-face interaction should not be conducted during the time of school closures while the risk of contagion is high, as this practice places the health of the student, family, and practitioner at risk. Selecting a technical platform for the telehealth effort requires careful consideration. ... NASP accepts 30 CPD credits of sequenced self-study per each three year renewal. Any such adaptions should be documented in the evaluation report. The NASP COVID-19 “Ask the Experts” series offers suggestions for school psychologists for how they can better support their, Ask families what they need and be respectful of their responses. Consider whether the counseling goals that were in place prior to school closure remain relevant in the current situation. PAR is here to help you navigate this challenging time. It is unlikely that confidentiality can be assured for individuals or groups, and students need to be aware of that. endstream endobj startxref The NASP COVID-19 “Ask the Experts” webinar entitled “. What is the Cost of Providing Students with Adequate Psychological Support, Brunch with a Legislator: Creative Engagement with Policymakers, School Psychologists are Critical to School Safety and Preventing Violence, Advocacy in Action at the 2018 Convention, Public Service Loan Forgivness and School Psychologists, School Psychologists: Advancing Policy and Practice to Support ALL Students, Using Social Media to Advance Advocacy Efforts, School Psychology Graduate Students in Missouri are Outstanding Advocates, The Importance of State and Local Advocacy, The Every Student Succeeds Act and School Psychologists, NASP Calls for End of Ban on Gun Research, House Passes The Every Student Succeeds Act, NASP Urges Congress to Pass the Every Student Succeeds Act, Successful 2015 GW/NASP Public Policy Institute, Senate Passes ESEA Reauthorization Legislation, The President's Fiscal Year 2015 Budget Request, The Patient Protection & Affordable Care Act (ACA), Advocacy in Schools: A Graduate Student Example, School Psychologists as Change Agents: Advocating for Our Own Profession, Specialized Instructional Support Personnel Week 2016, 2016 PPI Participants, Prepare to be Inspired, Successful #NASPadvocates Twitter Campaign at the 2016 GW/NASP Public Policy Institute, Advocacy in Action around ESSA Implementation in Kentucky, Urge Congress to Preserve Funding for Title IV Part A of ESSA to Ensure Comprehensive School Mental Health Services, Advocacy: Relationships that Create Change, State Planning at ESSA Town Hall Meeting in Missouri, 2016 Presidential Candidates’ Statements Regarding NASP Policy Priorities, What the Trump Administration Could Mean for Public Education, Secretary DeVos Releases New ESSA Guidance, Tips for Open and Respectful Dialogues in the Classroom, Dynamic Speakers to Present at the 2017 Public Policy Institute, Graduate Students Serving as a Bridge in the Research-to-Practice Gap, The Potential Impact of Tax Reform on School Psychology Graduate Students, Leadership and Advocacy Tools and Resources. Resources for special education, crisis & mental health, families & educators, and professional & credential preparation; NASP: Countering Coronavirus Stigma and Racism: Tips for Teachers and Other Educators. What follows are some recommendations for navigating the COVID-19 crisis. Find out what they think they are doing well and celebrate those steps. Consider whether telehealth services are safe, effective, and appropriate. Telepsychology is defined, for the purpose of these guidelines, as the provision of psychological services using telecommunication technologies as expounded in the “Definition of Telepsychology.”. Medical Council of New Zealand – Statement on Telehealth(Updated March 2020) 14 Specific Tips plus resources Telehealth is the use of digital technologies to deliver medical care, health education, and public health services by connecting multiple users in separate locations. Advocate for equitable access to whatever instruction is being provided. Ask students to generate strategies that have worked for them in the past when they faced challenges. For the purposes these recommendations, telehealth is defined as any school psychological service that is being provided remotely—that is, without being in the same physical space as the individuals who are receiving services. School Psychology Awareness Week Comes to New Jersey! For COVID-19 treatment, insurers must do this without requiring cost-sharing of any kind, such as co-pays and coinsurance. About School Psychology. Generally, a state-issued credential to provide school psychological services does not limit the ability to provide telehealth services. For the purposes these recommendations, telehealthis defined as any school psychological service that is being provided remotely—that is, without being in the same physical space as the individuals who are receiving services. Be persistent in trying to develop supportive connections with these families. 292 0 obj <> endobj Telehealth is simply the modality used to connect and provide care – it connects clinicians or any other person(s) responsible for providing care to patient/s and carer/s. Use this information to connect them with additional service providers if needed. So the burden is shifted to the practitioner to verify that all states that the patient travels to have been vetted so as to allow the practitioner to work with that California resident patient who happens to … Work with colleagues to develop strategies for connecting with students and families that are not participating in remote learning activities. �d�cA�:���P+~��Q߆غ�Pݵ�BB�C"��p�����UJu`�s��[����a�Ώ��֏J|Ə"��{���ǺR��j_k�t+���t��� ?�T Consider working with the school’s or district’s web team to add a page on the website with available resources (e.g., handouts, websites, activities) so they are available when needed. As noted in the first remote service delivery document, because every situation is different, an ethical lens is important in developing responses and taking responsibility for them. Document everything you do. ... Proposal Submission Guidelines for NASP Publications; Professional Development. the use of Information and communications I Adherence to standards and guidelines technology; I facilitates realization of full potential of this 'T' 1 di.. If adaptations are made for remote administration, there must be high-quality evidence that such adaptations produce results that are similarly reliable and valid to the face-to-face administration. Before assessing platforms, it is important to define the needs of the technology to help achieve the stated goals. Furthermore, state and international psychological associations have developed or are beginning to develop guidelines for the provision of psychological services (Ca- hޜS]��0�+�^�d)�l8�W[��C.��t�H�l]����ʎ�)=J�ޝUF���8H�P���Tb�Tr�UŠ�5��@ĥ��6u�17�r�r>��w;ac�`Oeu09[}-���ץ7޲���1� ��DVol�!�e�vk��{�M��u��-6� l "���� ������� I��xf�x �'s�,����2�.V��n��}�&w����8{�f�H���p�5[z{xFZ�h"T��/+���)�^�N���QGJ B��[g�9'TRq��XCE�q'�nv�&8�X%$��i�{�� ӏąrZ�QL����B�X�OPN��r�J�0����eVlJ�{�vEVԮ��������΂_n>���hZH$��#�|�� The participant will have practical, defensible guidelines for ethical and legal telehealth practice. 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