TAC PATIENT CONSENT
PURPOSE: The purpose of "Technology-Assisted Counseling Agreement" is to get the patient's consent in order to participate in appointments using alternative modes of communication to further the counseling relationship. The modes of technology that we use in our practice include phone and video conferencing. Email is generally used for coordinating appointments and other administrative non-crisis issues.
The HIPPA compliant video conferencing program that we use is called Zoom. It is completely free for you to use. At your scheduled appointment time, ensure your computer or mobile device has the camera pointed toward you and direct your browser to the link sent by your therapist. Click to allow the website access to your microphone and camera, and then you are considered to be in the “waiting room.” Simply wait for the therapist to initiate the video session.
The most common benefits of using TAC are convenience, flexibility, and feelings of added anonymity. Convenience and flexibility to your therapeutic process can become evident with continuing services during vacations, business trips, sick days, bad weather, etc. Another advantage is that you may tend to feel slightly more detached from the counseling relationship and more open to share information. You may experience other advantages. Be sure to discuss those with your therapist. There is no guarantee that you will feel or experience any of these advantages.
There are a number of disadvantages posed by technology-assisted therapy. Some of the most common are:
Confidentiality Risks: Although we abide by the federal law, known as HIPAA, that is designed to provide privacy standards to protect patients' medical records and other health information, there can never be a 100% guarantee of securing your electronic information. Hackers and other malicious malware can sometimes penetrate firewalls and eavesdrop with specialized technology. We cannot be held responsible for intrusions like these. You must be aware that the weakest areas of security are at the user end points. Secure your smart phones, tablets, and computers with passwords. Be sure and never leave your devices accessible by any other person, including co-workers, friends, or even family. You must assume the associated risk since confidentiality cannot be guaranteed nor is confidentiality guaranteed when using cell phones or streaming video. In some cases, it might be necessary for you to use another person's computer/phone or go to a public library where computers are generally available for public use.
Lack of Visual Cues or Delays in Information Flow: Be aware that emotions are very difficult to portray over the phone and sometimes when communicating via streaming video. Therefore, be on the lookout for misunderstandings in the TAC environment and resolve them quickly by discussing it with your counselor.
Handling Crises: According to ethics codes associated with TAC, therapists are expected to handle crises. The distance imposed in TAC can create special challenges for the counselor. If at any time you feel unable to keep yourself safe, go to your local hospital emergency room. If you have suicidal thoughts, you are agreeing to call 911 immediately. Please assist us in identifying emergency contacts in your area, such as 24-hour mental health services, police, emergency room and ambulance, etc. We will discuss these in one of our first sessions.
Technology Failure: Unexpected tech problems can occur which are not our fault or the fault of you, the client. For example, a computer can stop working or lose its connection with the Internet, or a phone line can cease to work. Should a technical problem of this nature occur and disconnect you from us, it is your responsibility - the client’s responsibility - to reschedule the appointment directly with your therapist within 48 hours either by email or text:
Rebecca@WellspringRenewalCenter.com or 501-733-9872
Leah@WellspringRenewalCenter.com or 719-966-7442
Sean@WellspringRenewalCenter.com or 501-291-2631
Michelle@WellspringRenewlCenter.com or 870-807-2066
DrCoon@WellspringRenewalCenter.com or 870-918-5989
TELEMEDICINE INFORMATION: The medical information related to history, records and tests of the patient will be discussed during the telemedicine appointment with video and audio. Telecommunications with patients will not be recorded and stored.
ACCESS: The patient accepts that he/she needs access to PC, laptop, or mobile device and a good internet connection in order to have an efficient telemedicine appointment. In some cases, it might be necessary for you to use another person's computer/phone or go to a public library where computers are generally available for public use.
PATIENT RIGHTS: The patient can withdraw his/her consent at any time and can ask the questions related to telemedicine appointments and technical requirements for telecommunication. You, the client, have the right to request or deny certain TAC services. If in-person therapy is requested, the counselor will make every effort to arrange a session. If a requested in-person session is not possible, the counselor will arrange a referral or do their best to arrange a substitute for the request.
SOCIAL MEDIA POLICY
The following outlines our policies related to the use of Social Media. Please read it to understand how we conduct ourselves on the Internet as mental health professionals and how you can expect us to respond to various interactions that may occur with clients on the Internet. If you have any questions about anything within this document, we encourage you to bring them up when you meet with your counselor. As new technology develops and the Internet changes, there may be times when this policy will be updated. If we do so, we will notify you in writing of any policy changes and make sure you have a copy of the updated policy.
Friending: We do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). We believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet and we can talk more about it.
Interacting: Please do not direct message (DM) us on Social Networking sites such as Twitter, Facebook, or LinkedIn. These sites are not secure and we may not read these messages in a timely fashion. Do not use wall postings, @replies, or other means of engaging with us in public online if we have an already established client/therapist relationship. Engaging with us this way could compromise your confidentiality. It may also create the possibility that these exchanges become a part of your legal medical record and will need to be documented and archived in your chart. If you need to contact your counselor between sessions, the best way to do so is by direct email for quick administrative issues, such as changing appointment times. See the email section below for more information regarding email interactions.
Use of Search Engines: It is not a regular part of our practice to search for clients on Google, Facebook, or other search engines. Extremely rare exceptions may be made during times of crisis. If we have a reason to suspect that you are in danger and you have not been in touch with us via our usual means (coming to appointments, phone, or email) there might be an instance in which using a search engine (to find you, find someone close to you, or to check on your recent status updates) becomes necessary as part of ensuring your welfare. These are unusual situations, and if we resort to such means we will fully document it and discuss it with you when we next meet.
Google Reader: We do not follow current or former clients on Google Reader, and we do not use Google Reader to share articles. If there are things you want to share with us that you feel are relevant to your treatment.
Email: We use email to arrange or modify appointments. Please do not email us content related to your therapy sessions, as email is not completely secure or confidential. If you choose to communicate with email, be aware that all such messages are retained in the logs of yours and our Internet service providers. While it is unlikely that someone will be looking at these logs, they are, in theory, available to be read by the system administrator(s) of the Internet service provider. You should also know that any emails we receive from you and any responses that we send to you become a part of your legal record. For these reasons, we do not use email for any reason other than for administrative purposes.
Websites: Zoom is the tele-mental health video conferencing we will utilize. It is HIPPA compliant and completely free for you to use. At your scheduled appointment time, ensure your computer or mobile device has the camera pointed toward you and direct your browser to the link sent by your therapist. Click to allow the website access to your microphone and camera, and then you are considered to be in the “waiting room.” Simply wait for the therapist to initiate the video session.
If you have questions or concerns about any of these policies and procedures or regarding our potential interactions on the Internet, do bring them to your counselor’s attention so that it can be discussed.