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Telemental Health: Education

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This section includes information about the use of telemental health for clinical nursing education, including recommendations for implementing teleprecepting in nurse practitioner education. It also addresses simulation as a tool for clinical education and psychiatric-mental health nursing formative and summative assessment. Frameworks and competencies for telehealth education are also addressed.

Precepting/Tele-precepting Nurse Practitioner Students

Telehealth Competencies & Frameworks

Telehealth competencies ensure that graduates of basic and advanced nursing programs possess the knowledge, skills and attitudes that are needed to deliver safe and effective telehealth care.

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Literature

  • Chike-Harris, K. E., Durham, C., Logan, A., Smith, G., & DuBose-Morris, R. (2020). Integration of telehealth education into the health care provider curriculum: A review. Telemedicine Journal and e-Health, 0(0). doi: 10.1089/tmj.2019.0261 Retrieved from: https://pubmed.ncbi.nlm.nih.gov/32250196/
  • Cornelis T.M. van Houwelingen, Anna H. Moerman, Roelof G.A. Ettema, Helianthe S.M. Kort, Olle ten Cate. (2016). Competencies required for nursing telehealth activities: A Delphi-study. Nurse Education Today, Volume 39, Pages 50-62. https://doi.org/10.1016/j.nedt.2015.12.025.https://www.sciencedirect.com/science/article/pii/S0260691716000149
  • Gustin, T. S., Kott, K., & Rutledge, C. (2019). Telehealth etiquette training: A guideline for preparing interprofessional teams for successful encounters. Nurse Educator, 45(2), 88-92 doi: 10.1097/NNE.0000000000000680 Retrieved from: https://pubmed.ncbi.nlm.nih.gov/31022072/
  • Rutledge, C.M., Kott, K., Schweickert, P.A., Poston, R., Fowler, C., & Haney, T.S. (2017). Telehealth and eHealth in nurse practitioner training: Current perspectives. Advances in Medical Education and Practice, 8, 399-409. doi: 10.2147/AMEP.S116071 Retrieved from: https://pubmed.ncbi.nlm.nih.gov/28721113/

Professional Organizations' Positions

Professional organizations have articulated positions on the development and refinement of telehealth competencies in basic and advanced nursing education.

Defining Telehealth Competencies

Well-defined telehealth competencies should align with a comprehensive telehealth framework to guide the development, application, and evaluation of telehealth competencies for nursing education and practice.

Rutledge, C. M., O’Rourke, J., Mason, A. M., Chike-Harris, K., Behnke, L., Melhado, L., Downes, L., & Gustin, T. (2021). Telehealth Competencies for Nursing Education and Practice: The Four P’s of Telehealth. Nurse educator, 46(5), 300–305. https://doi.org/10.1097/NNE.0000000000000988

Rutledge, C., Hawkins, E. J., Bordelon, M., & Gustin, T. S. (2020). Telehealth Education: An Interprofessional Online Immersion Experience in Response to COVID-19. The Journal of nursing education, 59(10), 570–576. https://doi.org/10.3928/01484834-20200921-06

Reliable and valid tools should be used to measure mastery of telehealth competencies:

  • Confidence in Planning for Telehealth Scale
  • Telehealth Etiquette Knowledge Scale
  • Confidence in Providing Telehealth Scale

All tools retrieved from https://pubmed.ncbi.nlm.nih.gov/33002163/

Simulation

Telehealth simulation enables students to practice complex skills in a low-stakes environment as well as provide faculty with a method to assess and evaluate telemental health competencies.

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Considerations

For Graduate Students

Additional Telemental Health Resources for Psychiatric-Mental Health Nurses

Telemental Health

APNA Telemental Health Toolkit

This toolkit offers telemental health pearls and resources around national policy considerations; issues of equity, inclusion, and access; measuring outcomes; logistical concerns; and education strategies.
Telemental Health

National Survey on Telehealth Use is 2021: Disparities between Audio and Video

Department of Health and Human Services (HHS) released a report on the trends of telehealth use in 2021. While the utilization of telehealth increased dramatically during the COVID-19 pandemic,
Telemental Health

Providers Clinical Support System: Telehealth for Opioid Use Disorder Toolkit

PCSS has released a new free toolkit, designed to help clinicians delivery high quality care via telehealth for the treatment of opioid use disorder (OUD).
Telemental Health

APNA Continuing Education: Telemental Health

Online sessions available in the APNA eLearning Center.
Telemental Health

Telemental Health Background: Changes & Trends

Telemental health visits increased by 556% between March 11 and April 22, 2020. Telehealth benefits noted during the pandemic include “expanding access to care, reducing disease exposure for staff and
Telemental Health

Telemental Health Background: Practice Considerations

Assess clients for suitability for telebehavioral health. This may include: ability to engage in and fully understand the risks and benefits of the proposed intervention using specific technologies; cultural, linguistic,
Telemental Health

Telemental Health Background: Evidence of Efficacy

Telemental health provides effective intervention for various mental illnesses and offers providers flexibility for interventions. It is effective across the continuum of care for SMI and SUD, including: screening and
Telemental Health

Telemental Health Articles in the Journal of the American Psychiatric Nurses Association

A selection of examples of the peer-reviewed evidence published 2016- March 2021 in JAPNA on telemental health.
Telemental Health

Epstein, Becker, Green Free Telemental Health Laws App

One law firm's compilation of state-specific content relating to the regulatory requirements for mental health practitioners seeking to provide telehealth services.
Telemental Health

National Organization of Nurse Practitioner Faculty Supports Telehealth in Nurse Practitioner Education

2018 paper that provides faculty with an overview of telehealth modalities, discuss strategies to incorporate telehealth into NP curriculum, and NONPF’s recommendations.
Telemental Health

American Academy of Child and Adolescent Psychiatry Telepsychiatry Resources

Telepsychiatry Toolkit, Coding for Telemedicine Services, Telepsychiatry Clinical Update, Telepsychiatry Guidelines & Policies, Clinical Practice Center
Telemental Health

American Telemedicine Association Research, Case Studies, & White Papers

A collection of research, case studies, white papers and independent research on telehealth services
Telemental Health

American Telemedicine Association Practice Guidelines

An archive of practice guidelines covering a variety of areas of care.
Telemental Health

American Psychological Association Guidelines for the Practice of Telepsychology

Telepsychology Definition, Competence of the Psychologist, Standards of Care, Informed Consent, Confidentiality of Data & Information. Security & Transmission of Data & Information, Disposal of Data & Information & Technologies,
Telemental Health

American Psychiatric Association Telepsychiatry Toolkit

History & background, Training, Legal & Reiumbursement Issues, Technical Considerations, Practice & Clinical Issues
Telemental Health

CMS Medicare Telemedicine Health Care Provider Fact Sheet

Overview of Medicare coverage and payment of virtual services.
Telemental Health

SAMHSA Evidence-based Resource Guide: Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders

Telemental Health

CMS General Provider Telehealth and Telemedicine ToolKit

CMS Telemedicine General Policy Guidance, Telehealth Implementation Guide, State Statute Guidance, Basics on Setting up Telehealth, Telehealth Technical Assistance, Selecting a Vendor, Articles, Patient and Community Resources
Telemental Health

HHS Best Practice Guide to Telehealth for Mental Health Care

Getting Started with telemental health, Developing a telemental health strategy. Billing for telemental health. Preparing patients for telemental health, Individual & Group Teletherapy, Tele-Treatment for Substance Use Disorders
Telemental Health

How to Prepare for a Video Appointment with Your Mental Health Clinician

An infographic from SMIAdviser on tips for using telehealth options with your mental health clinician.