Avoid Mistakes: NBCC Telemental Ethics Guide
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Telemental health services require counselors to be qualified by education and experience, and to operate within their scope of competence, especially when providing specialized treatments like EMDR. Legal and ethical requirements mandate licensure in both the counselor's and client's states, with special considerations for clients who travel. Secure, encrypted electronic communication is essential, and staff must sign confidentiality agreements. Certain clients, such as those who are psychotic, actively suicidal, or victims of domestic violence, may not benefit from telemental health and require in-person care. Counselors should provide detailed descriptions of the virtual counseling process, discuss confidentiality limitations, and obtain consent from legal guardians when necessary. Emergency procedures must be in place, and client identity and location should be verified for legal and emergency reasons. Social media use should be limited, with clear boundaries and privacy respected, and telehealth records must be retained securely for at least five years. Counselors should avoid soliciting testimonials from clients and ensure all online interactions remain professional, with appropriate billing practices and awareness of insurance coverage limitations.
Telemental health services require counselors to be qualified by education and experience, and to op