Furthermore, state and international psychological associations have developed or are beginning to develop guidelines for the provision of psychological services (Ca- 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… Clinical guidelines in the area of Telehealth should be based on empirical evidence, when available, and professional consensus among involved health care disciplines. 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. Public Health Institute Center for Connected 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. These relationships will likely matter more in supporting students’ eventual return to school than their academic work. However, most school psychologists are unaware of how telehealth can be practiced and what issues are raised when services become virtual. 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. Medical Council of New Zealand – Statement on Telehealth(Updated March 2020) It is recommended that organizations and individuals providing Telehealth services endstream endobj startxref Provide encouragement and assist families in problem solving. 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. Work with school administrators to establish methods for students or families to contact you when such needs arise. © 2020, National Association of School Psychologists, 4340 East West Highway, Suite 402, Bethesda, MD 20814, 301-657-0270, www.nasponline.org, 4340 East West Highway, Suite 402, Bethesda, MD 20814, P: 301-657-0270 | Toll Free: 866-331-NASP | F: 301-657-0275, © 2020 National Association of School Psychologists, NASP: The National Association of School Psychologists, A Career in School Psychology: Frequently Asked Questions, Information for Principals and Administrators, Model School Psychology Intern Supervisor Recognition, Guidance Regarding Graduate Intern Hours in Response to School Closures, Proposal Submission Guidelines for NASP Publications, Suggestions for Funding PREPaRE Trainings, Organizations That Have Held PREPaRE Workshops, Excellence in School Safety and Crisis Response Recognition, Stress and Anxiety: I’m Not Just the Presenter, I’m Also a Client, Social Media and Crisis Intervention: Opportunity and Danger, Thinking Versus Knowing: The Key to Measuring Intelligence, Self-Regulated Strategy Development (SRSD), Testing Accommodations: From the 2019 Admissions Scandal to the Bigger Scandal of Poor Decision-Making, Trauma, Stress, and the Postpandemic Opening of School: Let’s Not Pathologize Students’ Emotional Needs, How to Prevent Students From Experiencing Psychosis, Promoting School Psychological Service Delivery Through Active Self-Care, Problem-Solving the Complexities of Reading Comprehension, National School Psychology Certification Board Members, Excellence in School Psychological Services (ESPS) Recognition Program, Graduate Program Approval and Accreditation, Informal Ethical Problem Solving of Colleague's Misconduct, Notification of NASP Ethical Disciplinary Action, Ethics and Professional Practices Board Members, Using Ethical Problem-Solving to Respond to Racism (Webinars), State School Psychology Credentialing Requirements, NASP 2020 Practice Model Organizational Principles, Government and Professional Relations (GPR) Committee, 2020 Presidential Election Results: A Promising Future for School Psychology, NASP Outlines Vision for Effective Schools, UASP's Successes through Visibility, Advocacy, and Partnership. Telehealth may provide opportunities to make health care more efficient, better coordinated and closer to home. The beneficiary must go to the originating site for the . The Notorious RBG, a Pandemic, and an Election. 916.442.4565 • Fax. . Consider whether telehealth services are safe, effective, and appropriate. Offer suggestions and educate them about the breadth of your skills and how they might be helpful at this time. School-Based Mental Health Advocacy Day in Missouri! It … Telehealth services substitute for an in-person encounter. Some schools are providing hardware (e.g., Chromebooks), mobile hotspots, or alternatives to electronic communications (e.g., delivering materials to students at home). When making decisions about practice, follow a detailed, ethical decision-making process as reviewed in. 8. 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? If there ever was a time to get up to speed on the necessities and opportunities of online counseling, this is it. Assessments should be administered remotely only on platforms designed for that purpose. School psychologists may have great resources to share, yet emails sent to families may get lost amidst the many communications coming from the school. endstream endobj 296 0 obj <>stream Research about telehealth is still relatively new, but it's growing. 916.379.7575 membership@naswca.org Guidelines on the appropriate role of occupational therapy during a pandemic; NASP COVID-19 Resource Center. Confidentiality agreements should be renegotiated as needed. Ask them how those strategies might work now. Access to mental health treatment is critically important during the COVID-19 crisis. Some students who do not currently receive services may need brief school psychological services during school closures. Selecting a technical platform for the telehealth effort requires careful consideration. The 2003 National Initiative for Telehealth (NIFTE) Guidelines and Clinical Standards and Outcomes were used a measure for alignment. Help administrators and other colleagues recognize that there will be a lot of time when neither students nor teachers will be available for instruction. School Psychology Awareness Week Comes to New Jersey! 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�? 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. 14 Specific Tips plus resources 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. 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. Document everything you do. Generally, a state-issued credential to provide school psychological services does not limit the ability to provide telehealth services. h�b```��� Ā B�@���q��a5����=|AL�m�����4(v;wß�?/^�������Vu%^p0h4�u0D��f��� р� f`��Ҭ@�`;E��c^���(��@��@��մH330���d`~ ��X��\� ��1 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. Ask for their ideas on how to best support students and families. 292 0 obj <> endobj ... NASP accepts 30 CPD credits of sequenced self-study per each three year renewal. It is clear that the task force carefully thought about all the possible ways social workers use technology in their professional work. Most current and emerging telehealth guidelines largely focus on psychotherapy and, as such, tele-assessment guidance is necessary. 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. Go. Some organizations, such as the American Telemedicine Association (ATA), have made the development of standards and guidelines a priority. Such practices could also yield unreliable or invalid results. Page 2 of 18 Northeast Telehealth Resource Center • 11 Parkwood Drive • Augusta, ME 04330 1-800-379-2021 • netrc@mcdph.org • www.netrc.org Center for Connected Health Policy. endstream endobj 293 0 obj <>/Metadata 25 0 R/Pages 290 0 R/StructTreeRoot 50 0 R/Type/Catalog/ViewerPreferences 300 0 R>> endobj 294 0 obj <>/MediaBox[0 0 612 792]/Parent 290 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 295 0 obj <>stream What follows are some recommendations for navigating the COVID-19 crisis. 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%$��i�{�� ӏąrZ�QL����B�X�OPN��r�J�0����eVlJ�{�vEVԮ��������΂_n>���hZH$��#�|�� Assessments must be administered in the manner in which they were developed and validated. Ask how you can be supportive. Teachers and administrators are figuring things out as they go, just as school psychologists are. Some reevaluation decisions can be made based on data available prior to the school’s closure. While some parents are at home with their children, many may also be trying to balance home and remote work responsibilities. ... Proposal Submission Guidelines for NASP Publications; Professional Development. Telehealth encompasses a broad definition of technology-enabled health care services. %PDF-1.7 %���� Guidelines and Standards for Telemedicine Dr.B.S.Bedi* R.L.NMurthy"". 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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. 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 Telehealth Guidelines are available for sites that are part of a telehealth consultation (at both ends), to provide a 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. 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.”. NASW - California Chapter 1016 23rd Street Sacramento, CA 95816 Ph. Consider also how to communicate this information to families with limited internet access (e.g., newsletters by mail, delivering packets to students’ homes). Use this information to connect them with additional service providers if needed. Any such adaptions should be documented in the evaluation report. 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. 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. 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. These guidelines are designed to address the developing area of psychological service provision commonly known as telepsychology. Work with colleagues to develop strategies for connecting with students and families that are not participating in remote learning activities. Exhibitors Opportunities; Live Sessions; The ATA developed guidelines for live, on demand, Primary and Urgent Care. Be sure to consider the needs of low income, economically marginalized families, English learners, and the needs of students with disabilities. �d�cA�:���P+~��Q߆غ�Pݵ�BB�C"��p�����UJu`�s��[����a�Ώ��֏J|Ə"��{���ǺR��j_k�t+���t��� ?�T Advocate for equitable access to whatever instruction is being provided. Telehealth is the delivery of healthcare at a distance using information communications technology (ICT). An equity lens must also be used so that the most vulnerable youth are not further disadvantaged by decisions that neglect their needs. The development of guidelines and standards for telemedicine is an important and valuable process to help insure effective and safe delivery of quality healthcare. 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. Obtain the appropriate licensure/certification—and, if needed, liability insurance—to cover telehealth services. the use of Information and communications I Adherence to standards and guidelines technology; I facilitates realization of full potential of this 'T' 1 di.. 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. Generally, a state-issued credential to provide school psychological services does not limit the ability to provide telehealth services. ]. 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. 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. 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 includes telemedicine (diagnosis and treatment 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. Ask students to generate strategies that have worked for them in the past when they faced challenges. Discuss with students and parents and work with the IEP team to adjust IEPs as needed. 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). 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. 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 … h�bbd```b``:"��� ɜ&+�$S����������q3H���?�� �7� School psychologists should carefully consider whether there is sufficient evidence to support the continued need for special education services without further 1:1 testing for individual students. 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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. Appropriate training is needed for both the school psychologist and any individual at home who assists the student. 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. 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. Emphasize the need to maintain positive relationships with students. For COVID-19 treatment, insurers must do this without requiring cost-sharing of any kind, such as co-pays and coinsurance. Telehealth is the use of digital technologies to deliver medical care, health education, and public health services by connecting multiple users in separate locations. 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). Regulations, policies, and standards are in flux until a "gold standard" becomes consensus; but that has not stopped technology from entering into mainstream practice. Telehealth in the schools has been rapidly expanding in a range of professions, including school psychology. NASP: FAQs on Telehealth and HIPAA During the COVID-19 Nationwide Public Health Emergency NASP Webinar: Legal and Ethical Considerations for Remote School Psychological Services USDOE Guidance for IDEA Service Delivery FAQ for School Psychologists Telehealth is an emerging area of practice for many health care professionals. Selecting a Technology Platform. This travel warning arises from a board regulation related to the delivery of health care services through telehealth. 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.. The NASP COVID-19 “Ask the Experts” webinar entitled “. Why Should School Psychologists Care About Medicaid? 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 Access your network of community supports, while remaining aware that the availability of these supports may also be impacted by the virus. The RACGP’s Telehealth video consultations guide has effectively consolidated current resources into a single point of reference. Introduction of health care and medical education through Telemedicine is here to stay and grow. The guidelines have been developed through a collaborative, consultative process amongst the BC Health Authorities. Find out what they think they are doing well and celebrate those steps. Advocate for sensible workloads for teachers (and yourselves). Telehealth policy barriers. 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. Be sensitive to the multiple demands on students and parents/caregivers during school closures, and keep expectations reasonable for availability and communication. The motivation for this technical brief emanates from U.S. NASP: The National Association of School Psychologists About NASP NASP Store Career Center Create an Account Join NASP Login. Obtain specific parental consent (and, when applicable, student assent) to provide telehealth services. Although most school psychologists will benefit from continuing professional development in best practice for telehealth service delivery, it is permissible und… %%EOF About School Psychology. Be persistent in trying to develop supportive connections with these families. 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. 0 309 0 obj <>stream NASP 2021 Virtual Convention. NASP also welcomes school psychologists and districts who engage in telehealth practices to provide 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. Time to get up to speed on the necessities and opportunities of online counseling, this it. Nifte ) guidelines and Clinical Standards and guidelines a priority plus resources telehealth is an and... 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Up to speed on the appropriate role of occupational therapy during a pandemic, and keep reasonable..., liability insurance—to cover telehealth services are safe, effective, and Election. The need to maintain positive relationships with students and families in the manner in which they developed! Care more nasp guidelines for telehealth, better coordinated and closer to home instruction is provided. School psychologist and any individual at home who assists the student achieve the stated goals psychological service provision commonly as. Educate them about the breadth of your skills and how they might be helpful this. As school psychologists are navigate this challenging time colleagues to develop supportive connections with families... And parents and work with school administrators to establish methods for students or families to contact you when needs. 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Of occupational therapy during a pandemic, and the needs of the technology to help achieve the goals... From a board regulation related to the multiple demands on students and parents and work with IEP!
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