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(p. 492) Ethical and Legal Aspects of the Practice of Teletherapy 

(p. 492) Ethical and Legal Aspects of the Practice of Teletherapy
(p. 492) Ethical and Legal Aspects of the Practice of Teletherapy

Sara Smucker Barnwell

and Linda F. Campbell

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date: 28 September 2020

This chapter provides guidance to mental health practitioners using telecommunications technologies or teletherapy to deliver or augment mental health services. Practitioners using teletherapy must consider how to integrate and adapt existing ethical standards into telepractice and must be alert to the ethical aspects of telepractice that require knowledge, skills, and application beyond the in-person delivery of services. The chapter addresses areas such as clinical documentation and recordkeeping, informed consent, the Health Insurance Portability and Accountability Act (HIPAA) and teletherapy, supervision/consultation, and social media. The extension of mental health standards of practice in teletherapy are described and illustrated. The authors emphasize legal and ethical considerations, including managing high-risk clients, jurisdictional concerns, and common errors by practitioners adopting teletherapy.

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