Participation Criteria
The capacity to see clients via teletherapy services can
be limited due to different reasons.
Criteria for inclusion is determined at the time of service
initiation.
The criteria for exclusion, suspension, transfer, and/or
discharge includes:
A client does not have a
personal computer and/or internet access (in a private/confidential space).
A refusal to agree to the
informed consent process.
Clients that do not have or
have access to a Patient Support Person (PSP).
A client that displays
and/or reports being acutely violent or unstable. Displaying poor impulse control and may
require greater levels of care to assist in managing behavior patterns.
A client with active
suicidal or homicidal ideation, requiring the need for hospitalization and
higher levels of care.
A client that becomes
severely decompensated, needing hospitalization and/or a higher level of care.
A client displaying symptoms
of dementia: confusion or mild cognitive decline. This would require higher levels of care.
A client displaying active
psychotic features, as this will require a higher level of care and direct
services.
Clients with psychotic
disorders that may be exacerbated by telehealth services (i.e. ideas of
reference regarding television or digital imagery).
Clients who have untreated
substance abuse/dependence (current, recent, and/or extensive history with
elongated relapse patterns).
Clients with significant
sensory deficits, especially visual and auditory.
Clients with multiple and/or
significant medical problems, of which may affect cognitive/behavioral
states.
Client Support Person (CSP)
This is a person that has been identified by the client
and has agreed to be available during session times in the case of an
emergency. It is not required that the CSP
present (in the same location) as the client during sessions. The CSP should be available to be contacted
during session times in case of an emergency.
This individual may be a significant other, caregiver, family member,
neighbor, etc. A release of information
(ROI) will be requested for the selected CSP (this will not include any
confidential information, only the information pertaining to emergency and how
the CSP can aid in the situation).
* The CSP is otherwise not
involved in a client’s treatment or treatment plan in any other way. The provider will practice good clinical
judgement when interacting with the CSP.
The main roles of the CSP include being the eyes and ears during an
emergency and activating the 911 call, if necessary.