The term “boundary” is mental health jargon for the edge that separates professional from non-professional conduct in dealing with patients. A boundary is an imaginary line in the sand in the relationship between mental health professionals and their patients. “Boundary violations” typically occur when a mental health practitioner does something in the context of treatment [...]
Tagged boundaries, dress, shoji screenI’ve really liked the first two posts (in a planned series of six) on telepsychiatry at the Shrinkrapping blog . The first post talks about a new telepsychiatry project which started in 2007 in South Carolina . The program is already working in seventeen hospitals, with plans to expand to 45-60 hospitals by the time [...]
Tagged fax, high-definition, OCR, Polycom, South CarolinaI read an interesting blog post in which the author, a training and supervising psychoanalyst shares his thoughts about “online therapy.” The author was doing research on “techno-ethics” for a workshop he will be doing, and the premise of his blog post is that any online therapy is not “real” psychotherapy. Of course, psychiatrists do [...]
Tagged mirror neurons, online therapy, simulation, therapeutic allianceI saw an interesting article regarding changes in the rules for credentialing doctors to do telemedicine in other hospitals. Basically, the rules up to now appear to have been that the doctor needs to be credentialed at the hospital he or she works at, but not necessarily at the hospital he or she providing telemedicine [...]
Tagged credentialingA few weeks ago, another psychiatrist sent me a copy of the informed consent form he uses with his patients, just so I could compare his form with mine. His wording was different, of course, but he did have some really good ideas that I hadn’t thought to include in my own, so I thought [...]
Tagged consent form, ID, informed consentI was a guest on a podcast done by my friends at the Shrink Rap blog a couple of weeks ago, and the podcast is now online. I had a great time and the folks at Shrink Rap asked some great questions. (I told them we should have done a vodcast rather than a podcast!)
Tagged podcast, Shrink RapDuring the recent blizzard, I did more telepsychiatry in one day than I’ve done before, so I thought I would share some comments about doing a lot of it in one day, rather than a few scattered visits per day. I really didn’t notice much difference between staying at home and doing several hours worth [...]
Tagged blizzard, dual monitor, organizationPsychiatric Times has a recent article on using the Internet to connect with patients. The authors bring up a whole group of points that I agree with: Email is already verging on obsolescence for people under 30 The patients under 30 don’t understand why anyone providing a service wouldn’t answer text messages Psychiatrists tend to [...]
Tagged "Medical Wave" server, asynchronous, google wave, IM, PGP, skype, synchronous, TwitterOne of the key enabling technologies to make something like telepsychiatry work is E-Prescribing. If people have to come in to pick up prescriptions or wait for the postal service, that’s a problem. I use National eRx for most of my prescribing, and although I like it, the user interface is really clumsy to use [...]
Tagged e-prescribing.
advantages AES AFAT American Telemedicine Association atoms bits blizzard Clayton Christensen consent form countertransference digital records disadvantages disruptive innnovation dokuwiki EBM emergencies EMR encryption ER evidence based medicine face-to-face google wave HIPAA HIPPA informed consent Maryland Board of Physicians medical records office space password PHI podcast prescriptions privacy recording security shoji screen skype standard of care technophobia telephone teletransference transference ubuntu weather webcam
WP Cumulus Flash tag cloud by Roy Tanck and Luke Morton requires Flash Player 9 or better.
Bad Behavior has blocked 202 access attempts in the last 7 days.