I’m not a legal expert, but my understanding of what “standard of care” means is that I need to do what any ordinary, prudent psychiatrist would do in my community under similar circumstances. I guess what I’ve been thinking about is the term “prudent.” I’m sure that most psychiatrists in my area aren’t using video [...]
Also tagged standard of careIn my last post, I talked about the informed consent form for my practice, and mentioned that part of the consent form says that emergency care might be more difficult via telepsychiatry. I wrote that section because I doubted that there was any case law on emergency petitions and telepsychiatry. In Maryland, certain mental health [...]
Also tagged emergencies, emergency petition, forensicI’m not exactly sure when the State of Maryland is going to enact regulations for telepsychiatry, but I’ve finally put together a basic informed consent form for telepsychiatry for my practice. I tried to write it in fairly plain English, unlike my HIPAA form , which is so complicated that I don’t really understand half [...]
Also tagged emergencies, HIPAA, informed consent, recording, skypeI rent office space for my practice, and I’m not there some of the time (I usually work in my practice on Wednesdays and Thursdays, and in my other job on the other days). The office just sits there empty five out of seven days of the week, and I’ve often thought about how I [...]
Also tagged emergencies, home office, office space, skypeIn “Telepsychiatry: What’s lost?, Part one,” I said that one advantage of a face-to-face visit over telepsychiatry was that some of the visual information gets lost through a webcam. When I’m face to face with someone, I can take a quick glance at their hands and look for a tremor. I can’t do that with [...]
Also tagged face tracking, skype, ubuntuIn my previous post Telepsychiatry: What’s lost?, Part one, I focused on what sensory information that was available in a face-to-face interview that wasn’t available in a videocall, and mentioned that I didn’t think that sensory information was the whole story. I think that there is a psychological reaction to telepsychiatry that relates to how [...]
Also tagged countertransference, disadvantages, technophobia, teletransference, transferenceIt seems to me that the information conveyed on a video and audio link between a patient and me has to be more than the information conveyed on a telephone call. All the information comings through on a telephone call is present on a videocall like Skype provides, and I can’t think of any way [...]
Also tagged disadvantages, skype, standard of care, webcam
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