Though the Tyson article denotes that many participants in the program do require some adjustment time to become comfortable with the flow of videoconferencing, most have ultimately reported that the reduction in travel time has been an enormous assistance in removing barriers to counseling. In this particular program, a focus on relieving alcohol and drug addiction symptoms following rehabilitation in the remote rural regions of Montana would demonstrate the importance of having a more accessible mode of gaining such support services. (Tyson, 1)
Indeed, the Tyson article suggests that the counterpoint to providing these opportunities is the danger that such individuals are likely to lapse back into addiction. This is a clear imperative for the ethical imperative to help improve outreach where it is likely to bear a positive impact. So denotes that text by Tschirch et al. (2006) which alternately examines the scenario for residents of a women's shelter who were reported as victims of domestic violence. The research here conducted would suggest that without the access to mental health support provided by telemental health technologies, most women demonstrated a higher likelihood of regressing back into an abuse relationship. Tschirch et al. indicate that "all of the women involved in the study had significant mental health issues and other health concerns that were not being addressed by the existing health care delivery system. Without the use of telehealth, these women would have had limited access to primary health care and virtually no access to mental health services. The East Texas Tele-Mental Health Network demonstrates the value of the clinical and organizational skills that nurses bring to innovative models of mental health service delivery." (Tshcirch et al., 1)
According to the Utah Division of Substance Abuse & Mental Health (2007), there is a social responsibility which is assumed by the mental health professional to serve those in need of mental health support when they present. This converges with the opportunity to meet a wider array of social demographics presented by the implementation of telehealth strategies. Accordingly, the UDSAMH indicates that "it is clear that mental illness crosses entire populations. Just like many disciplines are working together to study mental health and illness, all professional treatment providers -- public and private must come together in order to provide the most effective interventions on all levels -- from prevention to tertiary intervention." (Callister, 2)
This impetus as defined by the state of Utah implies something of the social imperative to not just improve services for our existing clients but to approach with greater dynamism though who reflect the problems dictating a need for telemental health services. As this relates to the legal liability of firms practicing telehealth strategies, the text by Godleski et al. (2008) is an appropriate source for consideration. This article employs consideration of the Department of Veteran Affairs approach to mental health video-conferencing, which it identifies as an essential tool in suicide prevention. However, it notes that in stating that goal, there are also certain legal liabilities for which an organization must take steps to protect itself. Accordingly, Godleski reports that "remote assessment of suicidality . . . involves complex legal issues: licensing requirements for remote delivery of care, legal procedures for involuntary detainment and commitment of potentially harmful patients, and liability questions related to the remote nature of the mental health service. VA best practices for remote suicide risk assessment include paradigms for establishing procedures in the context of legal challenges (licensing and involuntary detainment/commitment), for utilizing clinical assessment and triage decision protocols, and for contingency planning to optimize patient care and reduce liability." (Godleski et al., 271)
For our counseling firm, this would mean that adoption would involve the enlisting of legal services intended to provide inbuilt consideration of and protection from any such liability. This would also mean specialized training for all counselors such that legal considerations specific to telemental health conferencing could be imparted.
Methodology:
Most of the questions of legal liability about which our personnel have expressed concern will have been addressed by the review of sources cited here above. These provide a basis for the responsibilities and ethical demands which enter into the general counseling profession as this is practiced in the State of Utah and into the particulars of telemental health support. Before adopting the strategy for our group of practitioners, it would be appropriate to gather data from a sample population of counseling professionals who have already used telemental...
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