DISTANCE COUNSELING EAP and technology John Allen LCSW
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DISTANCE COUNSELING EAP and technology John Allen, LCSW, CEAP, SPHR www. HERE 4 TN. com
HISTORY OF EAP TECHNOLOGY Phone/Fax � � Online information � � Crisis Line Appointments Support Tool Assessments Articles Resources Distance Counseling � � � E-mail Discussion Forums Chats/Instant Message Video Conferencing Virtual Worlds
CULTURAL EXPECTATIONS Accessing help 24/7 Social Media “Apple” culture Access expanding
TECHNOLOGY BASICS Encryption Backup Systems Password Protection Firewalls Virus Protection
ETHICAL ISSUES EAPA Code of Ethics 2. 12 – Delivering EAP services via telephone or other remote technologies American Counseling Association Ethics Code 2005 – Considered “best practice” Informed Consent Client Suitability EAP professional’s credentials, competence, and training (Distance Credentialed Counselor) Confidentiality Rights of redress
THE RESEARCH Northwestern University Study � Lower drop out rate than face to face (4. 3% vs. 13%) � 6 months post treatment, face to face group reported less depression Veterans Affairs Telemental Study � Patients had 24% fewer psychiatric hospital addmissions � 27% reduction in total days of psychiatric hospitalization � 55, 000 patients and 140, 000 “telemental” sessions in 2011
DISTANCE COUNSELING Benefits Challenges Reduced stigma Posting resources, assessments, and information online Convenience/Flexibility Rural access Boundaries Is the client really who they say they are? Ethical Concerns Privacy/Confidentiality Unrealistic client expectations surrounding access
CASE STUDY Review email interaction with Anne Review chat transcript
CURRENT TRENDS IN TECHNOLOGY e. Get. Going Online Addiction Treatment � 12 step based � Participate in group via video or chat Sleep. Coach. net � “Interactive cognitive behavioral therapy program” � Coaches are masters prepared or above and International Coach Federation’s ACC level coach certification or above
CURRENT TRENDS IN TECHNOLOGY Therapy. Online � Canadian Group � Therap. Email™ � Research based Centerstone's Recovery Engagement Center � Recovery Coaches � Peer Recovery Support � Live Chat
RESOURCES Online Therapy Institute Distance Credentialed Counselor Training Guidelines for Use of EAPA Related Social Media Dee. Anna Merz Nagel, LPC � Informed Consent � TILT Magazine
