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1. Did you receive special training before you began to use telemental health as a mode of providing service? What did this training entail?
2. Why did you decide to include telemental health in your practice? Do you plan to continue?
3. Do you provide clients with information on what to expect and how to handle the technology before the first session? If so, is the information on the internet or in paper form?
4. Do you provide clients with directions on appropriate social conduct on the internet ("netiquette")? If so, how are these directions delivered (verbally in session, materials to read, online video module)?
5. How does your initial interview with a patient through telemental health differ from your initial interview with a patient through a face-to-face encounter?
6. Can you give examples of a telemental health encounter where you thought a client reaction or clinical scenario was made more difficult by use of telemental health? How did you deal with the situation/client reaction?
7. Have your patients provided feedback on their experience of telemental health? If so, what have they said? If not, what is your sense of their experience?
8. Are there aspects of telemental health that you prefer over face-to-face encounters?
9. What aspects of telemental health that you prefer over face-to-face encounters?
10. Is there a difference in expression or experience of nonverbal communication in telemental health sessions as compared to in-person? If so, how are they different and how do you respond?
11. Is there a difference in the expression of strong emotion in a telemental health session compared to an in-person session? How are they different? Do you respond differently? Please explain.
12. Have there been intrusions into the session from others in the home or wherever the client is? How was this managed or prevented?
13. Has a client ever left the session before it was supposed to end?
14. Have you ever terminated a telemental health client? If so, why?
15. Have you ever done couples or family counseling using telemental health? If so, were there any differences of distinction compared to working with individuals via telemental health?
16. What is your experience with group telemental health sessions where members are in different physical locations? How do you facilitate group dialogue flow and participation?
17. Has one person in a group session ever left the room during a session? Did you need to address talking about the absent group member during their absence?
18. What issues/differences do you foresee in an ongoing psychotherapy or counseling intervention as opposed to a single telemental health visit?
19. What special characteristics should someone have to provide telemental health successfully? What special training would they need?
20. What do you do in the case of technology failure? Do you discuss this possibility ahead of time with clients?
21. Have you encountered any issues around informed consent with clients at a distance?
22. What did you do to prevent security breaches and to protect client confidentiality/data? Have you encountered licensing and/or insurance issues when working with clients in different states?
23. How do you handle a crisis at a distant site? Do you have a plan and/or list of resources?
24. What telemental health technologies have you used? Which telemental health technology do you prefer and why?
25. How is payment/billing arranged? Does your agency provide billing services? Is only the primary caregiver expected to cover the expense or are family members expected/invited to contribute?
26. What is the role of insurance in paying for services?
27. How did you tailor the use of technology for your clients?
28. What are the barriers for counselors when deciding whether or not to provide telemental health services for their clients?
29. How do you use humor in telemental health sessions?
30. Do you have issues maintaining eye contact with patients considering the imperfections in the technology?
31. Can you provide examples of counseling techniques you've used successfully in person that haven't worked well in telemental health?
