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Course 4TASDP Quiz 2

 

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1)
The COVID-19 health pandemic accelerated the implementation of behavioral health services via remote technology, including telephone and video conferencing.
 
True False
 
2)
This Study Guide 2 includes step-by-step 'action items' developed by the Federal Addiction Technology Transfer Centers (ATTCs), with activities and issues to consider before providing remote behavioral health services via telehealth.
 
True False
 
3)
Action Item 3: Patient Safety and Privacy for Telehealth — includes which step(s) below?
 
Revise your Treatment Consent forms to incorporate changes related to telehealth.
Develop procedures that comply with CURRENT HIPAA Federal confidentiality rules and regulations, 42 CFR Part 2, and ethical standards of practice
Ensure both staff and client are trained in using the hardware and the video conferencing system, and that there are opportunities to practice.
Maintain up to date emergency contact information for the telehealth client and identify emergency contacts that are in geographical proximity to the individual.
all of the above.
 
4)
What is NOT mentioned as one of the safety and privacy procedures?
 
At the start of each session, ask the client to identify the address where they are physically located, where an emergency contact or crisis team or 911 can be sent if needed.
At the start of each session, ask the client who else is in the room with them.
Develop a safety phrase that the client can use to let you know that now is not a time where they can participate in a session.
Tell the client to hang up if they become uncomfortable.
Develop a safety phrase to indicate if they need you to send help.
 
5)
Action Item 4: Experienced licensees should not need additional training and support with the new telehealth processes and technology, because telehealth is essentially the same treatment process that providers have been using in the office.
 
True False
 
6)
Action Item 6 - Workflow: Which statement is TRUE about implementing Telehealth?
 
Ensure that the documentation of remote telehealth services does not deviate from current policy and procedures.
To avoid unnecessary confusion among staff, it is unwise to modify current policies and procedures for the first month of the telehealth program.
To ensure the stability of the organization's staff, do not change the supervision practices for staff who begin to deliver telehealth services.
Community and cultural considerations need to be taken into account when adding telehealth to the services menu.
To make this new service financially viable, all staff should be expected to provide telehealth services.
 
7)
Action Item 8: Modern online payment systems will automatically maintain security and HIPAA compliance status for processing of your clients' Telehealth payments.
 
True False
 
8)
Moving on to AHRQ Teach-Back Method: Teach-Back in Telehealth is NOT . . .
 
a promising tool for improving communication in virtual care (telehealth)
a method where patients repeat information to confirm understanding
a quiz or test of the patient's attention span and motivation.
an element of the new telehealth technology that requires training of staff and enhances client safety.
 
9)
The teach-back method ,,,,
 
is a way of checking understanding by asking clients to state in their own words what they need to do about their health
is a way to confirm that you have explained things in a manner your clients understand.
both of the above
none of the above
 
10)
The goal is for the client to repeat information back to you in the same words in which they were instructed.
 
True False
 
11)
Studies have shown that 15% of the medical information clients are told during office visits is forgotten immediately, and nearly 25% of the information retained is incorrect.
 
True False
 
12)
Teachback is NOT . . . .
 
a test of how well you explained the concepts and instructions
a method in which you use plain language to explain medical instructions
a test of the client's knowledge and intelligence
a method in which you avoid asking questions that can be answered with a simple yes or no.
 
13)
When using Teach-Back, what should you NOT do?
 
Chunk out information into small segments and have your client teach it back.
Wait until the end of the visit to initiate teach-back.
Repeat several times during a visit.
 
14)
CLARIFYING: If teach-back uncovers a misunderstanding on the part of the client, do NOT
 
explain things again using a different approach.
ask clients to teach-back again until they are able to correctly describe the information in their OWN WORDS.
ask the client several times during the telehealth session, 'Do you have any questions?'
 
15)
Teach-Back is a simple, straightforward approach, and there should be no need for COACHING of staff.
 
True False
 
16)
Moving on to SAMHSA's 'What Research Tells Us' about use of Telehealth for SMI and SUD: Telehealth is not an appropriate treatment intervention for most people with SMI and/or SUD.
 
True False
 
17)
Approved telehealth services for SMI, SUD, and Co-occurring disorders (COD) include screening and assessment, medication management, case management, recovery support, and crisis services.
 
True False
 
18)
Telehealth modalities for SMI or SUD may be synchronous (real-time interactions between patients and providers, such as video calls) or asynchronous (allows for delayed communication, enabling patients to send messages that providers respond to later—e.g., text messages or email).
 
True False
 
19)
Clinical Outcomes — Studies suggest that asynchronous telepsychiatry can achieve similar clinical outcomes to synchronous methods, making it a viable alternative for many patients.
 
True False
 
20)
Assessment and Medication Assisted Treatment (MAT) . . .
 
cannot be performed through Telehealth prior to in-person visits, per SAMHSA
can now be performed through Telehealth prior to in-person visits, per SAMHSA
can only be performed through Telehealth prior to in-person visits in limited, acute crisis situations, per SAMHSA
 
21)
When compared to in-person treatments: Which is not true?
 
There is no significant difference in retention and counseling attendance rates
There is a significant difference in client and provider ratings of therapeutic alliance, with in-person treatment having a better alliance.
There is no significant difference in the high level of client satisfaction
 
22)
MAT includes FDA-approved treatments for opioid use disorder (using methadone, buprenorphine, and naltrexon, alcohol use disorder (using naltrexone, disulfiram, and acamprosate), and stimulant or marijuana use-disorders.
 
True False
 
23)
Practitioners should consult state prescribing laws prior to initiating telehealth Medication Assisted Treatment (MAT) programs
 
True False
 
24)
Telehealth has been demonstrated as effective as or more effective than in-person treatment for the following:
 
Medication Assisted Treatment (MAT) via telehealth
Behavioral Activation (BA) Therapy via telehealth
Cognitive Behavioral Therapy (CBT) and Cognitive Processing Therapy (CPT) via telehealth
Prolonged Exposure (PE) Therapy via telehealth
all of the above.
 
25)
Specific studies have demonstrated that case management interventions using telehealth are not as effective as in-person treatment for people with depression and schizophrenia,
 
True False
 
26)
Crisis services are an effective strategy for . . .
 
suicide prevention and resolving acute mental health and substance use crises
reducing psychiatric hospital bed and ER visit overuse
inappropriate use of law enforcement resources
all of the above
all but the third option
 
27)
Concerning Asynchronous Treatments, research tells us that . . .
 
text messages, online chat features, email, and social networking sites can be used to facilitate ongoing communication outside of face-to-face sessions
can be an effective complementary tool to synchronous virtual or in-person treatment and reduces feelings of stigma
asynchronous treatment should be considered only with extreme caution.
All but the third option.
 
28)
While there are limitations to the research, telehealth is a key strategy to increase and ensure access to care for people living with SMI, SUD, or COD.
 
True False
 

 

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