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    Bonus Episode: How to Obtain Teletherapy During the Pandemic with Jared Skillings, PhD

    enMay 13, 2020

    Podcast Summary

    • Accessing mental health care through tele services during COVID-19During COVID-19, tele mental health services offer effective access to mental health care by qualified providers. Use online resources to ensure your provider is licensed and check with insurance for coverage.

      Tele mental health services have become an essential option for accessing mental health care during the COVID-19 pandemic. With many people continuing to follow shelter in place rules, finding mental health providers in person can be challenging. Tele mental health services, which use electronic and telecommunications technologies for virtual or phone therapy sessions, have been offered by psychological practitioners for years. However, it's important to understand the rules and regulations governing tele mental health care in your area, how to set up appointments with providers, and whether your insurance covers these services. To find a mental health provider, consider starting with your primary care doctor or checking with your insurance company for available options. It's crucial to ensure that your provider is qualified and licensed in your state. You can do this by using online resources such as "health license lookup" or "psychology license lookup" followed by your state name. Tele mental health care has been shown to be effective, and it can provide access to much-needed mental health services during these uncertain times.

    • Ensure your mental health provider is licensed and board certifiedSeek out licensed and board certified mental health professionals for secure and effective teletherapy services during the crisis.

      When seeking mental health services during the crisis, it's crucial to ensure that your provider is licensed and, preferably, board certified. Licensure is the minimum requirement to practice psychology and related professions, and insurance companies only credential licensed professionals. Board certification signifies advanced competence and specialization in a particular area, which can be especially valuable during this time of increased trauma and stress. When using telehealth services, make sure your provider uses a secure platform compliant with patient privacy laws like HIPAA. Remember, don't just meet with anyone; find a good fit and trust the process. Your psychologist will choose the platform and guide you through the setup. Keep in mind that they only keep records with your consent.

    • Telehealth therapy for older adults with MedicareTelehealth therapy, including psychotherapy sessions, is effective for older adults with Medicare and covers video conferencing and phone-only services. It's a crucial alternative for those without insurance.

      Telehealth therapy, including psychotherapy sessions, has become a viable option for individuals during the coronavirus crisis. This is especially important for older adults with Medicare insurance, who are at higher risk and have been encouraged to consider telehealth options. Medicare covers these sessions, offering both video conferencing and phone-only services. Research suggests that mental health services delivered through telehealth are just as effective as traditional in-person therapy. For those without insurance, resources may be limited, making the availability of telehealth an essential alternative. Overall, the therapeutic relationship and guidance from a psychologist are crucial for working through personal issues, regardless of the delivery method.

    • Finding Support During a CrisisDuring crises, access free helplines, mental health practitioners offering group conversations, and employer assistance programs for mental health support. Consider mental health apps for general info, but prioritize personal connection with a mental health professional for unusual circumstances or symptoms.

      During times of crisis, such as the ongoing coronavirus pandemic, many people are struggling with job loss and lack of access to healthcare and mental health resources. However, there are options available. Free services, including helplines and mental health practitioners offering group conversations, can be found in communities. Employers may also offer employee assistance programs (EAP) that provide short-term treatment and continued health benefits. Mental health apps can be helpful, but they may not offer the same level of support as a personal connection with a mental health professional. For more common issues, apps can provide general information and instructions. But for more unusual circumstances or symptoms, personal connection with a mental health professional is crucial. Texting services can be helpful in maintaining a relationship with a mental health professional, but they are most effective when used in conjunction with in-person or video therapy sessions.

    • Considering Risks and Limitations of Mental Health AppsWhile mental health apps offer convenience and accessibility, ensure they're based on science, rated by reputable sources, and consider potential risks like anonymous therapy and emergency situations.

      While texting and mental health apps can be effective tools for managing mental health symptoms and accessing therapy, it's important to consider the potential risks and limitations. Anonymous therapy through apps can be risky, as mental health practitioners may not be able to provide proper care or assistance in emergency situations. When choosing a mental health app, it's crucial to ensure that it is based on psychological science and rated by a reputable authority, such as Cyber Guide. Additionally, access to mental health services can be a challenge during times of crisis, particularly for college students and older adults, and licensing restrictions may limit the ability of therapists to provide services across state lines. It's important to be aware of these issues and to seek out reliable resources and information to navigate the complex world of mental health care.

    • College students face barriers to mental health care during pandemicContact mental health providers about remote services, consider primary care for medication, prioritize social support, routine, sleep, and healthy eating.

      College students may face barriers in accessing mental health care services, including therapy and medication, during the pandemic. While some states allow therapists to continue providing services remotely, others do not. Students should contact their mental health providers to inquire about their specific situation. If medication is necessary, primary care doctors or psychiatrists may be able to help. During this challenging time, it's essential to remember that we're all in this together and to prioritize social support, routine, sleep, and healthy eating to manage anxiety and other emotional challenges.

    • Boost your immune system and improve well-being through exercise and connectionExercise outside while maintaining social distancing to boost immune system and improve overall well-being. APA offers resources and tip sheets to help manage stress during the pandemic.

      It's crucial for everyone to prioritize their physical and mental health during these challenging times. Doctor Skillings emphasized the importance of getting outside for exercise while maintaining social distancing. This simple yet effective step can help boost our immune system and improve our overall well-being. The American Psychological Association also offers valuable resources and tip sheets on their website to help individuals navigate the pandemic and manage stress. So, remember to take care of yourself, both physically and mentally, and stay connected to others. You can find more information and previous episodes of "Speaking of Psychology" on the APA website, and don't forget to subscribe and leave a rating on your favorite podcast platform. Stay healthy and stay connected!

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    I think a lot of what we saw were challenges that we already knew were there - how fragmented services are, how older adults can be at risk of isolation, how important the home community-based services and programs and opportunities to interact are for everybody. And I think showing the importance of community, which we didn't have during the pandemic, except a bit on social media and phone calls and maybe people getting together outside. So the key question is, how do we take the learning and the recognition of what we already knew into the future to build on these important lessons, to do better with our aging service delivery? I was going to say our aging service delivery system, but that's a huge problem. There isn't a system; there's just a lot of different components of a system.”

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    There are still a fairly large proportion of older adults who don't have access to any sort of computer; some have smartphones. And there is this notion, I guess, if we build it, they will come. Or if we give it to them, they'll use it, it would be the way of talking about that. But there's a variety of barriers. And if you hand somebody a box with a computer in it and say, ‘There you go, you're now going to go on the other side, the right side of the digital divide.’ They're not. So what can we learn about how to help people use technology in a way that is useful for them effective, meaningful?”

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    “So the idea behind person-centered care is that people have different needs. Of course, they also have different preferences, different preferences for care and for services and for supports and for contributing and giving back and primarily and mostly as with all of us, for controlling their lives and the decisions that are made. So person-centered care recognizes that the power should live with the individual in terms of the ability to make decisions about care informed decisions. But I think sometimes, we, as professionals can see, oh, this would be best for this person. And professionals are extremely busy also. And so it kind of overlooks sometimes the person's needs and preferences and working in areas like elder mistreatment and elder self-neglect. A lot of times people have legitimate reasons for wanting things that we don't necessarily think would be the best choice, but person-centered care asks us to really get in touch with what's behind those preferences. And to what extent can we ethically honor them and this is something I see the field doing a much better job thinking about and working on and great things have been written. And the American Geriatric Society a few years ago had an expert panel come together and develop a definition and sort of protocols for this. And I think that's really moving the field.

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