HEMHA Guide* College Counseling from a Distance: Deciding Whether and When to Engage in Telemental Health Services * Telemental Health in this document is inclusive of all disciplines that provide mental health and support services at a distance. About the Higher Education Mental Health Alliance (HEMHA) Envisioned and formed in September 2008 under Monica Z. Osburn, PhD, LPC-S the leadership of the American College Health Executive Director of the Counseling Center and Association (ACHA), the Higher Education Mental Prevention Services, NC State University Health Alliance (HEMHA) is a partnership of organizations dedicated to advancing college mental The American College Health health. The Alliance affirms that the issue of college Association (ACHA) mental health is central to student success, and John Kolligian, Ph.D. therefore is the responsibility of higher education. Executive Director of University Health Services, The current membership is: Princeton University ACPA - College Student Educators The American Academy of Child and International (ACPA) Adolescent Psychiatry (AACAP) Eric Klingensmith, Psy.D., SPADA, PEM Adele Martel, M.D., Ph.D., DFAACAP, DFAPA Asst. Director and Coordinator of Crisis Services and Health System Clinician (Community Faculty), Division Alcohol and Other Drugs Program (ACES), Grand Valley of Child and Adolescent Psychiatry, Department of State University’s University Counseling Center Psychiatry and Behavioral Sciences, Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern The American Psychiatric Association (APA) University Feinberg School of Medicine, Chicago, IL, USA Amy Poon, M.D. Co-Chair, AACAP Transitional Age Youth and College Clinical Assistant Professor, Dept. of Psychiatry & Student Mental Health Committee Behavioral Sciences, Stanford University School of Vivien Chan, M.D., DFAPA, DFAACAP Medicine. Co-Chair, APA College Mental Health Caucus Associate Clinical Professor, Department of Psychiatry Ludmila De Faria, M.D. & Human Behavior School of Medicine and Chief of Clinical Assistant Professor, Florida State University Psychiatry Student Health Center, University of College of Medicine. Co-Chair, APA College Mental Health California Irvine Caucus Co-Chair, AACAP Transitional Age Youth and College Leigh Anne White, M.D. Student Mental Health Committee Director, Student Psychiatry Services. Associate Director, Jennifer Derenne, M.D. Counseling and Psychiatry Services, Clinical Associate Professor of Psychiatry and Behavioral Michigan State University Sciences, Stanford University School of Medicine The American Psychological Association Co-Chair, AACAP Transitional Age Youth and College (APA)/Society of Counseling Psychology (SCP) Student Mental Health Committee Shari Robinson, Ph.D., Licensed Psychologist The American College Counseling Director of Counseling Center, Association (ACCA) Western Washington University Kathryn P. Alessandria, PhD, LPCMH, NCC, ACS Jenny Smulson Professor of Counselor Education, West Chester University Senior Legislative and Federal Affairs Officer 2 diagnose, and treat psychiatric disorders affecting The Association for University and College children, adolescents, and their families. For more Counseling Center Directors (AUCCCD) information, please visit www.aacap.org. Dan Jones, Ph.D., ABPP Director of Counseling Center, The American College Counseling East Tennessee State University Association (ACCA) Micky M. Sharma, Psy.D. The American College Counseling Association, a Director of Student Life’s Counseling and Consultation Service, division of the American Counseling Association, is The Ohio State University made up of diverse mental health professionals from the fields of counseling, psychology, and social work The Jed Foundation (JED) whose common theme is working within higher Nance Roy Ed.D. education settings. Visit collegecounseling.org for Chief Clinical Officer, JED more information. Assistant Clinical Professor of Psychiatry, Yale University School of Medicine The American College Health Association (ACHA) Victor Schwartz MD, DLFAPA Chief Medical Officer, JED Since 1920, The American College Health Clinical Associate Professor of Psychiatry, Association has linked college health professionals NYU School of Medicine in order to provide advocacy, education, communications, products, and services, as well as NASPA - Student Affairs Administrators in promote research and culturally competent practices Higher Education (NASPA) to enhance its members’ ability to advance the health of all students and the campus community. See Stephanie Gordon, Ed.D. http://www.acha.org/ for more information. Vice President for Professional Development, NASPA Patricia Telles-Irvin, Ed.D. ACPA-College Student Vice President for Student Affairs, Educators International Northwestern University ACPA-College Student Educators International, headquartered in Washington, D.C. at the National Center for Higher Education, is the leading comprehensive student affairs association that advances student affairs and engages students for Support a lifetime of learning and discovery. Learn more at http://www.myacpa.org/. This resource was made possible by additional generous support from these HEMHA member The American Psychiatric Association (APA) organizations: The American Psychiatric Association (APA) is the medical specialty society representing 36,000 The American Academy of Child and psychiatrists in the U.S. and from around the world. Adolescent Psychiatry (AACAP) APA, founded in 1844, is the largest and longest- Representing 9,200+ child and adolescent serving psychiatric medical association. Its member psychiatrists worldwide, the American Academy physicians work together to ensure humane care of Child and Adolescent Psychiatry (AACAP) and effective treatment for all persons with mental is the leading authority on children’s mental disorders. APA works to promote the highest quality illnesses. AACAP Members actively research, care for individuals with mental disorders; promote 3 psychiatric education and research; and advance Christopher S. Corbett, PsyD and represent the profession of psychiatry. Director of Counseling and Student Support Visit www.psychiatry.org for more information. Savannah College of Art and Design The American Psychological Association Richard Eichler, Ph.D. (APA)/Society of Counseling Psychology (SCP) Executive Director, Counseling and Psychological Services The American Psychological Association was Columbia University founded in 1892 with 31 members and grew Faye Freeman-Smith MS, LCPC, DCC, ACS quickly after World War II. Today, APA has Director of Student Counseling Services more than 115,700 members and 54 divisions in Heartland Community College subfields of psychology. The mission of the APA is to advance the creation, communication and D. Catherine Fuchs, M.D. application of psychological knowledge to benefit Professor of Psychiatry and Behavioral Sciences society and improve people’s lives. Division and Pediatrics 17: Society of Counseling Psychology brings Vanderbilt University together psychologists, students, professional Former Director of Vanderbilt’s Psychological and and international affiliates who are dedicated Counseling Center (PCC) to promoting education and training, scientific Currently Consultant to the PCC for Complex Students investigation, practice, and diversity and public Elizabeth Grady, LPCS, NCC, DCC interest in professional psychology. North Carolina State University See www.apa.org for more information. Tamara Knapp-Grosz, Ph.D., APRN, BC The Association for University and College Senior Director Counseling and Testing Services University of North Texas Counseling Center Directors (AUCCCD) The Association for University and College Rebecca Hambleton, M.Ed Counseling Center Directors works to assist college/ Director, Study Abroad & International Partnerships university directors in providing effective leadership Grand Valley State University and management of their centers, in accord with the Geoffrey Lee, PhD professional principles and standards with special Clinical Assistant Professor attention to inclusive excellence and social justice. University of Florida See www.aucccd.org for more information. Larry Long, Jr., PhD Senior Director and Assistant Vice Chancellor of Academic and Student Affairs, University of Kansas Medical Center Advisory Board Fred R Volkmar, M.D. Irving B. Harris Professor HEMHA is grateful to our Distance Counseling Child Study Center, Yale School of Medicine, Guide Advisory Board, who provided resources, Yale University reviewed materials, and generously took the time to share anecdotes and insights from their own Weiyang Xie, Ph.D., HSPP experiences with telemental health practice. Staff Psychologist University of Notre Dame Calvin R. Chin, PhD Director, Counseling & Psychological Services Princeton University 4 The Process of Developing the Distance Counseling Guide As technology has evolved, so too has the knowledge, and reviewed drafts of the document. implementation of telemental health practices The document was then reviewed by each of the and guidelines. The idea for this guide began HEMHA representatives and approved by each several years ago in reaction to the proliferation of member organization prior to publication. distance education and resulting questions about There were four presentations on the HEMHA expectations that clinicians would provide mental project at five conferences during this guide’s health services to distant students. Recognizing