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Journal of Technology in Behavioral Science

, Volume 2, Issue 3–4, pp 190–210 | Cite as

An Interprofessional Framework for Telebehavioral Health Competencies

  • Marlene M. MaheuEmail author
  • Kenneth P. Drude
  • Katherine M. Hertlein
  • Ruth Lipschutz
  • Karen Wall
  • Donald M. Hilty
Review

Abstract

The Coalition for Technology in Behavioral Science (CTiBS) has developed an interprofessional, evidence-based, measurable framework for telebehavioral health (TBH) competencies. The paper presents the development of the CTiBS TBH framework, identifies the theoretical rationale and need for such competencies, outlines methods used, provides two detailed discussions of applications, presents a tabulized form of the framework, and then discusses limitations and future research. In the CTiBS TBH competency framework, the term telebehavioral health is meant to include telemental health and e-therapy. The TBH competency framework is offered as an initial working document to identify and organize discreet, measurable telebehavioral practices derived from a review of the literature, technological advances, and day-to-day clinical practice. It reflects core knowledge, skills, and attitudes needed for competent telebehavioral health practice. The competency framework is directly applicable to psychiatry/medicine, psychology, social work, counseling, marriage/family, behavior analysis, and other behavioral sciences. The CTiBS TBH framework organizes seven topic domains and five subdomains according to competency level, i.e., Novice, Proficient, or Authority. In turn, each competency level is categorized into 51 discrete telebehavioral objectives, which are then distinguished by 149 cumulative and measurable telebehavioral practices. The seven TBH competency domains identified by CTiBS include (1) Clinical Evaluation and Care, with three subdomains addressing Assessment and Treatment, Cultural Competence and Diversity, and Documentation and Administrative Procedures; (2) Virtual Environment and Telepresence; (3) Technology; (4) Legal and Regulatory Issues; (5) Evidence-Based and Ethical Practice, with two subdomains addressing Standards and Guidelines and Social Media; (6) Mobile Health and Apps; and (7) Telepractice Development.

Keywords

Telebehavioral health Telemental health E-therapy Competencies Competency framework Interprofessional Interdisciplinary 

Notes

Acknowledgements

The authors acknowledge the support of the Coalition for Technology in Behavioral Science.

Compliance with Ethical Standards

Conflict of interest

The authors report no financial conflicts of interest. Co-author Marlene Maheu is the Executive Director for the for-profit Telebehavioral Health Institute (https://telehealth.org/), which offers professional training and consultation of the nature advocated by this paper. Tracy Luoma is Executive Director at Optum Behavioral Health Salt Lake County. Telebehavioral health task force member and table contributor, Richard Long, runs a commercial supervision service that could potentially benefit from certification processes (see http://mentalhealth-connect.com/process for pricing). The authors alone are responsible for the content and writing of the paper.

Supplementary material

41347_2017_38_MOESM1_ESM.docx (101 kb)
ESM 1 (DOCX 101 kb)

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2017

Authors and Affiliations

  • Marlene M. Maheu
    • 1
    Email author
  • Kenneth P. Drude
    • 2
  • Katherine M. Hertlein
    • 3
  • Ruth Lipschutz
    • 4
  • Karen Wall
    • 5
  • Donald M. Hilty
    • 6
  1. 1.Telebehavioral Health Institute, Inc.San DiegoUSA
  2. 2.Private PracticeDaytonUSA
  3. 3.Couple and Family Therapy Program, School of MedicineUniversity of Nevada, Las VegasLas VegasUSA
  4. 4.University of Illinois at Chicago & Institute for Family Studies at Northwestern UniversityChicagoUSA
  5. 5.VA Palo Alto HCS – Menlo Park DivisionMenlo ParkUSA
  6. 6.UC Davis Department of Psychiatry & Behavioral SciencesSacramentoUSA

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