A Framework of Interprofessional Telebehavioral Health Competencies: Implementation and Challenges Moving Forward
Interprofessional telebehavioral health (TBH) competencies have been developed to standardize training and improve the quality of TBH care. The seven identified interprofessional TBH competency domains and three levels of expertise (novice, proficient, and authority) are briefly described. More in depth descriptions and examples of several of the competency domains are presented to illustrate what the competencies look like in practice. Some of the challenges faced in using such a competency framework are discussed.
KeywordsTelebehavioral health Competencies Interprofessional education and training
The authors would like to thank American Association of Marriage and Family Therapists, American Association of Department of Psychiatry Residency Training, American Counseling Association, American Psychiatric Association, American Psychological Association, American Telemedicine Association, Canadian Psychological Association, The Coalition for Technology in Behavioral Science, National Association of Social Workers, and The Journal for Technology in Behavioral Science, Springer Nature Publishing
Compliance with Ethical Standards
IRB approval was not necessary due to this article being a review of the literature.
On behalf of all authors, the corresponding author states that there are no financial or personal conflicts of interest. Two authors work as part of a non-profit institute, but that has no financial impact on this scientific work. One of the authors works for a for-profit institute, but that has no financial impact on this scientific work. The authors participate in national organizations, but do not have leadership positions, nor would that participation impact competencies, as far as can be ascertained. The authors alone are responsible for the content and writing of the paper.
- 1.Ford K. Competency-based education, history, opportunities, and challenges. UMUC Center for Innovation in Learning and Student Success (CILSS). https://www.umuc.edu/innovatelearning/upload/cbe-lit-review-ford.pdf. Accessed 5 July 2018.
- 2.Tuxworth E. Competence-based education and training: background and origins. In Deakin University Course Development Centre, editor. A collection of readings related to competency-based training. Victoria, Australia: Victorian Education Foundation and Deakin University, 1994. pp. 109–23. http://files.eric.ed.gov/fulltext/ED384695.pdf. Accessed 5 July 2018.
- 3.Hoge MA, McFaul M, Calcote R, et al (Eds). The Alaskan crosswalk: exploring competencies and credentialing for the state’s direct care workforce: a report of the Credentialing and Quality Standards Subcommittee (CQSS), 2008. Anchorage, AK: The Alaskan Mental Health Trust Authority. Retrieved from http://www.annapoliscoalition.org/resources/1/The%20Alaskan%20Crosswalk%20-%20Phase%20I%20Report.pdf. Accessed 5 July 2018.
- 4.Centers for Medicare & Medicaid Services. Coverage of direct service workforce continuing education and training within medicaid policy and rate setting: a toolkit for state medicaid agencies. 2013. https://www.medicaid.gov/medicaid/ltss/downloads/workforce/dsw-training-rates-toolkit.pdf, p. 12. Accessed 5 July 2018.
- 6.Institute of Medicine. Health professions education summit. 2003. https://www.ncbi.nlm.nih.gov/books/NBK221516/.
- 9.Maheu M, Pulier M, Wilhelm F, et al. The mental health professional and the new technologies: a handbook for practice today. Mahwah: Erlbaum; 2004.Google Scholar
- 12.Accreditation Council on Graduate Medical Education. Common program requirements. 2013. https://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/CPRs2013.pdf. Accessed 5 July 2018.
- 13.Royal College of Physicians and Surgeons. CanMEDS framework. 2005. http://www.royalcollege.ca/portal/page/portal/rc/canmeds/framework. Accessed 5 July 2018.
- 14.American Psychological Association Guideline for the Practice of Telepsychology. 2013. http://www.apapracticecentral.org/ce/guidelines/telepsychology-guidelines.pdf. Accessed 5 July 2018.
- 15.American Telemedicine Association. Practice guidelines for videoconferencing-based telemental health. 2009. Retrieved from http://www.americantelemed.org/docs/default-source/standards/practice-guidelines-for-videoconferencing-based-telemental-health.pdf?sfvrsn=6. Accessed 5 July 2018.
- 16.American Telemedicine Association. Practice guidelines for video-based online mental health services. 2013. http://www.americantelemed.org/docs/default-source/standards/practice-guidelines-for-video-based-online-mental-health-services.pdf?sfvrsn=6. Accessed 5 July 2018.
- 17.American Telemedicine Association. Practice guidelines for telemental health with children and adolescents. 2017. https://higherlogicdownload.s3.amazonaws.com/AMERICANTELEMED/618da447-dee1-4ee1-b941-c5bf3db5669a/UploadedImages/Practice%20Guideline%20Covers/NEW_ATA%20Children%20&%20Adolescents%20Guidelines.pdf. Accessed 5 July 2018.
- 18.American Counseling Association. Code of ethics. 2014. https://www.counseling.org/resources/aca-code-of-ethics.pdf. Accessed 5 July 2018.
- 19.American Association for Marriage and Family Therapy. Standard VI technology-assisted professional services. 2015. https://www.aamft.org/iMIS15/AAMFT/Content/legal_ethics/code_of_ethics.aspx. Accessed 5 July 2018.
- 20.National Association of Social Workers, Association of Social Work Boards, Council on Social Work Education, and Clinical Social Work Association. Standards for technology in social work practice. 2017. https://www.naswpress.org/publications/standards/technology.html. Accessed 5 July 2018.
- 22.Zalpuri I, Liu H, Stubbe D, et al. A competency-based framework for social media for trainees, faculty and others. Acad Psychiatry. In Press.Google Scholar
- 25.Martínez-Rodrigo JJ, Martí-Bonmatí L. Professional competencies: from conflict to opportunity. Australas Radiol. 2008;50(1):5–10.Google Scholar
- 28.Dreyfus SE, Dreyfus HL. A five-stage model of the mental activities involved in directed skill acquisition. Berkeley, CA: University of California, Operations Research Center, 1980. https://www.dtic.mil/cgi-bin/GetTRDoc?AD=ADA084551. Accessed 5 July 2018.
- 29.Center for Connected Health Policy. State laws. http://www.cchpca.org. Accessed 5 July 2018.
- 30.Federal Trade Commission. FTC substantiation rule. 2017. https://www.ftc.gov/public-statements/1983/03/ftc-policy-statement-regarding-advertising-substantiation. Accessed 5 July 2018.
- 31.Hilty DM, Maheu M, Drude K, et al. The need to implement and evaluate telehealth competency frameworks to ensure quality care across behavioral health professions. Acad Psychiatry. In Press.Google Scholar
- 34.Rodolfa ER, Greenberg S, Hunsley J, et al. A competency model for the practice of psychology. Train Educ Prof Psychol. 2013;7(2):71–83.Google Scholar
- 35.Association of State and Provincial Psychology Boards. Maintenance of competence for licensure (MOCL) White Paper. 2014. Retrieved from http://c.ymcdn.com/sites/www.asppb.net/resource/resmgr/Guidelines/Maintenance_of_Competence_fo.pdf.
- 36.Joint Commission. Measurement-based care in behavioral health. https://www.jointcommission.org/assets/1/6/bhc_Joint_Commission_measures_webinar_041117.pdf. Accessed 5 July 2018.
- 39.Shi L, Singh DA. Delivering health care in America: a systems approach. 6th ed. Burlington: Jones and Bartlett Learning; 2015. p. 195–245.Google Scholar