NR 548 week 7 Innovations in Mental Health Care

Ideal setting for the visit

Studnet Name

NR 548

chamberlain university

A telepsychiatry session should be held in a room with no distractions and interruptions (Cowan et al., 2020). This should be a neutral place in terms of backgrounds, well-lit, and the internet connection should be stable to allow the video and audio to be clear. Examples of suitable items will include a comfortable chair, a microphone and headphones, an emergency contact list, and all the printed materials needed for safety planning or to make notes of the session. The inappropriate places would include common places like the living rooms through which the conversation might be heard by other siblings or other members of the family, the bathroom, cars, or any other place where there is some noise in the background or objects that are personal and therefore would interfere with privacy.

Guiding Jarrett to prepare his space

I would give Jarrett a checklist to prepare for the session:

• Go into one room alone, and close the door, or place some sign of disturbance.
• Wear headphones to keep your privacy and to reduce distractions.
• Switch off other devices and ensure that the camera is positioned well to ensure that his face is clearly visible.
• Lock brothers and sisters or other relatives out of ear or sight.
• There should never be any time when one is without a phone that is on charge in the event of any emergencies.

The other possibility is the use of chat facilities, a changing room, or having a face-to-face follow-up in case absolute privacy cannot be assured.

Obtaining consent and who must consent.

The telepsychiatry consent must be centred around both the general treatment and telehealth-related concerns, such as risks, confidentiality, and emergency treatment (Gutierrez-Rojas et al., 2022). In case of a 16-year-old, informed consent of the parental/guardian consent and assent of Jarrett will be required as per the local laws. This consent should be in writing, the name of the consenting party should be registered, the date of such consent, and the method of such consent (verbal or written). This should be checked and noted in case a minor is in a position to consent by himself (e.g. in some jurisdictions, in case of mental health services).

Additional requirements for adolescent telepsychiatry

Telepsychiatry in adolescents needs:

• Particularity of confidentiality limits, in particular, the mandatory reporting of self-harm, harm to others, or abuse.
• Assurance that the adolescent has been present in all the sessions to comply with the licensure, and to take action in case of a crisis.
• Strategies of engaging others based on age to guarantee knowledge and cooperation.
• Availability of a responsible adult in the home when the sessions take place.
• The technology platforms and the policies of the institutions on safe data handling associated with HIPAA.
• Prevention of damage by screening of acute risks at the start of every session.

Assessing the impact of social determinants of health (SDOH)

Jarrett’s SDOH may include:

• Housing: An overcrowded housing subsidy may be a hindrance to personal privacy and may affect mental well-being.
• Family history: Resides with mother, stepfather, and siblings; father is absent, and this may affect the support systems.
• Access to drugs or resources: This may be affected by economic constraints.
• Education: Virtual school can be socially influenced and interact.
• Online connectivity: The Internet connectivity can affect the quality of the sessions.

The treatment plan is assessed based on these aspects, including how the evaluation will be scheduled, family involvement, referrals to other resources, and safety of the environment.

Creating a safety plan and determining who should be involved.

A safety plan should include:

• Suicidal risk factors or risk behaviour.
• Some of the coping strategies Jarrett can think about.
• Identifications with people and places that are positive (parental, stepfather, adult one trusted). Crisis contacts: contacts to local emergency services, crisis hotlines, and contact information of the clinicians.
• Lethal means are the reduction measures that involve locking up medications and sharp objects (Siry et al., 2021).

Jarrett and his parents/ guardians are to be consulted, and the plan worked out collectively. Involvement: School counsellors or community crisis teams can be involved in case it is necessary. All this has to be documented and made available to the individuals concerned in managing the safety of Jarrett.