Student Health and Counseling
University of New Mexico
Stephanie D. McIver, PhD
Ben J. Klein, PhD
Gary K. Borrell, MD

Levels of Service
Players
Guidelines
Technologies
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Campus EA - Online & ITV
2008 2009 2010 2011 2012 1 Yr 4 Yr
N 1,399 1,736 2,641 4,507 6,527 44.82% 275.98%
Credits 5,050 7,008 11,359 20,791 30,767 47.98% 339.03%
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Levels of Service
Consultation
Outreach
Direct Service
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
“Ask A Question” Form http://shac.unm.edu/forms/counseling-consultation.html
Links at NMEL, TNTA, Parent Association
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• activity of providing services to populations who might not otherwise have access to those services.
• groups providing it are not stationary, but mobile; meeting those in need at the locations where those in need are.
• educational role, raising the awareness of existing services.
Wiki
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Becky Adams, Associate Director NMEL
Jane Erlandson, Instructional Media Project Manager
Mark McKee, Multimedia Development Specialist

… responsible for the administration of online and ITV courses at the University of
New Mexico, the implementation and management of UNM's enterprise
Learning Management System, and a host of online media and production services.
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• Enterprise Management and support of UNM's Learning Management
System (UNM Learn)
•Technical support and management of online teaching and learning technologies
•Course Planning and Instructional Design
•Course Building and Production
•Online Course delivery and engagement
•Online Course evaluation and student assessment
•Online Teaching and Learning tools
•New solutions and emerging technologies
•Faculty and student technology support
•Interactive Television (ITV)
•Television Production
•Academic Video Conferencing Services
•Video On Demand and Live Webcasting
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 https://www.coursesites.com/web apps/Bb-sites-course-creation-
BBLEARN/pages/index.html
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Guidelines & Technology


Ben J. Klein, Ph.D. - SHAC CS

Caroline Bonham, M.D. – UNM CRCBH
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Practice Guidelines

Example: Guidelines for the Practice of Telepsychology,
December 2013, American Psychologist, 791-800.
Training

Example: Marlene M. Maheu, Ph.D., Telemental Health
Institute (telehealth.org)
Informed Consent Is Critical!
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1. Question: A provider generally must be licensed where?
a) Where the provider is located at the time of service b) Where the client is located at the time of service c) Both
RESOURCE: Telepsychology 50-State Review. American
Psychological Association Practice – Legal & Regulatory
Affairs, October 2013
2. Billing and Reimbursement -- Do current research with payors
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1. Consider adding some key Background Information items onto signed Informed Consent Form
- contact telephone numbers, physical street address, emergency contact names and numbers
2. Have Introductory paragraph that defines and describes the process (computers, cameras, videoconference software)
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
Some problems in the quality of audio or visual information sent via the internet may occur during discussions with the therapist, making it more difficult at times to fully communicate with the therapist

Equipment or internet performance delays or failures may at times make online sessions impossible to conduct, requiring a switch to landline telephone conversations as a backup system

While all precautions are taken to utilize systems that are encrypted and compliant with the highest privacy standards, there is some small possibility that private information shared over the internet during counseling sessions could be intercepted or in some other way misused

Emergency interventions cannot be provided via the online therapy sessions directly and as such the client will need to be willing to use local emergency room or other crisis services as needed.
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2. None of the sessions will be recorded or photographed.
3. Written records summarizing the contents of the discussions and the therapist’s diagnosis and treatment plan will be maintained in the Student Health and Counseling electronic behavioral health record at the UNM Student Health and Counseling Center,
Main Campus, UNM, Albuquerque, NM.
4. None of the behavioral health records referred to above will be shared with anyone without my written consent WITH A FEW POSSIBLE EXCEPTIONS that might require release without my approval, including:
1) if my therapist believes that there is a danger that I might harm myself or someone else in the immediate future, the therapist may have to take actions to prevent that
2) if my therapist believes that a child or incapacitated adult is being abused, the therapist has to report that
3) the courts, in rare circumstances, may order the therapist to release records, and
4) if I choose to use my mental or emotional condition as an issue in future legal matters, in so doing I may be giving attorneys and/or the courts access to my behavioral health records.
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5. Contact with Therapist Between Scheduled Online Student
Counseling Sessions
Between regularly scheduled online counseling sessions, it will not be possible for me to have any reliable or timely communication about my condition or life situation with the therapist who is providing Online Student Counseling sessions.
6. In the case of a crisis situation that is not a life-threatening emergency, I may call the NM Crisis line 24 hours per day 7 days per week at 1-866-514-2560.
7. In the case of emergency, I should call 911 and request transport to the nearest hospital.
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
Severe psychiatric disturbance (schizophrenia, other psychosis, severe depression, personality disorder)

Severe substance abuse or addiction problems

Ongoing threats of domestic violence

Very unstable social, housing, or family situations

Pending legal charges against student

Acute crisis or emergency situations

Students who have been recently assaulted
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Examples:

Vsee (Vsee.com)

Adobe Connect (Adobe.com/Connect)
Resource: http://www.telementalhealthcomparisons.com/
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Finding the “Critical Mass”
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Debbi Knots, Director NMEL
Dawn Davis, Sr. Program Manager, NMEL
Anne Marie Carpenter, Operations Manager, NMEL

*
HPSAs
(Health
Professional
Shortage
Areas)
*
MUAs
(Medically
Underserved
Areas)
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
Farmington

Gallup

Hobbs

Kirtland

Los Alamos

Santa Fe

Taos

Tucumcari

Valencia

Online

Correspondence
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Los
Alamos
100-200
UNM
Main
Campus
Gallup
100-200
Taos
100-200
Valencia
100-200
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ABQ Main Campus
EU
Field Center
300-500
Gallup ( 3 ) Los Alamos ( 2 ) Taos ( 2 ) Valencia ( 2 )
Santa Fe Farmington
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Gallup
ABQ
Taos
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Farmington

Critical Mass Report
Data reported on these variables:
• UNM Main students (no branch campus students), AND
• Students residing in New Mexico with non-Bernalillo County personal addresses, AND
• Students enrolled Spring 2014, AND
• Students taking main campus courses with distance delivery types (online, ITV, correspondence), OR
• Students taking courses offered at remote UNM main campus locations (aka UNM Statewide Centers: Farmington, Gallup, Los
Alamos, Santa Fe, Taos, & Valencia).
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CONSIDERATIONS FOR
Gary Borrell, M.D.
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Impossible to identify who first envisioned it.
Early articles (referring to efforts since 1959) discuss those early efforts and attempts to deal with issues that are still with us.
a. Head-to-Head Comparisons; Group – neither a problem, nor an asset b. Head-to-Head Comparisons; Individual – did not effect either the development of rapport, nor the attitude of either toward the therapy situation c. Technology was Black & White, small screens, and limited audio fidelity d. 1973 – a name; Telepsychiatry.
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1970s – Reports of adolescent males interviewed by machine
Despite positive findings there was resistance, especially concerning interference with, or distortion of, transference.
The Semmelweis Reflex
In some cases, Art jumped ahead (the movie, “She”). Transference not limited to face-to-face interactions
Need to provide care for those in rural settings or special populations (e.g. incarcerated, those without transportation), areas with too few resources or providers.
Prescribing
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The North Carolina Experience (28 counties without a psychiatrist)
The New Mexico Experience a. The VA b. Project Echo c. UNM
“Telepsychiatry is fluid, adaptable, titratable, and its only limitations are in the mind of the user.” Brian Gady
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Stephanie D. McIver, Ph.D. – smciver@unm.edu
Ben Klein, Ph.D. – benklein@unm.edu
Gary Borrell, M.D. – gborrell@unm.edu
Student Health & Counseling
University of New Mexico
Albuquerque, NM 87110
(505) 277-3136
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