Telehealth & Applied Behavior Analysis | Behavioral Science


hi my name is May Beaubrun and I’m a board
certified behavior analyst with Brett DiNovi & Associates. in this video
we’ll be talking about telehealth first I’d like to distinguish between
telemedicine and telehealth telemedicine is when the clinician is a participant
in distance communication telehealth is any use of technology for health
purposes telehealth has many benefits one is that through telehealth
home-based behavior competition can reach individuals and communities that
are otherwise as advantaged such as rural areas or communities that have
limited or no access to BCBS also if problem behaviors are severe and
transport to a clinical center is too dangerous telehealth offers a safer
alternative another benefit to the telehealth model is that it conceived
behavior competition agencies time and money by decreasing the time clinicians
spend traveling from client’s homes the field of behavior analysis has been
rapidly growing in the past 20 years the behavior analyst certification board was
established back in 1998 the bacb offers credentials at four different levels the
RBT the be ca va the BC VA and the BC B ad as the field is growing so are the
demands for behavior analysts worldwide telehealth can benefit to meet some of
these demands and the metalic a good ole article the researchers were able to
conduct an informed interview with parents to entrain the parents to
implement a functional analysis on their child’s problem behavior through the
telehealth model through the use of a modified behavior skills training
modified due to the modeling component occurring remotely the parents learn to
implement treatment that was comprised of antecedent strategies functional
communication training differential reinforcement based on the function
identified during the functional assessments a multi element treatment
comparison was utilized which allowed the parents to trial the intervention
strategies receive information regarding the effectiveness and the end of the
intervention strategies and report based on their own perspective how feasible
and acceptable the intervention was all of the telehealth model is ideal for
underserved populations behavior analysts should proceed with caution and
ensure they are adhering to our code of ethics when delivering home
a competition through a remote platform here are some of the codes to look for
code 2.05 obtain permission for electronic recording of interviews and
service delivery sessions for clients and relevant staff at our relevant
settings so prior to providing telehealth services obtain consent both
from the client and all of the staff the next code to look out for is 2.06
maintain confidentiality be sure not to share any information whether it’s
written photographic or video about the current clients and supervisors within
any social media contacts it although these are easy ways to share information
with any stakeholders it’s important to maintain privacy of the client and the
supervisees another code is 2.09 behavior analysts have responsibility to
advocate for the appropriate amount and level of service provision and oversight
required to meet the defined behavior change program goals advocate for an
appropriate amount of level of service delivery and oversight telehealth can
increase the time behavior analysts have to deliver service by reducing the
commute but should not be used exclusively as a sole service delivery
model also be sure that you continue to maintain HIPAA compliance use best
practices to store data be aware of any privacy risk remember to use proper
Wi-Fi encryption as well have access to the acquired equipment also before
starting any telehealth treatment such as using a wearable camera having video
conference and internet enabled smartphones and tablets are also helpful
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