This course is designed to meet Type 2 Supervision CE requirements as outlined by the BACB.
I. Advantages and Disadvantages of using telehealth technology for supervision a. Advantages i. Saves time and money 1. Reduces travel time 2. Reduces need for meeting space ii. Allows for impromptu or emergency supervision b. Disadvantages i. Equipment and encryption costs ii. May decrease personal nature of interaction II. Encompassing the BACB requirements a. Not different from in-person requirements b. Complete supervision requirements c. Complete supervisee requirements d. Provide supervision according to prescribed schedules e. Visit the BACB website (BACB.com) III. Ethical supervision via telehealth technology a. Professional and Ethical Compliance Code b. Confidentiality challenges i. Section 2.06 of the Ethical Code ii. Health Insurance Portability Accountability Act (HIPAA) compliance 1. Choosing the telehealth platform 2. Encryption; or 3. Not sharing PHI 4. HIPAA penalties 5. Recommend paying extra for encryption iii. Obtaining consent for supervision c. Responsibility challenges i. Section 5.0 of the Ethical Code – TOTAL responsibility ii. Section 5.03 – Supervisory delegation d. Section 5.04 – Designing effective supervision and training IV. Effective supervision via telehealth technology a. Dimensions of ABA (Baer, Wolf, and Risley,.1987) b. Effectiveness of tele-training (Parsons et al., 2012) c. Establish an effective relationship (Sellers et al., 2016) i. Effective communication (Does telehealth work for everyone?) ii. Address telehealth usage in supervision agreement iii. Make adjustments as necessary d. Ensure ability to observe and provide feedback e. Base supervision on ABA principles f. Design supervision on unique supervision needs i. Students 1. Supervised field experience 2. Practicum 3. Intensive practicum ii. RBT iii. BCaBA iv. Individualized needs (ADA requirements) g. Recommendations i. Don’t rely solely on telehealth ii. Conduct periodic onsite observations at least once per month V. Jennifer uses Telehealth Technology for Effective Supervision (Example) VI. Summary and Conclusion
Bruce Davis, Ph.D. is the Director of Behavioral and Psychological Services for the Tennessee Department of Intellectual and Developmental Disabilities (DIDD). He has 27 years of experience providing services to persons with intellectual disabilities and co-occurring behavioral health disorders. He is a Licensed Senior Psychological Examiner, a Licensed Professional Counselor, and a Board Certified Behavior Analyst. Dr. Davis has served as Regional Behavior Analysis Director for DIDD and was also Director of TN-START, a model crisis intervention program for persons with co-occurring disorders. He has also worked as an Assistant Professor in the Vanderbilt University Department of Psychiatry and directed the Behavioral Health and Intellectual Disabilities Clinic supported by the Merck Fund. Dr. Davis is a past President of the Tennessee Association for Behavior Analysis and served as President of TN-NADD (an association for persons with developmental disabilities and mental health needs) from 2005 to 2008 and 2011 to present. In the interim, he served as a TN-NADD Board Member and is an active member of the NADD organization. Disclosure: Bruce Davis, MS, PhD has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.