Stephanie R. Marder, MA, MEd, LPC, LCDC II, is a doctoral candidate in Kent State University’s Counselor Education and Supervision program. Marder earned a bachelor’s degree in psychology from the University of New Hampshire and a master’s degree in psychology from Boston University. Several years later she graduated with her master’s degree in education in clinical mental health counseling from Kent State University and obtained her licensed professional counselor degree. She currently practices at Family Behavioral Health Services, LLC, in Mayfield Village, Ohio. Marder specializes in working with adolescents, emerging adults, and families. Her scholarly interests include using the latest technology to benefit clients and enhance treatment outcomes as well as developing tools to better assist adolescents and emerging adults manage anxiety concerns.
Jason K. Martin, PhD, is the clinical director and an associate professor of counseling at the University of Mary Hardin-Baylor. He is a licensed marriage and family therapist and licensed professional counselor in Texas and serves on the board of directors of the Texas Association for Marriage and Family Therapy (TAMFT). He is an AAMFT approved supervisor and has maintained a private practice for many years. Jason is a two-time recipient of the TAMFT Susan Speight Governmental Leadership Award (2015 and 2020). He has researched and published on the development of theoretical orientation among student counselors and the phenomenon of fatherhood. He holds a doctorate in marriage and family therapy from Michigan State University and a master’s degree in marriage and family therapy from Abilene Christian University.
Rachel McCrickard, MA, is a licensed marriage and family therapist and the founder/chief executive officer of Motivo, an online platform that connects therapists to clinical supervisors and peer consultants. After years of experience providing therapy and supervision in both urban and rural areas, Rachel began to recognize the difficulty many therapists experience when attempting to find quality clinical supervision. Impassioned by her entrepreneurial spirit, Rachel fostered the creation of Motivo in 2017 to create an easier path to licensure for therapists through the responsible use of technology.
Angela McDonald, PhD, is dean of the School of Health Studies and Education and a professor in the Department of Educational Leadership at Saint Joseph’s University in Philadelphia, Pennsylvania. She earned her doctorate in counselor education at the College of William and Mary in 2006. She has been a licensed counselor in North Carolina for 13 years, working in a variety of settings, and she has been published in several journals, including the Journal of Counseling & Development. She is also the past president of the American Association of State Counseling Boards and the past chair of the North Carolina Board of Licensed Professional Counselors. She is a national certified counselor.
Jeffrey Parsons, PhD, is a professor of counseling at Lindsey Wilson College and serves as the director of the Counselor Education and Supervision program. He is a licensed professional clinical counselor in the state of Kentucky. Prior to serving in his current role, Jeff served 7 years as director of program evaluation and technology for the School of Professional Counseling and 3 years as director of teaching and technology effectiveness for the Office of Academic Affairs. He recently completed a term as a board member (including 2 years as chair) for the Council for Accreditation of Counseling and Related Educational Programs.
Harrison Tyner is a social impact entrepreneur, technology innovator, and startup adviser to numerous early-stage tech companies. As founder and chief executive officer of WeCounsel Solutions, Harrison launched the first cloud-based software platform for behavioral health, which has facilitated more than 1 million virtual sessions to date. With expertise in telemedicine, health care, and software as a service, Harrison regularly collaborates with other startup founders to develop innovative solutions that make a positive impact on the community.
Appendix Authors
Kenda Dalrymple, JD, is an attorney and the managing partner of Dalrymple, Shellhorse, Ellis & Diamond, LLP, in Austin, Texas. She earned her undergraduate degree in communications from Baylor University and her Juris Doctor degree from Baylor University Law School. For the past 26 years, she has represented hundreds of professionals before their licensing boards on complaint and license-related cases. She also presents frequently on ethics, risk management, confidentiality of records, Health Insurance Portability and Accountability Act of 1996 and Health Information Technology for Economic and Clinical Health Act regulations, and other matters related to administrative law and mental health. Although she excels at helping professionals when a problem has arisen in their practices, she much prefers to educate and train them to recognize common pitfalls and avoid trouble, if possible. She is past president of the Austin Bar Association’s Administrative Law Section and the Kappa Alpha Theta Austin Alumnae Association and a past course director for the State Board of Texas Advanced Administrative Law Seminar, an annual 2-day continuing legal education seminar. For the past 10 years, she has been a member of the American Psychological Association (APA) Board of Directors’ Standing Hearing Panel, which hears and decides ethics cases brought by the APA.
Amber Hord-Helme, MA, LPCC-S, NCC, has been a licensed counselor for more than 15 years. She has owned her own private group practice in Versailles, Kentucky, for the past 10 years. She is currently a doctoral candidate in the Counselor Education and Supervision program at Lindsey Wilson College in Columbia, Kentucky. She has been an adjunct instructor for Lindsey Wilson College since 2017 and has supervised interns and provisionally licensed postgraduate practitioners since 2012. She is a former secretary of the Kentucky Mental Health Counseling Association and is currently president of the Kentucky Association for Assessment and Research in Counseling. Her current areas of research include counseling for clients with dyslexia, implementing telehealth counseling in private practice, and developing professional counselor identity in early professionals.
Chapter 1
Ethical, Legal, and Risk Management Considerations: Understanding the Landscape of Telebehavioral Health and Supervision
Jennifer Nivin Williamson and Daniel G. Williamson
The ACA Code of Ethics (American Counseling Association [ACA], 2014) declares the following in the introduction to Section H:
Counselors understand that the profession of counseling may no longer be limited to in-person, face-to-face interactions. Counselors actively attempt to understand the evolving nature of the profession with regard to distance counseling, technology, and social media and how such resources may be used to better serve their clients. (p. 17)
This section on distance counseling, technology, and social media was among major revisions to the ethical standards and identifies technology as a part of the profession. Counselors have an ethical obligation to understand how new technologies might be used to serve clients and to use them responsibly. The introduction to Section H goes on to caution counselors to recognize the concerns with using these technologies, especially in terms of protecting confidentiality, and to recognize the ethical and legal requirements needed to implement these resources appropriately (ACA, 2014). The primary goal of integrating technology into counseling practice is to enhance human interaction (Association for Counselor Education and Supervision Technology Interest Network, 2007). As counselors engage in technology-assisted mental health services, it is imperative that they consider ethical, legal, and risk management