Psy D

Sharing Office Space With Your Spouse (part 2): Peek Inside A Rural Dental/Therapy Office

Last week Dr. Christina Hibbert contributed a guest blog highlighting her experience of sharing an office with her husband in rural Flagstaff, AZ. (If you missed it you can read part 1 here.)

In this post, Dr. Hibbert gives us a tour of the office space she shares with her husband, Dentist O.J. Hibbert. Peek into a rural Dentist/Psychologist office and see how this clinical psychologist keeps business "in the family."

Would you like to let other shrinks peek into your office space and be featured on this blog? Get details here.

Social Media Ethics (part 3): Top 3 Ethics Gurus You Should Be Following

Is there grey area here?Creative Commons License photo credit: Carol VanHook

Where do I go for trusted information on ethical use of social media for therapists? Here are the top 3 resources on the cutting edge of online ethics for mental health therapists that I find myself referencing time and time again. I have taken their online courses, read dozens of their articles, signed up for newsletters, and of course, I follow all of them on social media sites.

Here my top three recommendations, links to my favorite resources on each site, and their social media links so you can follow them:

1) The Online Therapy Institute (OTI)

The Online Therapy Institute, co-founded by DeAnna Marz Nagel, & Kate Anthony, is a premiere resource for all things digital. OTI and Keely Kolmes, Psy.D. created a comprehensive Ethical Framework for the Use of Social Media by Mental Health Professionals that is an invaluable resource. Also, watch Nagel and Anthony discuss common online scenarios therapists face online in this Ethics and Social Media video.

Twitter @TherapyOnline Facebook The Online Therapy Institute

2) Dr. Keely Kolmes

Dr. Keely Kolmes is on the forefront of social media ethics discussions and offers a variety of excellent articles on her website. As a sought after presenter at professional conferences Kolmes speaks on a the intersection of digital ethics and mental health care. Check her presentation schedule on her website to see if she's presenting at a nearby conference.

Twitter @DrKKolmes

3) Zur Institute

The Zur Institute, founded by Dr. Ofer Zur, offers dozens of continuing education courses for mental health professionals, including free resources on social media and ethics. I'm currently taking the online course Digital and Social Media Ethics for Therapists (for 8 CEUs) through the Zur Institute and I'm finding it to be very helpful in clarifying my social media ethical philosophy (much of the course content was written by Dr. Keely Kolmes).

Twitter @ZurInstitute Facebook Zur Institute

Where do you go for social media ethics discussions? Do you have any resources that you'd like to share with other clinicians? Please post them in the comments below.

Social Media Ethics (part 2): Developing Your Social Media Policy

Social media ethics are starting to be addressed by mental health professional organizations or licensing boards but those guidelines, if they exist, are generally vague.

It's important for clinicians to take time to think through the implications of their online interactions on clients to avoid dual relationships, putting client's privacy at risk, or jeopardizing the therapeutic relationship.

Including a written social media policy as a client's initial treatment contract helps clarify how technology will be used in client-therapist interaction so it doesn't interfere with treatment.

On the forefront of the social media ethics discussion is licensed psychologist Keeley Kolmes. Psy.D. Dr. Kolmes' comprehensive social media policy has been a model for mental health therapists around the world. She generously allows clinicians to adapt her social media policy for their own use and frequently speaks, writes, and teaches on social media topics. I used it as a springboard for developing my own social media policy.

If you don't have a social media policy, I suggest that you develop one. The goal of your policy is to clearly outline your expectations regarding online interaction, educate the client of risks, and have a clear rationale for how you will or will not engage with clients online. Here are some suggested topics to cover in your policy and a few questions to help you solidify your philosophy regarding social media interaction.

Friending Will you accept friend requests on Facebook, Linked In, Google+? Why or why not?

Following Will you allow clients to follow you on Twitter, Blogs, Pinterest? If not, how will you handle it if they do follow you? Will you follow back?

Messaging Is it appropriate for clients to contact you via SMS? Or social media sites like Twitter DM? If so, what information is appropriate?

Business Review Sites What are the risks that clients take when reviewing your services on sites like Yelp or Healthgrades? Keep in mind that if a client gives you a negative review it is unethical to respond directly to the review as it breaks client confidentiality.

Google Reader What if a client wants to share an article with you through Google reader?

Search Engine Do you make a practice of Google searching your clients? Are there emergency situations where you would search for their information or information of someone close to them?

Location Based-Services If clients check-in to your location on GPS services like Foursquare or Facebook check-in are they aware of the risks that they might be identified as clients?

Email Correspondence What type of information is appropriate to send via email? How quickly a client can anticipate an email response?

Email/Newsletter Lists If you have a newsletter sign-up on your website do you expect clients to sign up on email or newsletter lists?

If you can think of a topic I missed in the list above, let me know.

Are you willing to share your social media policy? If so, please post the link in a comment below.

 

 

A Day In The Life: Meet Anxiety Expert Marla W. Deibler, Psy.D.

Peek into a work day in the life of private practitioner and licensed clinical psychologist Marla W. Deibler, Psy.D. Founder and Director of The Center for Emotional Health of Greater Philadelphia, LLC. Her outpatient behavioral health group practice specializes in the treatment of anxiety and obsessive-compulsive spectrum disorders.

She's also a wife and a mother of three children and has found a nice work/life balance working 2.5 days per week at her clinic, and spending time the rest of the time home with her children. Thanks to email, phone, and text, Dr. Deibler operates her business remotely "in spurt" during the days she's at her home. And apparently, she doesn't sleep much!

Here's a day in the life of one of Dr. Deibler's "work" days:

A Day In The Life

November 16, 2011

6:15am – 8:15am

Woke up and got my children ready for school and myself ready for work. Ate breakfast. Checked my email, responded to several emails, including an email to our web designer who is working on our new website (very exciting), and forwarded a few visual voicemail emails to my office manager for return phone calls later in the day. Quickly scanned personal and business Facebook newsfeeds and scanned my Twitter feed.

8:15am-9am

Took my second grader to board his school bus and took my 1 year-old and 4 year-old to day care.

9:30am-10am

Arrived at my office, large cup of caffeinated tea in hand that I brewed before leaving home.  Turned on all office lights and computers, collected billing slips and receivables, returned two phone calls, one from a potential patient who had a question and one from a TV network with whom I’ve worked. Review my clinical schedule for the day: it looks like I’ll be working with adults and children today with difficulties including, OCD, compulsive hoarding, tourette’s disorder, depression, panic disorder, and trichotillomania.

10am-11am

Saw a therapy patient.

11am – 12:45pm

Supervision meeting with one of my post-doctoral fellows. Discussed cases and other clinical and practice management issues. Discussed planning co-presenter workshop proposals for the Trichotillomania Learning Center (www.trich.org) annual conference in May 2012. The deadline is quickly approaching, so we have to finalize our proposals over the next 10 days.

12:45pm – 1pm

Pulled testing measures to create charts for this week’s pre-bariatric surgery psychological evaluations. Received incoming mail. Checked email and forwarded visual voicemail emails to my office manager for return calls.

1pm – 2pm

Weekly staff luncheon. Enjoyed great salads from a nearby restaurant that delivers while we discussed cases with one another and other practice issues.

2pm – 3pm

Supervision meeting with another post-doctoral fellow who has just returned to work on a limited basis from maternity leave. This was particularly nice, as she brought her 8 week-old baby while we discussed her cases and other work-life balance issues. I manage my facility in an employee-focused, family-focused manner; each clinician is valued professionally and given the flexibility to create their own schedule so that they can create happy work and personal lives (I whole-heartedly believe this happiness is reflected in their work with patients, so it’s a win-win approach to practice management). In this clinician’s case, she presently sees patients on Saturdays, when her husband is home caring for their child.  On Wednesdays, she brings him to the office for her weekly meeting with me.

3pm – 6:30pm

Saw therapy patients.

6:30pm – 6:45pm

Left the office for the day and drove home to my family. My husband is also a psychologist. He works at a special services school, so he gets off from work at 3:30pm and tends to the children until I come home (Mondays and Wednesdays I work late).

7pm-8:30pm

Spent time with my husband and children. Ate dinner. Ensured that homework was done. Put the baby to bed. Supervised bath time for the older children. Read bedtime stories and tucked the big kids in.

8:30pm-9:30pm

Sat with my husband in our bedroom, while each of us spent some winding down time on our Apple devices –We love this technology. (My husband read news and such on his iPhone, talking about some of the day’s events with me), while I logged into my electronic medical records system (www.carepaths.com), signed off on billing, reviewed and signed off on clinical documentation written by post-doctoral fellows, and submitted batched electronic insurance claims for the day’s in-network patients. Contemplated a run on the treadmill, but today is usually a “rest day” for me and I have too much to do this evening, so it will have to wait until tomorrow.

9:30pm-10pm

Brewed a cup of tea and planned our Thanksgiving dinner menu (as well as ordering our turkey and when I’m going to grocery shop—I’ve got to begin with making butternut squash soup this weekend). I cook Thanksgiving dinner for my family and my brother’s family every year.

10pm-2am

Procrastinated work a bit here and there, intermittently throughout, by checking and returning emails, both personal and professional (needs to be done anyway), checking Facebook, and exploring professional and practice growth opportunities.

Reviewed a post-doctoral fellow’s lengthy forensic report. Completed business accounting tasks for the week. Created to do list with particular attention to the insurance claims/pre-authorizations about which I need to inquire.  Filed a freelance writing/consulting application.

2:30am

Went to sleep (Yes, it is very late. Wednesday is by far my latest night of the week; it’s a worthwhile tradeoff for more time with my family on other days). Tomorrow is a new day. I’m home with my two youngest children to enjoy time with this and take care of household tasks, while managing the practice via email/phone for the day.

For more information on Dr. Deibler and her practice visit www.thecenterforemotionalhealth.com, or connect on Twitter, YouTube, or Facebook.