Seattle University Collaborative Projects - International Academy of ...

Terry R. Bard, Harvard Medical School (Terry_Bard@hms.harvard.edu)Distance therapy is an increasing practice globally, and models for such practice are emerging.Both benefits and limitations characterize such practice. However, nettlesome issues remainpertaining to privacy, confidentiality; treatment models, licensure, and professional responsibilityhave yet to be addressed formally. Several recent court cases have highlighted such concerns.These issues will be discussed, and a number of possible stratagems to rectify these concerns willbe identified to facilitate workshop discussion about how to approach and protect thisburgeoning model of health care.Special Problems in Forensic TelepsychiatryThomas G. Gutheil, Harvard Medical School (gutheiltg@cs.com)Current literature stresses the benefits of forensic telepsychiatry in terms of cost savings, dealingwith distance and remote settings (especially internationally), and the relative improvement overtelephonic interviewing and testimony. However, a number of problems still exist with thisotherwise useful method. These include lack of person-to-person physical interaction; alterationof the subjective response experience of in-room forensic evaluative interviewing; and the effectof the very common split-second delay experienced with a number of platforms for suchinterviewing. This presentation will address these problems and suggest solutionsIssues of Interpretation in Global Mental Health CareTyler Carpenter, Disability Rehabilitation Commission, Boston, USA(jtcarpenter30@hotmail.com)Clear and mutually shared and understood communication is fundamental to all humanundertakings. From the adaptation and evolution of human personalities through the dyadic andpassionate semiotics of a mother-child relationship, to the clinical forensic dialectic of multilingualinternational courts and treatment settings, shared and comprehensible meaning throughtranslation is the foundation upon which all tasks are undertaken and successfully accomplished.This paper lays out and discusses the process, challenges, and some possible solutions to theglobal complexities of sharing reliable and valid meaning-making in global multi-lingual, multipersonsystems; it is designed to encourage a discussion of this process and identify strategies.The Role of Virtual Technologies in the Mental Health World371