Scenario

Patient Name: Avery Mark

The patient initiated this virtual encounter due to the increasing anxiety and depression. They have had counseling services by the group that this provider practices in. The provider does not, however, see this patient regularly. This was an “emergency” visit. 

The patient is very comfortable with telehealth and has had multiple visits virtually over the last several years. The patient actually prefers this type of encounter because they do not have to travel for the visit. They have missed appointments in the past that were in person.

Providers should:

• Confirm that the client has consented to a telehealth visit. 
• Assure that the client is in a secure location and is alone at the start of the visit. 
• Determine the patient’s location (i.e at home/same address) and obtain an emergency number.
• Ask each question from these three surveys:
• Screening Tool GAD
• Screening Tool PHQ-9
• Screening Tool ASQ NIMH Toolkit

Note: Refer to the “TIPS Scale for Telehealth Communication Guidelines” (prior to the visit).

Note: Refer to "Telebehavioral Health Video: Pediatric to Geriatric" (prior to visit).

Timing:

• You will have 15 minutes to conduct the exam.
• You will receive a "2 minutes left" warning from the standardized patient.

Feedback: There will be verbal feedback with the standardized patient following the role-play.

"Join Visit" button will not appear until your scheduled session time.

**You will seen a countdown in location it will appear 20 minutes before your session.

Visit Objective

This is a telehealth case (behavioral providers will be focusing the evaluation of anxiety/depression and suicidal ideation in a college student)

Target Audience

PMHNP