Mobility Tool Kit Step 5B

Assess facilitators and barriers to interjurisdictional practice:
Practice across borders using technology

Hardhat image

The session asks, “Is this an episode of The Jetsons or is this for real?” Learn how telemedicine/electronic practice is changing the landscape of health and mental health care and how technology affects policy regulators. Participants will explore how telehealth/electronic practice may be used in real world situations and explore the legal and licensure implications of using this method of service delivery in a clinical environment.

Learning Objectives:

After completing this session, participants should be able to:

  1. Explain the principal variations of licensure requirements related to telehealth.
  2. Identify considerations that policymakers may contemplate as they develop and administer regulations related to telehealth practice.
  3. Explore possible solutions to the current regulatory challenges that regulatory bodies face with technology-assisted practice.
  4. Describe the ethical risks for social workers when working with patients/clients in a virtual environment.



Alverson, D. (2014). When does telemedicine become a standard of care? The SciTech Lawyer, 10(3). Retrieved from

American Telemedicine Association. Retrieved on April 20, 2018 from

Binder, L. (2018, April 16). Regulators can't seem to tamp down telemedicine, and that's a big sign of change. Forbes. Retrieved from

Cohen, M. (2017, November 1). Telemedicine legal series. Retrieved from

Hedges, R. (2018, February 15). Telemedicine, information governance, and litigation: The chicken and the egg? [Blog post]. IGIQ: A Journal of American Health Information Management Association Blog. Retrieved from

Huggins, R. (2016, July 22). Can I practice “Skype therapy” across state lines? Retrieved from

Leslie, R. (2016). Licensing board issues warning to patients who travel out of state! Re: Telephone counseling/psychotherapy. [Blog post]. Retrieved from

National Association of Social Workers. (2017). Code of ethics of the National Association of Social Workers. Retrieved from

Newfoundland and Labrador Association of Social Workers. (2012). Standards for technology use in social work practice. Retrieved from

Standard of care. (n.d.) In TheFreeDictionary. Retrieved from

Online Therapy Institute. (2014). Ethical framework for use of technology in mental health. Retrieved from

Reamer, F. (2013). Social work in a digital age: Ethical and risk management challenges. Social Work, 58(2), 163-72.

Telehealth Certification Institute, LLC. States’ rules and regulations.  Retrieved on April 24, 2018 from

Zur, O. (2016). TeleMental Health Services Across State Lines. Retrieved from