Cross-Border Practice in the Age of Telehealth: Interstate and International Mental Health Practice, 2021 Edition

Course Materials

Unit 1: Why Worry?
Unit 2: What Could Go Wrong?
Module 2: Interjurisdictional Practice & “The Age of Telehealth”
Unit 3: State of Confusion
Module 3: Legal-Ethical Issues and Risk Management in International Practice
Unit 4: When in Rome, Tokyo, Sydney...
Unit 5: Specific Examples
Wrap Up


  • Why do we even have to worry about cross-border/interjurisdictional practice?
  • The role of licensing boards in the US.
  • When and how foreign licensing board rules come into play.
  • Concrete risks in illegal cross-border/interjurisdictional practice.
  • 3 Types of Cross-Border Practice
  • Client is in a foreign jurisdiction
  • Therapist is in a foreign jurisdiction
  • Client and therapist are both in foreign jurisdictions
  • Getting answers about practice in foreign jurisdictions
  • The info items a therapist needs to know about practice in a foreign jurisdiction to determine if it is legal to work from there or with clients there
  • A process for getting these answers from US states
  • A process for getting these answers in nations outside the US
  • Current and Future Efforts to Reduce Interstate Practice Barriers
  • PSYPACT, the Counseling Compact, and more
  • Legislative efforts to reduce barriers
  • Working with clients in foreign nations
  • The difference between practice being permitted and practice not being forbidden.
  • Some risks and benefits of Roy’s telepractice in Japan.
  • A demonstration of finding potential information sources in nations where government websites are not written in English, or where information about practice licensure/registration is not findable.
  • Working with clients in US states where one is not licensed
  • Some specific state boards without any temporary practice allowance of any kind, and how we discovered that fact.
  • Some specific state boards with temporary practice allowance rules, and how we discovered that fact.
  • Some specific state boards that restrict the ability of therapists to work with clients while the therapist travels out of state.

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