Teletherapy with Older Adults: Clinical Effectiveness, Legal-Ethical Considerations, and Strategies of Support

2 CE Credit Hours. Legal-Ethical. Continuing Education Session Replay

Presented By: Gabrielle Juliano-Villani LCSW

Older adults and their families are a vulnerable, underserved, and often misunderstood population.

In this presentation, attendees will learn more about how to effectively work with older adults and the common issues they face, and how to utilize teletherapy to appropriately treat these issues. Both ethical and legal considerations will be discussed to ensure compliance with HIPAA when engaging caregivers in the therapy process.

Course Description

Educational Objectives

– Identify common health and mental health issues older adults face that can be addressed through telehealth, including dementia, falls, and chronic health issues

– Summarize legal and ethical considerations when it comes to working with older adults using telehealth (including Medicare regulations)

– Describe how to utilize and encourage caregivers and families to integrate and support mental health services with older adults

– Conceptualize the intersection and prevalence of mental health disorders with older adults and the elderly

– Define therapeutic interventions and techniques to work with this population


  • Intro/course overview
  • Define “older adults”
  • Discuss issues this population faces and why this is important in therapy
  • Falls
  • UTI’s
  • Chronic Health Conditions
  • Mental Health in older adults
  • Depression
  • Anxiety
  • Grief and Loss


  • Dementia
  • Interventions


  • Implications for telehealth
  • Caregiver issues / support
  • Engaging caregivers
  • Preventing burnout
  • Utilizing telehealth with older adults and their caregivers/loved ones
  • Ethical considerations
  • Legal considerations (POA, HIPAA)
  • Medicare compliance


Centers for Disease Control and Prevention (CDC), National Center for Injury Control and

Prevention [Internet]. Make STEADI part of your medical practice. Atlanta: CDC; 2015 [cited
2016 April 12]. Available from:

Rowe, T. A., & Juthani-Mehta, M. (2013). Urinary tract infection in older adults. Aging health,
9(5), 10.2217/ahe.13.38.

Centers for Disease Control and Prevention. (2019, April 5). What is dementia? Centers for
Disease Control and Prevention. Retrieved September 16, 2021, from

Pathak, N. (2020, October 6). What is Caregiver Burnout? WebMD. Retrieved September 16
2021, from
U.S. Department of Health and Human Services. (n.d.). Older adults and depression. National
Institute of Mental Health. Retrieved September 16, 2021, from

U.S. National Library of Medicine. (2021, September 13). Fall risk Assessment: Medlineplus
medical test. MedlinePlus. Retrieved September 16, 2021, from

What is an age-friendly health system?: Ihi. Institute for Healthcare Improvement. (n.d.).
Retrieved September 16, 2021, from

World Health Organization. (n.d.). Mental health of older adults. World Health Organization.
Retrieved September 16, 2021, from

Centers for Disease Control and Prevention and National Association of Chronic Disease
Directors. The State of Mental Health and Aging in America Issue Brief 1: What Do the Data
Tell Us? Atlanta, GA: National Association of Chronic Disease Directors; 2008.

Sharif, F., PhD, Jahanbin, I., MS, Amirsadat, A., MS, & Hosseini Moghadam, M., MS (2018).
Effectiveness of Life Review Therapy on Quality of Life in the Late Life at Day Care Centers of
Shiraz, Iran: A Randomized Controlled Trial. International journal of community based nursing
and midwifery, 6(2), 136–145.

Schupp, L. (2007). Grief: Normal, Complicated, Traumatic (1st ed.). Premier Publishing &

2 CE Credit Hours.

Presented/Developed By

Gabrielle Juliano-Villani, LCSW is a licensed clinical social worker, consultant, coach, entrepreneur and educator based in Sarasota, Fl. She has been in the mental health field for over a decade specializing in stress, aging issues, chronic health conditions, and trauma. Her group practice in Denver, CO had a focus on making mental health care accessible to people on Medicare and Medicaid, but after realizing her own burnout in 2021, she sold her thriving group practice and made it her mission to educate others on the impact stress has on our everyday lives. Gabrielle pulls from her experience as an EMDR and Polyvagal Informed therapist to utilize mind/body approaches to help others implement everyday strategies to manage stress and live their best lives. Gabrielle is an international speaker, retreat leader, and has been featured in Authority Magazine, The Daily Om, Bustle, and the Everyday Woman TV Network. When she’s not working, Gabrielle is teaching Zumba, surfing, or reading a psychological thriller at the beach

Program Notices

Accuracy, Utility, and Risks Statement: This program discusses strategies for complying with HIPAA and some other US Federal rules. It may not include information on all applicable state laws. Misapplication of the materials, or errors in the materials, could result in non-compliance with applicable laws or ethics codes.

Conflicts of Interest: None stated.

Commercial Support: None.

This course is subject to our cancellation/refund policy and complaint policy.

2 CE Credit Hours.

2 CE Credit Hours. Legal-Ethical. Continuing Education Session Replay


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