etiolation's recent activity

  1. Comment on Tele-health privacy concerns are a barrier to therapy in ~tech

    etiolation
    Link Parent
    So, HIPAA compliance is such a high hurdle—or, such an expensive one to trip over—that a messaging platform’s promise of clearing it is a sufficient surety seal (that they do), and further, I...

    So, HIPAA compliance is such a high hurdle—or, such an expensive one to trip over—that a messaging platform’s promise of clearing it is a sufficient surety seal (that they do), and further, I should not expect to see FOSS making such promises. Am I drawing the correct conclusions? And am I right in supposing that using Signal would not require a BAA, but would necessitate more steps in the provider's record-keeping protocol in order maintain HIPAA compliance?

    3 votes
  2. Comment on Tele-health privacy concerns are a barrier to therapy in ~tech

    etiolation
    (edited )
    Link Parent
    Wait until your therapist diagnoses your privacy qualms as an irrational feature of an anxiety disorder! Privacy education and restoration are critical needs. I hope the conferences and workshops...

    Wait until your therapist diagnoses your privacy qualms as an irrational feature of an anxiety disorder! Privacy education and restoration are critical needs. I hope the conferences and workshops docs attend can address the issue.

    4 votes
  3. Comment on Tele-health privacy concerns are a barrier to therapy in ~tech

    etiolation
    Link Parent
    Seriously. I understand the preference for video, since giving and observing non-verbals is an important aspect of many modalities, but there has to be flexibility. Your comment about scheduling...

    Seriously. I understand the preference for video, since giving and observing non-verbals is an important aspect of many modalities, but there has to be flexibility. Your comment about scheduling with your psychiatrist brings me back. A former p-doc of mine made me feel like she was very carefully sorting the contents of an ancient recipe box over the last six minutes of each appointment.

    4 votes
  4. Tele-health privacy concerns are a barrier to therapy

    Here in the States, you hear about your insurance company waiving co-pays for tele-health therapy visits in these “uncertain times,” but searching for providers confronts you with even more...

    Here in the States, you hear about your insurance company waiving co-pays for tele-health therapy visits in these “uncertain times,” but searching for providers confronts you with even more uncertainty. How do you evaluate their practices for safety and privacy? Every other practitioner subscribes to a different platform. Some, to my horror, use Zoom. Others have adopted a software suite to manage their entire practice. These therapists rely on the same company for scheduling appointment reminders, recording session notes, billing insurance, and running a video chat. When I have requested to connect via Signal, they express a preference for their platform, usually citing HIPAA compliance. One recommended a finding a provider who uses paper records as the only avenue open to me. But wasn’t there a time before companies like Spruce, SimplePractice, and TheraNest, where sensitive session notes were somehow distinct, less “networked” than today? How are therapists determining the privacy and security protections of their platform? How do I? Does anyone have experience with these companies?

    13 votes