As of 2003 are there any matters syuch as malpractice coverage, practicing across state lines that have been resolved in terms of whether therapists who are licensed in one state may practice online with any patient from other states or countries? Are there any decisions about whether a therapist may practice even within a state online? My wife did an internship on a project at a large hospital with distinguished physicians that was planning to offer their expertise world wide to physicians as consultation. This was 3 years ago. The project was scrapped because of uncertainties of practicing across state lines and malpractice. I spoke with a lawyer friend who told me this is probably an area of practice where public policy has not caught up with technology. I would appreciate any thoughts, insights, experiences of research people are aware of. I do not practice online because I have enough to do otherwise but I am bothered by the labeling of this as quackery. When I was a graduate student in another century people said the same thing about telephone counseling. Yet we were involved in telephone crisis intervention. Studies at the time simply cautioned that there were limitation due to not seeing the patient. The same may need to be applied here. There are limitations and a competent professional must keep them in mind. There are limitations to face to face office practice and we account for them. Any thoughts?
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