Mental health-related concerns are a frequently cited reason for health service attendance throughout Canada. Despite the prevalence, numerous barriers limit consistent attendance for in-person care, especially among those living in rural and northern areas of Canadian provinces and territories. The expansion of telehealth has allowed psychologists to reach these historically underserved Canadians. While adoption has been rapid in response to the COVID-19 pandemic, psychologists remain underprepared for the use of technology-delivered practices. Fragmentation of telehealth-related information, combined with unique or absent guidance across the different provincial and territorial jurisdictions, creates further challenge for those seeking evidence-informed information to guide their work. To assist psychologists, the current discussion acts as an applied primer for ethical and legal considerations when practicing psychology via telehealth throughout Canada. Licensure and jurisdiction considerations, methods of establishing patient appropriateness, informed consent processes, safety planning, and data security are outlined. Practice across province/territory, as well as practice to patients travelling outside of Canada, is also reviewed.
Public Significance StatementTelehealth provides a viable means of reaching Canadians experiencing mental health-related challenges across provinces and territories. To ensure an ethical, legal, evidence-informed, and safe telehealth practice, psychologists must be knowledgeable of telehealth-unique factors that differ from traditional in-person methodologies.