Grand Rounds

Telepsychiatry Legal and Regulatory Updates

Telepsychiatry is integral to mental health care, yet the legal and regulatory landscape remains fragmented and rapidly changing. Clinicians struggle with inconsistent rules around cross‑state practice, evolving controlled substance prescribing standards, shifting payer telehealth policies, and platform requirements. What is often missing is a clear, up‑to‑date, and clinician‑friendly framework. This presentation will outline the current regulatory environment for telepsychiatry, including licensure and compacts, prescribing controlled substances via telemedicine, privacy and security obligations, malpractice and risk management, and safety protocols for virtual care. Attendees will gain tools that they can implement immediately to align their telepsychiatry practice with current laws and best practices.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals. 

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  • Define key federal and state regulatory requirements governing telepsychiatry, including licensure, cross‑state practice, and controlled substance prescribing via telemedicine, and identify how they apply to one’s own clinical setting.
  • Describe and apply essential privacy, security, and documentation practices for telepsychiatry, including platform selection, informed consent, and risk management strategies.
  • Outline a structured safety and emergency plan for high‑risk patients seen via telepsychiatry, including location verification, local resource coordination, and documentation to mitigate clinical and legal risk.