What should be included in the initial session’s emergency planning for telemental health?

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In telemental health, planning for emergencies is essential because distance and technology can complicate access to urgent care. The most effective initial session plan specifies exactly who to contact, how to contact them, and what counts as an emergency. This creates a clear, actionable path for both the patient and clinician during a crisis, regardless of where the patient is located. A solid plan should include the patient’s current location, local emergency services and crisis resources, trusted contacts, and the clinician’s contact information and after-hours procedures. It should also outline thresholds for escalation and the specific steps to take when danger is present, along with what information to share with responders. Documenting and reviewing this plan, and updating it as needed, helps maintain safety over time. A list of phone numbers alone may miss who to contact or the emergency criteria, and claiming emergencies are unnecessary or restricting planning to adults would neglect the needs of many patients who require safety planning.