Telepsychology and interstate practice provisions; APA Ethics Code as adopted
Telepsychology, interstate practice, and ethical standards
This domain tests technology-assisted practice, multistate licensure, and the APA Ethics Code as adopted by Maryland. The key question is where the client is located when services are delivered.
Core rules
- A psychologist must be licensed in Maryland or practice under an available interstate authority. Maryland participates in PSYPACT, which allows eligible psychologists in compact states to provide telepsychology through E.Passport/APIT.
- Without compact authority, the law of the client's location generally governs. Verify licensure and local requirements before accepting an out-of-state client.
- Telepsychology requires informed consent covering technology, privacy, emergency procedures, and alternatives; identity verification; secure platforms; and a plan for local emergencies.
- Maryland regulations adopt the APA Ethics Code, and the Board may discipline for violations. State law and COMAR add requirements, so follow the stricter rule.
Worked example
A Maryland psychologist wants to treat a client who moves to a non-PSYPACT state. The psychologist cannot rely on Maryland licensure alone. She should check that state's rules, obtain a license or compact privilege if available, or refer locally. Documenting the location and decision is essential.
Traps
Do not assume the psychologist's home-state license follows the client. Do not use unsecured video or email for clinical work. Do not treat the APA Ethics Code as optional; Maryland enforces it.