Asynchronous Telepractice and Ethical Conduct

Purpose: This invited article reflects upon elements of ethical behavior during the conduct of asynchronous telepractice. Method: First, telepractice is defined, followed by the typically understood definitions of synchronous telepractice, asynchronous telepractice, and hybrid telepractice (in-person plus synchronous and/or asynchronous telepractice approaches). In this in-depth examination of ethical intent and behavior, the point is made that synchronous and asynchronous telepractice can be simultaneously or sequentially linked for the same clinician–client interaction. The article then presents key elements of the Code of Ethics of the American Speech-Language-Hearing Association, along with historical underlying ethical principles. It includes practical vignettes of model ethical conduct and conduct that violates at least one principle of ethics. Conclusions: It is important to not embrace a false or superficial dichotomy between synchronous and asynchronous telepractice when considering ethical behavior. In fact, the same ethical principles apply to both.