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Bright AM, Doody O. Mental health service users' experiences of telehealth interventions facilitated during the COVID-19 pandemic and their relevance to nursing: An integrative review. J Psychiatr Ment Health Nurs 2023; 30:1114-1129. [PMID: 37278201 DOI: 10.1111/jpm.12943] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 05/03/2023] [Accepted: 05/21/2023] [Indexed: 06/07/2023]
Abstract
WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Service users report telehealth interventions to be useful in terms of access and convenience however, a preference for face-to-face interventions remains. Nurses are using telehealth interventions in clinical practice however, further research is necessary in this area as the evidence of their involvement is limited. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This paper highlights the use of telehealth interventions should augment rather than replace face-to-face care provision. ABSTRACT INTRODUCTION: The Covid-19 pandemic saw the swift implementation of physical and social distancing that impacted the way in which mental health services were facilitated. Consequently, telehealth/e-health interventions are increasing in use. AIM This integrative review aims to explore existing literature regarding mental health service users' experiences of telehealth interventions facilitated through the COVID-19 pandemic, to determine the visibility of nursing involvement in the facilitation of telehealth interventions and to use these experiences to inform nursing practice. METHOD A methodical search of eight (n = 8) academic databases was undertaken using CINAHL, SCOPUS, EMBASE, PsycINFO, Web of Science, Cochrane, MEDLINE and Academic Search Complete between January 2020 and January 2022. RESULTS A total of 5133 papers were screened by title and abstract of which (n = 77) progressed for full-text screening. Five (n = 5) papers met the inclusion criteria for this review and results were mapped onto the four meta-paradigms of nursing: person; where the findings discuss the acceptability of telehealth interventions; environment; where the findings highlight barriers and facilitators to the use of telehealth interventions; health; where the findings discuss staff time and logistical issues relating to telehealth interventions and nursing; where the findings centre around the therapeutic relationship. DISCUSSION This review highlights there is a paucity of direct evidence relating to nursing involvement in the facilitation of telehealth interventions. However, there are benefits to the use of telehealth interventions that include increased access to services, less perceived stigma and increased engagement which are relevant to nursing practice. A lack of individual contact and concerns relating to infrastructure indicates a fondness for face-to-face interventions remains high. IMPLICATIONS FOR PRACTICE There is a need for further research on the role of the nurse in the facilitation of telehealth interventions, specific interventions used and outcomes of such interventions.
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Affiliation(s)
- Ann-Marie Bright
- Department of Nursing & Midwifery, University of Limerick, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
| | - Owen Doody
- Department of Nursing & Midwifery, University of Limerick, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
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Anil K, Bird AR, Bridgman K, Erickson S, Freeman J, McKinstry C, Robinson C, Abey S. Telehealth competencies for allied health professionals: A scoping review. J Telemed Telecare 2023:1357633X231201877. [PMID: 37787172 DOI: 10.1177/1357633x231201877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
INTRODUCTION Telehealth has become one of the main methods of delivering allied health professional services world-wide, yet many professionals do not have sufficient training to deliver high-quality telehealth services. This review aims to identify what competencies allied health professionals require for effective telehealth service delivery. METHODS This scoping review used the Population Concept Context framework and searched the following databases: MEDLINE, CINAHL, PsychInfo, Cochrane, EMBASE, Web of Science, PEDro, United Kingdom Health Forum, WHO, Health Education England, and all UK and Australian AHP professional bodies. RESULTS A total of 37 articles were included out of 92,525 identified by the literature search. Competencies were related to two areas: (1) delivery of the telehealth consultation and (2) service management of telehealth consultations. The first area included the following competency themes: clinical reasoning, communication, effectively using technology, person-centred care, practice-based assessment and intervention knowledge/behaviour/skills, privacy, security, and patient safety, professionalism, and setting up the technical environment. The second area included the following competency themes: digital infrastructure, informing practice, and management. Although findings emphasised the importance of telehealth competencies, none have been implemented within education. One-third of the articles were from the discipline of psychology. CONCLUSION This is the first scoping review to combine telehealth competencies reported across allied health disciplines. Although there were a vast range of competencies, they need implementation into teaching and learning to be practically useful. Most competencies were from psychology, but potentially applicable for other allied health professionals. A shared and adaptable standard for telehealth competencies would be useful to ensure high-quality practice across all allied health professionals.
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Affiliation(s)
- Krithika Anil
- School of Health Professions, University of Plymouth, UK
| | - Adam R Bird
- School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, VIC, Australia
| | - Kate Bridgman
- School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, VIC, Australia
| | - Shane Erickson
- School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, VIC, Australia
| | | | - Carol McKinstry
- School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, VIC, Australia
| | | | - Sally Abey
- School of Health Professions, University of Plymouth, UK
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Watson JD, Pierce BS, Tyler CM, Donovan EK, Merced K, Mallon M, Autler A, Perrin PB. Barriers and Facilitators to Psychologists' Telepsychology Uptake during the Beginning of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085467. [PMID: 37107748 PMCID: PMC10139141 DOI: 10.3390/ijerph20085467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 03/21/2023] [Accepted: 03/31/2023] [Indexed: 05/11/2023]
Abstract
The COVID-19 pandemic transformed the delivery of psychological services as many psychologists adopted telepsychology for the first time or dramatically increased their use of it. The current study examined qualitative and quantitative data provided by 2619 practicing psychologists to identify variables facilitating and impeding the adoption of telepsychology in the U.S. at the beginning of the COVID-19 pandemic. The top five reported barriers were: inadequate access to technology, diminished therapeutic alliance, technological issues, diminished quality of delivered care or effectiveness, and privacy concerns. The top five reported facilitators were: increased safety, better access to patient care, patient demand, efficient use of time, and adequate technology for telepsychology use. Psychologists' demographic and practice characteristics robustly predicted their endorsement of telepsychology barriers and facilitators. These findings provide important context into the implementation of telepsychology at the beginning of the pandemic and may serve future implementation strategies in clinics and healthcare organizations attempting to increase telepsychology utilization.
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Affiliation(s)
- Jack D. Watson
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Bradford S. Pierce
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Carmen M. Tyler
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Emily K. Donovan
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Kritzia Merced
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
- Central Virginia Veterans Affairs Health Care System, Richmond, VA 23249, USA
| | - Margaret Mallon
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Aaron Autler
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Paul B. Perrin
- Central Virginia Veterans Affairs Health Care System, Richmond, VA 23249, USA
- School of Data Science and Department of Psychology, University of Virginia, Charlottesville, VA 22903, USA
- Correspondence:
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Andreucci-Annunziata P, Mellado A, Vega-Muñoz A. Telesupervision in Psychotherapy: A Bibliometric and Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16366. [PMID: 36498438 PMCID: PMC9735903 DOI: 10.3390/ijerph192316366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/25/2022] [Accepted: 12/02/2022] [Indexed: 06/17/2023]
Abstract
(1) Background: This systematic review supported by a bibliometric analysis identified quantitative and qualitative empirical studies that allowed us to respond to the objective of identifying and discussing the scope and limitations of the clinical-psychotherapeutic supervision in virtual modality or telesupervision. (2) Methods: The articles were selected according to the Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and the eligibility criteria proposed by the PICOS strategy (population, interventions, comparators, outcomes, and study design) based on 396 records of scientifically identified articles in the Journal Citation Report databases of the Web of Science. (3) Results: The literature review stages allowed the selection of three articles, which were added three others that were already included in a previous review, to enrich the analysis and discussion. The results of the present review highlighted aspects of nonverbal communication, alliance, comfort, preference, trust, and construction of professional identity, among others, both considering only the telesupervision format and comparing it with traditional face-to-face supervision. (4) Conclusions: The contributions that these results are providing to the understanding of the scope and limitations of the practice of telesupervision are discussed, also considering its interference in the construction of the professional identity of supervisors and supervisees.
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Affiliation(s)
- Paola Andreucci-Annunziata
- Instituto de Investigación y Postgrado, Facultad de Ciencias de la Salud, Universidad Central de Chile, Santiago 8330507, Chile
| | - Augusto Mellado
- Instituto de Investigación y Postgrado, Facultad de Ciencias de la Salud, Universidad Central de Chile, Santiago 8330507, Chile
| | - Alejandro Vega-Muñoz
- Instituto de Investigación y Postgrado, Facultad de Ciencias de la Salud, Universidad Central de Chile, Santiago 8330507, Chile
- Escuela de Doctorado, Universidad Rovira i Virgili, 43007 Tarragona, Spain
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Hatami H, Deravi N, Danaei B, Zangiabadian M, Shahidi Bonjar AH, kheradmand A, Nasiri MJ. Tele-medicine and improvement of mental health problems in COVID-19 pandemic: A systematic review. Int J Methods Psychiatr Res 2022; 31:e1924. [PMID: 35700080 PMCID: PMC9349757 DOI: 10.1002/mpr.1924] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 05/08/2022] [Accepted: 05/20/2022] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Tele-medicine services have been developed in response to the COVID-19 pandemic, which disrupts mental health services. The present study investigates the effectiveness of telephone-delivered services for psychological disorders in the COVID-19 pandemic. METHODS We searched PubMed/Medline, Embase and Cochrane Controlled Register of Trials for relevant clinical studies up to February 1, 2022. Following terms were used: "severe acute respiratory syndrome", "Coronavirus", "Coronavirus infection", "SARS-CoV-2", "COVID-19", "mental disorder", "mental health", "mental health program", "mental health service", "psychiatric service", "telemedicine", "Telehealth", "Tele-health", "Telecare", "Mobile health". RESULTS Twelve relevant clinical articles were included in our study. Eight articles were parallel randomized controlled trials (RCTs), two were Quasi-experimental, and one was a multicenter retrospective cohort study. A total of 1900 adults (18 years old or above that) were included. Online telecommunication methods like online apps and videoconference were the most common interventions. The most prevalent measured outcome was levels of anxiety and depression among participants. Eleven out of 12 articles showed a significant association between telemedicine and mental health improvement. CONCLUSIONS The included studies in the current systematic review reported the probable efficacy of telemedicine in improving mental health disorders during the COVID-19 pandemic. But it is not possible to determine the best telecommunication method for each mental disorder in different populations and the preference of patients is still face to face therapy. So RCTs in different populations with previous mental disorders or chronic diseases are required to investigate the further telemedicine's efficacy on managing mental problems.
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Affiliation(s)
- Hossein Hatami
- Department of Public HealthSchool of Public Health and Safety and Environmental and Occupational Hazards Control Research CenterShahid Beheshti University of Medical SciencesTehranIran
| | - Niloofar Deravi
- Department of MicrobiologySchool of MedicineShahid Beheshti University of Medical SciencesTehranIran
| | - Bardia Danaei
- Department of MicrobiologySchool of MedicineShahid Beheshti University of Medical SciencesTehranIran
| | - Moein Zangiabadian
- Department of MicrobiologySchool of MedicineShahid Beheshti University of Medical SciencesTehranIran
| | - Amir Hashem Shahidi Bonjar
- School of DentistryClinician Scientist of Dental Materials and Restorative DentistryShahid Beheshti University of Medical SciencesTehranIran
| | - Ali kheradmand
- Department of PsychiatryTaleghani Hospital Research Development CommitteeShahid Beheshti University of Medical SciencesTehranIran
| | - Mohammad Javad Nasiri
- Department of MicrobiologySchool of MedicineShahid Beheshti University of Medical SciencesTehranIran
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Hynie M, Jaimes A, Oda A, Rivest-Beauregard M, Perez Gonzalez L, Ives N, Ahmad F, Kuo BCH, Arya N, Bokore N, McKenzie K. Assessing Virtual Mental Health Access for Refugees during the COVID-19 Pandemic Using the Levesque Client-Centered Framework: What Have We Learned and How Will We Plan for the Future? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095001. [PMID: 35564397 PMCID: PMC9103707 DOI: 10.3390/ijerph19095001] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/08/2022] [Accepted: 04/15/2022] [Indexed: 11/16/2022]
Abstract
During the COVID-19 pandemic, mental health services rapidly transitioned to virtual care. Although such services can improve access for underserved populations, they may also present unique challenges, especially for refugee newcomers. This study examined the multidimensional nature of access to virtual mental health (VMH) care for refugee newcomers during the COVID-19 pandemic, using Levesque et al.'s Client-Centered Framework for Assessing Access to Health Care. One hundred and eight structured and semi structured interviews were conducted in four Canadian provinces (8 community leaders, 37 newcomer clients, 63 mental health or service providers or managers). Deductive qualitative analysis, based on the Client-Centered Framework, identified several overarching themes: challenges due to the cost and complexity of using technology; comfort for VMH outside clinical settings; sustainability post-COVID-19; and communication and the therapeutic alliance. Mental health organizations, community organizations, and service providers can improve access to (virtual) mental health care for refugee newcomers by addressing cultural and structural barriers, tailoring services, and offering choice and flexibility to newcomers.
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Affiliation(s)
- Michaela Hynie
- Department of Psychology, York University, Toronto, ON M3J 1P3, Canada
- Center for Refugee Studies, York University, Toronto, ON M3J 1P3, Canada; (A.O.); (L.P.G.)
- Correspondence:
| | - Annie Jaimes
- Department of Psychoeducation, Sherbrooke University, Sherbrooke, QC J1K 2R1, Canada;
- Sherpa University Institute, Montreal, QC H3N 1Y9, Canada;
| | - Anna Oda
- Center for Refugee Studies, York University, Toronto, ON M3J 1P3, Canada; (A.O.); (L.P.G.)
| | | | - Laura Perez Gonzalez
- Center for Refugee Studies, York University, Toronto, ON M3J 1P3, Canada; (A.O.); (L.P.G.)
| | - Nicole Ives
- Sherpa University Institute, Montreal, QC H3N 1Y9, Canada;
- School of Social Work, McGill University, Montreal, QC H3A 1B9, Canada
| | - Farah Ahmad
- School of Health Policy and Management, York University, Toronto, ON M3J 1P3, Canada;
| | - Ben C. H. Kuo
- Department of Psychology, University of Windsor, Windsor, ON N9B 3P4, Canada;
| | - Neil Arya
- Department of Family Medicine, McMaster University, Hamilton, ON L8S 3L8, Canada;
| | - Nimo Bokore
- School of Social Work, Carleton University, Ottawa, ON K1S 5B6, Canada;
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McKee GB, Pierce BS, Tyler CM, Perrin PB, Elliott TR. The COVID-19 Pandemic's Influence on Family Systems Therapists' Provision of Teletherapy. FAMILY PROCESS 2022; 61:155-166. [PMID: 33913526 PMCID: PMC8239780 DOI: 10.1111/famp.12665] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The COVID-19 pandemic has altered life globally like no other event in modern history, and psychological service changes to meet the resultant impacts on families have not been assessed in the empirical literature. The purpose of the current study was to examine whether family systems therapists increased their teletherapy use during the pandemic relative to prepandemic usage, and whether projected postpandemic rates would remain at the same level; further, environmental and demographic predictors of these changes were examined. In May 2020, a sample of 626 family systems therapists (58.6% women, 40.6% men; M = 57.4 years old; M years in practice = 25.5) completed a national online study assessing these variables. Results suggested that family systems therapists performed 7.92% of their clinical work using teletherapy before the pandemic and 88.17% during the pandemic. They also projected that they would perform 36.57% of their clinical work using teletherapy after the pandemic. Teletherapy uptake was unrelated to primary practice setting, provider age, gender, race/ethnicity, and practice location (urban/suburban vs. rural) but was higher for family systems therapists who reported increased supportive teletherapy policies and training in their practice setting. Organizational infrastructure and availability of training played an important role in influencing teletherapy uptake during the pandemic. Family systems therapists have a unique opportunity to deploy teletherapy modalities to meet the needs of families during the COVID-19 pandemic, and infrastructure and training to do so may facilitate that work.
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Affiliation(s)
- Grace B. McKee
- Advanced Fellowship Program in Mental Illness Research and TreatmentMid‐Atlantic Mental Illness Research Education and Clinical Center (MIRECC)Central Virginia Veterans Affairs Health Care SystemRichmondVAUSA
- Department of PsychologyVirginia Commonwealth UniversityRichmondVAUSA
| | | | - Carmen M. Tyler
- Department of PsychologyVirginia Commonwealth UniversityRichmondVAUSA
| | - Paul B. Perrin
- Department of PsychologyVirginia Commonwealth UniversityRichmondVAUSA
- Central Virginia Veterans Affairs Health Care SystemRichmondVAUSA
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Challenges and opportunities in the provision of mental health care services during the COVID-19 pandemic and beyond. LESSONS FROM COVID-19 2022. [PMCID: PMC9347459 DOI: 10.1016/b978-0-323-99878-9.00008-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The provision of services to people with mental health problems and their families has been substantially affected by the COVID-19 pandemic. Often face-to-face clinical work had to be replaced with telehealth, in line with COVID-19 regulations of social distancing. Currently, different types of online services have been implemented to meet the mental health needs of the population. This change from face-to-face to online service provision has been disruptive to many South Africans and at times resulted in people not being able to access these services. Aim: This chapter aims to describe specifically the use of online psychological service delivery pre-COVID-19 and during the lockdown. Method: We conducted a literature review exploring the delivery of psychological services through online channels pre-COVID-19 and during the lockdown. We highlight lessons learned and opportunities for psychological service provision beyond the pandemic. Conclusion: We conclude that online service platforms can increase access to psychological services and identify strategies that can be adopted to strengthen service provision.
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Xu Q, Figley C. Introduction to Special Issue: COVID-19 Pandemic and Its Lasting Impact on Clinical Social Work Practice and Education. CLINICAL SOCIAL WORK JOURNAL 2021; 49:417-418. [PMID: 34720246 PMCID: PMC8543406 DOI: 10.1007/s10615-021-00820-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/18/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Qingwen Xu
- New York University Silver School of Social Work, New York, USA
| | - Charles Figley
- Distinguished Chair in Disaster Mental Health, Tulane University, New Orleans, USA
- Traumatology Institute, New Orleans, USA
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Hanley T, Sefi A, Grauberg J, Prescott J, Etchebarne A. A Theory of Change for Web-Based Therapy and Support Services for Children and Young People: Collaborative Qualitative Exploration. JMIR Pediatr Parent 2021; 4:e23193. [PMID: 33749615 PMCID: PMC8078682 DOI: 10.2196/23193] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/17/2020] [Accepted: 01/17/2021] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Web-based counseling and support has become increasingly commonplace for children and young people (CYP). Currently, there is limited research that focuses on the mechanisms of change within complex telepsychology platforms, a factor that makes designing and implementing outcome measures challenging. OBJECTIVE This project aims to articulate a theory of change (ToC) for Kooth, a web-based therapy and support platform for CYP. METHODS A collaborative qualitative research design involving professional staff, academic partners, and young people was used to develop the ToC. The following three major reflective phases were engaged: a scoping workshop involving professional staff and academic partners, a series of explorative projects were completed to inform the development of the ToC, and the draft ToC was reviewed for coherence by key stakeholders (young people, online professionals, and service managers). RESULTS A collaboratively developed ToC was presented. This was divided into the conditions that lead to individuals wanting to access web-based therapy and support (eg, individuals wanting support there and then or quickly), the mode of service delivery (eg, skilled and experienced professionals able to build empathetic relationships with CYP), and the observed and reported changes that occur as a consequence of using the service (eg, individuals being better able to manage current and future situations). CONCLUSIONS Developing the ToC helps to shed light on how web-based therapy and support services aid the mental health and well-being of CYP. Furthermore, it helps to understand the development of positive virtual ecosystems and can be used to devise evaluative tools for CYP telepsychology providers.
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Affiliation(s)
- Terry Hanley
- University of Manchester, Manchester, United Kingdom
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Alqahtani MMJ, Alkhamees HA, Alkhalaf AM, Alarjan SS, Alzahrani HS, AlSaad GF, Alhrbi FH, Wahass SH, Khayat AH, Alqahtani KMM. Toward establishing telepsychology guideline. Turning the challenges of COVID-19 into opportunity. ETHICS, MEDICINE, AND PUBLIC HEALTH 2021; 16:100612. [PMID: 33283033 PMCID: PMC7700766 DOI: 10.1016/j.jemep.2020.100612] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Accepted: 11/10/2020] [Indexed: 01/19/2023]
Abstract
INTRODUCTION The COVID-19 pandemic has obstructed the classical practices of psychological assessment and intervention via face-to-face interaction. Patients and all health professionals have been forced to isolate and become innovative to continue receiving and providing exceptional healthcare services while minimizing the risk of exposure to, or transmission of, COVID-19. AIM This document is proposed initially as a guide to the extraordinary implementation of telepsychology in the context of the COVID-19 pandemic and to extend its implementation to use fundamentally as the main guideline for telepsychology services in Saudi Arabia and other Arabic communities. METHOD A professional task force representing different areas of professional psychology reviewed, summarized, and documented methods, policies, procedures, and other resources to ensure that the recommendations and evidence reviews were valid and consistent with best practices. RESULTS The practice of telepsychology involves the consideration of legal and professional requirements. This paper provides a guideline and recommendations for procedural changes that are necessary to address psychological services as we transition to telepsychology, as well as elucidates and demonstrates practical telepsychology frameworks, procedures, and proper recommendations for the provision of services during COVID-19. It adds a focused examination and discussion related to factors that could influence the telemedicine guideline, such as culture, religion, legal matters, and how clinical psychologists could expand their telepsychology practice during COVID-19 and after, seeking to produce broadly applicable guidelines for the practice of telepsychology. Professional steps in practical telemedicine were illustrated in tables and examples. CONCLUSION Telepsychology is not a luxury or a temporary response. Rather, it should be considered part of a proactive governance model to secure a continuity of mental health care services. Arabic communities could benefit from this guideline to telepsychology as an essential protocol for providing mental health services during and after the COVID-19 pandemic.
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Affiliation(s)
| | - H A Alkhamees
- Clinical psychology unit, Prince Mohammed Bin Salman centre for autism and developmental disorders, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - A M Alkhalaf
- Clinical psychology and community counselling unit, psychiatry & mental health services division, Neuroscience Institute, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
| | - S S Alarjan
- Department of adult mental health, King Abdulaziz Medical City, Riyadh, Saudi Arabia
| | - H S Alzahrani
- Mental health department, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia
| | - G F AlSaad
- Department of psychiatry, King Saud university Medical City, Riyadh, Saudi Arabia
| | - F H Alhrbi
- Ministry of Education, Unayzah colleges, Al-Qassim, Alqassim, Saudi Arabia
| | - S H Wahass
- Department of psychiatry, College of medicine, Imam Abudulrahman Bin Faisal university, Dammam, Saudi Arabia
| | - A H Khayat
- Psychology department, King Abdulaziz university, Jeddah, Saudi Arabia
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Fernández-Álvarez J, Fernández-Álvarez H. Videoconferencing Psychotherapy During the Pandemic: Exceptional Times With Enduring Effects? Front Psychol 2021; 12:589536. [PMID: 33679513 PMCID: PMC7933024 DOI: 10.3389/fpsyg.2021.589536] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 01/12/2021] [Indexed: 12/16/2022] Open
Abstract
With the advent of COVID-19, a sudden, unexpected, and forced shift has been produced in the field of psychotherapy. Worldwide, many therapists closed their offices and started to deliver psychotherapy online through a screen. Although different media started to be incorporated, videoconferencing is undoubtedly the most common way in which therapists are doing therapy these days. This is catalyzing a rapid change in the practice of psychotherapy with probable lasting effects and deserves to be carefully reflected upon. Therefore, in this paper our aim is to outline the main challenges for a medium that may have arrived to stay. In that sense, we review the literature to describe the state-of-the-art regarding the main aspects of videoconferencing psychotherapy as well as to suggest possible avenues for future research and practice.
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Affiliation(s)
- Javier Fernández-Álvarez
- Department of Basic Psychology, Clinical and Psychobiology, Jaume I University, Castellón de la Plana, Spain
- Asociación Aiglé, Valencia, Spain
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Tarquinio C, Brennstuhl MJ, Rydberg JA, Bassan F, Peter L, Tarquinio CL, Auxéméry Y, Rotonda C, Tarquinio P. EMDR in Telemental Health Counseling for Healthcare Workers Caring for COVID-19 Patients: A Pilot Study. Issues Ment Health Nurs 2021; 42:3-14. [PMID: 33052727 DOI: 10.1080/01612840.2020.1818014] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
BACKGROUND The COVID-19 pandemic is putting a strain on health systems around the world. Healthcare workers, on the front lines of the epidemic, are facing major and potentially traumatic stressful events, overwhelming their ability to cope and their resources. OBJECTIVE The objective of this article will be to show how the use of the URG-EMDR protocol in a telemental health setting has proven to be feasible and effective in the treatment of a group of healthcare professionals working in nursing homes or hospital services that were highly mobilized during the acute phase of COVID-19. METHOD 17 participants, registered nurses (N = 7) and licensed practical nurses (N = 10), were remotely treated using the URG-EMDR protocol in a single session. The assessment focused on anxiety and depressive symptoms (HAD scale) and the level of perceived disturbance (SUD). An additional evaluation of the satisfaction with the remote psychotherapy intervention was conducted. RESULTS As the URG-EMDR protocol has already proven itself during emergency interventions, it is interesting to note that its remote use in the treatment of healthcare providers caring for COVID-19 patients allows for an improvement in the emotional state and a decrease in perceived disturbance, in a single session. This result is maintained 1 week after the intervention, despite the continued professional activities of the participants and the continuity of the event. Moreover, the remote therapy setting was judged satisfactory by the patients, even if it required adjustments and certain recommendations for practice. DISCUSSION The remote use of the URG-EMDR protocol opens up innovative perspectives for early interventions and the prevention of the development of psychological disorders in the long term following a situation of acute stress.
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Affiliation(s)
- Cyril Tarquinio
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France.,EMDR Europe Practitioner and Consultant, Metz, France
| | - Marie-Jo Brennstuhl
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France.,EMDR Europe Practitioner and Consultant, Metz, France
| | - Jenny Ann Rydberg
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France.,EMDR Europe Practitioner and Consultant, Metz, France
| | - Fanny Bassan
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France.,EMDR Europe Practitioner and Consultant, Metz, France
| | - Lydia Peter
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales Ile du Saulcy, University of Lorraine, Metz, France
| | - Camille Louise Tarquinio
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France
| | - Yann Auxéméry
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France
| | - Christine Rotonda
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France
| | - Pascale Tarquinio
- APEMAC-EPSAM EA 4360, Centre Pierre Janet, Metz, France.,UFR Sciences Humaines et Sociales, EPSAM/APEMAC, University of Lorraine, Metz, France.,EMDR Europe Practitioner and Consultant, Metz, France
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14
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Dhillon H, Sasidharan S. Telemental health – Is it “Virtually” perfect. ARCHIVES OF MEDICINE AND HEALTH SCIENCES 2021. [DOI: 10.4103/amhs.amhs_97_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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15
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Lustgarten SD, Garrison YL, Sinnard MT, Flynn AW. Digital privacy in mental healthcare: current issues and recommendations for technology use. Curr Opin Psychol 2020; 36:25-31. [PMID: 32361651 PMCID: PMC7195295 DOI: 10.1016/j.copsyc.2020.03.012] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Accepted: 03/24/2020] [Indexed: 11/26/2022]
Abstract
Mental healthcare providers increasingly use technology for psychotherapy services. This progress enables professionals to communicate, store information, and rely on digital software and hardware. Emails, text messaging, telepsychology/telemental health therapy, electronic medical records, cloud-based storage, apps/applications, and assessments are now available within the provision of services. Of those mentioned, some are directly utilized for psychotherapy while others indirectly aid providers. Whereas professionals previously wrote notes locally, technology has empowered providers to work more efficiently with third-party services and solutions. However, the implementation of these advancements in mental healthcare involves consequences to digital privacy and might increase clients' risk of unintended breaches of confidentiality. This manuscript reviews common technologies, considers the vulnerabilities therein, and proposes suggestions to strengthen privacy.
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Affiliation(s)
- Samuel D Lustgarten
- Department of Counseling Psychology, University of Wisconsin-Madison, United States.
| | - Yunkyoung L Garrison
- Department of Psychological and Quantitative Foundations, University of Iowa, Iowa City, United States; Colorado State University Health Network, Fort Collins, United States
| | - Morgan T Sinnard
- Department of Counseling Psychology, University of Wisconsin-Madison, United States
| | - Anthony Wp Flynn
- Department of Counseling Psychology, University of Wisconsin-Madison, United States
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16
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Abstract
OBJECTIVE To provide a rapid clinical update on the evidence for telehealth in mental healthcare in the context of the COVID-19 pandemic public health measures. CONCLUSIONS Telehealth has been rapidly implemented in metropolitan and rural settings and the existing evidence base demonstrates that it represents an effective mode of service delivery.
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Affiliation(s)
- Rebecca E Reay
- Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School; and ACT Health, Australia
| | - Jeffrey CL Looi
- Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School; and ACT Health, Australia
| | - Philip Keightley
- Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School; and ACT Health, Australia
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