Objective: In this paper, we identify available telepsychology guidelines, understand similarities and differences, and organize the contents into a model of core practice domains pertinent to a variety of applications of telepsychology practice. Method: A scoping review of current telepsychology guidelines was conducted to identify, organize, and distill available telepsychology guidelines (Arksey & O'Malley, 2005, Int J Soc Res Methodol, 8, 19-32). Results: We identified overlap among five sets of telepsychology guidelines currently available and presented a consolidated model including nine practice domains influenced by practice setting and modality.Conclusions: Telepsychology has the potential to address current issues in availability, accessibility, acceptability, anonymity, and affordability of mental health services but establishing or engaging in telepsychology practice has been daunting for many practitioners. Telepsychologists can disseminate applications of this model in different settings and with different modalities and this practice model can inform future development of competencies.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
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To our knowledge, this is the first large study of the attractions of child-attracted men recruited in any manner other than their being charged with legal offenses. We recruited 1,189 men from websites for adults attracted to children. Men in our sample were highly attracted to children, and they were much less attracted to adults, especially to adult men. However, men varied with respect to which combination of gender and age they found most attractive. Men in our sample were especially attracted to pubescent boys and prepubescent girls. Their self-reported attraction patterns closely tracked the age/gender gradient of sexual arousal established in prior research. Consistent with the gradient, men most attracted to prepubescent children were especially likely to have bisexual attractions to children. Pedohebephilia-attraction to sexually immature children-is best considered a collection of related if distinct sexual orientations, which vary in the particular combination of gender and sexual maturity that elicits greatest sexual attraction. Finally, our study reveals the potential power and efficiency of studying highly cooperative child-attracted men recruited via the Internet. (PsycINFO Database Record
We conducted an Internet survey of 1,102 men sexually attracted to children concerning their history of adjudicated offenses related to child pornography and sexual contact with children. Most of the men reported no offenses, but their rate of offenses was much higher than that expected for adult-attracted men. Correlates of offending are consistent with a strong role of the cumulative effects of temptation, especially age. Older men, men who had repeatedly worked in jobs with children, men who had repeatedly fallen in love with children, and men who had often struggled not to offend were especially likely to have offended. Attraction to male children, relative attraction to children versus adults, and childhood sexual abuse experiences were also strong predictors of offending. In contrast, permissive attitudes regarding child-adult sex and frequent indulgence in sexual fantasies about children were not significantly related to offending. Our findings represent the first large study of offending among men sexually attracted to children who were not recruited via contact with the legal system. Because of methodological limitations, our findings cannot be definitive. Reassuringly, however, results are generally consistent with those from the most pertinent existing studies, of recidivism among convicted sex offenders. (PsycINFO Database Record
Objective: This survey study reports the substantial impact of the coronavirus disease (COVID-19) pandemic on the use and perceived advantages and disadvantages of telepsychology among forensic practitioners. Hypotheses: We hypothesized that telepsychology use among forensic practitioners would substantially increase during the pandemic. Additional exploratory research questions examined (a) changes in the frequency, type, nature, and motivation for use of telepsychology; (b) changes in impressions of advantages and disadvantages; and (c) barriers specific to the remote administration of assessment instruments in forensic evaluations. Method: We disseminated an online survey to one group of forensic practitioners (N = 128; 52% female, 89% White, M age = 48 years) via various listservs approximately 4 months before COVID-19 shutdowns in the United States and to a second group of forensic practitioners (N = 156; 63% female, 90% White, M age = 48 years) 1 year later (approximately 8 months after COVID-19 shutdowns began). Results: Respondents used telepsychology at a significantly higher rate after the onset of COVID-19 (92%, n = 143) than before its onset (55%, n = 71). Nonusers of telepsychology before COVID-19 identified a number of perceived barriers to its use that were unsubstantiated by telepsychology users both before and during COVID-19 (e.g., rapport issues, confidentiality, and privacy issues). Conclusion: Self-reported use of telepsychology in forensic practice has nearly doubled since the pandemic began. Forensic practitioners will likely continue to use telepsychology, requiring research to address some of their remaining concerns. This includes research on the validity of forensic assessment instruments administered via telepsychology and research informing best practice guidelines. Public Significance StatementSelf-reported telepsychology use by forensic practitioners increased exponentially during COVID-19. Given the likely longevity of telepsychology in forensic practice, there is a need for the development of best practice guidelines from a regulatory body. In addition, there is a need for further research to address forensic practitioners' concerns about the accuracy of forensic evaluations using telepsychology methods and to establish whether practitioners and court actors can have confidence in the use of these methods.
The COVID-19 pandemic has precipitated the unplanned, widespread adoption of telepsychotherapy by mental health care professionals. Psychotherapy supervision is also undergoing a rapid shift to telepractice, though questions remain about the efficacy and regulatory standing of telesupervision. A critical unanswered question is: How does telesupervision compare to traditional in-person supervision? This study (completed before the COVID-19 pandemic) used a multiple baseline single-case design to compare the relative effectiveness of in-person supervision and telesupervision. For the small sample of supervisee participants, in-person supervision and telesupervision had equivalent outcomes; there was no significant decrease in participant-rated supervision satisfaction or supervisory working alliance after participants switched from the initial in-person supervision format to telesupervision. In follow-up interviews, participants discussed four themes which may be relevant to mental health care professionals adopting telesupervision: (a) differences between modalities, (b) characteristics of an effective supervisor, (c) the role of technology, and (d) personal preference. These results add to a small but growing evidence base that suggests telesupervision is a viable alternative to in-person supervision. Practical recommendations for telesupervision during the COVID-19 pandemic are also discussed.
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