Controversy clarified: An updated review of clinical psychology and tele-health

Perle, Jonathan G.; Langsam, Leah C.; Nierenberg, Barry P.

doi:10.1016/j.cpr.2011.08.003

Cited by 83 publications

(107 citation statements)

References 85 publications

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“…It has to be noted though that systematic studies that investigate these concerns are lacking [15]. A major concern often reported by therapists is how to deal with crisis situations online (e.g., when a client expresses suicidal thoughts) [16]. Online modalities allow clients to disconnect at any time, without the therapist knowing whether this is due to technology failure or because the client is in some kind of crisis, and the therapist is not in the same space in order to ensure their safety [17].…”

Section: Not Limited To Therapy Consultation and Psycho-education Bmentioning

confidence: 99%

“…Therapists also mention more practical concerns such as costs of setting up and maintaining the infrastructure, licensure and jurisdiction constraints, lack of clear ethical guidelines for practice and confidentiality, patient privacy, and the potentially detrimental effects of technology failure [9,14,16,17].…”

Section: Not Limited To Therapy Consultation and Psycho-education Bmentioning

confidence: 99%

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Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model (Preprint)

Feijt¹,

Kort²,

Bongers³

et al. 2017

Preprint

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Section: Not Limited To Therapy Consultation and Psycho-education Bmentioning

confidence: 99%

Section: Not Limited To Therapy Consultation and Psycho-education Bmentioning

confidence: 99%

Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model (Preprint)

Feijt¹,

Kort²,

Bongers³

et al. 2017

Preprint

View full text Add to dashboard Cite

show abstract

“…Although the typical context for psychological treatments has been the face-to-face format, the history of other methods of therapy delivery is as old as the history of psychotherapy itself (Perle, Langsam, & Nierenberg, 2011). For example, historical articles suggest that Sigmund Freud used letters as an active, indirect therapy (Perle et al, 2011).…”

Section: Digitally Administered Cbt For Depressionmentioning

confidence: 99%

“…One example of that was the computer program "Eliza" in the 1960s, that used natural language to simulate therapeutic dialogue for a therapeutic interview (Weizenbaum, 1966). From Eliza, the use of computers continued to evolve into both guided and unguided internet-based, as well as selfdirected adjuncts to face-to-face therapies such as psychoeducation, selfmonitoring, and positive reinforcement systems (Perle et al, 2011).…”

Section: Digitally Administered Cbt For Depressionmentioning

confidence: 99%

Use of a Smartphone Application in the Treatment of Depression : The New Wave of Digital Tools in Psychological Treatment

Ly¹

2015

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Internet-delivered programs based on cognitive behavior therapy (CBT) have during the past decade shown to work in an effective way for the treatment of depression. Due to its accessibility and independence of time and location, smartphone-based CBT might represent the next generation of digital interventions. Depression is an affective disorder that affects as many as 350 million people worldwide. However, with CBT, depression can be treated, but access to this treatment is scarce due to limited health care resources and trained therapists. As a result of this, health care could highly benefit from the use of smartphones for delivering cost-effective treatment that can be made available to a large part of the population who suffer from depression. One treatment that should be especially suitable for the smartphone format is behavioral activation (BA), since it has strong empirical support as well as the benefits of being flexible and rather simple.The overall aim of the thesis was to test and further develop a BA smartphone application, as well as to build a method for how this smartphone application could be used in a comprehensive and effective way in depression treatment. To fulfill this aim, four studies were conducted.Study I was a pilot study of the first version of the smartphone application, investigating how 11 participants experienced an intervention on a smartphone platform. The results showed initial implications that participants receiving the smartphone application used it in contexts where it would be difficult to use a traditional internet-based program.In Study II, the intervention was developed as a guided internet-based CBT intervention, but delivered through the smartphone application. The aim was to test the effects of this intervention compared to a smartphone-delivered mindfulness intervention. The results showed 5 large within-group effect sizes for both groups, but no between-group effect sizes. Subgroup analyses revealed a significant difference in favor of the BA program for participants with more severe depression at baseline. Contrary, for the participants with lower initial severity, the mindfulness program was significantly more effective than the BA program.Study III was an extension of the second study, using a qualitative approach investigating 12 participants' experiences of the intervention. One of the main findings was that the smartphone format seemed to be a portable and flexible way of accessing the treatment -and thus could be more present in everyday life.In Study IV, a blended treatment, using the BA smartphone application as an adjunct to four face-to-face sessions, was developed and tested against 10 face-to-face sessions. The results yielded large within-group effect sizes and no between-group effect sizes. This result is a preliminary indication that the number of face-to-face sessions can be reduced with the adjunct of a smartphone application.

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“…While 'telehealth' or 'telemedicine' has rather specific meanings and implications in general health care, for mental health care especially in poorer countries, the value would lie in using the electronic and technological communication networks to provide support as well as consultation opportunities for primary care and other non-specialised workers. In clinical psychology practice, there have been various ethical, legal, and other concerns, which will need to be addressed (Perle, Langsam, & Nierenberg, 2011). Nevertheless, this technological innovation in health care offers numerous opportunities and possibilities for psychological services, and psychologists need to devise creative ways in which this new era approach can be used to improve the mental well-being of disadvantaged communities.…”

Section: Psychological Services: Towards An Implementation Modelmentioning

confidence: 99%

Clinical psychology training in South Africa: A call to action

Pillay

Ahmed

Bawa

2013

South African Journal of Psychology

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With the profession of clinical psychology and its formal training programmes less than 40 years old in South Africa, it is important that efforts are made to critically examine its challenges and the extent to which it is meeting the prevailing mental health needs. The profession has gone through a chequered history in South Africa and needs to look at how it realigns its goals and practices, to be in tune with the imperatives of democracy, and to ensure that mental health benefits accrue to all of the country's people, rather than a minority. To this end, the authors examine training issues, such as recruitment, curricula, and future directions. We assert that a clinical psychology that draws from current resources and foregrounds a primary health-care orientation can start to address some of the challenges facing training in South Africa. KeywordsMental health, primary health care, psychologist, psychology, training Although professional psychology is not new in South Africa, it is still relatively young, considering formal training in the sub-disciplines (e.g., clinical psychology) began less than 40 years ago. The field straddles both apartheid and post-apartheid eras and carries a significant history that has affected its development and recognition nationally and internationally. With the demise of apartheid, the accessibility of mental health training and services to all aspirant students and academics, as well as in the development and production of psychological and mental health knowledge, by a wider group of researchers is crucial.South African psychology has come a long way, from its tainted history of association with apartheid (Cooper, Nicholas, Seedat, & Statman, 1990) to the point of organising and hosting the 2012 International Congress of Psychology (ICP 2012) and welcoming to its shores psychology colleagues from around the world. It is, therefore, an appropriate time to reflect on how South African psychology can consolidate some of the gains and focus on further developing clinical psychology training within the context of present day and historical challenges. Although research

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Controversy clarified: An updated review of clinical psychology and tele-health

Cited by 83 publications

References 85 publications

Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model (Preprint)

Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model (Preprint)

Use of a Smartphone Application in the Treatment of Depression : The New Wave of Digital Tools in Psychological Treatment

Clinical psychology training in South Africa: A call to action

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