Systemic teletherapists' meaningful experiences during the first months of the coronavirus pandemic

Eppler, Christie

doi:10.1111/jmft.12515

Cited by 12 publications

(11 citation statements)

References 32 publications

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“…After duplicates were removed ( n = 42), screening of the titles and abstracts of 40 papers assessed against the inclusion and exclusion criteria excluded 25 papers. A total of 15 full texts were assessed (Borcsa et al, 2021 ; Eppler, 2021 ; Harrison, 2021 ; Heiden‐Rootes et al, 2021 ; Jordan & Fisher, 2016 ; Luxton et al, 2016 ; Nadan et al, 2020 ; Pennington et al, 2020 ; Perry, 2012 ; Sahebi, 2020 ; Schmittel et al, 2021 ; Sherbersky et al, 2021 ; Springer et al, 2020 , 2021 ; Watters & Northey, 2020 ). The 15 papers identified from the search process were published across a 9‐year period (2012–2021), with a total of 40% ( n = 6) being empirical in nature and the remaining ( n = 9) providing conceptual views of telesupervision in couple and family therapy.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, professional associations responded with recommendations and guidelines for the ethical and effective use of telesupervision (AAMFT, 2020 ; AFT, 2020 ; COAMFTE, 2020 ) and the most recent version (12.5) of COAMFTE accreditation (Commission on Accreditation for Marriage and Family Therapy Education, 2021 ) allows for greater freedom in adopting the practice. As a result, both the conceptual and empirical bases of knowledge expanded rapidly, some of them already in the early stages of development (Bell et al, 2020 ; Eppler, 2021 ; Hardy et al, 2021 ; Maier et al, 2021 ; Mc Kenny et al, 2021 ; Morgan et al, 2021 ; Simpson et al, 2021 ). In addition, while most supervisors are not familiar with online work, a small number have engaged in online work through various companies, such as Motivo and Clinical Supervision Now.…”

Section: Introductionmentioning

confidence: 99%

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Online clinical supervision in couple and family therapy: A scoping review

Aviram

Nadan

2022

Family Process

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Online clinical supervision, or telesupervision, is a growing practice in couple and family therapy. This scoping review aims to identify and synthesize the existing body of knowledge regarding the utilization, experiences, and perceptions of telesupervision among the couple and family therapists and to highlight gaps in the literature. The review followed the five-step approach proposed by Arksey et al. (2005). Fifteen articles were included and their analysis yielded four themes: 1. telesupervision competence; 2. setting and boundary management; 3. advantages of telesupervision; and 4. challenges of telesupervision. Our review clearly demonstrates the dearth of available conceptual and empirical work. The rapidly growing use of online therapy and telesupervision in couple and family therapy has created a critical need to expand this body of knowledge by collecting evidence that can later be translated into practice. Moreover, we identified several gaps in the existing body of knowledge, including a lack of reports on the efficacy of telesupervision and on the experiences, processes, and ascribed meanings of the supervisors and supervisees. We also noted a lack of practice and ethical guidelines for telesupervision. We conclude our analysis by suggesting areas and directions for further investigation.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Online clinical supervision in couple and family therapy: A scoping review

Aviram

Nadan

2022

Family Process

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“…Public health concerns and health safety underscored the shift to teletherapy [ 33 ], rather than a structured or clinically sound plan to increase access with trained practitioners. As we emerge from pandemic-related restrictions, it is likely that teletherapy will continue [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Continuation of Teletherapy After the COVID-19 Pandemic: Survey Study of Licensed Mental Health Professionals

Gangamma¹,

Walia²,

Luke³

et al. 2022

JMIR Form Res

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Background The use of teletherapy has exponentially increased in the context of the ongoing COVID-19 pandemic. Studies on teletherapy documented substantial benefits of accessibility and convenience even before the start of the pandemic. Although recent studies show that this modality of therapy delivery is here to stay, few have studied who will most benefit from this trend. Objective In this paper, we report predictors of continued teletherapy usage in a sample of licensed mental health professionals in the United States during a time period when pandemic-related restrictions began diminishing. As such, it is one of the first studies to examine factors related to continued benefits of teletherapy postpandemic. Methods Participation from licensed mental health professionals was sought on listservs of national organizations of multiple mental health organizations. Data were collected via an anonymous link to a survey on Qualtrics between January 2021 and April 2021. Participants responded to questions on therapist demographics, practice setting, experiences of shifting to teletherapy, perspectives on continued use of teletherapy, and their client characteristics. Findings related to client characteristics that predicted continued teletherapy usage are presented here. Results A total of 186 individuals consented to participate in the survey, with a final sample of 114 with complete data. A majority of participants identified as female (92/114, 80.7%), White (94/114, 82.5%), and having a master's degree (75/114, 65.5%) from a nationally accredited program (106/114, 93%). Data were analyzed using heteroskedastic regression modeling with client-related factors as predictors. Two models were run with and without distance travelled by clients as a control variable. Model estimates from both models showed that continued use of teletherapy postpandemic was predicted by the following factors: higher percentage of clients from rural areas, younger and older adult clients, clients with Medicare, and clients with marginalized gender and religious/spiritual identities. Significantly, having a higher percentage of clients from lower socioeconomic status, a higher percentage of those with Medicaid coverage, and a higher percentage of couples and families as clients predicted decreased use of teletherapy postpandemic. Conclusions Findings from the study suggest that while some groups of clients are more likely to continue to receive benefits of teletherapy, vulnerable groups such as those in lower socioeconomic conditions, Medicaid beneficiaries, and those who seek couple and family therapy may be less likely to be served by it. These differences point to a need to address factors driving telehealth care disparities such as access to technology, housing, and childcare issues, as well as the need for continued training for licensed professionals.

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“…As strict social distancing and lockdown measures were abruptly imposed at the onset of the pandemic, mental health providers were forced to transition their traditional in-person care practice to online platforms (Eppler, 2021; Madigan et al, 2021; Morgan et al, 2021; Shklarski et al, 2021). The primary adaptation was transitioning from in-person services to teletherapy, which we define as the use of technology (e.g., video conferencing), to deliver remote mental health assessment and treatment (Whaibeh et al, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

“Each week feels like a mountain”: The impact of COVID-19 on mental health providers’ well-being and clinical work.

Mittal¹,

Morgan²,

Du³

et al. 2023

Professional Psychology: Research and Practice

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The SARS-CoV-2 (COVID-19) pandemic has placed a tremendous strain on health care providers. Although there is a burgeoning body of literature on how COVID-19 has impacted frontline health care workers (i.e., providers treating COVID-19 patients), little attention has been dedicated to second-line workers (i.e., providers treating the mental health of people impacted by COVID-19). In this article, we present findings from a thematic analysis of open-text responses (n = 136) examining how COVID-19 shaped both the well-being of second-line workers, specifically mental health providers, as well as their clinical work in the early months of the COVID-19 pandemic in the United States. Results indicated that mental health providers were experiencing significant COVID-19-related burnout and poor physical and mental health outcomes. Participants described diminished negative effects on the quality of their clinical care from the burnout and trauma associated with COVID-19. Many also demonstrated resilience, identifying the duality of both negative (e.g., exhaustion) and positive (e.g., pride in helping others) meaning derived from their second-line work experiences. We conclude with recommendations for preventing and addressing burnout among mental health professionals in the era of COVID-19 and subsequent health emergencies.

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Systemic teletherapists' meaningful experiences during the first months of the coronavirus pandemic

Cited by 12 publications

References 32 publications

Online clinical supervision in couple and family therapy: A scoping review

Online clinical supervision in couple and family therapy: A scoping review

Continuation of Teletherapy After the COVID-19 Pandemic: Survey Study of Licensed Mental Health Professionals

“Each week feels like a mountain”: The impact of COVID-19 on mental health providers’ well-being and clinical work.

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