“…Although the use of telehealth mental health services varies across age, gender, and geographical location, some studies indicate that telehealth services are more likely to be accepted by some groups (Knechtel & Erickson, 2021) and individuals 45 years and younger are more likely to utilize video conferencing than telephone telehealth services (Jayawardana & Gannon, 2021). Although the literature indicates that telehealthâbased services have been useful for individuals including clients, patients, and healthcare providers (Khoshrounejad et al., 2021), the majority of individuals value faceâtoâface therapy more than online therapy (Knechtel & Erickson, 2021). Barriers for deployment of telehealth services include less favorable perceptions of telehealth services (Knechtel & Erickson, 2021), audiovisual challenges (Kneeland et al., 2021), technology acceptance and user adoption (Khoshrounejad et al., 2021), concerns with data privacy and security (Knechtel & Erickson, 2021), ethical and legal considerations (Langarizadeh et al., 2017), insurance policies and reimbursement (UscherâPines et al., 2019), establishing and maintaining therapeutic alliance (Kneeland et al., 2021), and inequalities in care access (Peng & Park, 2021).…”