The COVID‐19 Pandemic’s Influence on Family Systems Therapists’ Provision of Teletherapy

McKee, Grace B; Pierce, Bradford S.; Tyler, Carmen M.; Perrin, Paul B.; Elliott, Timothy R.

doi:10.1111/famp.12665

Cited by 9 publications

(12 citation statements)

References 33 publications

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“…A family systems approach may be helpful to improve coping strategies and mental health ( Cortese et al, 2020 ; Organisation for Economic Cooperation and Development, 2021). This approach is appropriate to be delivered via telehealth to support families of children with ADHD in the case of isolation or other social distancing restrictions ( McKee et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Associations Between COVID-19 Stress and the Mental Health of Children With ADHD

et al. 2023

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Objective: To investigate the longitudinal associations between COVID-19 induced stress (related to COVID-19 restrictions/changes), attention-deficit/hyperactivity disorder (ADHD) symptoms, oppositional symptoms, and mental health outcomes (negative affect, anxiety, depression, and irritability) in children with ADHD during the COVID-19 pandemic. Method: Parents of 140 Australian children with ADHD (aged 5–17 years) completed an online survey in May 2020 during stay-at-home restrictions and 12-months later. Results: Baseline COVID-19 stress was associated with increased total ADHD symptom severity (β = .21, p = .007) and hyperactivity/impulsivity symptoms (β = .23, p = .002) at 12-months, after accounting for covariates (i.e., child age, gender, ADHD medication, socio-economic status, and baseline symptoms). Despite some indication of associations between baseline COVID-19 stress and 12-month oppositional symptoms and negative affect, these were attenuated when adjusting for baseline symptoms. Conclusions: The study provides initial evidence of the medium-term impacts of pandemic-related stress for children with ADHD.

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Section: Discussionmentioning

confidence: 99%

Longitudinal Associations Between COVID-19 Stress and the Mental Health of Children With ADHD

et al. 2023

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“…Consequently, the effectiveness of various therapeutic modalities, including family therapies, has not yet been adequately established, and the supply of telehealth-ready clinicians cannot meet the growing demand (Smith et al, 2020). At the height of COVID-19, however, most child and family mental health services pivoted to virtual service delivery (Appleton et al, 2021;Racine et al, 2020) and intend to maintain their virtual practice postpandemic (McKee et al, 2022). The present study aims to address this gap in the context of student-led virtually delivered emotion-focused family therapy (EFFT; Foroughe, 2018;Lafrance et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

A case study of virtually delivered emotion‐focused family therapy

Smith

Bandealy²,

Browne

2023

J Marital Family Therapy

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Clinical psychologists and therapists are increasingly taking advantage of internet and mobile‐based technologies to deliver mental health services for individuals and groups since the COVID‐19 pandemic. However, there is a dearth of research evaluating the appropriateness of virtual platforms for family interventions. Further, no research has examined the effectiveness of weekly emotion‐focused family therapy (EFFT). This case study presents a virtually delivered 8‐week EFFT intervention, which supported caregivers to manage child symptoms of depression, anxiety, and anger, facilitate emotion processing, and strengthen relationships. Two parents from one family during a marital separation participated and completed brief measures of therapeutic alliance, family functioning, parental self‐efficacy, and parental and child psychological distress at 12 time points as well as a posttreatment semistructured interview. A strong therapeutic alliance was formed, and general family functioning, parental self‐efficacy, parent psychopathology, and child depression, anger, and anxiety symptoms improved over the course of therapy.

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“…Teletherapy refers to the use of electronically based communication such as videoconferencing, telephone calls, and mobile apps to provide access to mental health services, typically across distances [ 8 ]. Rapid legislative changes, training, and guidelines resulted in an exponential increase in teletherapy when compared to prepandemic levels [ 9 , 10 ]. The increase in relational teletherapy (teletherapy with couples and families) has been particularly important given increased risks for distress, anxiety, grief/loss, substance abuse, and family violence in children [ 11 ] and adults [ 12 - 14 ] during the pandemic.…”

Section: Introductionmentioning

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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The COVID‐19 Pandemic’s Influence on Family Systems Therapists’ Provision of Teletherapy

Cited by 9 publications

References 33 publications

Longitudinal Associations Between COVID-19 Stress and the Mental Health of Children With ADHD

Longitudinal Associations Between COVID-19 Stress and the Mental Health of Children With ADHD

A case study of virtually delivered emotion‐focused family therapy

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

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