Therapy services for children and youth living in rural areas of high-income countries: a scoping review

Finak, Paulina; Hastings-Truelove, Amber; Fecica, Agnieszka; Batorowicz, Beata

doi:10.1080/09638288.2022.2074552

Cited by 4 publications

(1 citation statement)

References 66 publications

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“…Remote and rural areas are not well served by specialist therapies, however, online delivery methods could widen access for families who live outside of urban areas. A scoping review of mental health services in remote areas of high-income countries reported that delivering therapy to those who live in rural areas has several positive outcomes [ 18 ]. These include lessening the financial burden of therapy and increased confidence in technology.…”

Section: Introductionmentioning

confidence: 99%

Online therapy with families ‐ what can families tell us about how to do this well? A qualitative study assessing families’ experience of remote Dyadic Developmental Psychotherapy compared to face-to-face therapy

Blair,

Tweedlie,

Minnis

et al. 2024

PLoS ONE

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Dyadic Developmental Psychotherapy (DDP) is a family-based therapy for adopted children aiming to achieve secure attachment between the child and parent. Due to restrictions under the COVID-19 pandemic, delivery of DDP transitioned from face-to-face to online methods. This study aimed to explore families experience of online DDP compared to face-to-face DDP, looking at the advantages and disadvantages of remote delivery methods and the implications this has on future service delivery for clinicians. Semi-structured interviews with 6 families were conducted online. Analysis of transcripts using Interpretative Phenomenological Analysis (IPA) revealed four superordinate themes: environment and child engagement, non-verbal communication, travel and familiarity with remote interactions. Parents recognised the influence the physical and online environment had on their child’s engagement levels, however, varied in their experience and hence preference of delivery method. All families emphasised the importance of non-verbal communication within DDP sessions and majority highlighted this may be lost online. For families who travelled to face-to-face DDP, car journeys provided a unique opportunity to decompress and reflect after sessions. For families where travel is unfeasible, online DDP was a lifeline, demonstrating the ability of remote therapy to widen access to specialist healthcare. Familiarity with online work emerged as a strong indicator of positive attitudes towards remote DDP, especially if the previous experience is positive and the child is confident using technology. Overall, families differed greatly in their experience of remote and face-to-face DDP indicating a new approach must be undertaken with each family beginning therapy, ensuring it is unique and individual to their needs.

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Section: Introductionmentioning

confidence: 99%