Times are changing: digitalisation in child and adolescent psychotherapy

Allgaier, Katharina; Schmid, Johanna; Hollmann, Karsten; Reusch, Pauline A; Conzelmann, Annette; Renner, Tobias

doi:10.1007/s00787-020-01610-8

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…Beyond these general observations, the application of digital medicine should be specifically investigated in the context of the COVID-19 crisis, which will certainly have a long-lasting and wide-ranging effect on the field of CAP, not only on mental health care delivery and configurations but also on patient experience and expectations [15][16][17]. A recent ESCAP editorial [18] provides clinicians with basic guidance deemed important in light of the perceived lack of regulation.…”

Section: Discussionmentioning

confidence: 99%

ESCAP CovCAP survey of heads of academic departments to assess the perceived initial (April/May 2020) impact of the COVID-19 pandemic on child and adolescent psychiatry services

Revet

Anagnostopoulos

Kehoe³

et al. 2021

Eur Child Adolesc Psychiatry

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In April 2020, the European Society for Child and Adolescent Psychiatry (ESCAP) Research Academy and the ESCAP Board launched the first of three scheduled surveys to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on child and adolescent psychiatry (CAP) services in Europe and to assess the abilities of CAP centers to meet the new challenges brought on by the crisis. The survey was a self-report questionnaire, using a multistage process, which was sent to 168 heads of academic CAP services in 24 European countries. Eighty-two responses (56 complete) from 20 countries, representing the subjective judgement of heads of CAP centers, were received between mid-April and mid-May 2020. Most respondents judged the impact of the crisis on the mental health of their patients as medium (52%) or strong (33%). A large majority of CAP services reported no COVID-19 positive cases among their inpatients and most respondents declared no or limited sick leaves in their team due to COVID-19. Outpatient, daycare, and inpatient units experienced closures or reductions in the number of treated patients throughout Europe. In addition, a lower referral rate was observed in most countries. Respondents considered that they were well equipped to handle COVID-19 patients despite a lack of protective equipment. Telemedicine was adopted by almost every team despite its sparse use prior to the crisis. Overall, these first results were surprisingly homogeneous, showing a substantially reduced patient load and a moderate effect of the COVID-19 crisis on psychopathology. The effect on the organization of CAP services appears profound. COVID-19 crisis has accelerated the adoption of new technologies, including telepsychiatry. Keywords COVID-19 • Child and adolescent psychiatry • Telepsychiatry • EuropeThe members of the COVID-19 Child and Adolescent Psychiatry Consortium group are mentioned in "Acknowldgements" section.

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Section: Discussionmentioning

confidence: 99%

ESCAP CovCAP survey of heads of academic departments to assess the perceived initial (April/May 2020) impact of the COVID-19 pandemic on child and adolescent psychiatry services

Revet

Anagnostopoulos

Kehoe³

et al. 2021

Eur Child Adolesc Psychiatry

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“…The COVID-19 pandemic showed us how significant internet-based interventions are, making this option a first-time implementation for many treatment providers. Guidance was quickly produced on what to look for generally in the treatment of OCD under COVID-19 (Fineberg et al 2020 ), what opportunities digital therapy offers, and what aspects to consider when using it from a privacy and therapeutic perspective (Allgaier et al 2020 ). Our study supports the usefulness of this approach with data; however, further studies with control groups should follow.…”

Section: Discussionmentioning

confidence: 99%

Internet-based cognitive behavioral therapy in children and adolescents with obsessive compulsive disorder: a feasibility study

et al. 2021

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Cognitive behavioral therapy (CBT) is the first choice of treatment of obsessive–compulsive disorder (OCD) in children and adolescents. However, there is often a lack of access to appropriate treatment close to the home of the patients. An internet-based CBT via videoconferencing could facilitate access to state-of-the-art treatment even in remote areas. The aim of this study was to investigate feasibility and acceptability of this telemedical approach. A total of nine children received 14 sessions of CBT. The first session took place face-to-face, the remaining 13 sessions via videoconference. OCD symptoms were recorded with a smartphone app and therapy materials were made accessible in a data cloud. We assessed diagnostic data before and after treatment and obtained measures to feasibility, treatment satisfaction and acceptability. Outcomes showed high acceptance and satisfaction on the part of patients with online treatment (89%) and that face-to-face therapy was not preferred over an internet-based approach (67%). The majority of patients and their parents classified the quality of treatment as high. They emphasized the usefulness of exposures with response prevention (E/RP) in triggering situations at home. The app itself was rated as easy to operate and useful. In addition to feasibility, a significant decrease in obsessive–compulsive symptoms was also achieved. Internet-based CBT for pediatric OCD is feasible and well received by the patients and their parents. Furthermore, obsessive–compulsive symptomatology decreased in all patients. The results of this study are encouraging and suggest the significance of further research regarding this technology-supported approach, with a specific focus on efficacy.Trial registration number: Clinical trials AZ53-5400.1-004/44.

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“…Digital health interventions are promising therapeutic interventions for children and adolescents with psychiatric disorders. SARS-CoV2-19 has catalyzed the integration of these approaches into the standard repertoire of CAP; there are still challenges to overcome [ 1 ]. Of special interest to trainees, learning of how to build a treatment alliance, crucial in CAP for good quality of assessment and shared-decision making, was found to be more difficult and tiring using tele-medicine.…”

Section: Changes In Health Care Servicesmentioning

confidence: 99%