To Proceed Via Telehealth or Not? Considerations for Pediatric Anxiety and Related Disorders Beyond COVID-19

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2023-03-21 DOI:10.1016/j.cbpra.2023.01.004

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引用次数: 0

Abstract

The COVID-19 pandemic accelerated a widespread shift to telehealth among mental health professionals to prioritize both providers’ and clients’ safety. Telehealth is likely here to stay; however, there is limited practical guidance for clinicians about how to make decisions regarding who should proceed with care via telehealth versus in-person. There also is virtually no data on the effectiveness of hybrid approaches to care; yet this can be an attractive option with potential clinical benefit. This paper provides practice-informed guidance to support shared clinical decision-making between clinicians and families to decide whether to engage in therapy services in-person or via telehealth. We specifically focus on decision-making guidance relevant for youth with anxiety or related disorders, given the unique implications of telehealth for these youth. Guided by the three-legged stool of evidence-based practice, we discuss how clinicians can use principles of shared decision-making to inform clinical recommendations about treatment modality.

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是否通过远程医疗继续？新冠肺炎后儿童焦虑和相关疾病的考虑因素。

新冠肺炎大流行加速了心理健康专业人员向远程健康的广泛转变，以优先考虑提供者和客户的安全。远程医疗可能会继续存在；然而，对于临床医生来说，关于如何决定谁应该通过远程医疗与亲自进行护理，实际指导有限。实际上也没有关于混合护理方法有效性的数据；然而，这可能是一个具有潜在临床效益的有吸引力的选择。本文提供了基于实践的指导，以支持临床医生和家庭之间的共同临床决策，从而决定是亲自还是通过远程医疗参与治疗服务。鉴于远程医疗对这些年轻人的独特影响，我们特别关注与焦虑或相关疾病的年轻人相关的决策指导。在循证实践的三条腿大便的指导下，我们讨论了临床医生如何使用共享决策原则来为有关治疗模式的临床建议提供信息。

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来源期刊

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.