A Supervisory Approach to Implementing A Pandemic-Induced, Practice-Based Change to Telehealth

IF 1.3 Q3 Psychology
S. Simms, P. Mehta, C. W. Jones, P. Johnston
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引用次数: 5

Abstract

ABSTRACT The 2020 COVID-19 pandemic and resulting stay at home orders halted face-to-face in-home therapy for youth at risk of out-of-home placement in Pennsylvania and Delaware. Three family therapy training centers collaborated with state officials managed care organizations, and supervisors to create a two-step process for orchestrating an abrupt, unwanted shift to technology-assisted intensive in-home family therapy. The first step encouraged supervisors to set the stage for this change through an ethics-based lens. The central tenet was to tenaciously advance the wellbeing of the child and their family. The second step encouraged supervisors to remain grounded in the basic principles of treatment and supervision that they followed before telehealth, but with a few adaptations. Three principles are emphasized. Principle one focused on securing clinician commitment to a adapting a family therapy model to a telehealth format. Principle two focused on an unremitting adherence to a preferred family therapy model by using a checklist adapted for technology-based challenges. Finally, principle three focused on fostering professional competence through attending to case conceptualization, supervision-based practice, person-of-the-self challenges, and family-clinician-supervisor isomorphic patterns. Two case examples illustrate the beginning and ending phases of technology-assisted intensive in-home family therapy. Based on feedback from in-home agencies, implementation of these two-steps helped supervisors effectively lead pandemic-induced, practice-based change to a telehealth format with intentionality, conviction, and self-efficacy.
实施流行病引发的、基于实践的远程医疗变革的监督方法
在宾夕法尼亚州和特拉华州,2020年COVID-19大流行以及由此导致的居家令暂停了对有可能被安置在家庭外的青少年的面对面家庭治疗。三家家庭治疗培训中心与州政府官员管理的护理组织和主管合作,创建了一个两步流程,以协调一个突然的、不必要的转变,以技术辅助的密集家庭治疗。第一步是鼓励管理者通过基于道德的视角为这一变革奠定基础。中心原则是坚持不懈地促进儿童及其家庭的福祉。第二步鼓励监督人员继续坚持他们在远程保健之前遵循的治疗和监督的基本原则,但做了一些调整。强调了三个原则。原则一侧重于确保临床医生承诺使家庭治疗模式适应远程保健形式。原则二侧重于通过使用适应基于技术的挑战的清单来坚持不懈地坚持首选家庭治疗模式。最后,原则三侧重于通过关注案例概念化、基于监督的实践、自我挑战和家庭临床医生-监督同构模式来培养专业能力。两个案例说明了技术辅助的密集家庭治疗的开始和结束阶段。根据国内机构的反馈,这两个步骤的实施有助于监督人员有效地领导由大流行引起的基于实践的变革,使之具有目的性、信念和自我效能感。
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来源期刊
Journal of Family Psychotherapy
Journal of Family Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
1.90
自引率
0.00%
发文量
0
期刊介绍: Designed with the practicing clinician in mind, the Journal of Family Psychotherapy features a case study orientation that makes for very interesting reading. Highlights include: •Case Studies: Focused studies of a single case seen in family psychotherapy, illustrating the etiology, maintenance, and/or process of change of the problem. •Program Reports: Descriptions of treatment programs that have been used successfully to treat specific problems or new orientations used generally in family therapy. Clinical case examples are included.
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