Child & Youth Care Forum最新文献

{"title":"Introduction of Technology to Support Young People's Care and Mental Health-A Rapid Evidence Review.","authors":"G Ramshaw,&nbsp;A McKeown,&nbsp;R Lee,&nbsp;A Conlon,&nbsp;D Brown,&nbsp;P J Kennedy","doi":"10.1007/s10566-022-09700-1","DOIUrl":"https://doi.org/10.1007/s10566-022-09700-1","url":null,"abstract":"<p><strong>Background: </strong>Technology and its use within mental health services has advanced dramatically over recent years. Opportunities for mental health services to utilise technology to introduce novel, effective, and more efficient means of delivering assessment, and treatment are increasing.</p><p><strong>Objective: </strong>The current rapid-evidence paper reviews evidence regarding the introduction of novel technology to support young people's mental health and psychological well-being.</p><p><strong>Methods: </strong>A rapid evidence review was conducted. PSYCHINFO and CINAHL were searched for research articles between 2016 and 2021 that were specific to young people, mental health, and technology developments within this domain. N = 27 studies which explored the introduction, feasibility, and value of technology for mental health purposes were included in a narrative synthesis. Quality or risk of bias analyses were not completed.</p><p><strong>Results: </strong>Overall, technological advancements in young people's care were considered positive and engaging for young people. Factors including resources, efficiency of care, engagement, therapeutic effectiveness, ethical considerations, therapeutic alliance, and flexibility were considered within this review. Nevertheless, potential barriers include clinician concerns, socioeconomic factors, and motivation.</p><p><strong>Conclusion: </strong>Effective and sustained use of technology within young people's mental health services will depend on the technology's usability, efficiency, and ability to engage young people. This paper expands on existing research by reviewing a broader range of technology proposed to support young people's mental health and well-being. This will assist in the application of novel technological advancements by indicating effectiveness, preferences, potential barriers, and recommendations for the feasibility and efficacy of introducing technology into young people's services.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9328417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents' Psychoactive Substance Use During the First COVID-19 Lockdown: A Cross Sectional Study in Italy.","authors":"Silvia Biagioni,&nbsp;Federica Baldini,&nbsp;Marina Baroni,&nbsp;Sonia Cerrai,&nbsp;Francesca Melis,&nbsp;Roberta Potente,&nbsp;Marco Scalese,&nbsp;Sabrina Molinaro","doi":"10.1007/s10566-022-09701-0","DOIUrl":"https://doi.org/10.1007/s10566-022-09701-0","url":null,"abstract":"<p><strong>Background: </strong>Italy was one of the first European countries to be affected by Covid-19. Due to the severity of the pandemic, the Italian government imposed a nationwide lockdown which had a great impact on the population, especially adolescents. Distance-learning, moving restrictions and pandemic-related concerns, resulted in a particularly stressful situation.</p><p><strong>Objective: </strong>This cross-sectional study aims to analyse substance consumption and its associated factors during the Covid-19 lockdown imposed by the Italian government.</p><p><strong>Methods: </strong>ESPAD is a questionnaire that is administered yearly in Italian high schools. In 2020, it was administered online during dedicated hours of distance learning, collecting data from 6027 Italian students (52.4% were male) aged 15-19. Data collected from the 2020 questionnaire was matched with that collected in 2019, in order to make them comparable.</p><p><strong>Results: </strong>The prevalence of consumption of each substance decreased during the restriction period, and the most used substance during the lockdown period was alcohol (43.1%). There were some changes in factors associated with psychoactive substance use, especially painkillers and non-prescription drugs. For instance, unlike what was observed in the 2019 model, in 2020 spending money without parental control was associated with painkillers and non-prescription drug use while risk perception was not.</p><p><strong>Conclusions: </strong>The restrictions and the increased difficulties in obtaining psychoactive substances did not prevent their consumption, and students with particular risk factors continued to use them, possibly changing the substance type of substance. This information is useful in order to better understand adolescents' substance use during the ongoing pandemic.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9391179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of an Online Play-Based Parenting Program on Child Development and the Quality of Caregiver-Child Interaction: A Randomized Controlled Trial.","authors":"Katherine Solís-Cordero,&nbsp;Patricia Marinho,&nbsp;Patricia Camargo,&nbsp;Silvia Takey,&nbsp;Rogério Lerner,&nbsp;Vladimir Pinheiro Ponczek,&nbsp;Alberto Filgueiras,&nbsp;Jesus Landeira-Fernandez,&nbsp;Elizabeth Fujimori","doi":"10.1007/s10566-022-09717-6","DOIUrl":"10.1007/s10566-022-09717-6","url":null,"abstract":"<p><strong>Background: </strong>Studies assessing the effects of parenting programs have focused on interventions delivered through face-to-face modalities. There is a need for research to evaluate the effects of online parenting programs on child development, such as the BEM Program ('Play Teaches Change' in English), an online play-based parenting program that teaches caregivers on how to introduce playful interactions into their daily household chores.</p><p><strong>Objective: </strong>To assess the effects of the BEM Program on child development and the quality of caregiver-child interaction.</p><p><strong>Method: </strong>A two-arm randomized controlled trial was conducted in a socioeconomically disadvantaged district of São Paulo city in Brazil. 129 children aged 12-23 months and their caregiver were randomly assigned to receive either the BEM Program for 8 weeks (intervention, <i>n</i> = 66) or standard child care (control, <i>n</i> = 63). Data were collected at baseline and endline of the intervention through home visits and online interviews. An intention-to-treat analysis was conducted.</p><p><strong>Results: </strong>The intervention showed positive effects on child development, by improving language development (Cohen's d = 0.20, 95%CI 0.08-0.47) and reduced intrusiveness (Cohen's d = 0.35, 95%CI 0.06-0.65) of caregiver-child interaction. No significant differences were observed in caregiver's repertoire and engagement in age-appropriate play activities with the child while doing the household chores, parenting sense of competence and perceived stress.</p><p><strong>Conclusions: </strong>Despite the small size and low adherence to the program, such promising results advance evidences for fully remote parenting programs and their effects on child development.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9579672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Rates of Anxiety Among Adolescents in a Partial Hospitalization Program.","authors":"Michelle Pelcovitz,&nbsp;Shannon Bennett,&nbsp;Payal Desai,&nbsp;Jennifer Schild,&nbsp;Renae Beaumont,&nbsp;John Walkup,&nbsp;David Shaffer,&nbsp;Angela Chiu","doi":"10.1007/s10566-022-09680-2","DOIUrl":"https://doi.org/10.1007/s10566-022-09680-2","url":null,"abstract":"<p><strong>Background: </strong>Anxiety disorders are garnering increasing attention for their contribution to high-risk issues and functional impairment. Adolescents are typically admitted to partial hospitalization programs (PHPs) due to high-risk presentations. However, the frequency of anxiety disorders in PHPs is not well-established, in part because anxiety can be overlooked in acute settings due to limited lengths of stay and focus on stabilization.</p><p><strong>Objective: </strong>This study aims to evaluate the frequency and severity of anxiety disorders among a sample of adolescent PHP patients to assess the need for anxiety-specific assessment and interventions in higher acuity settings.</p><p><strong>Methods: </strong>Participants were 158 youths ages 13 to 19 years old (<i>M</i> = 15.49 years, <i>SD</i> = 1.50) who were admitted to an adolescent PHP and their caregivers. Clinician-reported diagnostic information was collected from the youth's electronic medical record, and self- and caregiver-rated severity of anxiety was collected using the Screen for Child Anxiety Related Emotions Disorders (SCARED-C/P). Frequency of anxiety and related disorder diagnoses and self- and caregiver-reported severity were assessed using descriptive statistical methods.</p><p><strong>Results: </strong>75% of participants were diagnosed with an anxiety disorder (n = 118). On average, participants with anxiety disorders had elevated SCARED-C scores. Youths with depressive disorders had elevated SCARED-C scores even when they did not carry anxiety disorder diagnoses. Caregiver ratings of the youth's anxiety symptoms on the SCARED-P were elevated when youths had anxiety disorders.</p><p><strong>Conclusions: </strong>These findings suggest that anxiety is common in an adolescent PHP setting and support investing in evidence-based assessment and treatment of anxiety in high-acuity settings.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8866547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10620356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Korean Adolescents' Dependence on Smartphones, Peer Relationships, and Life Satisfaction.","authors":"Sun Ah Lim","doi":"10.1007/s10566-022-09703-y","DOIUrl":"https://doi.org/10.1007/s10566-022-09703-y","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the penetration rate of smartphones among Korean teenagers has increased, making it critical to clarify the influence of these devices on adolescents' lives.</p><p><strong>Objective: </strong>This study investigated the effects of smartphone dependence on peer relationships and life satisfaction among Korean adolescents.</p><p><strong>Methods: </strong>Using the middle school panel of the Korean Children and Youth Panel Survey (KCYPS), longitudinal data of 2,250 participants (53.4% boys) at Grade 1 (<i>M</i> _age = 14.01, <i>SD</i> = 0.03) in 2018, Grade 2 in 2019, and Grade 3 in 2020 were analyzed to examine the causal relationships between smartphone dependence, peer relationships, and life satisfaction.</p><p><strong>Results: </strong>This study found that smartphone dependence had a longitudinal effect on negative peer relationships. Negative peer relationships had a longitudinal negative effect on early adolescents' life satisfaction. Finally, negative peer relationships in early adolescents longitudinally mediated the relationship between smartphone dependence and life satisfaction.</p><p><strong>Conclusions: </strong>This study showed that early adolescents' dependence on smartphones negatively affects their social relationships and, in turn, negative relationships with peers hindered life satisfaction, suggesting that adolescents' smartphone use should be guided and, when necessary, receive assistance to develop control of their smartphone use.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9253240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9335470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of a Cyberbullying Intervention Programme Among Primary School Students.","authors":"Ágnes Lukács J,&nbsp;Johanna Takács,&nbsp;Zsuzsanna Soósné Kiss,&nbsp;Máté Kapitány-Fövény,&nbsp;András Falus,&nbsp;Helga Judit Feith","doi":"10.1007/s10566-022-09714-9","DOIUrl":"10.1007/s10566-022-09714-9","url":null,"abstract":"<p><strong>Background: </strong>With the increase of cyberbullying, several intervention programmes have been created that aim at reducing cyber-victimisation and perpetration.</p><p><strong>Objective: </strong>Our study presents the effects of the STAnD anti-cyberbullying programme with peer-education both on the short and the long run among lower and upper primary school students, with a focus on the participants' cyberbullying roles.</p><p><strong>Method: </strong>The sample comprised of 536 students who participated in the intervention programme, involving 36% lower and 64% upper primary school students. Participants were measured by a self-reported questionnaire before and right after the programme, then six months later.</p><p><strong>Results: </strong>The main effect of the STAnD programme was a positive change in the participants' willingness to engage in help-seeking and their active-defending reaction, although this effect decreased after six months. The changes were larger among lower primary school students compared to upper primary school participants.</p><p><strong>Conclusion: </strong>Our results imply that long-lasting and intensive health promotion programmes are necessary to reach a long-term intervention effect. Anti-cyberbullying programmes should take into consideration participants' involvement and roles in cyberbullying. As our study was a non-randomised uncontrolled study design, thus interpretation of the effectiveness of the programme is limited.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s10566-022-09714-9.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study of How Adolescents' Use of Coping Strategies and Support Varies in Line With Their Experiences of Adversity.","authors":"Emily Stapley, Sarah Stock, Jessica Deighton, Ola Demkowicz","doi":"10.1007/s10566-022-09682-0","DOIUrl":"10.1007/s10566-022-09682-0","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is associated with a rise in the incidence of mental health issues. Thus, the factors, processes, and contexts that protect and promote positive mental health in adolescence are of key interest to policymakers.</p><p><strong>Objective: </strong>Our aim was twofold: First, to explore the coping strategies and sources of support that adolescents identify as protective (or not) in the face of difficulty over a three-year period; second, to examine how and why this may vary in line with the levels of adversity that they report experiencing in life.</p><p><strong>Methods: </strong>Participants were attending schools in England implementing a mental health prevention programme called HeadStart. 93 semi-structured interviews were conducted with 31 adolescents (age 11-12 at the outset of the study; 58% female) once per year over three years. The interviews were analysed using thematic analysis.</p><p><strong>Results: </strong>Six coping strategy themes (e.g., 'Disengaging from problems') and five support themes (e.g., 'Parents as a source of comfort and advice') were derived from the interviews. The types, quality, and consistency of reported coping strategies and support varied in line with whether adolescents were experiencing higher or lower levels of adversity in life over time, and according to the resources that they had available within their physical and social contexts.</p><p><strong>Conclusions: </strong>Our findings underscore the importance for mental health prevention programmes of bolstering both individual-level coping strategies and the resources available within adolescents' environments to help them to manage adversity.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9173230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Brief Cognitive Behavioural Intervention for Parents of Anxious Children: Feasibility and Acceptability Study.","authors":"C Jewell,&nbsp;A Wittkowski,&nbsp;S Collinge,&nbsp;Daniel Pratt","doi":"10.1007/s10566-022-09704-x","DOIUrl":"https://doi.org/10.1007/s10566-022-09704-x","url":null,"abstract":"<p><strong>Background: </strong>Parent-only psychological interventions can be effective treatments for child anxiety. Involving parents in treatment may be beneficial for children, ensuring that interventions are delivered effectively in a supportive environment. Few studies have investigated the feasibility and acceptability of parent-only interventions for child anxiety.</p><p><strong>Objective: </strong>In this study, we report on feasibility, acceptability and preliminary clinical outcomes of a brief cognitive behavioural group intervention for parents of children (4- to 10-years-olds) experiencing anxiety in the absence of a diagnosed anxiety disorder.</p><p><strong>Method: </strong>Parent participants attended a three-session group intervention delivered online. We collected feasibility information (recruitment and retention rates); parents and children (when appropriate) completed acceptability and clinical outcome measures after each session. Participants were also interviewed about the acceptability of the intervention and study processes.</p><p><strong>Results: </strong>Nineteen parents consented to take part (child mean age 6.47, SD 1.23). Participant retention rates (68.4%) and intervention satisfaction (total mean CSQ score 28.52) were high​. Calculated effect sizes were moderate to large for parent-rated outcomes, small for child self-reported anxiety, and small to moderate for parent confidence/efficacy. Thematic analysis of interview data identified benefits, such as connecting with parents and learning strategies, as well as challenges associated with the intervention.</p><p><strong>Conclusions: </strong>Attendance appeared to be associated with positive changes for parents and children. Overall, participants found this to be an acceptable and useful intervention. These findings demonstrated the potential benefit of a brief intervention for parents of anxious children. A larger trial is required to further investigate these preliminary findings.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9334813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eighteen Months of COVID-19 Pandemic Through the Lenses of Self or Others: A Meta-Analysis on Children and Adolescents' Mental Health.","authors":"Daniela Raccanello,&nbsp;Emmanuela Rocca,&nbsp;Giada Vicentini,&nbsp;Margherita Brondino","doi":"10.1007/s10566-022-09706-9","DOIUrl":"10.1007/s10566-022-09706-9","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic can have a serious impact on children and adolescents' mental health. We focused on studies exploring its traumatic effects on young people in the first 18 months after that the pandemic was declared, distinguishing them also according to the type of informants (self-report and other-report instruments).</p><p><strong>Objective: </strong>We applied a meta-analytic approach to examine the prevalence of depression, anxiety, posttraumatic stress disorder, and psychological distress among children and adolescents during the COVID-19 pandemic, considering the moderating role of kind of disorder and/or symptom, type of instrument, and continent.</p><p><strong>Method: </strong>We used PsycINFO, PubMed, and Scopus databases to identify articles on the COVID-19 pandemic, applying the following filters: participants until 20 years of age, peer-review, English as publication language. Inclusion required investigating the occurrence of disorders and/or symptoms during the first 18 months of the pandemic. The search identified 26 publications.</p><p><strong>Results: </strong>The meta-analysis revealed that the pooled prevalence of psychological disorders and/or symptoms for children and adolescents, who were not affected by mental health disturbances before the outbreak of the COVID-19 pandemic, was .20, 95% CI [.16, .23]. Moreover, we found a moderating role of type of instrument: occurrence was higher for self-report compared to other-report instruments.</p><p><strong>Conclusions: </strong>The study presented an analysis of the psychological consequences for children and adolescents of the exposure to the COVID-19 pandemic, soliciting further research to identify factors underlying resilience. Notwithstanding limitations such as the small number of eligible articles and the fact that we did not examine the role of further characteristics of the studies (such as participants' age or design), this meta-analysis is a first step for future research documenting the impact of such an unexpected and devastating disaster like the COVID-19 pandemic.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study.","authors":"Aurelie M C Lange, Sajid Humayun, Tom Jefford","doi":"10.1007/s10566-022-09692-y","DOIUrl":"10.1007/s10566-022-09692-y","url":null,"abstract":"<p><strong>Background: </strong>Due to the recent COVID-19 pandemic, mental health care has largely transferred its services to online platforms, using videoconferencing (VC) or teletherapy. Within the field of family therapy, however, there is little evidence on the feasibility of using VC, especially when working with whole families at the edge of care.</p><p><strong>Objective: </strong>This study investigated the feasibility of remote Functional Family Therapy (FFT), using a mixed-method approach.</p><p><strong>Method: </strong>Study 1 consisted of semi-structured interviews with 23 FFT professionals (18 female) about their experience of providing remote FFT during the COVID-19 pandemic. Study 2 included monitoring data of 209 FFT clients (46% female, <i>M</i> _<i>age</i>  = 14.00) who participated in FFT during the pandemic. We compared families who received mainly in-person, mainly remote or a mix of remote and in-person on client-reported alliance, drop-out, therapist-rated outcomes, and treatment intensity using MANCOVA's and chi-square tests.</p><p><strong>Results: </strong>In Study 1 two themes emerged around experienced challenges, namely 'Feeling in control' and 'Engagement and alliance'. Two other themes emerged around adaptations, namely 'Being more on top' and 'Connecting in different ways'. In Study 2, we found that the therapeutic alliance was not related to using VC. Also, families had less between-session contact during the Engagement and Motivation Phase when receiving mainly VC, but had more sessions and longer therapy when receiving a mix of in-person and remote therapy.</p><p><strong>Conclusions: </strong>The current study suggests that providing systemic family teletherapy to families on the edge of care is feasible. Further development of systemic family teletherapy is warranted.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s10566-022-09692-y.</p>","PeriodicalId":47479,"journal":{"name":"Child & Youth Care Forum","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9060401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}