The outbreak of COVID-19 has increased stress, fear, and anxiety for many people. At the same time, social isolation restrictions have disrupted most in-person mental health services. Many mental health providers are adapting to the crisis by utilizing telemental health. However, the literature is scant about how to most effectively utilize telemental health practices with refugee clients, many of whom do not speak English and require an interpreter, may have limited technological proficiency or access, and/or have additional case management needs and coordination as part of their treatment plan. The purpose of this study is to understand how mental health clinicians and case workers at a refugee-serving mental health clinic are successfully shifting their face-to-face practice to telemental health, the obstacles they encounter, and what resources they have found to be helpful. Two main themes emerged from the data: (1) refugee mental health providers display initiative and flexibility in their adaptation to telemental health and (2) providers reported numerous obstacles to effective telemental health, including client barriers, tech barriers, communication issues, and the challenge of reading nonverbal cues virtually. By better understanding telemental health when working with refugees, clinical social workers will be more effective in meeting the needs of a population with significant mental health needs and limited mental healthcare access.

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deaths in the United States alone. 2 COVID-19 has impacted the entire population, with health care workers perhaps taking the brunt of the stress resulting from severe illnesses and deaths. Many parents of young children suddenly found themselves trying to balance home schooling their children and their jobs. Senior citizens have been isolated, unable to see anyone in person while worrying about how to keep essential supplies stocked. Families are unable to visit loved ones in hospitals and nursing homes, or visitation looks quite different than previously. Some workers have been forced into unpaid furlough, experienced pay reduction, or have lost their jobs. In addition to these concerns, health care professionals have faced many challenges, stressors, and ethical dilemmas. COVID-19 brought surges in critically ill patients that overwhelmed the health care system.