The Use of Telepsychiatry in Caring for Youth and Families

Sossong, Anthony D.; Zhrebker, Liora; Becker, Jessica E.; Chaudhary, Neha; Rubin, David

doi:10.1016/b978-0-323-54854-0.00011-4

Cited by 1 publication

(2 citation statements)

References 22 publications

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“…While the current paper is, to our knowledge, the first to report on family and caregiver experiences with virtual LTP and RFP, these findings are consistent with the emerging literature surrounding virtual mental health care (e.g., Beet & Ademosu, 2023;Nicholas et al, 2021;Usluoglu & Balık, 2023). Additionally, VTC has been demonstrated to enhance access to therapy for older children (Cluxton-Keller et al, 2018;Nicholas et al, 2021;Sossong et al, 2019), which is consistent with the present study findings. Our findings from the clinician interviews suggest that this accessibility might also apply to family therapy involving infants.…”

Section: Key Findingssupporting

confidence: 91%

“…Currently, there is limited literature on the virtual delivery of whole family work using the LTP and RFP in terms of implementation, feasibility, and acceptability. Although several play‐based interventions for dyads have transitioned to virtual care using VTC (Gurwitch et al., 2020; MacKinnon et al., 2022) and evidence has progressed on efficacy and enhanced access to mental health services for families with infants and young children (McLean et al., 2021; Sossong et al., 2019), there is a pressing need for more research in this area. This is essential to ensure effective delivery of evidence‐based interventions with the very young that incorporate both coparents and siblings.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Virtual care delivery of whole family assessment and intervention with infants and preschoolers: a thematic analysis of clinician and family experiences

Philipp,

Szczech,

Hanson

et al. 2023

ANZ J of Family Therapy

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In this study, we explore family and clinician experiences with virtual care delivery of whole family assessment and therapy developed for infant and preschool‐aged children and adapted during the COVID‐19 pandemic. A clinical case study is also presented. Between September and November 2020, semi‐structured interviews were conducted with four clinicians working with families with children in the 0 to 5 population and with four caregivers with children aged 4–6 years (M = 5.3) involved in whole family assessment and intervention (i.e., Lausanne Trilogue Play [LTP]; Reflective Family Play [RFP]) at a community mental health facility. Clinicians represented various mental health disciplines. Qualitative data were analysed using inductive thematic analysis with intercoder reliability established. Analysis of interviews generated nine themes organised within two conceptual frameworks, accessibility and efficacy. Accessibility included the themes: (1) flexibility, (2) privacy, and (3) resources. Efficacy comprised: (4) effects of technology, (5) home environment, (6) feasibility of therapy tasks, (7) parent alliance, (8) clinician fatigue, and (9) overall evaluation. Home environment was further divided into three subthemes: (5.1) disruptions, (5.2) boundaries, and (5.3) naturalistic observation. While participants reported benefits and challenges uniquely related to virtual care, both caregivers and clinicians expressed overall satisfaction with virtual whole family assessment and therapy. This study provides a rich exploration of the perspectives of caregivers and clinicians engaged in virtual whole family mental health care during the COVID‐19 pandemic. With adequate technology and privacy, whole family assessment and therapy, such as the LTP and RFP, provided via video teleconferencing facilitated accessible and effective care for families of young children with moderate to severe mental health challenges. Evidence suggests in‐person and hybrid approaches to whole family assessment and therapy could be further tailored to meet the needs of families with young children and infants.

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Section: Key Findingssupporting

confidence: 91%