Simpson Susan, Reid Corinne
Psychology Clinic, University of South Australia, Adelaide, South Australia, Australia.
Aust J Rural Health. 2014 Dec;22(6):306-9. doi: 10.1111/ajr.12103.
The current roll-out of broadband across Australia provides new opportunities for psychologists to reach out to residents in remote and rural areas. With the advent of internet protocol (IP)-based videoconferencing, telepsychology is becoming more accessible and affordable, and a potential solution to those in remote areas who require access to specialist assessment and psychotherapy services. Telepsychology represents a high-quality/low-cost model of service delivery. Findings to date suggest that outcome might be equivalent to in-person therapy across a range of client groups both using standardised assessments and evidence-based therapies. Studies have consistently shown that clients rate high levels of satisfaction and therapeutic rapport. However, uptake among psychologists has been slow. This article provides a synthesis of the gradual growth of telepsychology in Australia. It identifies factors that hinder the development of telepsychology and outlines the main arguments for developing this as a model for the provision of psychology across remote and rural Australia. The authors draw on their own recent experiences in developing collaborative telepsychology services to make recommendations for the future of telepsychology in Australia.
目前澳大利亚全国范围内宽带的推广为心理学家接触偏远和农村地区的居民提供了新机会。随着基于互联网协议(IP)的视频会议的出现,远程心理学服务正变得更容易获得且成本更低,这对于那些需要获得专业评估和心理治疗服务的偏远地区居民来说是一个潜在的解决方案。远程心理学代表了一种高质量/低成本的服务提供模式。迄今为止的研究结果表明,在一系列客户群体中,无论是使用标准化评估还是循证疗法,远程心理学的治疗效果可能与面对面治疗相当。研究一直表明,客户对远程心理学服务的满意度和治疗融洽度评价很高。然而,心理学家对远程心理学服务的接受程度一直较慢。本文综合介绍了澳大利亚远程心理学的逐步发展情况。它指出了阻碍远程心理学发展的因素,并概述了将其发展成为澳大利亚偏远和农村地区心理学服务提供模式的主要论据。作者借鉴了他们自己近期在开发协作式远程心理学服务方面的经验,为澳大利亚远程心理学的未来发展提出建议。