Crum Kathleen I, Comer Jonathan S
Mental Health Interventions and Technology (MINT) Program, Department of Psychology, Florida International University , Miami, Florida.
J Child Adolesc Psychopharmacol. 2016 Apr;26(3):229-34. doi: 10.1089/cap.2015.0012. Epub 2015 Oct 14.
Leading telemental healthcare programs are increasingly harnessing new technologies in innovative ways to broaden the reach of supported care for children and adolescents. Technology-based delivery methods drawing on synchronous videoteleconferencing can transcend geographic barriers to quality care and remotely provide real-time services to affected families, regardless of their proximity to an expert mental health facility.
The present review considers critical issues specific to family-based telemental healthcare, including: 1) Navigating varying levels of technological literacy across generations of participants; 2) deciding which family members to include in family-based telemental healthcare; 3) ensuring the safety of participants in family-based telemental healthcare; 4) optimizing therapeutic alliance and engagement in family-based telemental healthcare; 5) navigating logistical concerns in the conducting of sessions; and 6) ensuring privacy in family-based telemental healthcare.
We discuss illustrations of recent child telemental healthcare advances that have focused explicitly on family-based treatment approaches, including Internet-delivered Parent-Child Interaction Therapy and Internet-delivered family-based cognitive-behavioral therapy for early-onset OCD.
We conclude with a consideration of future directions for the field of family-based telemental healthcare.
领先的远程心理医疗项目越来越多地以创新方式利用新技术,以扩大对儿童和青少年支持性护理的覆盖范围。基于同步视频会议的技术交付方法可以跨越地理障碍,提供高质量护理,并为受影响家庭远程提供实时服务,无论他们与专业心理健康机构的距离远近。
本综述考虑了基于家庭的远程心理医疗特有的关键问题,包括:1)应对不同代参与者的技术素养差异;2)决定在基于家庭的远程心理医疗中纳入哪些家庭成员;3)确保基于家庭的远程心理医疗参与者的安全;4)优化基于家庭的远程心理医疗中的治疗联盟和参与度;5)处理治疗过程中的后勤问题;6)确保基于家庭的远程心理医疗中的隐私。
我们讨论了近期儿童远程心理医疗进展的实例,这些进展明确侧重于基于家庭的治疗方法,包括互联网提供的亲子互动疗法和互联网提供的针对早发性强迫症的基于家庭的认知行为疗法。
我们最后考虑了基于家庭的远程心理医疗领域的未来发展方向。