Muir Samuel David, de Boer Kathleen, Thomas Neil, Seabrook Elizabeth, Nedeljkovic Maja, Meyer Denny
Centre for Mental Health, Swinburne University of Technology, Hawthorn, Australia.
JMIR Ment Health. 2020 Jan 21;7(1):e14996. doi: 10.2196/14996.
Videoconferencing psychotherapy (VCP) is a growing practice among mental health professionals. Early adopters have predominantly been in private practice settings, and more recent adoption has occurred in larger organizations, such as the military. The implementation of VCP into larger health service providers in the public sector is an important step in reaching and helping vulnerable and at-risk individuals; however, several additional implementation challenges exist for public sector organizations.
The aim of this study was to offer an implementation model for effectively introducing VCP into public sector organizations. This model will also provide practical guidelines for planning and executing an embedded service trial to assess the effectiveness of the VCP modality once implemented.
An iterative search strategy was employed, drawing on multiple fields of research across mental health, information technology, and organizational psychology. Previous VCP implementation papers were considered in detail to provide a synthesis of the barriers, facilitators, and lessons learned from the implementation attempts in the military and other public sector settings.
A model was formulated, which draws on change management for technology integration and considers the specific needs for VCP integration in larger organizations. A total of 6 phases were formulated and were further broken down into practical and measurable steps. The model explicitly considers the barriers often encountered in large organizational settings and suggests steps to increase facilitating factors.
Although the model proposed is time and resource intensive, it draws on a comprehensive understanding of larger organizational needs and the unique challenge that the introduction of VCP presents to such organizations.
视频会议心理治疗（VCP）在心理健康专业人员中越来越普遍。早期采用者主要是在私人执业环境中，最近在军事等大型组织中也开始采用。将VCP应用于公共部门的大型医疗服务提供者是接触和帮助弱势群体及高危个体的重要一步；然而，公共部门组织还存在其他一些实施挑战。
本研究的目的是提供一个将VCP有效引入公共部门组织的实施模型。该模型还将为规划和执行嵌入式服务试验提供实用指南，以评估VCP模式实施后的效果。
采用迭代搜索策略，借鉴心理健康、信息技术和组织心理学等多个研究领域的成果。详细考虑了以前关于VCP实施的论文，以综合总结军事和其他公共部门环境中实施尝试的障碍、促进因素和经验教训。
制定了一个模型，该模型借鉴技术整合的变革管理，并考虑大型组织中VCP整合的特定需求。共制定了6个阶段，并进一步细分为实际的、可衡量的步骤。该模型明确考虑了大型组织环境中经常遇到的障碍，并提出了增加促进因素的步骤。
虽然所提出的模型需要大量时间和资源，但它基于对大型组织需求的全面理解以及引入VCP给此类组织带来的独特挑战。
