Department of Pediatrics, Section of Psychology, Baylor College of Medicine/Texas Children's Hospital, Houston, TX, USA.
Department of Pediatrics, Division of Hematology, Oncology & Stem Cell Transplantation, Columbia University Medical Center New York, New York, NY, USA.
J Clin Psychol Med Settings. 2023 Mar;30(1):51-60. doi: 10.1007/s10880-022-09887-4. Epub 2022 Jun 6.
COVID-19 has presented a variety of challenges to the provision of psychology services. In the first month of the pandemic, pediatric consultation-liaison (CL) psychologists reported significant changes in methodology of service delivery (Steinberg et al. in Clin Pract Pediatr Psychol 9:1, 2020). To better understand how and if these changes persisted, as well as other emerging trends, a follow-up study examined changes and challenges six months into the pandemic. An anonymous questionnaire assessed topics related to pediatric CL psychology including practice changes, perception of changes, and institutional support. The questionnaire was sent to the APA Society of Pediatric Society's special interest group listservs. Thirty responses were analyzed. Quantitative results showed participants' beliefs that telemedicine is equally efficacious to in-person services for outpatient psychological care, but less effective for inpatient care. Participants reported their perception of how institutions supported their safety, psychology trainee safety and training goals, and patient care. Qualitative results demonstrated that most psychologists experienced changes related to their dynamics with medical teams, which included changes in team efficiency, workload, transition, and team collaboration.
新冠疫情给提供心理学服务带来了各种挑战。在疫情的第一个月,儿科联络心理学家报告说,服务提供方式发生了重大变化(Steinberg 等人,《临床实践儿科心理学》9:1,2020)。为了更好地了解这些变化是否持续存在,以及其他新出现的趋势,一项后续研究调查了疫情六个月后的变化和挑战。一项匿名问卷评估了与儿科 CL 心理学相关的主题,包括实践变化、对变化的看法以及机构支持。问卷发送给了 APA 儿科协会特别兴趣小组的邮件列表。分析了 30 份回复。定量结果表明,参与者认为远程医疗与门诊心理护理的面对面服务同样有效,但对住院护理的效果较差。参与者报告了他们对机构如何支持他们的安全、心理学学员的安全和培训目标以及患者护理的看法。定性结果表明,大多数心理学家经历了与他们与医疗团队的互动相关的变化,包括团队效率、工作量、过渡和团队协作的变化。