O'Donnell Lisa A, Brydon Daphne M, González-Prendes Antonio
School of Social Work, Wayne State University, Detroit (O'Donnell, González-Prendes); Graduate School of Social Work, University of Denver, Denver (Brydon).
Am J Psychother. 2022 Dec 1;75(4):186-190. doi: 10.1176/appi.psychotherapy.20220003. Epub 2022 Sep 2.
Technological innovations in cognitive-behavioral therapy (CBT) provide excellent opportunities for mental health clinicians to expand access to mental health treatment among culturally diverse and marginalized populations. This brief report highlights challenges that mental health clinicians encounter as they integrate technological innovations in CBT into their work with diverse clients and provides recommendations for addressing them. The authors identify five key challenges of using technology-driven CBT: development of the therapeutic alliance; potential fit for clients from culturally diverse backgrounds and marginalized groups; geographic and economic access; ethical and legal concerns; and competency in CBT practice, training, and supervision. Technological advances in CBT allow clinicians to treat more individuals from underserved communities. Existing challenges compel clinicians across disciplines to ensure that their practice is congruent with CBT practice values and ethics, policy, and research and that the best available CBT intervention can be integrated into all aspects of mental health practice.
认知行为疗法（CBT）中的技术创新为心理健康临床医生提供了绝佳机会，以扩大在文化多元和边缘化人群中获得心理健康治疗的途径。本简要报告强调了心理健康临床医生在将CBT技术创新融入与不同客户的工作中所遇到的挑战，并提供了应对这些挑战的建议。作者确定了使用技术驱动的CBT的五个关键挑战：治疗联盟的建立；对来自文化多元背景和边缘化群体的客户的潜在适应性；地理和经济可及性；伦理和法律问题；以及CBT实践、培训和监督方面的能力。CBT的技术进步使临床医生能够治疗更多来自服务不足社区的个体。现有的挑战迫使各学科的临床医生确保他们的实践符合CBT的实践价值观、伦理、政策和研究，并且能够将最佳的CBT干预措施融入心理健康实践的各个方面。
