Islam Samiha, Sanchez Amanda L, McDermott Cassidy L, Clapp Douglas, Worley Julie, Becker-Haimes Emily M
University of Pennsylvania and Hall Mercer Community Mental Health, University of Pennsylvania Health System.
Hall Mercer Community Mental Health, University of Pennsylvania Health System, George Mason University, and University of Pennsylvania.
Cogn Behav Pract. 2023 Mar 21. doi: 10.1016/j.cbpra.2023.01.004.
The COVID-19 pandemic accelerated a widespread shift to telehealth among mental health professionals to prioritize both providers' and clients' safety. Telehealth is likely here to stay; however, there is limited practical guidance for clinicians about how to make decisions regarding who should proceed with care via telehealth versus in-person. There also is virtually no data on the effectiveness of hybrid approaches to care; yet this can be an attractive option with potential clinical benefit. This paper provides practice-informed guidance to support shared clinical decision-making between clinicians and families to decide whether to engage in therapy services in-person or via telehealth. We specifically focus on decision-making guidance relevant for youth with anxiety or related disorders, given the unique implications of telehealth for these youth. Guided by the three-legged stool of evidence-based practice, we discuss how clinicians can use principles of shared decision-making to inform clinical recommendations about treatment modality.
新冠疫情加速了心理健康专业人员广泛转向远程医疗，以优先保障提供者和客户的安全。远程医疗可能会持续存在；然而，对于临床医生而言，关于如何决定哪些人应该通过远程医疗而非面对面方式接受治疗，实际指导有限。关于混合护理方式的有效性几乎也没有数据；但这可能是一个具有潜在临床益处的有吸引力的选择。本文提供基于实践的指导，以支持临床医生和家庭之间的共同临床决策，从而决定是亲自接受治疗服务还是通过远程医疗。鉴于远程医疗对这些青少年具有独特影响，我们特别关注与患有焦虑症或相关障碍的青少年相关的决策指导。在循证实践的三条腿凳子的指导下，我们讨论临床医生如何运用共同决策原则来为有关治疗方式的临床建议提供信息。
