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ethic, telehealth, psychology, practice, consideration

Topic 34

ethic telehealth psychology practice consideration priority adhd autism bp direction child guidance family qualitative ethical

Single-Session Interventions: Complementing and Extending Evidence-Based Practice

In a time of increasing demand and limited resources, diverse approaches to disseminating evidence-based mental health services are imperative to reduce the overall burden of psychopathology. Unmet treatment needs are especially notable for youth; up to 80% of U.S. youth with mental health needs receive no treatment at all, and few who successfully connect with services receive evidence-supported care. Even among those who do receive quality care, the modal number of sessions clients attend is one, raising the concern that clients may discontinue treatment before engaging in the therapeutic mechanisms that make them effective. Thus, the field of psychotherapy is in a dire need of innovative shifts in intervention research to disrupt the continuously increasing prevalence, incidence, and burden of mental illness. This brief column introduces ways in which "single-session interventions" (SSIs) for psychopathology might forward such shifts in evidence-based mental health practice.
intervention
mental health
research
treatment
clinical psychology
evidence-based
mental illness
youth
respond, teach, simple, footage, regimen
ethic, telehealth, psychology, practice, consideration
Taking ACTion: 18 Simple Strategies for Supporting Children with Autism During the COVID-19 Pandemic

The COVID-19 pandemic has dramatically uprooted the lives of families around the world. Families living with children with autism may be particularly affected due to being abruptly deprived of their usual in-person support from applied behavior analysis (ABA) service providers. This article gives how-to instructions on 18 simple ACT training programs that can be used as supplements to ongoing ABA services to support children with autism whose verbal repertoires may play a part in the challenges they are facing during the current crisis. We describe several challenges that have been frequently reported by families and ABA practitioners during the pandemic. For each behavioral challenge, we provide a brief practical description, brief behavioral conceptual description, and how-to guidance on implementing ACT procedures that address each behavioral challenge at a functional level. The appendix contains child- friendly worksheets for practitioners to use as visual supports while implementing the intervention procedures.
covid-19
challenge
implementation
support
disruption
autism
parenting
aba
respond, teach, simple, footage, regimen
ethic, telehealth, psychology, practice, consideration
Best Practices: Caregiver Training Resources Derived from Remote Behavioral Service Delivery within the Foster Care System

In the face of COVID-19 and necessary shifts in service delivery for behavior analysts, caregiver involvement in behavioral interventions will likely increase. Resources caregivers can consume and implement independently are critical in helping caregivers manage behavior in their homes. This paper includes antecedent and consequent behavior management strategies which correspond with provided written instructions and video tutorials designed for caregivers. The materials presented within this paper were originally produced and found effective in aiding caregivers managing behavior in the home within the Alabama foster care system. Although individuals within this system are at a higher risk of abuse and neglect and may engage in higher levels of aberrant behavior, we are distributing this document in hopes it will help behavior analysts working across a variety of populations as they navigate changes in service delivery and adopt resources for continued care and caregiver training.
covid-19
strategy
resources
intervention
behavior
caregiver
support
high risk
training
tutorial
respond, teach, simple, footage, regimen
ethic, telehealth, psychology, practice, consideration
Virtual delivery of Family-based Treatment: Past lessons, present uses, and future directions

The necessity to employ distance-base methods to deliver on-going eating disorder care due to the novel coronavirus (COVID-19) pandemic represents a dramatic and urgent shift in treatment delivery. Yet, TeleHealth treatments for eating disorders in youth have not been adequately researched or rigorously tested. Based on clinical experience within our clinic and research programs, we aim to highlight the common challenges clinicians may encounter in providing Family-based Treatment (FBT) via TeleHealth for children and adolescents with Anorexia Nervosa and Bulimia Nervosa. We also discuss current research studies underway that seek to address virtual treatment for eating disorders in youth to illustrate how this type of research might lead to improved access, efficiency, and effectiveness of TeleHealth FBT.
covid-19
adolescent
challenge
research
treatment
children
support
telehealth
teenager
respond, teach, simple, footage, regimen
ethic, telehealth, psychology, practice, consideration
Understanding COVID-19 through a complex trauma lens: Implications for effective psychosocial responses

DO NOT CITE WITHOUT AUTHOR PERMISSION. The psychosocial impact of the 2019 novel coronavirus (COVID-19) on individuals, families, and communities will likely persist for years to come. While briefing notes informed by disaster psychology and crisis management have been released to guide social workers and other mental health professionals in their work during the pandemic, the far-reaching impacts of COVID-19 may require inclusion of additional theories of trauma and resilience. Thus, we first examine the application of complex trauma theory as an effective framework for assessing the psychosocial impacts of the pandemic, especially among individuals with prior trauma exposure, those with pre-existing mental illness, and communities affected by marginalization and historical trauma. We then discuss the importance of using trauma-informed practice to address the effects of the pandemic on both the individual and community levels during this unprecedented moment in history.
covid-19
pandemic
community
theory
resilience
ptsd
individual
mental illness
mental, italy, india, bangladesh, professional
ethic, telehealth, psychology, practice, consideration
Telepsychotherapy with children and families: Lessons gleaned from two decades of translational research

The novel coronavirus, COVID-19, has led to sweeping changes in psychological practice and the concomitant rapid uptake of telepsychotherapy. Although telepsychotherapy is new to many clinical psychologists, there is considerable research on telepsychotherapy treatments. Nearly two decades of clinical research on telepsychotherapy treatments with children with neurological conditions has the potential to inform emerging clinical practice in the age of COVID-19. Toward that end, we synthesized findings from 14 clinical trials of telepsychotherapy problem solving and parent training interventions involving more than 800 children and families with diverse diagnoses including traumatic brain injury, epilepsy, brain tumors, congenital heart disease, and perinatal stroke. We summarize efficacy across studies and clinical populations and report feasibility and acceptability data from the perspectives of parents, children, and therapists. We describe adaptation for international contexts and strategies for troubleshooting technological challenges and working with families of varying socioeconomic strata. The extensive research literature reviewed and synthesized provides considerable support for the utility of telepsychotherapy with children with neurological conditions and their families and underscores its high level of acceptability with both diverse clinical populations and providers. During this period of heightened vulnerability and stress and reduced access to usual supports and services, telepsychotherapy approaches such as online family problem-solving treatment and online parenting skills training may allow psychologists to deliver traditional evidence-based treatments virtually while preserving fidelity and efficacy.
covid-19
children
family
respond, teach, simple, footage, regimen
ethic, telehealth, psychology, practice, consideration
Clinical Psychological Science’s Call To Action in the Time of COVID-19

COVID-19 presents humanity with one of the greatest health and economic crises of the 21st Century. Because COVID-19 has already begun to precipitate a huge increase in mental health problems, we believe that clinical science must also play a leadership role in guiding a national response to this secondary crisis. In this article, we explain why COVID-19 is a game-changer, as a unique, compounding, multi-dimensional stressor that will create a vast need for intervention, and necessitate new paradigms for mental health service delivery and training. We highlight the most urgent challenge areas for clinical science, including managing potential spikes in depression, anxiety, and suicide, and address the unique COVID-19-related needs across the lifespan and the challenges that COVID-19 places on families and relationships. Clinical science also will need to address the mental health of medical care workers, mitigate health disparities, and address stigma among the most vulnerable as the pandemic unfolds. For each challenge area, we suggest research directions, clinical approaches, and policy issues that need to be considered. We then discuss how to enable multi-level deployment of potential solutions and how clinical science must itself adapt to identify and deliver these solutions. We conclude by highlighting new areas for clinical science discovery and additional funding needs. Advances in clinical science implementation—propelled by COVID-19—will likely endure long beyond the pandemic.
covid-19
challenge
intervention
mental health
treatment
depression
response
stigma
healthcare worker
anxiety
medical staff
solution
suicide
clinical psychology
disparity
opinion, science, society, insight, economist
ethic, telehealth, psychology, practice, consideration
Managing COVID-19 concerns for people with OCD
April 10, 2020 · · Original resource · webpage

Five strategies for helping patients during the COVID-19 public health crisis.
covid-19
public health
health
mental health
recommendation
stress
behavior
support
anxiety
management
handwashing
mental, italy, india, bangladesh, professional
ethic, telehealth, psychology, practice, consideration
ABC framework of fear of COVID-19 for psychotherapeutic intervention in Nepal: a review

The COVID-19 pandemic is having an impact on physical and mental health. Most studies report the impact on mental health and mental distress during the pandemic. As a result of various stressors (such as lockdown, quarantines, and misinformation) there is heightened fear of a pandemic. The sufferer may experience a variety of symptoms of anxiety, depression, and even psychosis. In predisposed vulnerable individuals, fear of COVID-19 is perpetuating pain and dysfunction. This study discussed the ABC framework of fear and influencer to better understand the different levels of symptoms and interventions. There is an urgent need to integrate mental health into primary health-care centers. The attending physician should be aware of the stress disorders associated with the pandemic. This article introduces a handy and practical portrayal of the ABC framework that can be taught to individuals in distress during clinical visits to primary care centers providing awareness of the relationship between thinking, emotional and behavioral responses.
covid-19
review
mental health
behavioural science
physical health
depression
symptoms
psychosis
distress
anxiety
fear
physician
mental, italy, india, bangladesh, professional
ethic, telehealth, psychology, practice, consideration
Meeting the psychological needs of people recovering from severe coronavirus
May 7, 2020 · · Original resource · youtube

In this free webinar the co-leads of our recent guidance paper on 'Meeting the psychological needs of people recovering from severe coronavirus' explore how to support the rehabilitation of patients in greater depth. Hosted by David Murphy (President of the BPS) and Dr Dorothy Wade (Principal Health Psychologist, Critical Care, UCLH NHS Trust), and featuring additional contributions from Dr Debra Malpass (BPS Director of Knowledge & Insight), Dr Michael Skene (GP Partner/A&E Doctor, Exeter), and Peter Gibb (CEO ICUsteps) the webinar covers issues such as: - understanding of the psychological aspects of recovery - risk factors of ongoing psychological difficulties - best practice in approaching psychological care
covid-19
patient
mental health
psychology
caregiver
elderly
video
webinar
mental, italy, india, bangladesh, professional
ethic, telehealth, psychology, practice, consideration