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A Supervisory Approach to Implementing A Pandemic-Induced, Practice-Based Change to Telehealth
Journal of Family Psychotherapy Pub Date : 2020-10-01 , DOI: 10.1080/2692398x.2020.1865768
Steve Simms 1 , Pinky Mehta 1 , C. Wayne Jones 2 , Patricia Johnston 3
Affiliation  

ABSTRACT The 2020 COVID-19 pandemic and resulting stay at home orders halted face-to-face in-home therapy for youth at risk of out-of-home placement in Pennsylvania and Delaware. Three family therapy training centers collaborated with state officials managed care organizations, and supervisors to create a two-step process for orchestrating an abrupt, unwanted shift to technology-assisted intensive in-home family therapy. The first step encouraged supervisors to set the stage for this change through an ethics-based lens. The central tenet was to tenaciously advance the wellbeing of the child and their family. The second step encouraged supervisors to remain grounded in the basic principles of treatment and supervision that they followed before telehealth, but with a few adaptations. Three principles are emphasized. Principle one focused on securing clinician commitment to a adapting a family therapy model to a telehealth format. Principle two focused on an unremitting adherence to a preferred family therapy model by using a checklist adapted for technology-based challenges. Finally, principle three focused on fostering professional competence through attending to case conceptualization, supervision-based practice, person-of-the-self challenges, and family-clinician-supervisor isomorphic patterns. Two case examples illustrate the beginning and ending phases of technology-assisted intensive in-home family therapy. Based on feedback from in-home agencies, implementation of these two-steps helped supervisors effectively lead pandemic-induced, practice-based change to a telehealth format with intentionality, conviction, and self-efficacy.

中文翻译:

实施由大流行引起的、基于实践的远程医疗变革的监督方法

摘要 2020 年 COVID-19 大流行以及由此产生的居家令停止了对宾夕法尼亚州和特拉华州有外出安置风险的青少年的面对面家庭治疗。三个家庭治疗培训中心与州官员管理的护理组织和主管合作,创建了一个两步流程,以协调向技术辅助密集家庭治疗的突然、不必要的转变。第一步鼓励主管通过基于道德的视角为这一变化做好准备。中心宗旨是坚持不懈地促进儿童及其家庭的福祉。第二步鼓励监管者坚持他们在远程医疗之前遵循的治疗和监督的基本原则,但进行了一些调整。强调三个原则。原则一侧重于确保临床医生承诺将家庭治疗模式适应远程医疗形式。原则二通过使用适用于基于技术的挑战的清单,专注于坚持首选的家庭治疗模式。最后,原则三侧重于通过关注案例概念化、基于监督的实践、自我挑战和家庭-临床医生-监督者同构模式来培养专业能力。两个案例说明了技术辅助密集家庭家庭治疗的开始和结束阶段。根据内部机构的反馈,这两个步骤的实施帮助主管有效地将大流行引起的、基于实践的变革引导到具有意图、信念和自我效能的远程医疗形式。
更新日期:2020-10-01
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