ABSTRACT

In early 2020, the world was thrust into a crisis with the advent of the COVID-19 pandemic. This resulted in the sudden expansion of telepractice in the mental health field for licensed mental health providers and trainees. Prior to the pandemic, few mental health training programs provided training opportunities in telehealth service delivery. The Texas A&M Telebehaviroal Care Program (TBC) is one of a few telemental health training programs in the world. The TBC has provided telehealth services to rural and underserved populations since 2009 with a hub and spoke model of care, but due to constraints related to the pandemic has recently transitioned to an all in-home model of telehealth service delivery. The present paper highlights recent policy changes to in-home telepractice and the TBC methodology for transitioning to in-home service delivery. Results include solutions to common pitfalls in areas such as communication and logistics, clinical supervision and consultation, and boundary setting. Recommendations are also provided for the development of training programs throughout the world to equip mental health trainees in telehealth service delivery. Mental health practitioners are poised to thrive in the face of adversity during the COVID-19 pandemic and trainees should not be left behind.

摘要

2020 年初，随着 COVID-19 大流行的到来，世界陷入危机。这导致有执照的心理健康提供者和受训者在心理健康领域的远程医疗突然扩大。在大流行之前，很少有心理健康培训计划提供远程医疗服务提供方面的培训机会。Texas A&M Telebehaviroal Care Program (TBC) 是世界上为数不多的远程心理健康培训计划之一。自 2009 年以来，TBC 一直以中心辐射模式为农村和服务不足的人群提供远程医疗服务，但由于与大流行相关的限制，最近已过渡到远程医疗服务提供的全家庭模式。本文重点介绍了最近对家庭远程医疗的政策变化以及过渡到家庭服务交付的 TBC 方法。结果包括解决通信和物流、临床监督和咨询以及边界设置等领域的常见陷阱。还提供了关于在世界范围内制定培训计划的建议，以使心理健康受训者能够提供远程医疗服务。在 COVID-19 大流行期间，心理健康从业者准备好在逆境中茁壮成长，不应让受训者掉队。还提供了关于在世界范围内制定培训计划的建议，以使心理健康受训者能够提供远程医疗服务。在 COVID-19 大流行期间，心理健康从业者准备好在逆境中茁壮成长，不应让受训者掉队。还提供了关于在世界范围内制定培训计划的建议，以使心理健康受训者能够提供远程医疗服务。在 COVID-19 大流行期间，心理健康从业者准备好在逆境中茁壮成长，不应让受训者掉队。