The threat generated by the COVID-19 pandemic has triggered sudden institutional changes in an effort to reduce viral spread. Restrictions on group gatherings and in-person engagement have increased the demand for remote service delivery. These restrictions have also affected the delivery of court-mandated interventions. However, much of the literature has focused on populations that voluntarily seek out face-to-face medical care or mental health services, whereas insufficient attention has been paid to telehealth engagement of court-mandated populations. This article draws on data gathered on an NIH/NIDA-funded study intervention implemented with juvenile justice-involved youths of Haitian heritage in Miami-Dade County, Florida, during the COVID-19 public health crisis. We explore the process of obtaining consent, technological access issues, managing privacy, and other challenges associated with remote delivery of family-based therapy to juvenile justice-involved youth. Our aim is to provide some insights for consideration by therapists, healthcare workers, advocates, researchers, and policymakers tasked with finding alternative and safer ways to engage nontraditional populations in health services. The clinical trial registration number is NCT03876171.

中文翻译：

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在 COVID-19 期间向法院授权的海地裔青年远程提供治疗干预

COVID-19 大流行产生的威胁引发了突然的制度变化，以减少病毒传播。对团体聚会和面对面参与的限制增加了对远程服务交付的需求。这些限制也影响了法院授权干预的实施。然而，许多文献都集中在自愿寻求面对面医疗或心理健康服务的人群上，而对法院授权人群的远程医疗参与关注不足。本文借鉴了 NIH/NIDA 资助的研究干预收集的数据，该干预措施在 COVID-19 公共卫生危机期间与佛罗里达州迈阿密戴德县的海地少年司法相关青少年实施。我们探索获得同意的过程、技术访问问题、管理隐私，以及与向少年司法所涉青少年远程提供家庭治疗相关的其他挑战。我们的目标是提供一些见解，供治疗师、医疗保健工作者、倡导者、研究人员和决策者考虑，他们的任务是寻找替代和更安全的方式让非传统人群参与卫生服务。临床试验注册号为NCT03876171。