The COVID-19 pandemic has altered life globally like no other event in modern history, and psychological service changes to meet the resultant impacts on families have not been assessed in the empirical literature. The purpose of the current study was to examine whether family systems therapists increased their teletherapy use during the pandemic relative to prepandemic usage, and whether projected postpandemic rates would remain at the same level; further, environmental and demographic predictors of these changes were examined. In May 2020, a sample of 626 family systems therapists (58.6% women, 40.6% men; M = 57.4 years old; M years in practice = 25.5) completed a national online study assessing these variables. Results suggested that family systems therapists performed 7.92% of their clinical work using teletherapy before the pandemic and 88.17% during the pandemic. They also projected that they would perform 36.57% of their clinical work using teletherapy after the pandemic. Teletherapy uptake was unrelated to primary practice setting, provider age, gender, race/ethnicity, and practice location (urban/suburban vs. rural) but was higher for family systems therapists who reported increased supportive teletherapy policies and training in their practice setting. Organizational infrastructure and availability of training played an important role in influencing teletherapy uptake during the pandemic. Family systems therapists have a unique opportunity to deploy teletherapy modalities to meet the needs of families during the COVID-19 pandemic, and infrastructure and training to do so may facilitate that work.

中文翻译：

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COVID-19 大流行对家庭系统治疗师提供远程治疗的影响

COVID-19 大流行已经像现代历史上没有其他事件一样改变了全球的生活，经验文献中尚未评估心理服务的变化以应对由此对家庭产生的影响。当前研究的目的是检查家庭系统治疗师在大流行期间相对于大流行前的使用是否增加了远程治疗的使用，以及预计大流行后的比率是否会保持在同一水平；此外，还检查了这些变化的环境和人口预测因素。2020 年 5 月，626 名家庭系统治疗师的样本（58.6% 女性，40.6% 男性；M  = 57.4 岁；M实践年数 = 25.5) 完成了一项评估这些变量的全国在线研究。结果表明，家庭系统治疗师在大流行之前使用远程治疗完成了 7.92% 的临床工作，而在大流行期间则为 88.17%。他们还预计，在大流行之后，他们将使用远程治疗完成 36.57% 的临床工作。远程治疗的接受度与主要实践环境、提供者年龄、性别、种族/民族和实践地点（城市/郊区与农村）无关，但家庭系统治疗师的接受度更高，他们报告在他们的实践环境中增加了支持性远程治疗政策和培训。组织基础设施和培训的可用性在影响大流行期间远程治疗的使用方面发挥了重要作用。