The outbreak of COVID-19 has increased stress, fear, and anxiety for many people. At the same time, social isolation restrictions have disrupted most in-person mental health services. Many mental health providers are adapting to the crisis by utilizing telemental health. However, the literature is scant about how to most effectively utilize telemental health practices with refugee clients, many of whom do not speak English and require an interpreter, may have limited technological proficiency or access, and/or have additional case management needs and coordination as part of their treatment plan. The purpose of this study is to understand how mental health clinicians and case workers at a refugee-serving mental health clinic are successfully shifting their face-to-face practice to telemental health, the obstacles they encounter, and what resources they have found to be helpful. Two main themes emerged from the data: (1) refugee mental health providers display initiative and flexibility in their adaptation to telemental health and (2) providers reported numerous obstacles to effective telemental health, including client barriers, tech barriers, communication issues, and the challenge of reading nonverbal cues virtually. By better understanding telemental health when working with refugees, clinical social workers will be more effective in meeting the needs of a population with significant mental health needs and limited mental healthcare access.

COVID-19 的爆发增加了许多人的压力、恐惧和焦虑。与此同时，社会隔离限制扰乱了大多数面对面的心理健康服务。许多心理健康提供者正在通过利用远程心理健康来适应危机。然而，关于如何最有效地与难民客户一起使用远程心理健康实践的文献很少，他们中的许多人不会说英语并需要口译员，可能技术熟练或使用有限，和/或有额外的病例管理需求和协调作为他们的治疗计划的一部分。本研究的目的是了解为难民服务的心理健康诊所的心理健康临床医生和个案工作者如何成功地将他们的面对面实践转变为远程心理健康，他们遇到的障碍，以及他们发现哪些资源有帮助。数据中出现了两个主要主题：（1）难民心理健康提供者在适应远程心理健康方面表现出主动性和灵活性；（2）提供者报告了有效远程心理健康的许多障碍，包括客户障碍、技术障碍、沟通问题和虚拟阅读非语言线索的挑战。通过在与难民一起工作时更好地了解远程心理健康，临床社会工作者将更有效地满足具有重大心理健康需求和有限心理保健机会的人群的需求。(1) 难民心理健康提供者在适应远程心理健康方面表现出主动性和灵活性；(2) 提供者报告了有效远程心理健康的许多障碍，包括客户障碍、技术障碍、沟通问题以及虚拟阅读非语言线索的挑战。通过在与难民一起工作时更好地了解远程心理健康，临床社会工作者将更有效地满足具有重大心理健康需求和有限心理保健机会的人群的需求。(1) 难民心理健康提供者在适应远程心理健康方面表现出主动性和灵活性；(2) 提供者报告了有效远程心理健康的许多障碍，包括客户障碍、技术障碍、沟通问题以及虚拟阅读非语言线索的挑战。通过在与难民一起工作时更好地了解远程心理健康，临床社会工作者将更有效地满足具有重大心理健康需求和有限心理保健机会的人群的需求。