Background: Due to the COVID-19 pandemic, mental health services have had to offer psychological therapy via video with little time to prepare or mitigate potential problems. Identifying the barriers, benefits and training needs highlighted by clinicians may support the effective delivery of care. Method: Changes in the mode therapy sessions were delivered in during 2020 were assessed in two high-volume psychological therapies services. Sixty-six therapists completed a survey about their experiences of delivering therapy via video. Results: The lockdown in March 2020 precipitated a dramatic shift from face-to-face to telephone and video-delivered sessions. Most clinicians (89%) found video-based sessions acceptable. Barriers to effective delivery included technological issues, problems with online platforms, and feeling more tired after sessions. Benefits included generalised learning from behavioural work, improvements in efficiency and in the therapeutic relationship, particularly in comparison with telephone-based sessions. Tutorials and support guides were recommended to maximise use of sessions via video. Conclusions: Video-delivered therapy was liked by clinicians and preferred to telephone-based sessions. Issues with platforms, internet connections and access for patients need addressing, local troubleshooting guides, video-based tutorials and greater support for low-intensity therapists to maximise uptake of video sessions where appropriate, may be beneficial.

中文翻译：

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临床医生通过视频进行心理治疗的障碍、益处和培训需求

背景：由于 COVID-19 大流行，心理健康服务不得不通过视频提供心理治疗，几乎没有时间准备或缓解潜在问题。确定临床医生强调的障碍、益处和培训需求可能有助于有效提供护理。方法：在 2020 年期间提供的模式治疗课程的变化在两个大容量心理治疗服务中进行了评估。66 位治疗师完成了一项关于他们通过视频进行治疗的经历的调查。结果：2020 年 3 月的封锁促成了从面对面会议到电话和视频会议的巨大转变。大多数临床医生 (89%) 认为基于视频的会议是可以接受的。有效交付的障碍包括技术问题、在线平台问题以及课后感觉更累。好处包括从行为工作中普遍学习，提高效率和治疗关系，特别是与基于电话的会话相比。建议使用教程和支持指南，以最大限度地利用视频会议。结论：临床医生喜欢视频提供的治疗，并且更喜欢基于电话的治疗。需要解决的平台、互联网连接和患者访问问题、本地故障排除指南、基于视频的教程以及对低强度治疗师的更大支持以在适当的情况下最大限度地吸收视频会话可能是有益的。建议使用教程和支持指南，以最大限度地利用视频会议。结论：临床医生喜欢视频提供的治疗，并且更喜欢基于电话的治疗。需要解决的平台、互联网连接和患者访问问题、本地故障排除指南、基于视频的教程以及对低强度治疗师的更大支持以在适当的情况下最大限度地吸收视频会话可能是有益的。建议使用教程和支持指南，以最大限度地利用视频会议。结论：临床医生喜欢视频提供的治疗，并且更喜欢基于电话的治疗。平台、互联网连接和患者访问问题需要解决、本地故障排除指南、基于视频的教程以及对低强度治疗师的更大支持，以便在适当的情况下最大限度地吸收视频会话，这可能是有益的。