Practitioners' perspectives on preparing for and delivering remote psychological support in Nepal, Perú and the United States during COVID‐19-Reference-Cited by-同舟云学术

Practitioners' perspectives on preparing for and delivering remote psychological support in Nepal, Perú and the United States during COVID‐19

Published:2023-06-09 Issue:4 Volume:96 Page:849-867
ISSN:1476-0835
Container-title:Psychology and Psychotherapy: Theory, Research and Practice
language:en
Short-container-title:Psychol Psychother

Author:

Pedersen Gloria A.¹^ORCID,Elnasseh Abdelrhman¹^ORCID,Bhattacharya Bani²^ORCID,Moran Leydi³^ORCID,Neupane Vibha⁴^ORCID,Galea Jerome T.⁵⁶^ORCID,Contreras Carmen³⁷^ORCID,Pfeffer Kendall A.⁸^ORCID,Brown Adam D.⁸⁹^ORCID,Sangraula Manaswi⁸,Luitel Nagendra P.⁴^ORCID,Kohrt Brandon A.¹^ORCID

Affiliation:

1. The Center for Global Mental Health Equity The George Washington University Washington DC USA

2. Milken Institute School of Public Health The George Washington University Washington DC USA

3. Socios En Salud Sucursal Perú Lima Peru

4. Transcultural Psychosocial Organization (TPO) Nepal Kathmandu Nepal

5. School of Social Work University of South Florida Tampa Florida USA

6. Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA

7. Harvard Global Health Institute Harvard University Cambridge Massachusetts USA

8. Department of Psychology The New School for Social Research New York City New York USA

9. Department of Psychiatry New York University School of Medicine New York City New York USA

Abstract

AbstractIntroductionThe COVID‐19 pandemic has propelled a global paradigm shift in how psychological support is delivered. Remote delivery, through phone and video calls, is now commonplace around the world. However, most adoption of remote delivery methods is occurring without any formal training to ensure safe and effective care.ObjectiveThe purpose of this applied qualitative study was to determine practitioners' experiences of rapidly adapting to deliver psychological support remotely during COVID‐19.DesignWe used a pragmatic paradigm and applied approach to gain perspectives related to the feasibility and perceived usefulness of synchronous remote psychological support, including views on how practitioners can be prepared.MethodsKey informant interviews were conducted remotely with 27 specialist and non‐specialist practitioners in Nepal, Perú and the USA. Interviewees were identified through purposeful sampling. Data were analysed using framework analysis.ResultsRespondents revealed three key themes: (i) Remote delivery of psychological support raises unique safety concerns and interference with care, (ii) Remote delivery enhances skills and expands opportunities for delivery of psychological support to new populations, and (iii) New training approaches are needed to prepare specialist and non‐specialist practitioners to deliver psychological support remotely.ConclusionsRemote psychological support is feasible and useful for practitioners, including non‐specialists, in diverse global settings. Simulated remote role plays may be a scalable method for ensuring competency in safe and effective remotely‐delivered care.

Publisher

Wiley

Subject

Psychiatry and Mental health,Arts and Humanities (miscellaneous),Clinical Psychology,Developmental and Educational Psychology

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