Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Diversitas Journal |
Texto Completo: | https://diversitasjournal.com.br/diversitas_journal/article/view/2870 |
Resumo: | With the COVID-19 epidemic starting in early 2020, the unintentional mass migration to online therapy has drastically changed the landscape. Because of this, mental health professionals need to be conscious of the fact that their traditional ethical obligations still hold even while using technology to offer a service. This scoping study examined the applicability of telepsychology among mental health practitioners as well as its ethical and clinical concerns. There is general agreement in this study that providing mental health treatments to clients via telepsychology is a realistic and practical option both before and after the epidemic. There was a clear pattern that the most prevalent clinical concerns were restricted nonverbal communication between the therapist and the client, communication difficulties in the therapeutic relationship, unsuitable to some mental health disorders, and clinician exhaustion. On the other side, privacy, and secrecy, insufficient telepsychology training and instruction, boundary-related concerns, insufficient telepsychology rules, and handling emergencies were significant ethical issues. These findings open the door to telepsychology, a workable method of providing mental health and psychosocial treatments that aim to reach clients across geographic boundaries and continue the transformative job of fostering change, healing, and growth among clients. Understanding these problems makes it easier for mental health practitioners to respond to future public health emergencies and other natural catastrophes |
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Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals Limites Digitais: Uma Revisão de Questões Clínicas e Éticas em Telepsicologia entre Profissionais de Saúde Mentalassessmentconfidentialityonline therapyWith the COVID-19 epidemic starting in early 2020, the unintentional mass migration to online therapy has drastically changed the landscape. Because of this, mental health professionals need to be conscious of the fact that their traditional ethical obligations still hold even while using technology to offer a service. This scoping study examined the applicability of telepsychology among mental health practitioners as well as its ethical and clinical concerns. There is general agreement in this study that providing mental health treatments to clients via telepsychology is a realistic and practical option both before and after the epidemic. There was a clear pattern that the most prevalent clinical concerns were restricted nonverbal communication between the therapist and the client, communication difficulties in the therapeutic relationship, unsuitable to some mental health disorders, and clinician exhaustion. On the other side, privacy, and secrecy, insufficient telepsychology training and instruction, boundary-related concerns, insufficient telepsychology rules, and handling emergencies were significant ethical issues. These findings open the door to telepsychology, a workable method of providing mental health and psychosocial treatments that aim to reach clients across geographic boundaries and continue the transformative job of fostering change, healing, and growth among clients. Understanding these problems makes it easier for mental health practitioners to respond to future public health emergencies and other natural catastrophesCon la epidemia de COVID-19 que comenzó a principios de 2020, la migración masiva involuntaria a la terapia en línea ha cambiado drásticamente el panorama. Debido a esto, los profesionales de la salud mental deben ser conscientes del hecho de que sus obligaciones éticas tradicionales siguen vigentes incluso cuando utilizan la tecnología para ofrecer un servicio. Este estudio de alcance examinó la aplicabilidad de la telepsicología entre los profesionales de la salud mental, así como sus preocupaciones éticas y clínicas. Existe un acuerdo general en este estudio en que brindar tratamientos de salud mental a los clientes a través de la telepsicología es una opción realista y práctica tanto antes como después de la epidemia. Hubo un patrón claro de que las preocupaciones clínicas más prevalentes eran la comunicación no verbal restringida entre el terapeuta y el cliente, las dificultades de comunicación en la relación terapéutica, la inadecuación para algunos trastornos de salud mental y el agotamiento del médico. Por otro lado, la privacidad y el secreto, la formación e instrucción insuficientes en telepsicología, las preocupaciones relacionadas con los límites, las reglas insuficientes de telepsicología y el manejo de emergencias fueron cuestiones éticas importantes. Estos hallazgos abren la puerta a la telepsicología, un método viable para brindar tratamientos psicosociales y de salud mental que tienen como objetivo llegar a clientes a través de fronteras geográficas y continuar el trabajo transformador de fomentar el cambio, la curación y el crecimiento entre los clientes. Comprender estos problemas facilita que los profesionales de la salud mental respondan a futuras emergencias de salud pública y otras catástrofes naturales.Com a epidemia de COVID-19 a começar no início de 2020, a migração involuntária em massa para a terapia online mudou drasticamente o cenário. Por isso, os profissionais de saúde mental precisam de estar conscientes do facto de que as suas obrigações éticas tradicionais ainda se mantêm, mesmo quando utilizam a tecnologia para oferecer um serviço. Este estudo de escopo examinou a aplicabilidade da telepsicologia entre profissionais de saúde mental, bem como suas preocupações éticas e clínicas. Existe um consenso geral neste estudo de que fornecer tratamentos de saúde mental aos clientes através da telepsicologia é uma opção realista e prática, tanto antes como depois da epidemia. Havia um padrão claro de que as preocupações clínicas mais prevalentes eram a comunicação não verbal restrita entre o terapeuta e o cliente, dificuldades de comunicação na relação terapêutica, inadequação para alguns transtornos de saúde mental e exaustão do médico. Por outro lado, a privacidade e o sigilo, o treinamento e a instrução insuficientes em telepsicologia, as preocupações relacionadas aos limites, as regras telepsicológicas insuficientes e o tratamento de emergências eram questões éticas significativas. Estas descobertas abrem a porta à telepsicologia, um método viável de fornecer tratamentos de saúde mental e psicossociais que visam alcançar clientes através de fronteiras geográficas e continuar o trabalho transformador de promover a mudança, a cura e o crescimento entre os clientes. A compreensão destes problemas torna mais fácil para os profissionais de saúde mental responder a futuras emergências de saúde pública e outras catástrofes naturais.Universidade Estadual de Alagoas - Eduneal2024-04-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://diversitasjournal.com.br/diversitas_journal/article/view/287010.48017/dj.v9iSpecial1.2870Diversitas Journal; Vol. 9 No. 1_Special (2024): Sustainability in Asia-Pacific: Multidisciplinary Insights and InnovationsDiversitas Journal; Vol. 9 Núm. 1_Special (2024): Sostenibilidad en Asia-Pacífico: ideas e innovaciones multidisciplinariasDiversitas Journal; v. 9 n. 1_Special (2024): Sustentabilidade na Ásia-Pacífico: insights e inovações multidisciplinares2525-521510.48017/dj.v9i1reponame:Diversitas Journalinstname:Universidade Estadual de Alagoas (UNEAL)instacron:UNEALenghttps://diversitasjournal.com.br/diversitas_journal/article/view/2870/2481Copyright (c) 2024 Jeric Manalilihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessManalili, Jeric2024-04-18T14:49:57Zoai:ojs.diversitasjournal.com.br:article/2870Revistahttps://diversitasjournal.com.br/diversitas_journal/indexPUBhttps://www.e-publicacoes.uerj.br/index.php/muralinternacional/oairevistadiversitasjournal@gmail.com2525-52152525-5215opendoar:2024-04-18T14:49:57Diversitas Journal - Universidade Estadual de Alagoas (UNEAL)false |
dc.title.none.fl_str_mv |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals Limites Digitais: Uma Revisão de Questões Clínicas e Éticas em Telepsicologia entre Profissionais de Saúde Mental |
title |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals |
spellingShingle |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals Manalili, Jeric assessment confidentiality online therapy |
title_short |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals |
title_full |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals |
title_fullStr |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals |
title_full_unstemmed |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals |
title_sort |
Digital Boundaries: A Review of Clinical and Ethical Issues in Telepsychology among Mental Health Professionals |
author |
Manalili, Jeric |
author_facet |
Manalili, Jeric |
author_role |
author |
dc.contributor.author.fl_str_mv |
Manalili, Jeric |
dc.subject.por.fl_str_mv |
assessment confidentiality online therapy |
topic |
assessment confidentiality online therapy |
description |
With the COVID-19 epidemic starting in early 2020, the unintentional mass migration to online therapy has drastically changed the landscape. Because of this, mental health professionals need to be conscious of the fact that their traditional ethical obligations still hold even while using technology to offer a service. This scoping study examined the applicability of telepsychology among mental health practitioners as well as its ethical and clinical concerns. There is general agreement in this study that providing mental health treatments to clients via telepsychology is a realistic and practical option both before and after the epidemic. There was a clear pattern that the most prevalent clinical concerns were restricted nonverbal communication between the therapist and the client, communication difficulties in the therapeutic relationship, unsuitable to some mental health disorders, and clinician exhaustion. On the other side, privacy, and secrecy, insufficient telepsychology training and instruction, boundary-related concerns, insufficient telepsychology rules, and handling emergencies were significant ethical issues. These findings open the door to telepsychology, a workable method of providing mental health and psychosocial treatments that aim to reach clients across geographic boundaries and continue the transformative job of fostering change, healing, and growth among clients. Understanding these problems makes it easier for mental health practitioners to respond to future public health emergencies and other natural catastrophes |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-04-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://diversitasjournal.com.br/diversitas_journal/article/view/2870 10.48017/dj.v9iSpecial1.2870 |
url |
https://diversitasjournal.com.br/diversitas_journal/article/view/2870 |
identifier_str_mv |
10.48017/dj.v9iSpecial1.2870 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://diversitasjournal.com.br/diversitas_journal/article/view/2870/2481 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2024 Jeric Manalili https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2024 Jeric Manalili https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Estadual de Alagoas - Eduneal |
publisher.none.fl_str_mv |
Universidade Estadual de Alagoas - Eduneal |
dc.source.none.fl_str_mv |
Diversitas Journal; Vol. 9 No. 1_Special (2024): Sustainability in Asia-Pacific: Multidisciplinary Insights and Innovations Diversitas Journal; Vol. 9 Núm. 1_Special (2024): Sostenibilidad en Asia-Pacífico: ideas e innovaciones multidisciplinarias Diversitas Journal; v. 9 n. 1_Special (2024): Sustentabilidade na Ásia-Pacífico: insights e inovações multidisciplinares 2525-5215 10.48017/dj.v9i1 reponame:Diversitas Journal instname:Universidade Estadual de Alagoas (UNEAL) instacron:UNEAL |
instname_str |
Universidade Estadual de Alagoas (UNEAL) |
instacron_str |
UNEAL |
institution |
UNEAL |
reponame_str |
Diversitas Journal |
collection |
Diversitas Journal |
repository.name.fl_str_mv |
Diversitas Journal - Universidade Estadual de Alagoas (UNEAL) |
repository.mail.fl_str_mv |
revistadiversitasjournal@gmail.com |
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1797051274145824768 |