The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study.

IF 1.7 4区心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Child & Youth Care Forum Pub Date : 2023-01-01 Epub Date: 2022-05-02 DOI:10.1007/s10566-022-09692-y

Aurelie M C Lange, Sajid Humayun, Tom Jefford

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Abstract

Background: Due to the recent COVID-19 pandemic, mental health care has largely transferred its services to online platforms, using videoconferencing (VC) or teletherapy. Within the field of family therapy, however, there is little evidence on the feasibility of using VC, especially when working with whole families at the edge of care.

Objective: This study investigated the feasibility of remote Functional Family Therapy (FFT), using a mixed-method approach.

Method: Study 1 consisted of semi-structured interviews with 23 FFT professionals (18 female) about their experience of providing remote FFT during the COVID-19 pandemic. Study 2 included monitoring data of 209 FFT clients (46% female, M _age = 14.00) who participated in FFT during the pandemic. We compared families who received mainly in-person, mainly remote or a mix of remote and in-person on client-reported alliance, drop-out, therapist-rated outcomes, and treatment intensity using MANCOVA's and chi-square tests.

Results: In Study 1 two themes emerged around experienced challenges, namely 'Feeling in control' and 'Engagement and alliance'. Two other themes emerged around adaptations, namely 'Being more on top' and 'Connecting in different ways'. In Study 2, we found that the therapeutic alliance was not related to using VC. Also, families had less between-session contact during the Engagement and Motivation Phase when receiving mainly VC, but had more sessions and longer therapy when receiving a mix of in-person and remote therapy.

Conclusions: The current study suggests that providing systemic family teletherapy to families on the edge of care is feasible. Further development of systemic family teletherapy is warranted.

Supplementary information: The online version contains supplementary material available at 10.1007/s10566-022-09692-y.

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在 COVID-19 大流行期间为青少年提供远程功能性家庭治疗的可行性：混合方法研究。

背景：由于最近的 COVID-19 大流行，心理保健服务已在很大程度上转移到在线平台，使用视频会议（VC）或远程治疗。然而，在家庭治疗领域，几乎没有证据表明使用视频会议是可行的，尤其是在对处于护理边缘的整个家庭进行治疗时：本研究采用混合方法调查了远程功能性家庭治疗（FFT）的可行性：研究 1 包括对 23 名功能性家庭治疗专业人员（18 名女性）进行半结构化访谈，了解他们在 COVID-19 大流行期间提供远程功能性家庭治疗的经验。研究 2 包括对 209 名在大流行期间参加了家庭亲情服务的家庭亲情服务对象（46% 为女性，M 年龄 = 14.00）的监测数据。我们使用 MANCOVA 和卡方检验比较了主要接受面对面治疗、主要接受远程治疗或混合接受远程和面对面治疗的家庭在客户报告的联盟、退出、治疗师评定的结果和治疗强度方面的情况：在研究 1 中，围绕所经历的挑战出现了两个主题，即 "控制感 "和 "参与和联盟"。另外两个主题是关于适应的，即 "更高高在上 "和 "以不同方式联系"。在研究 2 中，我们发现治疗联盟与使用 VC 无关。此外，在参与和动机阶段，主要接受虚拟治疗的家庭在两次治疗之间的联系较少，但在接受面对面和远程治疗的混合治疗时，治疗次数较多，治疗时间较长：目前的研究表明，为处于护理边缘的家庭提供系统的家庭远程治疗是可行的。有必要进一步发展系统性家庭远程治疗：在线版本包含补充材料，可在 10.1007/s10566-022-09692-y 上查阅。

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来源期刊

Child & Youth Care Forum PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： Child & Youth Care Forum is a peer-reviewed, multidisciplinary publication that welcomes submissions – original empirical research papers and theoretical reviews as well as invited commentaries – on children, youth, and families. Contributions to Child & Youth Care Forum are submitted by researchers, practitioners, and clinicians across the interrelated disciplines of child psychology, early childhood, education, medical anthropology, pediatrics, pediatric psychology, psychiatry, public policy, school/educational psychology, social work, and sociology as well as government agencies and corporate and nonprofit organizations that seek to advance current knowledge and practice. Child & Youth Care Forum publishes scientifically rigorous, empirical papers and theoretical reviews that have implications for child and adolescent mental health, psychosocial development, assessment, interventions, and services broadly defined. For example, papers may address issues of child and adolescent typical and/or atypical development through effective youth care assessment and intervention practices. In addition, papers may address strategies for helping youth overcome difficulties (e.g., mental health problems) or overcome adversity (e.g., traumatic stress, community violence) as well as all children actualize their potential (e.g., positive psychology goals). Assessment papers that advance knowledge as well as methodological papers with implications for child and youth research and care are also encouraged.