Final Paper

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Dec 6, 2023

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1 Proposition Paper Proposition Paper Courtney Wells University of West Alabama Theory/ Technology Distance Counseling Dr. Debbie Rose September 29, 2023

2 Proposition Paper Proposition Paper Literature Review According to the National Institute of Mental Health (n.d.), the provision of mental health services through telecommunications or videoconferencing technology is known as telemental health or distance counseling. The delivery of mental health services through telecommunications has become more prevalent due to the COVID-19 pandemic. Carper et al. (2022) noted as a response to the COVID-19 pandemic and the need for social distancing, the services provided were expanded considerably in both scope and volume. This allowed for a greater range of options to be made available to users, ultimately leading to a safer and more effective experience for all involved. This shift has resulted in a departure from traditional face- to-face care provision (Appleton et al., 2023). During this course, I have gained knowledge on providing effective telemental health services. Additionally, I have discovered the advantages of delivering mental health support, such as improved accessibility for service users who live remotely or struggle with transportation, as well as greater convenience for certain individuals who may find mental health care settings stigmatizing or intimidating (Madigan et al., 2021). I also discovered that telemental health or distance counseling comes with its own set of challenges. These may include limited access to technology, lack of internet connectivity, and inadequate private space to use during telemental health care. Additionally, some service users have reported difficulties in establishing and sustaining a therapeutic relationship. Through my research, I discovered that the implementation of telemental health has varied greatly across settings and regions, and many barriers have been encountered. Therefore, it is crucial to determine the most efficient

3 Proposition Paper approaches that benefit both patients and healthcare providers and put in place the required systems for its smooth integration into providing standard care. Addressing My Position In my opinion, distance counseling can be highly beneficial for specific individuals. Based on my research and coursework assignments, Telehealth has proven to be both effective and fulfilling for a range of patients. In fact, Madigan et al. (2021) noted some patients have even shared more information than they would in a face-to-face session. Moreover , Goetter et al., (2023) suggested patients and providers have shown high satisfaction with telemental health. Many patients have expressed a preference for either exclusively using telehealth visits or a combination of telehealth and in-person visits. What are some of the disadvantages of distance counseling? Who do you think could benefit from this service delivery model? Telemental health appears to be a cost-effective solution for mental health care access during and beyond the COVID-19 pandemic. Convenience has been identified as a significant advantage by both patients and providers. What ethical or legal dilemmas do you anticipate facing with this approach? What will you do to resolve these dilemmas? What additional training do you need to feel competent in using this approach? How will you continue to improve your skills with this method?

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4 Proposition Paper References Appleton, R., Barnett, P., Vera San Juan, N., Tuudah, E., Lyons, N., Parker, J., Roxburgh, E., Spyridonidis, S., Tamworth, M., Worden, M., Yilmaz, M., Sevdalis, N., Lloyd-Evans, B., Needle, J. J., & Johnson, S. (2023). Implementation strategies for telemental health: a systematic review. BMC Health Services Research, 23(1). https://doi- org.ezproxy.uwa.edu/10.1186/s12913-022-08993-1 Carper, T. L., Hunley, H. A., Myers, U. S., Chen, C. K., Birks, A. H., Williams, K. E., Lindsay, J. A., & Weaver, K. (2022). The impact of operational partnership on telemental health before, during, and after COVID-19. Psychological Services, 19(Suppl 2), 33–38. https://doi-org.ezproxy.uwa.edu/10.1037/ser0000636 Goetter, E. M., Iaccarino, M. A., Tanev, K. S., Furbish, K. E., Xu, B., & Faust, K. A. (2022). Telemental health uptake in an outpatient clinic for veterans during the COVID-19 pandemic and assessment of patient and provider attitudes. Professional Psychology: Research and Practice, 53(2), 151–159. https://doi- org.ezproxy.uwa.edu/10.1037/pro0000437 Madigan, S., Racine, N., Cooke, J. E., & Korczak, D. J. (2021). COVID-19 and telemental health: Benefits, challenges, and future directions. Canadian Psychology/Psychologie Canadienne, 62(1), 5–11. https://doi-org.ezproxy.uwa.edu/10.1037/cap0000259 U.S. Department of Health and Human Services. (n.d.). What is Telemental Health? . National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/what-is- telemental-health#:~:text=Telemental%20health%20is%20the%20use,to%20provide %20mental%20health%20services.

Final Paper

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