{"id":3440,"date":"2021-05-04T13:56:26","date_gmt":"2021-05-04T04:26:26","guid":{"rendered":"http:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/?p=3440"},"modified":"2021-05-04T13:58:45","modified_gmt":"2021-05-04T04:28:45","slug":"therapy-via-teleconferencing-is-as-good","status":"publish","type":"post","link":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/2021\/05\/04\/therapy-via-teleconferencing-is-as-good\/","title":{"rendered":"Therapy via teleconferencing is as good as in-person"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">Teleconferencing has become a greater part of life since COVID-19. We\u2019re all using Zoom and Teams and Skype and countless others to stay in contact.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Whilst I\u2019m noting some return to life as usual, as restrictions lessen, I think these technologies will remain an important part of our lives. Some things work well via these channels. For example, I can run after-hours sessions on Mental Fitness and Studyology using Collaborate, which allows more students to attend and to do so in their own homes.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">One area where I think we\u2019ll continue to use these platforms is healthcare \ud83d\udc69\u200d\u2695\ufe0f In my field (psychology) there has been an extension to allow private practitioners to use telehealth appointments until the end of the year. That is being accompanied by the emergence of digital services looking to provide more seamless access to telehealth psychology (e.g. <\/span><a href=\"https:\/\/welysn.com\/\"><span style=\"font-weight: 400\">https:\/\/welysn.com\/<\/span><\/a><span style=\"font-weight: 400\">). For doctors, it is looking like telehealth might become a permanent option. Here at the counselling service, we have used and continue to use telephone and Skype appointments for those students who can\u2019t get to an in-person appointment (for whatever reason).\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Whilst telehealth boomed during COVID-19 because of needing to self-isolate, it will continue to thrive (I believe) because it provides easier access for many people to health and mental health services. Those living rural and remote. Those with health conditions that make travel difficult. Those in self-isolation. There are many reasons why a person might not be able to attend a face-to-face appointment but can check in via telehealth.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The increased use of telehealth for mental health\/ counselling appointments does raise the question as to whether telehealth appointments are as clinically beneficial as in-person appointments. I\u2019ve heard both clinicians and clients express concerns that telehealth appointments aren\u2019t as therapeutic. Certainly I\u2019ll admit to there being something uniquely personal and safe and contained about seeing someone in person.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But is it actually the case that telehealth counselling\/mental health appointments are less therapeutic?<\/span><\/p>\n<p><span style=\"font-weight: 400\">That is the question that <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S027273582030132X?casa_token=zkUgyFO0vfoAAAAA:JjpxMvn9N8daUOeHbHjOLaIUB9dep0digmUU7NGhDe0qRHhQ7HFySbDGJ0W-Ie483Cf_41xA90U0\"><span style=\"font-weight: 400\">Batastinit et al.<\/span><\/a><span style=\"font-weight: 400\"> tried to answer in their research paper \u201cAre videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice\u201d.<\/span><\/p>\n<p><span style=\"font-weight: 400\">They scanned the literature to find studies that directly compared the provision of therapeutic or assessment services delivered via VCT (videoconference technology) versus in-person. 57 studies met the criteria.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">They aggregated the outcomes across those different studies using meta-analytic techniques. This allowed them to generate a numerical measurement of the difference in outcomes for those receiving their treatment via VCT, versus those receiving their treatment in-person.\u00a0<\/span><\/p>\n<p><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">So what did they find?<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">What they found was, based on current research in the field, VCT and in-person mental health treatment and assessment <\/span><b>produce similar therapeutic benefits<\/b><span style=\"font-weight: 400\">. That is, there were no reliable differences between those getting their mental health treatment via telehealth versus those attending sessions in-person. Check out the article if you want to learn a bit more about some of their sub-findings including the curious possibility that women might respond better to VCT than men?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">To be clear, just because it seems that therapy delivered via VCT and in-person lead to similar outcomes, it doesn\u2019t mean they would feel the same. It is a very different experience to see a therapist or counsellor in-person versus via telehealth. But whilst you lose some things (capacity to read body language as easily), you gain in other areas (being able to share and collaborate on digital resources &#8211; videos, files etc). This study suggests that overall, the benefit of engaging with mental health services remains.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The implications of this for students here at Flinders is relatively simple. If you\u2019ve been delaying or avoiding seeking care from the counselling service because you aren\u2019t on the Bedford Park Campus (and can\u2019t attend in-person appointments), it is valuable to know that accessing <\/span><a href=\"https:\/\/students.flinders.edu.au\/support\/hcd\/counselling\"><span style=\"font-weight: 400\">counselling <\/span><\/a><span style=\"font-weight: 400\">via other means (telephone, Skype) might still have a lot of therapeutic value \u260e\ud83d\udcbb<\/span><\/p>\n<p><span style=\"font-weight: 400\">This joins a <\/span><a href=\"https:\/\/www.jmir.org\/2019\/7\/e12869\/\"><span style=\"font-weight: 400\">growing body of evidence<\/span><\/a><span style=\"font-weight: 400\"> that suggests obtaining mental health care via avenues other than face-to-face can be incredibly beneficial. To learn more about some of the different ways that people can access mental health supports, see our <\/span><a href=\"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/2021\/04\/08\/digital-resources-for-your-mental-health\/\"><span style=\"font-weight: 400\">Digital resources for your mental health<\/span><\/a><span style=\"font-weight: 400\"> document.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The broader takeaway message is that help can come in forms that we\u2019re initially unsure of, but which can still be very beneficial. As far as telehealth goes, I see the delivery of counselling and therapy via telehealth as only getting better over time as the quality of the cameras\/ microphones\/ computers that we use, and the robustness of landline and mobile internet connections improves. I can easily imagine a time where it is commonplace to connect with therapists via these digital channels.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Until next time, take care&#8230;<\/span><\/p>\n<p><span style=\"font-weight: 400\">Dr G<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Teleconferencing has become a greater part of life since COVID-19. We\u2019re all using Zoom and Teams and Skype and countless others to stay in contact.\u00a0\u00a0 [&hellip;]<\/p>\n","protected":false},"author":492,"featured_media":3441,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,108,23,7483],"tags":[10793,12675,10390],"class_list":["post-3440","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emental-health-resources","category-health-information","category-mental-health","category-research-digest","tag-online-therapy","tag-teleconferencing","tag-telehealth"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/posts\/3440","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/users\/492"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/comments?post=3440"}],"version-history":[{"count":0,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/posts\/3440\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/media\/3441"}],"wp:attachment":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/media?parent=3440"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/categories?post=3440"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/tags?post=3440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}