Ethical issues raised in using online tele-mental health (OTH): a review of studies
DOI:
https://doi.org/10.48017/dj.v9iSpecial1.2875Keywords:
ethical concerns, internet, tele-mental health, APA, PAPAbstract
Given the current COVID-19 pandemic, utilizing technology in online platforms has been a primary method internationally for upholding the health care system during this world health crisis. Online tele-mental health (OTH) offers exciting new breaks for mental health practitioners. However, initiation of OTH has also come with a host of trials, particularly on ethical standards. The goal of this narrative review aims to highlight the raised ethical issues among studies applying the modality of OTH which is a timely resource for mental health professionals who have been forced to move into the practice of online consultations and sessions. Using the standard key points of the mental health practitioners’ codes of ethics, applying both the American Psychological Association (APA) and the code of ethics provided by the Psychological Association of the Philippines (PAP) is used during the review. Results show that there are problems and uncertainties for mental health providers striving to fulfill the shift in technology. In this study, the five of the most critical ethical issues found in OTH encounters include issues of competency, issues in the interruptions of psychological services in using technology, issues in integrity, issues in privacy and confidentiality, and themes that are considered accessory issues in OTH. The recommendations provided adheres to lift ethical issues raised in the review.Metrics
References
American Psychological Association (2017). Ethical Principles of Psychologists and Code of Conduct. apa.org/ethics/code
Bamijoko-Okungbaye, A., & Idemudia, E. S. (2020). Digital mental health in Ireland: Effectiveness and the future of the service. Broad Research in Artificial Intelligence and Neuroscience, 11(2), 57-71. https://dx.doi.org/10.18662/brain/11.2/74.
Bunnell, B. E., Barrera, J. F., Paige, S. R., Turner, D., & Welch, B. M. (2020). Acceptability oftelemedicine features to promote its uptake in practice: A survey of Community telemental health providers. International Journal of Environmental Research and Public Health, 17(22), 8525. https://doi.org/10.3390/ijerph17228525
Cooper, S. E., Campbell, L. F., & Smucker Barnwell, S. (2019). Telepsychology: A primer for counseling psychologists. The Counseling Psychologist, 47(8), 1074–1114. https://doi.org/10.1177/0011000019895276
Conzelmann, A., Hollmann, K., Haigis, A., Lautenbacher, H., Bizu, V., App, R., ... & Renner, T.
J.(2022). Internet-based psychotherapy in children with obsessive-compulsive disorder (OCD): Protocol of a randomized controlled trial. Trials, 23(1), 112.hhtps://doi.org/10.1186/s13063-022-06062-w
Fernández-Álvarez, J., & Fernández-Álvarez, H. (2021). Videoconferencing psychotherapy during the pandemic: Exceptional times with enduring effects? Frontiers in Psychology,12, 589536. https://doi.org/10.3389/fpsyg.2021.589536
García, E., Di Paolo, E. A., & De Jaegher, H. (2022). Embodiment in online psychotherapy: A qualitative study. Psychology and Psychotherapy: Theory, Research and Practice,95(1), 191-211. https://doi/full/10.1111/papt.12359
Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer reviewed journals: Secrets of the trade. Journal of Chiropractic Medicine, 5(3), 101 117. https://doi.org/10.1016/S0899-3467(07)60142-6
González-Ortega, I., Ugarte, A., Ruiz de Azúa, S., Núñez, N., Zubia, M., Ponce, S., ... & González-Pinto, A. (2016). Online psycho-education to the treatment of bipolar disorder: Protocol of a randomized controlled trial. BMC Psychiatry, 16(1), 1-8. https://10.1186/s12888-016-1159-0
Hanley, T., & Wyatt, C. (2021). A systematic review of higher education studentsexperiences of engaging with online therapy. Counselling and Psychotherapy Research, 21(3), 522–534. https://doi.org/10.1002/capr.12371
Lerardi, E., Bottini, M., & Riva Crugnola, C. (2022). Effectiveness of an online versus face-to face psychodynamic counselling intervention for university students before and during the COVID-19 period. BMC psychology, 10(1), https://doi.org/10.1186/s40359-022 00742-
Iqballa, L. & Dwiastuti, I. (2020). The application of quality of life therapy via teletherapyduring COVID-19 to reduce depression in early adulthood (When caused by bullying during adolescence). International conference of psychology, KnE Social Sciences, 121–138. DOI 10.18502/kss.v4i15.8196
Lu, C., Chu, W., Madden, S., Parmanto, B. & Silk, J. S. (2021). Adolescent perspectives on how an adjunctive mobile app for social anxiety treatment impacts treatment engagement in telehealth group therapy. Social Sciences 10(397), 1-13. https://doi.org/10.3390/socsci 10100397
Markowitz, J. C., Milrod, B., Heckman, T. G., Bergman, M., Amsalem, D., Zalman, H., Ballas, T., & Neria, Y. (2021). Psychotherapy at a distance. The American Journal of Psychiatry, 178(3), 240–246. https://doi.org/10.1176/appi.ajp.2020.20050557
McClellan, M. J., Florell, D., Palmer, J., & Kidder, C. (2020). Clinician telehealth attitudes in a rural community mental health center setting. Journal of Rural mental health, 44(1), 62. https://doi.org/10.1037/rmh0000127
McVeigh, M. J., & Heward-Belle, S. (2020). Necessary and good: a literature review explorin ethical issues for online counselling with children and young people who have experienced maltreatment. Children Australia, 45(4), 266-278. https://doi.org/10.1017/cha.2020.59
Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health, 20(1), 1193. https://doi.org/10.1186/s12889-020-09301-4
Parisi, K. E., Dopp, A. R., & Quetsch, L. B. (2021). Practitioner use of and attitudes towards
videoconferencing for the delivery of evidence-based telemental health interventions: A mixed methods study. Internet interventions, 26,100470. https://doi.org/10.1016/j.invent.2021.100470
Perry, K., Gold, S., & Shearer, E. M. (2020). Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization. Journal of Clinical Psychology, 76(6), 1125-1134. https://doi.org/10.1002/jclp.22770
Pierce, B. S., Perrin, P. B., Tyler, C. M., McKee, G. B., & Watson, J. D. (2021). The COVID-1 telepsychology revolution: A national study of pandemic-based changes in US mental health care delivery. American Psychologist, 76(1), 14. https://doi.org/10.1037/amp0000722
Psychological Association of the Philippines (2010). Code of Ethics for Philippine Psychologist. Philippine Journal of Psychology, 43 (2), 195 217.
San Juan,V. N., Shah, P., Schlief, M., Appleton, R., Nyikavaranda, P., Birken, M., ... & Johnson, S.(2021). Service user experiences and views regarding telemental health during the COVID-19 pandemic: A co-produced framework analysis. PloS one, 16(9), e0257270. https://doi.org/10.1371/journal.pone.0257270
Sampaio, M., Navarro Haro, M. V., De Sousa, B., Vieira Melo, W., & Hoffman, H. G. (2021). Therapists make the switch to telepsychology to safely continue treating their patients during the COVID-19 pandemic: Virtual reality telepsychology may be next. Frontiers in Virtual Reality, 36. https://10.3389/frvir.2020.576421/ful
Wozney, L., Newton, A. S., Gehring, N. D., Bennett, K., Huguet, A., Hartling, L., Dyson, M. P.,& McGrath, P. (2017). Implementation of eMental Health care: Viewpoints from key informants from organizations and agencies with eHealth mandates. BMC Medical Informatics and Decision Making, 17(1). https://doi.org/10.1186/s12911-017-0474-9
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