Ethical issues raised in using online tele-mental health (OTH): a review of studies
DOI:
https://doi.org/10.48017/dj.v9iSpecial1.2875Palabras clave:
ethical concerns, internet, tele-mental health, APA, PAPResumen
Dada la actual pandemia de COVID-19, el uso de tecnología en plataformas en línea ha sido un método principal a nivel internacional para defender el sistema de atención médica durante esta crisis sanitaria mundial. La telesalud mental (OTH) en línea ofrece nuevas e interesantes oportunidades para los profesionales de la salud mental. Sin embargo, el inicio de la OTH también ha venido acompañado de una serie de pruebas, particularmente sobre estándares éticos. El objetivo de esta revisión narrativa apunta a resaltar las cuestiones éticas planteadas entre los estudios que aplican la modalidad de OTH, que es un recurso oportuno para los profesionales de la salud mental que se han visto obligados a pasar a la práctica de consultas y sesiones en línea. Durante la revisión se utilizan los puntos clave estándar de los códigos de ética de los profesionales de la salud mental, aplicando tanto la Asociación Estadounidense de Psicología (APA) como el código de ética proporcionado por la Asociación de Psicología de Filipinas (PAP). Los resultados muestran que existen problemas e incertidumbres para los proveedores de salud mental que se esfuerzan por cumplir con el cambio tecnológico. En este estudio, las cinco cuestiones éticas más críticas encontradas en los encuentros de OTH incluyen cuestiones de competencia, cuestiones relacionadas con las interrupciones de los servicios psicológicos en el uso de la tecnología, cuestiones de integridad, cuestiones de privacidad y confidencialidad, y temas que se consideran cuestiones accesorias en OTRO. Las recomendaciones proporcionadas cumplen con el objetivo de eliminar las cuestiones éticas planteadas en la revisión.
Métricas
Citas
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
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Hazel Wendy, Michael Jo Gballa, Maria Lea Ronda
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
O periodico Diversitas Journal expressa que os artigos são de unica responsabilidade dos Autores, conhecedores da legislação Brasileira e internacional. Os artigos são revisados pelos pares e devem ter o cuidado de avisar da possível incidencia de plagiarismo. Contudo o plagio é uma ação incontestavel dos autores. A Diversitas Journal não publicará artigos com indicios de Plagiarismos. Artigos com plagios serão tratados em conformidade com os procedimentos de plagiarismo COPE.
A violação dos direitos autorais constitui crime, previsto no artigo 184, do Código Penal Brasileiro:
“Art. 184 Violar direitos de autor e os que lhe são conexos: Pena – detenção, de 3 (três) meses a 1 (um) ano, ou multa. § 1o Se a violação consistir em reprodução total ou parcial, com intuito de lucro direto ou indireto, por qualquer meio ou processo, de obra intelectual, interpretação, execução ou fonograma, sem autorização expressa do autor, do artista intérprete ou executante, do produtor, conforme o caso, ou de quem os represente: Pena – reclusão, de 2 (dois) a 4 (quatro) anos, e multa.”