Videoconferencing Psychotherapy in the Public Sector: Synthesis and Model for Implementation

Samuel David Muir; Kathleen de Boer; Neil Thomas; Elizabeth Seabrook; Maja Nedeljkovic; Denny Meyer

doi:10.2196/14996

Videoconferencing Psychotherapy in the Public Sector: Synthesis and Model for Implementation

JMIR Ment Health. 2020 Jan 21;7(1):e14996. doi: 10.2196/14996.

Authors

Samuel David Muir¹, Kathleen de Boer¹, Neil Thomas¹, Elizabeth Seabrook¹, Maja Nedeljkovic¹, Denny Meyer¹

Affiliation

¹ Centre for Mental Health, Swinburne University of Technology, Hawthorn, Australia.

PMID: 31961334
PMCID: PMC7001045
DOI: 10.2196/14996

Abstract

Background: Videoconferencing psychotherapy (VCP) is a growing practice among mental health professionals. Early adopters have predominantly been in private practice settings, and more recent adoption has occurred in larger organizations, such as the military. The implementation of VCP into larger health service providers in the public sector is an important step in reaching and helping vulnerable and at-risk individuals; however, several additional implementation challenges exist for public sector organizations.

Objective: The aim of this study was to offer an implementation model for effectively introducing VCP into public sector organizations. This model will also provide practical guidelines for planning and executing an embedded service trial to assess the effectiveness of the VCP modality once implemented.

Methods: An iterative search strategy was employed, drawing on multiple fields of research across mental health, information technology, and organizational psychology. Previous VCP implementation papers were considered in detail to provide a synthesis of the barriers, facilitators, and lessons learned from the implementation attempts in the military and other public sector settings.

Results: A model was formulated, which draws on change management for technology integration and considers the specific needs for VCP integration in larger organizations. A total of 6 phases were formulated and were further broken down into practical and measurable steps. The model explicitly considers the barriers often encountered in large organizational settings and suggests steps to increase facilitating factors.

Conclusions: Although the model proposed is time and resource intensive, it draws on a comprehensive understanding of larger organizational needs and the unique challenge that the introduction of VCP presents to such organizations.

Keywords: implementation science; mental health; psychotherapy; public sector; telemedicine; videoconferencing.

©Samuel David David Muir, Kathleen de Boer, Neil Thomas, Elizabeth Seabrook, Maja Nedeljkovic, Denny Meyer. Originally published in JMIR Mental Health (http://mental.jmir.org), 21.01.2020.