Therapists' Self-Efficacy and Experiences Managing Clinical Risk in Teletherapy: A Mixed Methods Exploration
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| Title: | Therapists' Self-Efficacy and Experiences Managing Clinical Risk in Teletherapy: A Mixed Methods Exploration |
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| Language: | English |
| Authors: | Nigel Jaffe (ORCID |
| Source: | British Journal of Guidance & Counselling. 2025 53(2):206-220. |
| Availability: | Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals |
| Peer Reviewed: | Y |
| Page Count: | 15 |
| Publication Date: | 2025 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Counselor Attitudes, Self Efficacy, Patients, At Risk Persons, Counseling Techniques, Intervention, Therapy, Evidence Based Practice, Risk Management, Self Destructive Behavior, COVID-19, Pandemics, Psychopathology, Counselor Client Relationship, Computer Simulation, Videoconferencing, Mental Health, Health Services |
| DOI: | 10.1080/03069885.2024.2311209 |
| ISSN: | 0306-9885 1469-3534 |
| Abstract: | Before teletherapy usage grew dramatically during COVID-19, clinicians considered it less suitable for patients experiencing high-risk behaviours and related psychopathology (e.g., self-injurious thoughts and behaviours). This mixed methods study assesses clinicians' concerns by quantitatively and qualitatively exploring their experiences, satisfaction, and self-efficacy using teletherapy for high-risk patients. Mental healthcare providers (N = 75) completed a survey assessing teletherapy usage, attitudes, and risk assessment/management self-efficacy. Nine providers then completed semi-structured interviews on these topics. Clinicians reported more confidence assessing and managing risk in-person as compared to teletherapy, and they reported being more likely to treat high-risk patients face-to-face than virtually. Still, attitudes toward teletherapy were generally positive, and clinicians who confidently managed risk in-person also tended to be confident virtually, often reporting that they could administer evidence-based therapeutic interventions regardless of therapy modality. Qualitative analyses revealed both general and person-specific factors that conferred increased or diminished confidence when managing risk. |
| Abstractor: | As Provided |
| Entry Date: | 2025 |
| Accession Number: | EJ1478465 |
| Database: | ERIC |
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| Abstract: | Before teletherapy usage grew dramatically during COVID-19, clinicians considered it less suitable for patients experiencing high-risk behaviours and related psychopathology (e.g., self-injurious thoughts and behaviours). This mixed methods study assesses clinicians' concerns by quantitatively and qualitatively exploring their experiences, satisfaction, and self-efficacy using teletherapy for high-risk patients. Mental healthcare providers (N = 75) completed a survey assessing teletherapy usage, attitudes, and risk assessment/management self-efficacy. Nine providers then completed semi-structured interviews on these topics. Clinicians reported more confidence assessing and managing risk in-person as compared to teletherapy, and they reported being more likely to treat high-risk patients face-to-face than virtually. Still, attitudes toward teletherapy were generally positive, and clinicians who confidently managed risk in-person also tended to be confident virtually, often reporting that they could administer evidence-based therapeutic interventions regardless of therapy modality. Qualitative analyses revealed both general and person-specific factors that conferred increased or diminished confidence when managing risk. |
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| ISSN: | 0306-9885 1469-3534 |
| DOI: | 10.1080/03069885.2024.2311209 |
