- 期刊
台灣臨床心理學會通訊心理治療實務指引：台灣通訊心理治療實務指引
Taiwan Association of Clinical Psychology Practice Guidelines for Telepsychotherapy: General Guidelines for the Practice of Telepsychotherapy in Taiwan
摘要
目的：新型冠狀病毒肺炎（coronavirus disease 2019, COVID-19）對當代日常生活與心理健康產生巨大衝擊。在疫情期間，許多臨床心理師和個案為了保護彼此的健康和維持安全的社交距離，被迫暫停了原本面對面執行的心理治療。因此，加速了通訊心理服務的需求。台灣目前仍缺乏對於通訊心理服務在實務作法上的完善指引，本文旨在整理通訊心理服務之相關概念與作法指引，希望能提供相關專業參考依循。方法：回顧通訊心理服務相關文獻，並聚焦於多國發表之通訊心理治療之實務指引，依序整理重要概念與臨床實務指引，並依據台灣現況進行討論。結果：目前已提出的通訊心理實務指引（McCord et al., 2020），可整合成三個面向：提供服務方式、服務場域、實踐領域。而實踐領域需考量九項重要議題：行政技能、評估、倫理與法律、多元文化的能力、心理治療、研究與評估、風險評估、督導，與使用通訊技術的技能等。進行通訊心理治療時，需注意（1）心理學家本身的各項能力；（2）倫理和專業準則；（3）知情同意的設計等層面。結論：通訊心理治療實務的立方模型及各重要議題（McCord et al., 2020），可以成為台灣臨床心理學家製訂自身領域之指引、規劃繼續教育和培訓，以及促進通訊心理服務專業發展的寶貴架構。然而在這些架構下，執行細節則需進一步考量台灣的法規、民情、社會條件等。故應持續累積在地通訊心理治療經驗，提出切合台灣實務現場的指導原則，並積極與主管機關溝通，希望能完善有利於台灣通訊心理治療的相關法規。
並列摘要
Objectives: The coronavirus disease 2019 (COVID-19) pandemic has huge impact on people's life and mental health. During the epidemic, many clinical psychologists and clients were forced to suspend the original face-to-face psychotherapy in order to protect each other's health and maintain a safe social distance; therefore, the demand for telepsychotherapy has been accelerated. However, there has not been a comprehensive guideline for telepsychotherapy available for clinical psychologists in Taiwan. This study aims to discuss important issues in telepsychotherapy and provide general guidelines for the practice of telepsychotherapy in Taiwan. Methods: We reviewed literatures of telepsychology, and focused on practical guideline of telepsychotherapy published by multiple countries. Important concepts and practical guidelines were presented and discussed based on attributes of Taiwan. Results: Three dimensions proposed by McCord et al. (2020) were considered important in organizing practice guidelines of telepsychology: delivery modality, setting, and practice domains. Nine practice domains influenced by practice setting and modality were discussed: administrative skills, assessment, ethics and law, multicultural competence, psychotherapy, research and evaluation, risk assessment, supervision, and technical skills. In addition, there are three important issues that need special attention when: (1) the competencies of psychologists in practicing telepsychotheray; (2) ethical and professional standards of care in the delivery of telepsychology services; (3) the implantation of informed consent. Conclusions: The consolidated model for telepsychology practice and McCord et al. (2020) proposed could be a valuable framework for clinical psychologists in Taiwan to develop our own guideline, to plan continued education and training, and to promote professional development in telepsychology. However, the implementation details need to further consider Taiwan's laws and regulations, public sentiment, and social conditions. Therefore, it is important to continue to establish Taiwan's practical experiences in telepsychotherapy, publish guidelines that meet emerging needs in Taiwan, actively communicate with government departments/agencies and advocate laws and regulations that are beneficial to the development of telepsychotherapy in Taiwan.