Tele-therapeutic care during Sars-Cov-2 pandemic in the Forensic Child and Adolescence Psychiatry Zurich

Tele-therapeutic care during Sars-Cov-2 pandemic in the Forensic Child and Adolescence Psychiatry Zurich

Tele-therapeutic care during Sars-Cov-2 pandemic in the Forensic Child and Adolescence Psychiatry Zurich

Individual presentation104Sebastian Wölfle, Psychiatric University Hospital Zurich, Switzerland

Room 2BWed 14:00 - 15:30

Abstract:
On account of the covid pandemic, conventional outpatient treatment of juvenile offenders was interrupted. Before the pandemic, empirical evidence already indicated that web-based or blended therapy comprises advantages (e.g. accessibility) and difficulties (e.g. withdrawal rate). With the present investigation we aimed to evaluate video- and telephone based interventions in the outpatient clinic in Zurich (CH) during the first covid lock down in 2020. We therefore analysed descriptive data on tele-therapeutic interventions and compared these to standard treatment. Further we (assessed individual experiences of therapists and clients. Results show that professionals had a more sceptical view compared to clients. Commitment of the clients to the setting (e.g. unexcused absences was equal to classical face to face settings. Our data indicate comparable outcomes to recent scientific findings in non-forensic settings. Findings may enhance the implementation of tele-therapeutic approaches during regular outpatient psychotherapeutic treatment with juvenile offenders.

Summary:
On account of the covid pandemic, conventional outpatient treatment of juvenile offenders was interrupted. Before the pandemic, empirical evidence already indicated that web-based or blended therapy comprises advantages (e.g. accessibility) and difficulties (e.g. withdrawal rate). With the present investigation we aimed to evaluate video- and telephone based interventions in the outpatient clinic in Zurich (CH) during the first covid lock down in 2020. We therefore analysed descriptive data on tele-therapeutic interventions and compared these to standard treatment. Further we (assessed individual experiences of therapists and clients. Results show that professionals had a more sceptical view compared to clients.During a time period of eight weeks, between march, and may, 2020 57% of our outpatient clients received tele-therapeutic treatment. We compared descriptive data of the tele-therapeutic treatment with data of the same cases in a preceding and comparable time period. Frequency (4.5 vs. 2.7 sessions) and duration (45 vs. 53 minutes) of the treatment sessions differ in a noteworthy way. In contrast unexcused absences wich were almost equal (22% vs. 19%). Overal clients were satisfied with tele-therapeutic setting. About 81% reported that they would be open for blended treatment - in the future. However therapeutic professionals valued the working alliance within a tele-therapeutic setting less profound compared to the clients. They enforced that i.a. using treatment materials was hindered (56%) because of the setting.These basic findings correspond with research in this field (e.g. Simpson und Reid, 2014). They showed that blending both settings could be an useful opportunity of recent pandemic days to be both satisfactory and accessible in treating adolescent offenders.

Assessment and treatment of young and/or adolescent offenders
blended treatment, sars-cov-2, tele-therapeutic care, working alliance
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