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Delivering Prolonged Exposure Therapy Via Videoconferencing During the COVID-19 Pandemic: An Overview of the Research and Special Considerations for Providers

Overview
Journal J Trauma Stress
Publisher Wiley
Date 2020 Sep 4
PMID 32881116
Citations 18
Authors
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Abstract

Leveraging technology to provide evidence-based therapy for posttraumatic stress disorder (PTSD), such as prolonged exposure (PE), during the COVID-19 pandemic helps ensure continued access to first-line PTSD treatment. Clinical video teleconferencing (CVT) technology can be used to effectively deliver PE while reducing the risk of COVID-19 exposure during the pandemic for both providers and patients. However, provider knowledge, experience, and comfort level with delivering mental health care services, such as PE, via CVT is critical to ensure a smooth, safe, and effective transition to virtual care. Further, some of the limitations associated with the pandemic, including stay-at-home orders and physical distancing, require that providers become adept at applying principles of exposure therapy with more flexibility and creativity, such as when assigning in vivo exposures. The present paper provides the rationale and guidelines for implementing PE via CVT during COVID-19 and includes practical suggestions and clinical recommendations.

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References
1.
Zulman D, Wong E, Slightam C, Gregory A, Jacobs J, Kimerling R . Making connections: nationwide implementation of video telehealth tablets to address access barriers in veterans. JAMIA Open. 2020; 2(3):323-329. PMC: 6952023. DOI: 10.1093/jamiaopen/ooz024. View

2.
Meis L, Noorbaloochi S, Campbell E, Erbes C, Polusny M, Velasquez T . Sticking it out in trauma-focused treatment for PTSD: It takes a village. J Consult Clin Psychol. 2019; 87(3):246-256. PMC: 6548182. DOI: 10.1037/ccp0000386. View

3.
Morland L, Wells S, Glassman L, Greene C, Hoffman J, Rosen C . Advances in PTSD Treatment Delivery: Review of Findings and Clinical Considerations for the Use of Telehealth Interventions for PTSD. Curr Treat Options Psychiatry. 2020; 7(3):221-241. PMC: 7261035. DOI: 10.1007/s40501-020-00215-x. View

4.
Cigrang J, Rauch S, Mintz J, Brundige A, Mitchell J, Najera E . Moving effective treatment for posttraumatic stress disorder to primary care: A randomized controlled trial with active duty military. Fam Syst Health. 2017; 35(4):450-462. DOI: 10.1037/fsh0000315. View

5.
Page K, Venkataramani M, Beyrer C, Polk S . Undocumented U.S. Immigrants and Covid-19. N Engl J Med. 2020; 382(21):e62. DOI: 10.1056/NEJMp2005953. View