Aisbitt, GM;
Nolte, T;
Fonagy, P;
(2023)
Editorial Perspective: The digital divide – inequalities in remote therapy for children and adolescents.
Child and Adolescent Mental Health
, 28
(1)
pp. 105-107.
10.1111/camh.12545.
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Abstract
COVID-19 has triggered a shift towards remote delivery of therapy and, despite a number of benefits, it risks discriminating against young people already marginalised due to adverse early life experiences, poverty or ethnicity. This editorial perspective considers challenges for remote therapy, focusing on: the financial burden of telehealth; the necessity of safety to speak; and, how telehealth may exacerbate difficulties in therapeutic alliance formation by interfering with epistemic trust and mentalising. As well as compounding the inaccessibility for children who are subject to abuse, the implicit assumptions behind telehealth risk disproportionately excluding from therapy those from a low socioeconomic status, and who are from ethnic minorities. Suggestions are made for how these challenges may be addressed. It is argued that service design and delivery should seek to proceed with the practicalities and principles of engagement in mind and use this as an opportunity to improve parity of access, rather than risk further entrenching inequalities.
| Type: | Article |
|---|---|
| Title: | Editorial Perspective: The digital divide – inequalities in remote therapy for children and adolescents |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/camh.12545 |
| Publisher version: | https://doi.org/10.1111/camh.12545 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions. |
| Keywords: | Remote therapy, telehealth, therapeutic alliance, mentalising, epistemic trust, inequality, ethnic minority, intersectionality |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10142528 |
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