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Technology makes it possible to provide telemental health (TMH) services in real time with clients across the city, the state, the country, or even the world. Thus, telepractice has the potential to improve access for underserved and vulnerable populations and, ultimately, to address health disparities. With this expanded reach, it has become even more important that telepractitioners carefully question and assess their competence with diverse populations. Following ethical best practices, clinicians consider the populations’ unique needs related to both the behavioral health and the technology aspects of telepractice. Overall, cultural humility (Hook, Davis, Owen, Worthington, & Utsey, 2013) is strongly encouraged, recognizing the lifelong, process-oriented approach to striving toward competency with the vulnerable groups served through technology. More specifically, the APA’s Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations (APA Task Force, 1990) may be readily applied to telepractice. As noted by the APA Presidential Task Force (2013), cultural competence involves three broad dimensions: therapists’ cultural knowledge, therapists’ attitudes and beliefs toward culturally different clients and self-understanding, and therapists’ skills and use of culturally appropriate interventions. This chapter provides an overview of cultural considerations in telepractice. The process of initiating and sustaining services is described, as well as communication and relationship factors when working with patients across geographies (rural, suburban, and urban) and in homebound settings. Finally, strategies to support culturally aware telepractitioner competencies when working with diverse populations are summarized. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Published: Jun 27, 2016
Keywords: ethical telepractice; diverse populations; culturally different clients; cultural competence
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