A University-Based Social Services Parent-Training Model: A Telehealth Adaptation During the COVID-19 Pandemic
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DISCUSSION AND REVIEW PAPER
A University-Based Social Services Parent-Training Model: A Telehealth Adaptation During the COVID-19 Pandemic Kwadwo Britwum 1
&
Rocco Catrone 2 & G. David Smith 3 & Darwin Shane Koch 1
# Association for Behavior Analysis International 2020
Abstract With the COVID-19 pandemic resulting in social-distancing recommendations, many service providers find themselves altering the way they must provide medically necessary therapy. Even with the advent of more advanced telehealth technologies, the implementation of behavioral programming falls mainly on the caregivers of the clients that are served. This crisis brings to light ethical dilemmas and upends the current ways many programs may have been implemented across the world. As a result, a reevaluation of how these services are delivered is in order. This article reviews how a university-based, state-funded service delivery program (USSDP) provided essential and necessary services during the COVID-19 pandemic. Specifically, the purpose of this article is to describe how the USSDP quickly adopted a telehealth care model in a program that previously had not delivered services in this modality. Ethical, contextual, and competency-based factors are reviewed in the context of this organization, followed by a dialogue on broader generalization suggestions utilizing an active support model of care within telehealth restrictions. Keywords Active support model . COVID-19 . Ethics . Parent training . Telehealth
Following the COVID-19 outbreak in the United States, many social service clients found themselves isolated due to the closure of service agencies. The situation may have been further exacerbated when the government moved to more rigorous evidence-based measures to control the spread of the virus, such as exponentially increasing state-advocated social-
Editor’s Note This manuscript is being published on an expedited basis, as part of a series of emergency publications designed to help practitioners of applied behavior analysis take immediate action to adjust to and mitigate the COVID-19 crisis. This article was submitted on April 17, 2020, and received final acceptance on May 4, 2020. The journal would like to especially thank Drs. Amber Valentino and Michael Cameron for their expeditious reviews of the manuscript. The views and strategies suggested by the articles in this series do not represent the positions of the Association for Behavior Analysis International or Springer Nature. * Kwadwo Britwum [email protected] 1
Southern Illinois University, Carbondale, IL, USA
2
Southern Illinois University and the Chicago School of Professional Psychology, Chicago, IL, USA
3
GDS Behavioral Consulting, Carbondale, IL, USA
distancing measures. Despite the inherent benefits of these measures in controlling the spread of COVID-19 (Chinazzi et al., 2020), the consequences of this intervention may create significant strains on professional and community support systems. Previous studies have suggested that prolonged quarantine measures of
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