Mindfulness-based Cognitive Group Therapy: Adaptation and Practical Recommendations for Virtual Delivery.

The novel SARS-CoV-2 (COVID-19) pandemic has hastened the adoption of virtual services, including telepsychology, to maintain services for clients with mental health concerns. While mindfulness-based cognitive therapy (MBCT) for relapse prevention for many psychiatric disorders has been effectively adapted into an internet-delivered platform, there is little guidance provided in the literature on effective implementation of virtual group MBCT. This brief report provides guidelines for adapting group MBCT to synchronous virtual delivery via videoconference. Practical recommendations to overcome challenges associated with virtual delivery of group therapy for future clinicians and practitioners are also described. Such recommendations are based on the delivery of two synchronous online MBCT groups in an outpatient mental health clinic at a metropolitan Western Canadian public health center.

Addressing pediatric wait times using the model of human performance technology.

BACKGROUND: When traditional approaches to waitlist management are unsuccessful, service managers and providers must consider alternatives. PURPOSE: To describe how the model of human performance technology was used to address an extensive pediatric waitlist. METHODS: Data were obtained from in-depth interviews with clinicians, educators, and parents and analyzed according to the model. FINDINGS: The need for a paradigm shift from a linear model of service delivery to a continuum of service was identified which could meet the unique needs of each child and family. Services include information, education, and supports, and all are grounded in principles of family-centred care. IMPLICATIONS: The model of human performance technology provided a systematic approach with which to reveal the reason for extensive wait times for pediatric occupational therapy service. The model suggested a paradigm shift from a linear model of care to a continuum of care grounded in family-centred care. Implementation and evaluation of this new care model are ongoing.

Canadian code of ethics and the prescription privilege debate.

The appearance of the prescription privileges debate in a recent issue of Canadian Psychology presents an opportunity to examine prescription privileges from a Canadian perspective. The principles of the Canadian Code of Ethics for Psychologists (CCE) were applied to a number of key arguments offered in the debate and were found useful in evaluating their application to the Canadian context. The ethical principles provided direction in examining the full range of prescription privilege issues. The CCE may prove to be a valuable guide in providing a moral framework for the eventual development of Canadian policy on prescription privileges for psychologists.