Toward uniform competency standards in telepsychology: A proposed framework for Canadian psychologists
Abstract
As Canadian psychologists increasingly incorporate Internet-based technologies into their practice, they are reminded that telepsychology-the application of technologies for the delivery of distance psycho- logical services-requires special skills, knowledge, and judgment that extend beyond the core require- ments of professional practice. However, what constitutes competence in both face-to-face and telepsy- chology practice is still evolving in Canada. This article explores how the existing framework for Canadian psychologist competence found in the Mutual Recognition Agreement of the Regulatory Bodies for Professional Psychologists in Canada (Council of Provincial Associations of Psychologists, 2001/ 2004), along with current research and other supporting documents in distance mental health, may serve as a useful foundation for the development of uniform telepsychology competency standards across Canada.Keywords: competence, telepsychology, Canadian psychologists, Mutual Recognition Agreement, pro- fessional practiceResumeTandis que les psychologues canadiens augmentent leur utilisation de technologies offertes par Internet dans leur pratique, ils pren- nent conscience que la telepsychologie - le recours a des tech- nologies pour la prestation de services de psychologie a distance - requiert des competences particulieres, des connaissances et un jugement qui depassent les exigences de base de la pratique professionnelle. Toutefois, la definition de ce que constitue une competence, a la fois pour les seances en personne et de telepsy- chologie, est en pleine evolution au pays. Le present article exam- ine en quoi le cadre actuel de competences du psychologue cana- dien, tel que defini dans Y Accord de reconnaissance mutuelle des organismes reglementaires pour les psychologues professionnels au Canada (Conseil des societes provinciales de psychologues, 2001, 2004), ainsi que dans la recherche actuelle et divers docu- ments connexes sur les soins de sante mentale a distance, peuvent servir de fondements a l'etablissement de normes de competence uniformes en telepsychologie pour l'ensemble du Canada.Mots-cles : competences, telepsychologie, psychologues canadiens, accord de reconnaissance mutuelle, pratique professionnelle.The use of technologies by psychologists to deliver tailored psychological services and information over distance, also known as telepsychology, is now seen as a viable alternative to traditional face-to-face (F2F) therapy, and has generated a growing body of research (Mallen & Vogel, 2005a) and increasing professional consideration (Association of Canadian Psychology Regulatory Organisations [ACPRO], 2011; Joint Task Force for the Develop- ment of Telepsychology Guidelines for Psychologists [JTF], 2013). Mental health professionals who practice telepsychology are now combining evidence-based psychological interventions such as cognitive-behavioural therapy (CBT) with both traditional distance platforms (e.g., telephony, King, Bambling, Reid, & Thomas, 2006; videoconferencing, Simms, Gibson, & O'Donnell, 2011) and newer mobile health (mHealth) smart technologies that can have synchronous (e.g., chat, cell phone), asynchronous (e.g., e-mail), social media, and videoconferencing capabilities all within the same device (JTF, 2013; D. M. Kaplan, Wade, Conteh, & Martz, 2011; Luxton, McCann, Bush, Mishkind, & Reger, 2011; Maheu, Pulier, McMenamin, & Posen, 2012). Other emerging technologies such as cloud computing and virtual reality (VR) are also now starting to appear in telepsychology interventions (Maheu et ah, 2012) to help clients from diverse cultural back- grounds (Choi et al., 2012) with a range of presenting issues (e.g., obsessive-compulsive disorder, E. Andersson et ah, 2012; depres- sion, G. Andersson & Cuijpers, 2009). Although F2F counselling still remains the preferred medium of delivery for psychological services (JTF, 2013; Kraus, 2010a), telepsychology is now seen as a useful adjunct to F2F therapy (e. …
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Ethical Issues in Online Psychotherapy: A Narrative Review
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“Johnson (2014) reported on the lack of standard competency guidelines for psychologists integrating digital health into behavioral healthcare in Canada.”
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“This is a critical issue in need of resolution [21,72].”
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“Previous studies have shown that interventions that pay attention to the physical and psychological aspects of adolescents can effectively improve mental health.(52,53) This is in line with other study which show that a cultural and psychological approach to youth can effectively reduce stress due to the co-19 pandemi…”
ResultThe Acceptance of Digital Health: What about Telepsychology and Telepsychiatry?
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“Besides being well versed in ethical principles and standards, therapists should also be familiar with legal and regulatory requirements (Johnson 2014).”
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“47 Additional emergency management recommendations have been described, such as the use of a referral plan for triage purposes, 48 having alternative patient contact numbers, 49 including local collaborators (e.g., family members) during emergencies 49,50 and continuous monitoring of the patient’s…”
Correction to: An Interprofessional Framework for Telebehavioral Health Competencies
Maheu, M. M., Drude, K. P., Hertlein, K. M., Lipschutz, R., Wall, K. M., & Hilty, D. M. (2019) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-019-00113-x · Cited by 18 · see citing works
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“In addition, it is important to ensure therapists have clinical competence in accordance with digital settings because skills in the form of direct contact cannot be translated automatically in a digital or online context (Johnson, 2014).”
BackgroundLa psicoterapia on-line ante los retos y peligros de la intervención psicológica a distancia
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Drude, K. P., Hertlien, K. M., Maheu, M. M., Hilty, D. M., & Wall, K. M. (2019) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-019-00112-y · Cited by 11 · see citing works
Regueiro, V., McMartin, J., Schaefer, C., & Woody, J. M. (2016) · Journal of Psychology and Theology · doi:10.1177/009164711604400404 · Cited by 8 · see citing works
“The knowledge required to use telepsychology tools lies outside of the scope of professional psychology practice and requires a special skill set (Johnson, 2014) not generally communicated in graduate psychology programs.”
BackgroundInfluentialFactors Affecting Willingness to Receive Online Counseling: The Mediating Role of Ethical Concerns
Chen, X., Du, A., & Qi, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192416462 · Cited by 7 · see citing works
“Compliance with ethical norms is conducive to achieving counseling goals and aiding those who need help in actively seeking professional counseling services [30].”
BackgroundEkeleme, N. C., Yusuf, A., Kastner, M., Waite, K., Montesanti, S. R., Atherton, H., Salvalaggio, G., Langford, L., Sediqzadah, S., Ziegler, C. P., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-079244 · Cited by 7 · see citing works
Crowe, T. V. (2017) · NSUWorks (Nova Southeastern University) · Cited by 5 · see citing works
Digital Competency of Psychologists: A Scoping Review
Ķule, A., Mārtinsone, K., Akmane, E., Ozola, A., Znotiņa, I., & Kamerāde, D. (2026) · European Psychologist · doi:10.1027/1016-9040/a000575 · Cited by 5 · see citing works
Hepner, K. A., Sousa, J., Hummer, J. F., Pincus, H. A., & Brown, R. A. (2021) · Rand health quarterly · doi:10.7249/rhq-09-03-17 · Cited by 4 · see citing works
Guidelines for the Provision of Remote Psychological Services
Geraldo, A., Dores, A. R., Mendes-Santos, C., & Barbosa, F. (2024) · European Psychologist · doi:10.1027/1016-9040/a000523 · Cited by 4 · see citing works
The Need for Interprofessional Consensus about Telebehavioral Health Competencies and Education
Drude, K. P., & Maheu, M. M. (2023) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-023-00369-4 · Cited by 4 · see citing works
“…TBH competencies have been proposed for some professions (physicians (Galpin et al., 2021), psychiatry (Hilty et al., 2015), psychology (Johnson, 2014; McCord et al., 2020), and nursing (Rutledge et al., 2021; Van Houwelingen et al., 2016)), they have usually not been formally adopted…”
Ethical Issues in Testing and Assessment
Schultheiss, D. E. P., Stead, G. B., & Liao, C.-Y. (2019) · Springer eBooks · doi:10.1007/978-3-030-25153-6_35 · Cited by 2 · see citing works
Okyere‐Twum, E. (2021) · Counselling and Psychotherapy Research · doi:10.1002/capr.12451 · Cited by 2 · see citing works
Manalili, J. (2024) · Diversitas Journal · doi:10.48017/dj.v9ispecial1.2870 · Cited by 1 · see citing works
Recommendations Regarding the Appropriateness of Virtual Care: A Systematic Review
Alras, A., Patel, M. A., Wang, M., Lovo, S., Bath, B. L., Hammond, C., Mendez, I. M., Babyn, P., & Adams, S. (2025) · Telemedicine Journal and e-Health · doi:10.1177/15305627251380328 · Cited by 1 · see citing works
“19,79 When the provider has adequate access to telehealth technologies.”
Telepsicología: retos y perspectivas una revisión sistemática de literatura
Delgado, Á. G. C., Lozano-Ruiz, A. G., & Jurado, Y. E. P. (2021) · Catálogo editorial · doi:10.15765/poli.v1i145.2829 · Cited by 1 · see citing works
Çevrim İçi Psikolojik Destek Hizmetinden Beklentiler Ölçeği: Bir Ölçek Geliştirme Çalışması
İKİZ, F. E., Özgün, S. Y., BALKAN, K., & Sağlam, A. (2021) · The Journal of International Educational Sciences · doi:10.29228/inesjournal.54082
Identifikasi Kompetensi Psikolog dalam Telekonseling: Metode Delphi
Istiqomah, I., & Saptandari, E. W. (2022) · Gadjah Mada Journal of Psychology (GamaJoP) · doi:10.22146/gamajop.71141
Yusuf, A., Salvalaggio, G., Melamed, O. C., Montesanti, S. R., Atherton, H., Langford, L., Sediqzadah, S., Amaral, T. D., & O’Neill, B. G. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000071
Consideraciones teóricas y técnicas sobre la entrevista clínica en telepsicología
Bolivariana, U. P., Borjas, M. V., & Gómez, M. O. (2024) · Revista de Psicología Universidad de Antioquia · doi:10.17533/udea.rp.e286879
- Authors
- Johnson, G. R.
- Corresponding author
- Johnson, Gerald R.
- Venue
- Canadian Psychology / Psychologie canadienne
- Published
- 2014-11
- Volume
- 55
- Issue
- 4
- Pages
- 291-302
- ISSN
- 0708-5591 (ISSN-L)
- 1878-7304
- OpenAlex
- W2160930442
- Cited by
- 40
- References
- 72
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 6
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Canadian Psychology/Psychologie canadienne (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Occupational and Professional Licensing Regulation
- Keywords
- telepsychology, professional competence, competency standards, remote therapy, mutual recognition agreements, professional regulation, professional practice guidelines, United States comparison
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