Delivery of Distance Counselling to Survivors of Sexual Violence: A Scoping Review of Promising and Best Practices
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Distance counselling holds immense potential for improving access to trauma supports for survivors of sexual violence (SV), and particularly for under-served groups who disproportionately experience violence and myriad barriers to accessing in-person supports. And yet, the evidence-base for the practice and delivery of distance counselling remains under-developed. In the context of COVID-19, where telehealth applications have undergone a rapid uptake, we undertook a scoping review of existing evidence of therapeutic and organizational practices related to the real-time (synchronous) delivery of distance counselling to survivors of SV. We based our scoping review methods on Arksey and O’Malley framework and in accordance with the guidance on scoping reviews from the Joanna Briggs Institute (JBI) and PRISMA reporting guidelines for scoping reviews. A comprehensive search of MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and Sociological Abstracts was undertaken in October 2020, and again in March 2022. Searching, reviewing, appraisal, and data extraction was undertaken by two reviewers. In total, 1094 records were identified that resulted in 20 studies included. Descriptions, findings, and recommendations were gleaned and synthesized into potential practices using inductive thematic analysis. While many studies have an appreciative orientation to distance counselling, these benefits tend to be framed as non-universal, and conditional on survivor safety, flexibility, anonymity, survivor choice, strong and inclusive technology, and a supported workforce. Despite the limited evidence-base, we present several clusters of findings that, taken together, can be used to support current COVID-19 distance counselling initiatives with survivors, as well as guide the future development of best practices.
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Leroux et al. described several unanticipated therapeutic benefits of virtual counselling for this population, including how survivors felt more comfortable and in control in their own space and valued the flexibility the virtual appointments allowed.
“Leroux et al. 18 described several unanticipated therapeutic benefits of virtual counselling for this population, including how survivors felt more comfortable and in control in their own space and valued the flexibility the virtual appointments allowed.”
From Telemedicine and virtual healthcare for survivors of sexual assault and intimate partner violence: A qualitative study (2024) · cites this paper as [18]
A scoping review of telemedicine used for counselling and psychotherapy with survivors of sexual violence highlights the major advantage of improved access to services.
“A scoping review of telemedicine used for counselling and psychotherapy with survivors of sexual violence highlights the major advantage of improved access to services.”
From Telemedicine and virtual healthcare for survivors of sexual assault and intimate partner violence: A qualitative study (2024) · cites this paper as [18]
There are concerns regarding safety, flexibility, anonymity, and providing survivors with choice for determining the best mode for care.
“However, there are concerns regarding safety, flexibility, anonymity, and providing survivors with choice for determining the best mode for care.”
From Telemedicine and virtual healthcare for survivors of sexual assault and intimate partner violence: A qualitative study (2024) · cites this paper as [18]
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Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., O’Cathain, A., et al. (2018) · Education for Information · doi:10.3233/efi-180221 · Cited by 4,737 · see citing works
Consensus statement on defining and measuring negative effects of internet interventions
Rozental, A., Andersson, G., Boettcher, J., Ebert, D. D., Cuijpers, P., Knaevelsrud, C., Ljótsson, B., Kaldo, V., Titov, N., & Carlbring, P. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.02.001 · Cited by 371 · see citing works
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Rozental, A., Boettcher, J., Andersson, G., Schmidt, B., & Carlbring, P. (2015) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1008033 · Cited by 189 · cited 1× · see citing works
“In addition to investigating severe adverse events resulting from internet interventions, researchers are pointing to other types of negative effects, including deterioration, less serious adverse events, novel symptoms, dropout, nonresponse, unwanted events.(50) Future research would benefit from using an open system…”
BackgroundEffectiveness of ICT-based intimate partner violence interventions: a systematic review
El Morr, C., & Layal, M. (2020) · BMC Public Health · doi:10.1186/s12889-020-09408-8 · Cited by 90 · see citing works
Fiorillo, D., McLean, C., Pistorello, J., Hayes, S. C., & Follette, V. M. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2016.11.003 · Cited by 61 · see citing works
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Cited by
Sorted by citations
Mercier, O., Parpia, R., Presseau, J., Muldoon, K. A., & Sampsel, K. (2024) · Women's Health · doi:10.1177/17455057241252958 · Cited by 10 · see citing works
- Authors
- Leroux, J., Johnston, N., Brown, A.-A., Mihic, A., DuBois, D., & Trudell, A.
- Affiliations
- Queen's University (CA)
- Sexual Assault Centre Kingston, Kingston, Ontario, Canada
- University of Toronto (CA)
- Anova, Gender-Based Violence Shelter and Sexual Assault Centre London, Ontario, Canada
- Corresponding author
- Leroux, Janette
- Venue
- INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Publisher
- SAGE Publications
- Published
- 2022-01
- Volume
- 59
- Pages
- 469580221097427-469580221097427
- ISSN
- 0046-9580 (ISSN-L)
- 1945-7243
- PMC
- PMC9082742
- OpenAlex
- W4229078417
- Cited by
- 4
- References
- 6
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2022: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- INQUIRY The Journal of Health Care Organization Provision and Financing (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Health › Intimate Partner and Family Violence
- Keywords
- sexual violence survivors, telemedicine, COVID-19 pandemic, trauma support, survivor safety, anonymity, technology accessibility, mental health professionals, best practices
- MeSH terms
- Distance Counseling, COVID-19, Humans, Sex Offenses, Telemedicine, Survivors
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