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A PUBLICATION OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION • JUNE 2020 psychology monitor on GST# R127612802 COVID-19 SPECIAL EDITION How psychology is mobilizing and responding to the crisis CE Corner: Ethics Advice for a New Era PAGE 34 Research on COVID-19’s Impact PAGE 30 Telepsychology Expands to Meet Demand PAGE 18 How Students and Trainees Are Faring PAGE 52
monitor on psychology A PUBLICATION OF THE AMERICAN PSYCHOLOGICAL ASSOCIATION Contents JUNE 2020 PRESIDENT Sandra L. Shullman, PhD PRESIDENT-ELECT Jennifer F. Kelly, PhD, ABPP COVID-19 SPECIAL EDITION CHIEF EXECUTIVE OFFICER Arthur C. Evans Jr., PhD As the coronavirus pandemic upends life as we knew it, psychologists are responding on several critical fronts. Practitioners are helping health-care providers with stress, researchers are studying the pandemic’s Alicia Aebersold CHIEF COMMUNICATIONS OFFICER mental and behavioral health effects, educators are moving their classes online and more. APA EDITOR IN CHIEF Sara Martin EDITORIAL EDITOR IN CHIEF Lea Winerman SENIOR EDITORS Lindsey Allen, Jamie Chamberlin, Tori DeAngelis CONTRIBUTING WRITERS Ashley Abramson, Rebecca A. Clay, Bryan Goodman, Zara Greenbaum, Nicole Owings-Fonner, Chris Palmer, Stephanie Pappas, Kirk Waldroff, Kirsten Weir ART AND DESIGN ART DIRECTOR Michele Chu DESIGN CONSULTANT Jerry Sealy PRODUCTION MANAGER Peter S. Kovacs A PA M E D I A A N D E V E N T S A L E S DIRECTOR OF ADVERTISING Jodi Ashcraft ADVERTISING SALES MANAGER James Boston APA PSYCCAREERS OPERATIONS MANAGER Amelia Dodson RECRUITMENT ADVERTISING SALES MANAGER Nancy Onyewu RECRUITMENT ADVERTISING SALES REPRESENTATIVE Shawn Deadwiler II SENIOR MARKETING MANAGER Robin Tiberio BUSINESS ADMINISTRATOR Eric Fuller 1 4 AS THE U.S. STAYS HOME, 40 PSYCHOLOGISTS RUSH TO HELP DEPARTMENTS GRAPHIC DESIGN AND PRODUCTION, ADVERTISING Rebecca Halloran PSYCHOLOGISTS MOVE ONLINE HEALTH-CARE PROFESSIONALS 3 FROM THE PRESIDENT MEDIA AND EVENT SALES COORDINATOR Age Robinson 1 8 TELEPSYCHOLOGY EXPANDS 44 FIGHTING INEQUITY IN THE AND THE CEO TO MEET DEMAND FACE OF COVID-19 4 THE HOT LIST 22 REACHING THE PUBLIC 48 SUICIDE AND COVID-19 7 IN BRIEF AT A CRITICAL TIME 52 GRAD STUDENTS NAVIGATE 11 CONVERSATION: 4 QUESTIONS 24 SEVEN FINDINGS THAT CAN THE UNKNOWN FOR STEVEN TAYLOR ● Got a story idea? We want to hear from you. Send your ideas to Monitor on Psychology Editor Lea Winerman at lwinerman@apa.org. HELP PEOPLE DEAL WITH 13 JUDICIAL NOTEBOOK ● Need to contact APA? Answers to many of your questions may be found on APA’s website: www.apa.org For phone service call (800) 374-2721 COVID-19 56 ENHANCING ONLINE LEARNING 64 BY THE NUMBERS The Monitor on Psychology (ISSN-1529-4978) is the magazine of the American Psychological Association (APA) and is published 8 times per year—January/February combined, March, April/May combined, June, July/August combined, 28 HOW WILL PEOPLE REACT TO 58 GRIEVING LIFE AND LOSS September, October, and November/December combined. Publications office, headquarters and editorial offices are at 750 First St., N.E., Washington, DC 20002-4242. APA purchases only “first publication rights” for photos and illustrations. Therefore, it cannot grant permission to reuse any illustrative material. APA holds the copyright for text material in Monitor on Psychology articles. Permission requests to reproduce text material should be addressed to APA, THE NEW FINANCIAL CRISIS? 65 APA ELECTION GUIDELINES JUANMONINO/GETTY IMAGES Permissions Office, at the APA address. Telephone numbers: Headquarters (202) 336-5500; TDD (202) 336-6123; Display advertising (202) 336-5714; Classified advertising (202) 336-5564; and Subscriptions (202) 336-5600. The views 62 LIFE AFTER COVID-19: expressed in the Monitor on Psychology are those of the authors and may not reflect the official policies or positions of the American Psychological Association or the Monitor on Psychology. No endorsement of those views should be 30 RESEARCHERS PIVOT TO MAKING SPACE FOR GROWTH inferred unless specifically identified as the official policy or position of the American Psychological Association. The publication of any advertisement by APA is an endorsement neither of the advertiser nor of the product. APA endorses equal employment opportunity practices, and we reserve the right to edit all copy and to refuse ads that are not in consonance with the principles of Title VII of the Civil Rights Act of 1964. Subscription to the Monitor on Psychology ($6) is STUDY IMPACT OF COVID-19 included in the annual dues and fees for all APA members and student affiliates. Individual subscription rate is $50; individual surface rate is $107; and individual airmail rate is $139. Institutional subscription rate is $93; institutional surface rate is $203; and institutional airmail rate is $235. Single copies are $20 each. For $16 extra, the Monitor on Psychology will be mailed first-class to subscribers in the United States, Canada and Mexico. For $75 extra, airmail is available to foreign subscribers (other than Canada and Mexico). Periodical postage is paid at Washington, DC, and at additional mailing offices. POSTMASTER: Send address changes to Monitor on Psychology Subscriptions Department, 750 First 34 CE: ETHICAL GUIDANCE FOR St., N.E., Washington, DC 20002–4242. CANADA SUBSCRIPTIONS: Canada Post Agreement Number 40036331. Send change of address information and blocks of undeliverable copies to PO Box 1051, Fort Erie, ON L2A 6C7. Printed in THE COVID-19 ERA COVER: COLDSNOWSTORM/GETTY IMAGES the United States of America. ©2020 by APA. Address editorial inquiries to the Monitor on Psychology editor, and advertising and subscription inquiries to Monitor on Psychology/advertising or Monitor on Psychology/subscriptions. JUNE 2020 | VOLUME 51 | NUMBER 4 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 1
From the President and the CEO Dr. Ashley Batastini Dr. Jonathan Stange University of Southern Mississippi University of Illinois at Chicago Reaching the Restricted: Examining the Regulation in the Real World: Feasibility and Effectiveness of a Novel Real-Time Assessment of PSYCHOLOGY’S MOMENT Psychosocial Intervention for Female Suicide Risk in Context Inmates in Administrative Segregation Erika Esposito Dr. Luz Garcini FOR LEADERSHIP Graduate Student, University of Rochester UT Health San Antonio Across the field, APA and psychology are addressing the initial crisis of Suicide Risk Among Transgender How Does Contextual Stress the COVID-19 pandemic—and strategically preparing for a new normal Youth: A Multimethod, Multi-informant Get Under the Skin of Young Undocumented Immigrants?: BY APA PRESIDENT SANDRA L. SHULLMAN, PhD, AND Examination of Gender Identity Identifying Mechanisms of APA CEO ARTHUR C. EVANS JR., PhD Risk and Resilience Alejandro Vazquez Ha (Milkie) Vu Graduate Student, Utah State University APF’S Graduate Student, Emory University T Mental Health Service An Examination of Multi- level Factors Influencing 2019 he COVID-19 pandemic has illustrated in stark terms the intricate com- Preferences Among Latinx Caregivers: Vietnamese-American A Step Towards Parents’ HPV Vaccine plexity of human behavior. Worldwide, people are reacting to highly Culturally Congruent Uptake for Their stressful life and death events, fueled by unknown risks and uncertainty. Intervention Formats for Children and Adolescents VISIONARY Adolescent Children Dr. Kerrie Wilkins-Yel People are hungry for leadership and social connectedness and too many are coping with deeply rooted inequities that determine the quality of their health GRANTS Indiana University Centering Those at The and their livelihoods. ¶ As the discipline that best understands human behavior, psy- Susan Murray and Naoise Mac Giollabhui Margins: Understanding chology can have a significant impact on improving life in this age of COVID-19. This Counterspaces as an Graduate Students, Temple University work is well underway. ¶ Across the breadth of our field, APA members, governance Avenue to Advance Examining the Roles of STEM Persistence Socioeconomic Status and and staff are speaking out on key issues in the media such questions as: What will work, education and Among Women Relevant Health Correlates and with policymakers. We have tapped into the health care look like? How will we address the of Color (Body Mass Index, Diet expertise of our members and international col- increasing wave of mental health needs and loss of Quality, and Inflammation) leagues to develop, curate and widely share a wealth wellness among the public and our first responders? for Neuropsychological Melek Yildiz Spinel of COVID-19-related resources, tools and informa- How can we help policymakers collect and use data Function in Young Adults Graduate Student, University tion for psychologists, policymakers and the public. in ways that reduce social inequities and disparate of South Carolina Gender Role Discrepancy, We are applying psychological science to impact? Relationship Satisfaction, and policies, practices and interventions. Our In short, how do we ensure APA and its Intimate Partner Violence practitioners are using different technol- members are a resource for our field, our Risk for Latina Women ogies to reach those who most need our nation and the world? help. And we are supporting efforts to bring Over the last several months, the world psychological knowledge and tools to our has experienced great trauma and pain. communities as we all work for a better But we’ve also seen great resilience and TOP: KIRK IRWIN; BOTTOM: SCOTT SUCHMAN future. hope. Armed with the power of psychol- The Visionary Grants are APF’s flagship program, providing funding to psychology graduate students and early career psychologists to seed innovation through supporting research, education, APA is focused on the here and now— ogy’s collective expertise, we are confident and intervention projects and programs that use psychology to solve social problems. In 2020, in helping our communities to adjust and heal. and determined to bring our knowledge response to the urgent need, APF added two COVID-19 Rapid Response grants to its portfolio. But we are also concentrating on what’s to a world that needs our help. APA is coming next, working to identify the future dedicated to providing the leadership and Your support is critical to fund these programs. To find out more, go to needs of individuals, families, community support needed to help create a safe and www.apa.org/apf/funding/visionary or make your gift at www.apa.org/apf/giving members and psychologists. We’re exploring healthy future for us all. ■ If you have additional questions, contact APF’s Interim COO, Miriam Isserow at misserow@apa.org or 202-336-5622. 2 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 3
News From APA The Hot List MENTAL HEALTH RESOURCES APA SECURES KEY PRACTICE PROVISIONS FOR RESOURCES FOR AN UNPRECEDENTED CRISIS A PSYCHOLOGY YOU NEED PA has joined the nation’s leading mental health advocacy Thanks in part to APA advocacy, the $2.2 APA has created a hub for trillion pandemic relief package will all its business-of-practice groups and health insurance companies to launch the expand access to telehealth services, information related to COVID-19 Mental Health Resource Hub, offering free including telepsychology. The legislation the COVID-19 pandemic. digital resources to help the public and health-care will also benefit psychologists who Psychology practitioners can providers address their mental health needs during the pandemic. SUPPORT FOR provide services in universities, state find all the latest advocacy Resources include online courses and videos on topics such as how to STUDENTS & ECPS and local governments, and community updates; telepsychology and improve your sleep, how to use guided meditation to manage stress, APA is hosting regular webinars for health centers, as tele-assessment tips and students, postdocs and early career well as students tools; billing, reimbursement how to help children manage their anxiety and how organizations can psychologists on pandemic-related and early career and licensing guidance; self- best support remote workers. Visit https://psychhub.com/covid-19. career topics including navigating the psychologists. care advice and much more Many of the resources come from APA’s COVID-19 public information new job m arket, getting licensed and Learn more at at www.apaservices.org/ center at www.apa.org/topics/covid-19. It includes dozens of evidence- completing research from afar. Watch at https://on.apa.org/ practice/clinic. based articles for the public on ways to cope with the pandemic, on https://pages.apa.org/staying-on-track. CARESAct. how to manage stress, how to do physical distancing while maintaining social connections and tips for quarantined parents. For psychologists, HOW WE CAN MITIGATE the APA page offers guidance on continuing research, supervising HELP KIDS AND TEENS FUNDING OPPORTUNITIES COVID-19 INEQUITIES students from afar, offering telepsychology, teaching online and MANAGE THEIR FEELINGS FOR COVID-19 RESEARCH A new episode of APA’s “Speaking of practicing self-care. APA will add resources as the crisis continues. Magination Press Family has new APA is tracking the new federal funding Psychology” podcast features APA Chief Tell us what else you need at SixThings@apa.org. resources designed for children and opportunities available for psychologists of Psychology in the Public Interest teens to help them cope with the uncer- to explore the immediate and long- Brian Smedley, PhD, talking about why tainty of the COVID-19 pandemic and term impacts the pandemic will have on COVID-19 is dispro- new guidance for mental and behavioral health related portionately affecting caregivers on how to COVID-19. Find a list of opportunities TAKE A BREAK African Americans to foster a sense of at www.apa.org/topics/covid-19/ TO MEDIDATE and Latinos and security during this funding-research-opportunities. APA is hosting free wellness webinars what can be done challenging time. Go to help people avoid burnout, stay to mitigate these to www.magination healthy and manage their stress disparities. Listen pressfamily.org. during the pandemic. This month’s to this episode and others that are STORY TIME WITH offerings include a mix of meditation, related to the COVID-19 p andemic MAGINATION PRESS yoga and Pilates. Find them at https:// at www.apa.org/research/action/ APA’s children’s book authors are taking pages.apa.org/wellness-webinars. speaking-of-psychology. FREE MATERIALS FOR turns reading timely Magination Press YOUR SUMMER CLASSES titles such as “A Feel Better Book for Educators can use APA’s PsycLearn Little Worriers” online to help children digital resources in research m ethods manage stress and “Our country is facing a potentially historic and social psychology in summer semester courses. To gain access, email anxiety brought on by the pandemic. mental health crisis. The psychological psyclearn@apa.org. Find a full list of free resources from APA Publishing at Each reading is fol- lowed by an online impact of this pandemic is just as great as www.apa.org/pubs/covid-19-resources. activity. Tune in at the epidemiological gravity to human lives.” GETTY IMAGES GETTY IMAGES www.magination- Dr. Arthur C. Evans Jr., APA CEO, calling for all sectors pressfamily.org. of business, nonprofits and health care to work together DID YOU KNOW? APA is offering free membership to new psychology doctorates at https://pages.apa.org/newdoctorates. 4 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 5
In Brief Research COMPILED BY CHRIS PALMER Help Those We Serve Find You THE LATEST PEER-REVIEWED STUDIES WITHIN PSYCHOLOGY AND RELATED FIELDS COVID-19 has impacted everyone and the demand for licensed psychologists is greater than ever. APA’s Psychologist Locator is a trusted, practical tool for those searching for psychological telehealth services. This dynamic online tool offers: • New —Telehealth availability filter • Robust search & filtering capabilities • Simple navigation • And more… COVID-19’s Impact on Children A bout one in five children in the Chinese of the students reported depressive symptoms and cities of Wuhan and Huangshi showed signs 19% reported anxiety symptoms. Students in Wuhan, of depression and anxiety while their schools the epicenter of the outbreak, were more likely to were closed and they were restricted to home because report depressive symptoms than those in Huangshi, Expand your reach and better inform those looking for the of the COVID-19 pandemic, according to a study in about 60 miles away. Further studies are needed to USCHOOLS/GETTY IMAGES JAMA Pediatrics. Researchers surveyed 1,784 students determine whether the pandemic’s mental health help that you can provide. in grades two through six. Schools in both cities were effects on children are temporary or will persist closed in late January, and the students were surveyed long term, according to the researchers. Create or update your profile about a month later. The researchers found that 23% DOI: 10.1001/jamapediatrics.2020.1619 on.apa.org/psychlocator 6 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 7
In Brief between cells—in mouse tissue even fatal if not taken under a risk: Among those younger than exposed to the stress hormone doctor’s supervision. 65, they were almost twice as corticosterone. After stress DOI: 10.1001/jamainternmed.2020.1764 likely to have one or more risk treatment, the vesicles showed factors compared with higher- changes in overall size, protein WORK OUT income respondents. content and small noncoding NEGATIVE FEELINGS DOI: 10.1016/j.amepre.2020.04.003 RNA content. When sperm were Among healthy but sedentary incubated with these “stressed” adults in their 20s, 30s and ISOLATION AND vesicles prior to egg fertilization, 40s, exercise can lower levels INFLAMMATION the resulting mouse pups showed of depression and hostility, Social isolation and loneliness significant changes in early according to research in Health may be associated with inflam- brain development, and as adults Psychology. Researchers asked Factor Surveillance System study. Adding exercise to mation in the body, suggests they responded differently to 119 sedentary men and women They found that among people their routines helps research in Neuroscience & sedentary people stress than control animals. The in the United States, ages 20 under age 65, 33% of blacks and feel less depression Biobehavioral Reviews. Ana- researchers also asked 15 men, to 45, about their current levels 42% of Native Americans had and hostility. lyzing 30 previous studies, 16 ages 19 to 25, to donate sperm of depression, anxiety, hostility at least one risk factor, such as centered on social isolation and each month for six months and and anger. The researchers then heart disease, diabetes or chronic 14 on loneliness, researchers complete questionnaires about randomly assigned half of the lung disease, compared with found social isolation was asso- their perceived stress. They found volunteers to begin exercising 27% of white respondents under ciated with higher levels of the that men who had previously four times a week for three 65. Among those age 65 and Social isolation inflammation markers C-reactive experienced elevated stress months—35 minutes at 75% older, 61% of blacks and 69% of and loneliness protein and fibrinogen. Some could lead to showed changes in their sperm’s maximum heart rate—and the Native Americans had at least inflammation and analyses also indicated a link FRACTURED FRONT LINE interventions to promote their Women and front- small RNA content, in patterns other half to a control group. one risk factor in addition to age, its associated between loneliness and levels of Depression, anxiety and mental health, with particular line health-care similar to those observed in the The group that exercised for compared with 54% of white health risks, Interleukin-6. The researchers workers in Wuhan research suggests. insomnia are common in the attention to those groups at reported more mice. three months saw scores on a respondents. Lower-income note that the studies v aried high-stress environments faced greatest risk. severe mental DOI: 10.1038/s41467-020-15305-w depression scale fall by 35%, respondents were also at higher in design and quality and by health-care workers amid the DOI: 10.1001/jamanetworkopen.2020.3976 health symptoms while scores for the control group compared with COVID-19 pandemic, according other groups. FALSE HOPE remained unchanged. Hostility to research in JAMA Network STRESSED SPERM Internet searches for unproven levels also decreased in the exer- Open. Researchers surveyed Stress-inducing events may lead COVID-19 remedies spiked cise group, but no changes were 1,297 health-care workers from to changes in a male’s sperm that Stressful events after President Trump and observed in anxiety and anger. 34 hospitals in China about their could impact future offspring, may impact a other high-profile people touted The researchers also found that male’s sperm and mental health in late January according to a study in Nature future offspring, them online and in the press, the mood benefits of working out 2020. Distress was widely Communications. Researchers finds research in finds research in JAMA Internal can linger for weeks after people reported (72%), followed by examined extracellular vesicles— mice and humans. Medicine. Researchers analyzed stop their exercise routines. depression (50%), anxiety (45%) structures that deliver molecules Google Trends data on internet DOI: 10.1037/hea0000836 TOP: ERAXION/GETTY IMAGES; BOTTOM: MARJAN_APOSTOLOVIC/GETTY IMAGES and insomnia (34%). Women, searches for chloroquine and TOP: NATHAPHAT/GETTY IMAGES; BOTTOM: FOTOTOCAM/GETTY IMAGES front-line health-care workers hydroxychloroquine from Feb. STRUCTURAL INEQUITIES and health-care providers in 1 to March 29, 2020, which Black, Native American and Wuhan reported more severe includes the period before and lower-income Americans are mental health symptoms across after Trump and entrepreneur more likely to have risk factors all measurements compared Elon Musk hailed the unproven that increase the chances of with men, health-care workers drugs as potential cures. Searches severe illness or death due to not directly treating C OVID-19 for the drugs jumped 442% for COVID-19, finds a paper in the patients and those outside of chloroquine and 1,389% for American Journal of Preventive Wuhan, respectively. These hydroxychloroquine. Searches Medicine. Researchers analyzed findings suggest that health-care remained elevated even after 2018 data on about 330,000 workers exposed to the corona- news reports came out that the people from the nationally virus should immediately receive drugs could be poisonous and representative Behavioral Risk 8 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 9
In Brief Conversation contacts were among members of the same household. Using 4 QUESTIONS FOR STEVEN TAYLOR a mathematical model, the The author of the timely book “The Psychology of Pandemics” explains where researchers concluded that the we have gone wrong with preparing for COVID-19—and what we can still get right physical distancing measures were enough to curb the spread BY LINDSEY ALLEN of the virus in those cities. According to the model, school closures alone reduced the peak A incidence of infections by 40% to 60%. lthough some aspects lessons from COVID-19 as they unfold People will lose their marriages, their DOI: 10.1126/science.abb8001 of the novel coro- and start preparing without panicking.” jobs, their houses and their finances. The navirus remain upheaval and stress of being in close HIGHER SUICIDE RISK unknown, research What can we expect to see in terms of confines can have lasting impacts on FOR NURSES on past pandemics long-term impacts on mental health? people’s mental health and well-being. A Nurses in the United States are and other o utbreaks, There will be a significant minority of seemingly unrelated situation provides a at higher risk of suicide than such as influenza, SARS and Ebola, pro- people severely impacted by COVID-19 point of comparison: In the case of wild- the general population, accord- vides valuable insights into how health —particularly people who had pre fires, people are cramped up together in ing to a study in Worldviews experts can help contain the spread of existing psychological problems and who temporary accommodation, experiencing on Evidence-Based Nursing. COVID-19 and encourage people to experience a disruption in access to their stress and financial hardship, and it leads Researchers analyzed Centers get vaccinations once they are available, mental health-care providers. People with to an increase in fights, marital discord and for Disease Control and Pre- says Steven Taylor, PhD, a professor and a high level of intolerance for uncertainty, domestic violence. We should expect to see vention data from 1,824 nurses clinical psychologist at the University of for example as you see in generalized some of the same issues in this pandemic. point to the need for further that reflect the ability to achieve and 152,495 non-nurses in the British Columbia in Canada and author anxiety disorder, are at a higher risk for However, people as a whole are highly research to demonstrate these goals and maintain stability but United States who completed of “The Psychology of Pandemics,” experiencing long-term impacts. resilient. As a species, we have survived associations and their underlying not traits that reflect plasticity suicide from 2005 to 2016. They published in October 2019—just two But long-term impacts will not be countless pandemics—and while it can mechanisms. and adaptiveness. found that suicide rates from months before the novel coronavirus was limited to those with pre-existing issues. be stressful during the unfolding of a DOI: 10.1016/j.neubiorev.2020.02.002 DOI: 10.1037/apl0000488 Experiencing job 2005 to 2016 were higher in first reported in China. disaster, people do go on to adapt insecurity may female nurses (10 per 100,000 Taylor’s 30 years of research and recover. make people more JOB INSECURITY DISTANCING WORKS neurotic and less person-years) than in the on health anxiety pointed him to CHANGES PERSONALITY Physical distancing measures agreeable and general female population (7 per the psychological phenomenon Would the spread of the novel Experiencing chronic job inse- were effective in stopping the conscientious. 100,000 person-years). Similarly, of pandemics, which are caused coronavirus be different if people curity can lead to changes in transmission of C OVID-19 suicide rates were higher in male and contained by the way peo- had been paying closer attention personality, suggests a study in in Wuhan and Shanghai, nurses (33 per 100,000 person- ple behave and react to the threat to past research on pandemics? the Journal of Applied Psychology. China, finds a study in S cience. years) than in the general male of infection. He has found that Unfortunately, probably not. We, Researchers analyzed survey Researchers surveyed 636 people population (27 per 100,000 health experts can take critical as humans, tend to be myopic and responses from 1,046 workers in Wuhan and 557 people in person-years) for the same steps in containment, including forget the things of the past. in Australia collected over nine Shanghai about their daily con- time period. The researchers clearly communicating risk levels, The World Health Organiza- years. Using the Big Five per- tacts—in-person conversations also found that nurses who encouraging vaccination adher- tion (WHO) has learned lessons sonality trait framework, they or physical contacts such as completed suicide were more ence, providing stress management from past pandemics, but those found that job insecurity that handshakes—before and after likely to have had job problems advice for the general public and lessons can be hard to put into lasted four or five years was asso- stringent physical distancing and a history of mental health learning from our mistakes. practice with the public. For exam- ciated with a small increase in orders were put in place in problems than non-nurses who He believes we should be ple, they’ve learned the potential COURTESY OF DR. STEPHEN TAYLOR neuroticism and small decreases late January 2020. The average completed suicide. ■ treating COVID-19 as preparation harm in naming pandemics or DEAN MITCHELL/GETTY IMAGES in agreeableness and conscien number of daily contacts DOI: 10.1111/wvn.12419 for the next pandemic or disaster. diseases after people, places or tiousness, but they found no links dropped from 14.6 to 2.0 in “With climate change increasingly things. Imagine if this virus had with changes in extraversion or Wuhan and from 18.8 to 2.3 in impacting people’s lives, we can formally been called the Wuhan ● For direct links to the research openness. The researchers suggest Shanghai, and after distancing cited in this section, visit our online expect further disasters down the Bat Flu. These kinds of labels can that job insecurity affects traits measures, the vast majority of edition at www.apa.org/monitor. road,” says Taylor. “We can take the cause rampant racism and needless 10 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 11
Conversation Judicial Notebook STUDENTS SHARE calling of names—labels, words and names count a lot. they should get vaccinated. Many people are unaware of the importance of herd PRIVACY VERSUS PUBLIC HEALTH YOUR The WHO has also learned the immunity, which is the indirect protection As governments and corporations use smartphone data and facial recognition importance of risk communication. It that a population experiences when a large software to track and curtail the spread of COVID-19, psychologists can help PASSION was important to sound the alarm early enough proportion is immune to infec- to get the public’s attention, but not at a tion, and getting out this message has the policymakers understand the public’s expectations around digital privacy level that people are terrified because that potential to increase vaccination. Interven- BY JENNIFER K. ROBBENNOLT, JD, PhD, UNIVERSITY OF ILLINOIS COLLEGE OF LAW can be socially disruptive in itself. They’ve tions based on motivational interviewing FOR PSYCHOLOGY presented people with information early can be successful in individual or small and described uncertainties, which is group settings, with providers addressing Connections essential in earning the public’s trust. people’s underlying worldviews. Cognitive- T to Campus But officials could have been much behavioral therapy can be effective for Ambassadors more proactive about addressing behav- people with injection phobia. he COVID-19 global pandemic has raised many Illinois Biometric Information Privacy Act (BIPA), iors seen in previous pandemics. For One of the big failures in this pan- issues at the intersection of law and psychology. for example, restricts the ability of private entities throughout the example, many countries did not prepare demic is that most countries have not One that is becoming a focus of debate is the ten- to collect biometric information without notice country on private as well as they could have for the pre- been proactive in dealing with this. This sion between privacy and public health. Already, and consent. In January, Facebook agreed to a $550 dictable rise in racism, the surge of the is one area where we still have the oppor- million class action settlement for using facial rec- Facebook page worried well into hospitals and the panic tunity to be proactive. companies are using aggregate smartphone loca- ognition technology without users’ consent. In April, buying. For example, with panic buying, tion data to assess whether residents are following stay-at-home parents sued Google under BIPA and the federal Tools, resources officials could have worked with major What are the important research orders. In some countries, like South Korea, smartphone apps Children’s Online Privacy Protection Act, alleging and tips to assist grocery stores and food distributors questions for this pandemic? alert authorities when quarantined residents leave their homes. that Google collected, stored and used children’s ahead of any messaging to the public and My team is collecting data online, looking biometrics without parental consent by providing you during these Other countries, including Australia and several European asked them to put limits on purchasing. at how people are coping with self- access to laptop computers with preinstalled apps nations, are developing apps that use location data to facilitate challenging times Then when messaging went out to the isolation, among other topics related to contact tracing. Singapore has already deployed such an app, that required voiceprints and faceprints. public, it could have been framed appro- this pandemic. We’re also investigating Claims like these are likely to proliferate in the called TraceTogether. Commercial products that could enable APA swag to priately to let people know that they people’s varying coping strategies, both wake of the pandemic, and the decisions made are should stock up with a two-week supply adaptive behaviors such as finding creative employers to track workers’ health or locations are also available. likely to outlast it. Psychologists have much to con- share with of groceries but that purchases would be ways to connect with friends and mal- Employers and schools are considering using facial recognition tribute by helping policymakers understand whether your friends limited to prevent panic buying. adaptive strategies such as substance use. people appreciate how much digital and biometric Looking ahead, we will be studying software to implement new timekeeping practices, information they are transmitting and how (and How can we encourage people how this unfolds. As we’ve seen already, security protocols and exam-proctoring methods. by whom) it will be used. Psychologists can add to And more! to get vaccinated once a vaccine pandemics are not static—they’re Issues related to digital privacy have been brew- discussions of what informed consent might look becomes available? dynamic situations in which certain anx- ing for some time, and these COVID-19-related like in these contexts, the differences between opt-in We should expect to see vaccine non- ieties might spike early on, but as things developments will only accelerate that trend. In and opt-out participation and the role of (often fine- adherence, which has been a problem change, different anxieties arise. We will Carpenter v. United States (2018), the U.S. Supreme print) privacy policies. Research might explore how in previous pandemics such as the study the long-term impacts of the pan- Court held that, given the privacy interest indi- the use of digital data might affect trust between 2009 H1N1 pandemic, and it will be a demic, such as the adaptive behaviors and viduals have in information about their physical AT ISSUE individuals and public health workers responsible problem for COVID-19. Many people effects of isolation. We also would like to location, authorities needed to obtain a warrant What are for contact tracing interviews, or how digital contact people’s rights will not get vaccinated because of the get a better handle on how people cope before seeking a week’s worth of location data from tracing might interact with poverty and the technol- and expectations uncertainty around COVID-19, which with uncertainty—not just for COVID- a cellular service provider as part of a criminal around digital ogy divide. Psychologists can contribute to solutions will transfer to uncertainty concerning 19 but also for the upcoming impacts of investigation. The court noted that cellphones have for helping people protect themselves against Discover more the vaccine. People are going to wonder climate change. How can we boost peo- become “almost a ‘feature of human anatomy’” and privacy when digital data could counterfeit contact-tracing apps and other forms of and get started at about how extensively it has been tested ple’s resilience and reduce mob-mentality that location data “provides an intimate window help fight a global pandemic? cybercrime. More broadly, psychologists can con- and whether it’s safe. This vaccination behaviors, like panic buying, and help into a person’s life, revealing not only his particular tinue to study people’s expectations of privacy, an on.apa.org/cap ROMZICON/THE NOUN PROJECT hesitancy is going to make it even more people tolerate uncertainty? movements, but through them his ‘familial, political, important concept under the Fourth Amendment to difficult to manage this sort of infection. It’s very difficult to predict how this professional, religious, and sexual associations.’” But the U.S. Constitution. ■ Repetition of messaging is going to be pandemic will unfold, but cross-cutting how these concerns will play out in the public health critical. We need to get people used to the issues in coping and stress tolerance will and surveillance context remains to be seen. ● “Judicial Notebook” is a project of APA Div. 9 (Society for idea now that a vaccine is coming and that apply to disasters beyond COVID-19. ■ State privacy laws will play a role as well. The the Psychological Study of Social Issues). 12 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 13
COVID-19 | SPECIAL REPORT Practitioners have dealt with technical hurdles and logistical challenges as they’ve moved their caseloads online— but have also found unexpected rewards. REMOTE WORK AS THE U.S. STAYS HOME, PSYCHOLOGY MOVES ONLINE The rapid switch to telehealth, online data-gathering and distance teaching requires flexibility and creativity, experts say BY KIRK WALDROFF P rior to 2020, Nina Shiffrin, PhD, a psychologist in built-in camera, have proven Rockville, Maryland, conducted about 10% of her challenging. And since patients therapy sessions with patients online. Teletherapy may be dealing with the same issues, practitioners have, at was a flexible solution she used to accommodate times, had to play the dual role the occasional adult patient unable to leave work at midday of health-care and IT service or children who couldn’t get to Shiffrin’s office on their own. provider. There are also case- But in March, when a state of emergency was announced in specific challenges that have the United States because of the coronavirus and state govern- forced psychologists to get cre- ments began issuing stay-at-home orders, she quickly pivoted ative. For example, practitioners to move 100% of her patients to telehealth services. ¶ Thou- have reported advising patients sands of psychologists have made the same pivot. Many, like who live in close quarters with Shiffrin, are practitioners who are rapidly getting themselves others to get in a car and drive to a parking lot for their telehealth —and their patients—up to speed some psychologists have been sessions. “While not ideal, join- on telehealth. Others are scien- experiencing and lessons they’ve ing a session from the privacy of tists who are rushing to adopt learned. a car is preferable to potential new data-gathering methodolo- eavesdropping by a roommate or gies or to protect animal subjects, TELEHEALTH HASSLES partner,” says Kristi K. Phillips, and educators who are becoming AND REWARDS PsyD, chair of APA’s Committee more versed in distance learning While many practitioners had on Rural Health and a psycholo- software and building online some experience using telehealth gist in Litchfield, Minnesota. connections with students. platforms prior to the onset of Meanwhile, providing online The common thread for all the pandemic, few were using care to children comes with its psychologists dealing with the them as their exclusive means for own set of challenges. According new reality ushered in by the conducting therapy sessions. In to an APA fact sheet, without pandemic has been the need for just a few weeks, that changed the control of the clinical setting, flexibility and creativity. “We’re dramatically. Like Shiffrin, many practitioners must pay close finding new ways to help, mostly practitioners moved their entire attention to the space on the other small, but we’re doing what we caseloads online as federal and side of the screen as children may can. Across my university faculty, state regulations changed to become more easily distracted staff and students have really encourage expanded access to or may require more room for MOYO STUDIO/GETTY IMAGES pulled together,” says Jeff Zacks, telehealth (see article on page 18). hands-on activities. And psychol- PhD, head of the Dynamic For some psychologists, issues ogists working with vulnerable Cognition Laboratory at Wash- with logistics, such as having children must also be more vig- ington University in St. Louis. a spotty internet connection ilant about looking for warning Here’s a sample of what or not having a laptop with a signs of abuse and neglect during 14 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 15
COVID-19 | SPECIAL REPORT APA STYLE this time. Staying at home means says Siara Rouzer, a behav- Hall University, has gone these children aren’t regularly in ioral neuroscience graduate from zero online teaching to contact with teachers or coun- student at Binghamton 100% online teaching. She’s selors, who are typically relied University in New York who found that her students are upon to spot such signs and are uses rat models to study fetal adapting to the switch. mandated to report them. alcohol disorders. “Some have become Despite such challenges, anxious about making the some practitioners are also expe- EMPTY CLASSROOMS technology work, but many riencing pleasant surprises while Psychology teachers and of them seem to be adjust- shifting to telehealth. Several of students have experienced ing well—using the chat Free Access to Phillips’s patients, for example, massive changes as well. function to comment on the have told her that learning to use Fortunately, most academic course content, downloading APA Style Resources Zoom during their telehealth institutions had e-learning the recorded lectures after sessions empowered them to use capabilities in place prior the fact, even introducing for Distance Learning the platform to better connect to the COVID-19 pan- their pets on video,” she says. with friends and family as well— demic. In these institutions, Teachers have been quick for Phillips, an unexpected and teachers have been able to to assist fellow teachers, as rewarding side effect. draw heavily on support from well, including by sharing Others note that having a their institutional technology resources such as online • Always available are APA Style glimpse into where their patients office or instructional design lesson plans and lectures to Instructional Aids offering an live offers them insights that team (see article on page 56). use during the pandemic. they previously wouldn’t have pandemic. But Zacks has had designed to include an in-person Regan Gurung, PhD, On March 13, for example, extensive collection of free had access to. They’re getting to place fMRI and eye-tracking group-based treatment begin- director of the general psy- the day the United States resources, including handouts to meet pets and siblings and studies on hold because they rely ning later this year. chology program at Oregon declared a state of emer- and quick guides, webinars, and are better able to see how a on face-to-face interaction. “I am worrying about my State University and exec- gency, David Kenny, PhD, of sample papers. patient may behave in a less Besides the research studies options and the consequences for utive director of the Center Wesleyan University, immedi- clinical setting. “It’s fun to get that are taking a hit, Zacks and Psychology adjusting the in-person aspects for Teaching and Learning ately took to Twitter: “During • Available through July 1, 2020, are to see patients in their n atural his colleagues are concerned teachers have of the study, if needed,” she says. (CTL), says his university’s this health crisis, I am been quick to 13 tutorials and quick guides settings—I get to meet pets about students who were assigned share resources Meanwhile, other researchers eCampus unit and CTL have waiving all charges for the 40 … children can show off their to participate in experiments as and online simply have no online options. been working long hours to webinars and 70 PowerPoints adapted from Academic Writer®, artwork or favorite toys,” says part of their learning coursework. lesson plans. Researchers working with ani- help faculty get up and run- that I have posted. Feel free APA’s tool for teaching and Shiffrin. “At my university, instructors mals, for instance, are not able ning with remote teaching. to use as needed. Most are on learning effective writing. have altered the assignments, to interact with their subjects Yet even with tools and Dyadic Analyses & SEM.” STUDIES ON HOLD and we’re making more exper- online. The setbacks go well tech support in place, there Overall, the rapid shift to • Learn more about APA electronic Psychological scientists are also iments available online; these beyond forfeiting data collec- are formidable challenges for working online has touched resources available for distance confronting major challenges as seem to be helping,” he says. tion. Animal lineages that were teachers. Helping students every corner of society, and learning. the COVID-19 crisis unfolds Many researchers and stu- created over months and even who have never used online psychology. While some (see article on page 30). Even dents question whether they’ll be years—while being kept physi- learning resources and figur- psychologists were already labs that were already con- able to continue to use funding cally safe by essential staff—are ing out effective ways to keep familiar with working online Connect with APA Style on Twitter, ducting a significant amount for studies that now require now missing the meticulous level track of students who are not before the pandemic, most Facebook, and Instagram to ask of online research are feeling altered (from in-person to of attention provided by research participating are particular are now fully embracing questions and receive the latest the effects. Zacks’s Dynamic online) data-gathering method- staff and, as a result, may fall challenges, Gurung says. online platforms in a more updates on seventh edition APA Style. Cognition Laboratory, for exam- ologies. Natalie Hong, a doctoral outside the parameters of exper- Other concerns include help- comprehensive way out of ple, has been conducting both student in the clinical science iments and be rendered unusable. ing remote students learn necessity. “We’re all being G-STOCKSTUDIO/GETTY IMAGES small- and large-scale online program at Florida International “This loss means much more from one another and pro- creative to make sure every- studies for several years now, University, had already secured to me than deficits of time and moting a sense of community thing we do is in the best and it launched two new online funding from the National Insti- resources and is something ani- among remote students. interest of our patients, sub- studies in April, which likely tute of Mental Health for her mal researchers in particular will Susan Nolan, PhD, a psy- jects and students,” Phillips won’t be severely affected by the dissertation project, which was have to bear moving forward,” chology professor at Seton says. ■ apastyle.apa.org 16 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 17
COVID-19 | SPECIAL REPORT TELEHEALTH CHANGES crisis (90839, -40) ● Psychological and neuro TELEPSYCHOLOGY psychological testing (96130–96133 and EXPANDS TO MEET DEMAND 96136–96139) ● Health behavior assessment APA advocacy convinced regulators to change telehealth rules and intervention services, to increase access to care during the pandemic individual and group (96156, -58, -59, -64, -65, -67, -68, BY NICOLE OWINGS-FONNER, MA -70, -71) ● Psychoanalysis (90845) T ● Neurobehavioral status he COVID-19 public health emergency has priations Act, 2020, CMS issued examination (96116, -21) increased demand for mental and behavioral health further guidance based on APA ● Interactive complexity (90785) services at the very time it has driven most of those recommendations to waive key ● Behavioral Screening (96127) telehealth requirements and allow ● Screening, Brief Intervention, services to telehealth platforms. In response, APA psychologists to provide most of and Referral to Treatment has led a successful advocacy and education campaign to max- their typical services via audio- (G0396, G0397) imize the availability of telepsychology services for vulnerable only telephones. Both new and populations and to ensure that psychologists are prepared to existing Medicare beneficiaries Services Allowed via provide these services and are properly reimbursed for them. can receive expanded telehealth Traditional Telehealth Only ¶ APA’s campaign began in full force on March 10, as part services from their homes. ● Developmental Screening and of its annual Practice Leadership Conference. APA members Testing (96110, -12, -13) and staff conducted 250 congressional visits by phone and ■ The ability to work from home. ● Adaptive Behavior Assessment in-person, lobbying for support of telehealth services. Psychologists can provide an (97151, 97152, 0362T) expanded portfolio of services ● Adaptive Behavior Treatment “Three weeks later, in the thick COVID-19. As such, the Cen- from their own homes using providers who use telehealth to be reimbursed for the same dol- (97153-97158, 0373T) of a public health emergency, a ters for Medicare & Medicaid either audio-only telephones or treat patients during the crisis. lar amounts. During the crisis, group of APA staff and leaders Services (CMS) improved access through traditional telehealth HHS specifically referenced psychological and neuropsycho- ■ New ways of communicating. in the field delivered a method to care for Medicare beneficia- with audio and video functions Skype, FaceTime and other non- logical testing, health behavior The federal CMS has expanded the types and payment policy that allows ries by: that provide two-way, real-time compliant telehealth platforms assessment and intervention, Coronavirus of communication available to Preparedness for the provision of telepsy- ● Setting up advanced and interactive communication. as reasonable options to provide and group psychotherapy can and Response Medicare beneficiaries during chology services,” says Antonio accelerated payments to help “To curb the spread of the care. “While penalties are being now be billed through telehealth. Supplemental this time period by activating E. Puente, PhD, co-chair of with cash flow challenges. coronavirus and help our waived at the federal level for Additional restrictions have Appropriations reimbursement for two sets of (CARES) Act APA’s Advocacy Coordinating ● Easing the enrollment communities heal, we cannot non-HIPAA compliant telehealth been waived regarding visits to paved the way to additional Current Procedural Committee and a former APA procedures for new providers leave any of our neighbors platforms, it is still best practice inpatient units, skilled nursing expand access Terminology (CPT) codes: president. “From an idea to a real- by waiving certain require- without access to videoconfer- to choose one that is compliant,” facilities and nursing homes. The to mental health (1) telephone assessment and care by making ity in three weeks is a miracle, and ments and expediting new encing technologies behind,” notes Deborah C. Baker, JD, telehealth services covered by telehealth services management services and (2) it is a bright light that interfaced applications. says Arthur C. Evans Jr., PhD, APA’s director of legal and regu- Medicare during COVID-19 fall more accessible e-visits. practice, policy and advocacy.” ● Granting exceptions and APA’s CEO. “Psychologists can latory policy. “Preferably one that into two categories: to Medicare ● Telephone assessment and beneficiaries. Several key changes resulted giving providers extra time now use their specialty skills to offers a business associate agree- management services are pro- from APA’s advocacy. They to meet Medicare’s quality improve the health of all the ment and that you can use beyond Services Allowed via Phone vided by a psychologist when a include changes to: reporting requirements, such as communities we serve.” the public health emergency.” and Traditional Telehealth patient calls and the psychol- the Merit-based Incentive Pay- The U.S. Department of ● Psychiatric diagnostic ogist assesses the patient, then ALEJO VAZQUEZ/GETTY IMAGES MEDICARE ment System (MIPS), during Health and Human Services ■ Billing. Psychologists should interview (90791, -92) provides an intervention ser- On March 19, the federal the public health emergency. (HHS) is also waiving potential bill Medicare for telehealth ser- ● Psychotherapy, including vice on the spot. These services, government designated psy- In addition, under the penalties for violations of the vices in the same way that they individual (90832, -34, -37), and their accompanying codes, chologists as critical, essential Coronavirus Preparedness and Health Insurance Portability and would have for face-to-face ser- group (90853), family (90846, do not replace traditional psy- workers in the U.S. response to Response Supplemental Appro- Accountability Act (HIPAA) for vices—and they should expect to -47) and psychotherapy for chotherapy and reimburse at 18 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 19
COVID-19 | SPECIAL REPORT a lower rate because they were for existing telehealth coverage. for many this may be the first built for brief and directed Many state governors quickly time they are attempting to serve services. responded to the APA/state their patients in this way,” says ● E-visits are patient-initiated psychological association letters Jared L. Skillings, PhD, ABPP, digital communications con- by issuing emergency orders APA’s chief of professional prac- ducted through electronic to increase access to telehealth tice. “By partnering with leaders health record portal messages services and to increase the in the field and other organiza- or other HIPAA-compliant, pool of available health-care tions, we have worked to quickly secure platforms that require providers. Within weeks: provide resources to educate professional patient assessment ● 12 states issued executive psychologists on how to best and decision-making to direct orders calling for expansion provide a wide variety of psycho- subsequent management of the of telehealth service rates to logical services via telehealth.” patient. be comparable to in-person ADDITIONAL Psychologists who are new For additional specifics on service rates. RESOURCES to telehealth can build their how to bill telehealth services, ● 14 states issued executive competence by studying APA’s telephone assessment and man- orders allowing patients to www. Guidelines for the Practice of Tele- apaservices.org/ agement services and the new receive telehealth services in practice/clinic psychology or taking a relevant e-visit coverage for Medicare, see their own homes. The latest course. APA has also developed the expanded coverage on the ● 16 states temporarily lifted advocacy updates, an office and technology check- APA Services website. licensing requirements. reimbursement and list for telepsychological services licensing/regulatory ● 22 states either expanded their to help psychologists and their guidance and other STATE REGULATIONS policies for out-of-state pro- information to help patients prepare for telehealth Unfortunately, the new federal viders to temporarily practice navigate the public sessions, including by using an legislation applies only to Medi- in their states or instituted health emergency informed consent document. care beneficiaries and cannot emergency expedited registra- APA has also developed supersede state licensing laws. tion for out-of-state providers. www.apa.org/ guidance for psychologists who topics/covid-19 For example, licensed psychol- “We continue to urge each Information work remotely in specific settings ogists are typically prohibited jurisdiction to reimburse the full and resources or with patient populations from using telehealth to provide range of psychological services via organized by topic including: services across state lines. To telehealth and are following up for psychologists, ● In nursing homes health-care encourage states to adopt more with additional efforts in those ● With children and adolescents, workers and the telehealth-friendly legislation, states where expanded coverage is public for testing APA drafted letters to private still needed,” says Baker. ● With those experiencing pain, insurers, state regulators and Find out where your state preparing for surgery or with governors in all 50 states to be stands on telehealth by reading obsessive-compulsive disorder delivered in partnership with APA’s resource summarizing the ● When conducting psycho state psychological associations. current state emergency orders. logical assessment or The letters urge state officials neuropsychological assessment to temporarily suspend state RESOURCES FOR ● In group therapy licensing laws and regulations PSYCHOLOGISTS With all these changes, it is We’re Here for You regarding telepsychological In tandem with its advocacy expected that psychologists might services to ensure continuity of work, APA has ramped up educa- have questions like what to do if care and to avoid spreading the tion and communications efforts they might be infected or under virus. This would include approv- to ensure that the telehealth ser- what circumstances should one ing videoconferencing for all vices psychologists are providing provide in-person services. providers without limitation, as are of the highest possible quality. Finally, here are concrete The APA psycCareers team is committed to providing you with the well as telephone-only services, “While some psychologists strategies for psychologists to interprofessional consultation have experience providing psy- use to manage their stress during information and support you need most during this time. Check out and the elimination of barriers chotherapy services via telehealth, this challenging time. ■ our COVID-19 resources as they relate to your career in psychology. 20 M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 www.apa.org/careers M O N I TO R O N P S YC H O LO G Y ● JUNE 2020 21
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