Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-10T16:53:12.038Z Has data issue: false hasContentIssue false

Experiences of Counsellors Providing Online Chat Counselling to Young People

Published online by Cambridge University Press:  20 January 2014

Mitchell J. Dowling*
Affiliation:
Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
Debra J. Rickwood
Affiliation:
Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia Headspace: National Youth Mental Health Foundation, North Melbourne, Victoria, Australia
*
address for correspondence: Mitchell Dowling, Faculty of Health, University of Canberra, University of Canberra, Bruce ACT 2601, Australia. Email: mitchell.dowling@canberra.edu.au
Get access

Abstract

Online counselling is a rapidly growing field and, while there is emerging evidence of its comparative effectiveness, there has been little research into what techniques are being applied in practice and which clients will most likely benefit from this medium. Using a focus group methodology, this study examines the experiences of 19 online clinicians employed by a youth mental health service, investigating their perception of online clients, views on their counsellor roles, the approaches and techniques they employ, and the unique aspects of counselling in an online environment. Overall, online clinicians perceived their clients as presenting with highly complex problems and a high level of psychological distress. They noted online clients would most often use the service once or twice, and that some would use online chat as an adjunct to face-to-face counselling. The online clinicians described various roles, including: assessments, gatekeeping, providing emotional support, and therapeutic interventions. According to the online clinicians, they used a variety of techniques online, but favoured person-centred techniques, as these helped keep the clients engaged with the service. Areas of further research and implications for practice are discussed.

Type
Articles
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bambling, M., King, R., Reid, W., & Wegner, K. (2008). Online counselling: The experience of counsellors providing synchronous single-session counselling to young people. Counselling & Psychotherapy Research, 8 (2), 110116. doi:10.1080/14733140802055011Google Scholar
Barak, A., Klein, B., & Proudfoot, J. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38 (1), 417. doi:10.1007/s12160-009-9130-7Google Scholar
Barkham, M., Connell, J., Stiles, W., Miles, J.N., Margison, F., Evans, C., & Mellor-Clark, J. (2006). Dose-effect relations and responsive regulation of treatment duration: The good enough level. Journal of Consulting and Clinical Psychology, 74, 160167. doi:10.1037/0022.006X.1.160Google Scholar
Bazeley, P. (2007). Qualitative data analysis with NVivo. London: Sage.Google Scholar
Bradford, S., & Rickwood, D. (2012a). Adolescent's preferred modes of delivery for mental health services. Child and Adolescent Mental Health. Advance online publication. doi:10.1111/camh.12002Google Scholar
Bradford, S., & Rickwood, D. (2012b). Psychosocial assessments for young people: A systematic review examining acceptability, disclosure and engagement, and predictive utility. Adolescent Health, Medicine and Therapeutics, 3, 111125. doi:10.2147/AHMT.S38442CrossRefGoogle ScholarPubMed
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77101. doi:10.1191/1478088706qp063oaCrossRefGoogle Scholar
Callahan, A., & Inckle, K. (2012). Cybertherapy or psychobabble? A mixed methods study of online emotional support. British Journal of Guidance & Counselling, 40 (3), 261278. doi:10.1080/03069885.2012.681768Google Scholar
Chardon, L., Bagraith, K.S., & King, R.J. (2011). Counseling activity in single-session online counseling with adolescents: An adherence study. Psychotherapy Research, 21 (5), 583592. doi:10.1080/10503307.2011.592550CrossRefGoogle ScholarPubMed
Dowling, M., & Rickwood, D. (2013). Online counseling and therapy for mental health problems: A systematic review of individual synchronous interventions using chat. Journal of Technology in Human Services, 31 (1), 121. doi:10.1080/15228835.2012.728508Google Scholar
DuBois, D. (2004). Clinical and demographic features of the online counselling client population. Counselling and Psychotherapy Research, 4 (1), 1822. doi:10.1080/14733140412331384028Google Scholar
Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5 (1), 8092.Google Scholar
Fukkink, R., & Hermanns, J. (2009). Children's experiences with chat support and telephone support. Journal of Child Psychology and Psychiatry, 50 (6), 759766. doi:10.1111/j.1469–7610.2008.02024.xCrossRefGoogle ScholarPubMed
Haberstroh, S., Parr, G., Bradley, L., Morgan-Fleming, B., & Gee, R. (2008). Facilitating online counseling: Perspectives from counselors in training. Journal of Counseling & Development, 86 (4), 460470.CrossRefGoogle Scholar
Heinlen, K., Welfel, E., Richmond, E., & O'Donnell, M. (2003). The nature, scope, and ethics of psychologists’ e-therapy web sites: What consumers find when surfing the Web. Psychotherapy: Theory, Research, Practice, Training, 40 (1–2), 112124. doi:10.1037/0033-3204.40.1-2.112Google Scholar
Hickie, I., Scott, J., & McGorry, P. (2013). Clinical staging for mental disorders: A new development in diagnostic practice in mental health. Medical Journal of Australia, 198 (9), 461462. doi:10.5694/mja13.10431.CrossRefGoogle ScholarPubMed
Kessler, D., Lewis, G., Kaur, S., Wiles, N., King, M., Weich, S., . . . Peters, T. (2009). Therapist-delivered internet psychotherapy for depression in primary care: A randomised controlled trial. The Lancet, 374 (9690), 628634. doi:10.1016/S0140-6736(09)61257-5CrossRefGoogle ScholarPubMed
King, R., Bambling, M., Lloyd, C., Gomurra, R., Smith, S., Reid, W., & Wegner, K. (2006). Online counselling: The motives and experiences of young people who choose the Internet instead of face to face or telephone counselling. Counselling and Psychotherapy Research, 6 (3), 169174. doi:10.1080/14733140600848179Google Scholar
King, R., Bambling, M., Reid, W., & Thomas, I. (2006). Telephone and online counselling for young people: A naturalistic comparison of session outcome, session impact and therapeutic alliance. Counselling and Psychotherapy Research, 6 (3), 175181. doi:10.1080/14733140600874084Google Scholar
Mallen, M.J., Jenkins, I.M., Vogel, D.L., & Day, S.X. (2011). Online counselling: An initial examination of the process in a synchronous chat environment. Counselling and Psychotherapy Research, 11 (3), 220227. doi:10.1080/14733145.2010.486865CrossRefGoogle Scholar
Murphy, L., Mitchell, D., & Hallett, R. (2011). A comparison of client characteristics in cyber and in-person counseling. Studies in Health Technology and Informatics, 167, 149153. doi:10.1093/bjsw/bcp041Google ScholarPubMed
Patton, M. (2002). Qualitative research and evaluation methods (3rd ed.). London: Sage.Google Scholar
Perle, J., Langsam, L., & Nierenberg, B. (2011). Controversy clarified: An updated review of clinical psychology and tele-health. Clinical Psychology Review, 31 (8), 12471258. doi:10.1016/j.cpr.2011.08.003Google Scholar
Reese, R.J., Toland, M.D., & Hopkins, N.B. (2011). Replicating and extending the good-enough level model of change: Considering session frequency. Psychotherapy Research, 21 (5), 608619. doi:10.1080/10503307.2011.598580CrossRefGoogle ScholarPubMed
Robson, C. (2002). Real world research: A resource for social scientists and practitioner researchers. London: Blackwell.Google Scholar
Sampson, J., Kolodinsky, R., & Greeno, B. (1997). Counseling on the information highway: Future possibilities and potential problems. Journal of Counseling & Development, 75 (3), 203212. doi:10.1002/j.1556–6676.1997.tb02334.xCrossRefGoogle Scholar
Taylor, W., & Furlonger, B. (2011). A review of vicarious traumatisation and supervision among Australian telephone and online counsellors. Australian Journal of Guidance & Counselling, 21 (2), 225235. doi:10.1375/ajgc.21.2.225Google Scholar
Tsan, J., & Day, S. (2007). Personality and gender as predictors of online counseling use. Journal of Technology in Human Services, 25 (3), 3955. doi:10.1300/J017v25n03_03CrossRefGoogle Scholar
Williams, R., Bambling, M., King, R., & Abbott, Q. (2009). In-session processes in online counselling with young people: An exploratory approach. Counselling and Psychotherapy Research, 9 (2), 93100. doi:10.1080/14733140802490606Google Scholar
Young, K.S. (2005). An empirical examination of client attitudes towards online counseling. CyberPsychology and Behavior, 8 (2), 172177.CrossRefGoogle ScholarPubMed