{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:47:56Z","timestamp":1790948876018,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Telehealth psychotherapy (TH) has become widespread since the COVID\u201019 pandemic and has generally proven to be equally effective and acceptable as in\u2010person (IP) treatment. However, it is unclear how TH and IP client characteristics and service utilization compare in routine practice post\u2010pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Individual psychotherapy clients (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200922,710) receiving routine treatment at 72 university counseling centers from 2021 to 2023 reported on their demographic and clinical characteristics, while service utilization was determined through chart review.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to IP clients, TH clients were more likely to identify as cisgender women, Hispanic\/Latinx, and bisexual and were less likely to live with roommates. TH and IP clients reported roughly equivalent symptom severity at the beginning of treatment, but TH clients were less likely to report recent suicidal ideation and more likely to have a history of past psychotherapy and psychiatric medication use. Regarding service utilization, TH clients scheduled slightly more psychotherapy appointments yet attended a lower percentage of appointments, but these differences were small. Exploratory analyses on matched samples of TH and IP clients did not detect differences in pre\u2010 to posttreatment symptom reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In routine practice, TH and IP psychotherapy appear to facilitate access to care for slightly different client populations, are associated with similar utilization patterns, and produce similar outcomes in university counseling post\u2010COVID\u201019. Clinical systems may best serve a diverse public by offering both TH and IP services. Policy\u2010level (e.g., equitable reimbursement for TH) and administrative support are needed to facilitate continued access to both modalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70039","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T19:49:15Z","timestamp":1756237755000},"page":"31-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Teletherapy Post\u2010COVID\u201019: Comparisons With In\u2010Person Client Characteristics and Service Utilization in Routine Practice"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9434-4653","authenticated-orcid":false,"given":"Wilson T.","family":"Trusty","sequence":"first","affiliation":[{"name":"Center for Counseling and Psychological Services Pennsylvania State University University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett E.","family":"Scofield","sequence":"additional","affiliation":[{"name":"Center for Counseling and Psychological Services Pennsylvania State University University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stewart E.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Psychological Sciences and Counseling Department Valparaiso University Valparaiso Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis G.","family":"Castonguay","sequence":"additional","affiliation":[{"name":"Department of Psychology Pennsylvania State University University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Educational Psychology, Counseling, and Special Education Pennsylvania State University University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca A.","family":"Janis","sequence":"additional","affiliation":[{"name":"Center for Counseling and Psychological Services Pennsylvania State University University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Abdi H.2010. \u201cEncyclopedia of Research Design.\u201dhttp:\/\/www.utd.edu\/-herve."},{"key":"e_1_2_10_3_1","unstructured":"American Psychological Association. nd. \u201cAPA Advocacy Priorities for 2024.\u201dhttps:\/\/www.Apaservices.Org\/Advocacy\/Actions\/Advocacy-Priorities."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/28503"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780197611012.003.0015"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usab318"},{"issue":"7","key":"e_1_2_10_7_1","first-page":"30","article-title":"Telehealth Is Here to Stay. Psychologists Should Equip Themselves to Offer It","volume":"53","author":"Calkins H.","year":"2022","journal-title":"Monitor on Psychology"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.1988.6.1.104"},{"key":"e_1_2_10_9_1","unstructured":"Center for Collegiate Mental Health.2022. \u201cStandardized Data Set (SDS).\u201d"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2021.0028"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000895"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2024.2375231"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbct.2022.01.001"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2023.2229505"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-130893"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-024-01936-y"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0039774"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X17735559"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.3650"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000472"},{"key":"e_1_2_10_21_1","unstructured":"Health Resources and Services Administration.2024. \u201cHealth Equity in Telehealth.\u201dhttps:\/\/telehealth.hhs.gov\/providers\/health-equity-in-telehealth."},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/pan\/mpl013"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-05-2022-0029"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/10673229.2012.712837"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0748175611432642"},{"key":"e_1_2_10_26_1","volume-title":"Who Will Benefit From Psychotherapy?: Predicting Therapeutic Outcomes","author":"Luborsky L.","year":"1988"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0176730"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-021-01544-w\/Published"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0029855"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/09515070.2020.1791800"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-022-09983-6"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.2196\/46148"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780199737208.001.0001"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0024436"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.2196\/25469"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/00207640231206059"},{"key":"e_1_2_10_37_1","volume-title":"The Benefits of Psychotherapy","author":"Smith M. L.","year":"1980"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1214\/09-STS313"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.01.013"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12332"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-022-01334-2"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocac015"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2024.2418868"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000895"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04166-w"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11414-019-09677-1"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01352-1"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/07481756.2019.1691459"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000029"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T19:26:49Z","timestamp":1765308409000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.70039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,26]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/jclp.70039"],"URL":"https:\/\/doi.org\/10.1002\/jclp.70039","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,26]]},"assertion":[{"value":"2024-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}