A pilot study of a family systems oriented telemental health model in rural Brazil

Paul R. Springer, Olga Falceto, Richard J. Bischoff, Enrique Barros, Patricia Scheeren, Nathan C. Taylor, Daiana Cargnin

Research output: Contribution to journalArticlepeer-review


There are large disparities in access to mental health care, especially in low- and middle-income countries. Telemental health is a viable solution to reducing these disparities, but quality research demonstrating its effectiveness is needed. The purpose of this pilot study was to examine the feasibility of a telemental health approach in a rural region of Brazil. Primary care providers referred patients diagnosed with depression and anxiety to a 12-session family systems-oriented telemental health program developed by the researchers. Participants (n = 10) received therapy by family systems trained therapists. While sessions were delivered via telemental health, each received one face-to-face session as part of the treatment regimen. Results from the one-tailed t-tests indicate reductions in psychosocial symptoms and improvements in family functioning with medium and large effect sizes. Findings reveal that a family systems-oriented telemental health approach is a promising intervention for improving mental health outcomes in a middle-income country.

Original languageEnglish (US)
Pages (from-to)533-548
Number of pages16
JournalJournal of Marital and Family Therapy
Issue number2
StatePublished - Apr 2021


  • MFT as a profession
  • clinical
  • delivery systems
  • families
  • intervention/technique
  • populations
  • professional/practice issues
  • training/education
  • training/supervision

ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology
  • Social Sciences (miscellaneous)
  • Sociology and Political Science


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