In mid-March 2020, psychiatric treatment in college counseling services and student health centers changed overnight. Because of the Covid-19 pandemic academic classes went online, and students dispersed into the 50 states of the nation. Whenever possible, clinicians pivoted to providing tele-health services. The ‘pros and cons’ of Zoom were hotly debated.
At the beginning of the public emergency, the governors eased professional licensure restrictions to practice psychiatry across state lines. However, more recently, states have reasserted their licensure requirements. This has resulted in ethical dilemmas for college mental health clinicians who are beholden to the limits of the scope of their practice, but do not wish to abandon their highly mobile patient cohort.
Alexandra Ackerman, Ludmila de Faria, Hélène Keable , Malkah Notman, Lorraine Siggins