• Patients who, during their hospital stay, have been admitted to the ICU and are near EoL, as indicated by a modified surprise question whereby physicians are asked to identify patients whom they do not expect to survive the next 12 months.

• Surrogate decision-makers of patients who were admitted to the ICU or step-down unit during their current admission/stay, or within 1 month of discharge from their last admission/stay.

• Surrogate decision-makers are 18 years or older.

• Surrogate decision-makers whom physicians or advance practice providers (i.e. physician assistants, nurse practitioners) indicate as the designated health care proxy or decision-making patient surrogates, or who are listed as such in the patient's medical charts or by self-report of the surrogate.

• Surrogate decision-makers must speak English.

• Surrogate decision-makers must report syndromal levels of pre-loss grief (PG-12 score ≥ 25) or peritraumatic distress (PDI ≥ 23).

• Surrogate decision makers will need to reside in a state in which an interventionist is licensed or otherwise be able to comply with current telehealth regulations.

• Surrogate decision-makers will need to be willing to utilize a device (computer, tablet, phone) with internet.

• Surrogate decision-makers who are able and willing to provide an emergency contact.