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E-Therapy in Addiction Treatment
Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches to improving mental health and reducing mental illness. Based in part on TIP 60: Technology Based Therapeutic Tools (SAMHSA). If you like this video, please give it a thumbs up and share with your colleagues.
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#SAMHSA #etherapy #telehealth
Objectives
Explore the benefits and drawbacks to technology assisted counseling
Learn about some of the different technology tools available
Identify ways technology can be used in your practice to enhance client success and be culturally responsive
Why Use It
Technology allows alternative models of care to be offered to clients with specific needs that limit their ability or interest in participating in more conventional settings
Applications
Assessment
Detox monitoring (by physician)
Individual
Couples/Family (even extended family)
Group (traditional and IOP)
Drug screening (breathalyzers, sweat patch, saliva, hair)
Or partner with local labs to do observed urine drops
Therapist extenders (journals, logs)
Ways to Use It
Email
Smartphone/tablet applications (apps)
Online forums and targeted social networking sites (i.e. intherooms.com )
Informational web sites and blogs
Video and telephone chat
Virtual Reality/Immersion Therapy
Virtual Art Therapy
Telephone and Video
Self-Directed, Web-Based, and Computer-Based Therapeutic Tools
Literature reviews underscore the effectiveness of such interventions in producing health behavior change.
Comparisons of computer-delivered interventions with person-delivered interventions generally report comparable outcomes
Computer-Based Self-Directed cont…
Computerized treatments for mental disorders have been most widely developed and extensively used for anxiety, traumatic stress, and depressive disorders
Computer programs have successfully implemented such mental health techniques as:
Cognitive restructuring
Relaxation training
Systematic desensitization
Web-Based Text Communication: Email, Chat, Forums, Email Lists, Social Networks
Chat rooms typically refer to open “rooms” online in which
Individuals can come and go as they wish
Communicate synchronously with any or all participants in the chat room.
Many behavioral health chat rooms are moderated by a clinician who posts comments, guides discussions, and may screen comments before allowing them to post.
Patients Like Me (http://www.patientslikeme.com) offers Web-based exchanges of information among clients
Email and Text Chat
Email can be used for ...
One-sided text messages, for instance, from provider to consumer, have shown considerable utility in promoting treatment compliance and self-monitoring of health behavior
A search for VR in the http://www.clinicaltrials.gov search engine in early May 2014 yielded 190 clinical trials with topics such as:
Summary
Telemental Health is here to stay
Many self-directed programs are extremely useful for all ages and a multitude of diagnoses, especially for early intervention
The use of virtual technologies enables a clinician to individualize treatment to increase compliance, accessibility and effectiveness
There are many ethical, regulatory and legal issues surrounding the use of electronic devices in any aspect of counseling.
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