We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byAmina Redshaw
Modified about 1 year ago
Using New Technologies to Support Treatment and Recovery Addiction - Comprehensive Health Enhancement Support System (ACHESS) Michael Boyle and David Moore Using New Technologies to Support Treatment and Recovery Addiction - Comprehensive Health Enhancement Support System (ACHESS) Michael Boyle and David Moore The use of technology within behavioral health has predominately been limited to administrative functions such as service reporting and billing procedures or adopting electronic medical records. Virtually all treatment is delivered face-to-face by practitioners. In behavioral health care organizations, labor costs typically account for the vast majority of total expenses. Funding restraints and typically low salaries may contribute to the high turnover in staff members and difficulty in attracting new clinicians to the field. Using technologies delivered through web-based application, stand alone computer software, or smart phones are all components of a new approach termed E-Health. NIDA-funded studies have demonstrated that evidence-based clinical treatments can be effectively delivered through computerized applications. These studies have shown outcomes that are equal or superior to the same treatment delivered solely by clinicians (NIDA Notes). David Gustafson, Director of NIATx at the University of Wisconsin-Madison, initiated a project, Innovations for Recovery, to identify and research technologies that may improve addiction treatment and recovery support. The first research project of I4R is a NIAAA random clinical trial using smart phones to provide recovery supports following residential alcoholism treatment. The system is an extension of web-based cancer support systems that were developed by Dr. Gustafson. Background Next Steps in Smart Phone Research Clinical algorithms are being developed that are trigged by the responses to the weekly BAM survey. These will be tailored to individuals and much of the content will be delivered through the smart phones. This will allow implementation of adaptive continuing care (McKay, 2009) with “just in time” interventions. A second NIAAA proposal has been submitted that expands the smart phone support services to family members and concerned significant others. An ACHESS research consortium being formed through the University of Wisconsin will allow other treatment organizations to access the technology. The methods by which the technologies are disseminated and utilized by members will be studied to guide future dissemination of technologies. Hypothesized Implications for Behavioral Health Practice, Policy, and/or Research Over 50% of treatment currently delivered by clinical staff could be provided electronically. The potential cost savings are significant. Savings could be utilized to attract and retain highly skilled clinicians and add needed professional services including more physician and nursing services. A portion of the savings would be redirected to support the technology and purchase required equipment. A percentage of the savings could be utilized to increase access to treatment. Current barriers to access could be removed. Services can be delivered anytime/anywhere. Continuing care, a key component of a recovery management approach can be efficiently delivered with rapid response as needed by the patient or family. The cost for obtaining and aggregating outcome data can also be significantly reduced. Cost of addiction treatment per individual treated may also be reduced. Cost/benefit studies are needed to determine if outcomes can be improved at potentially lower costs. New payment methodologies such as case rates or episode of care rates will be required to support technology delivered care. Reasons Research May Be Considered a Disruptive Innovation The technology supports “facilitated networks” allowing people with a chronic condition to interact with “someone like me” The solutions are taken to the problem rather than current system wherein the problem must be taken to the solution The reliability of quality treatments can be increased by standard approaches while simultaneously increasing convenience and responsiveness May be a key component in an integrated fixed-fee payment system Support Team: Study participants are connected to each other (in a manner similar to Facebook). Participants can post pictures, personal interests etc. to share with other participants (they can be as open or as private as they want with their profile), write messages to one another and post on each other’s walls. Discussion groups: Participants can post questions, ideas or comments to share with others on the project. This is helpful for getting feedback from other peers or support in a time of crisis. High Risk Locations: Study participants can choose to add locations to their phone that are risky (e.g. old hang-out or bar, or drug dealer locale). When the participant gets near the location, the phone will beep, when the participant views the phone, they will get a message letting them know they are near a high risk location and the phone will ask if they feel like drinking. The participant can then choose to use other activities on their phone (such as listening to a relaxation exercise or pressing their panic button to try and curb their urge). Panic Button: Participants can elect to place support people (e.g. friends, family members, sponsor) on their panic button. If the individual has an urge to drink or is in a high risk situation, they can press the panic button. A text message is sent to the people they have chosen asking for their help and support. Weekly Survey: Study participants receive an electronic notification through a text message one time per week asking them to complete a recovery based survey. Participants can elect to have the results of the survey sent to their study counselor – these surveys serve as a indicators for risk versus recovery factors. ACHESS ServicesNumber of Users Number of ACHESS Pages Requested MeanStandard Deviation My Messages Home Pages My Profile Discussion Weekly Survey My Team Team Feed Events & Meetings My Settings Recovery Information Ask an Expert Panic Button7376 Easing Distress6067 Our Stories7655 News7754 Number of Pages Used in ACHESS Services (Data reflects 92 participants on ACHESS for more than 4 months) Study Demographics (through 2/11/11) Randomization Control GroupExperimental Group Location Fayette - Peoria, ILCAB - Boston, MA Gender FemaleMale 31.7% (79)68.3% (170) Age Range 18-64Mean Race/Ethnicity AsianNative AmericanHispanic Black/African AmericanWhite.04% (1)2.4% (6)4.4% (11)13.7% (34)82.7% (206) Copyright © 2009–2011, CHESS by the Board of Regents of the University of Wisconsin System. All rights reserved. Events: Participants can view a calendar of healthy and inexpensive events in their city they can participate in. Ask an Expert:: Allows participants to request information and advice and receive a response within 24 hours. Responses to questions of general interest are rendered anonymous and placed in Open Expert for all users to see. References: Gustafson, D.H., Shaw, B.R., Isham, A., Baker, T., Boyle, M.G., & Levy, M. (2011). Explicating an evidenced-based, theoretically informed, mobile technology-based system to improve outcomes for people in recovery for alcohol dependence. Substance Use & Misuse, 46, McKay, J.A. (2009). Treating Substance Use Disorders with Adaptive Continuing Care. Washington, DC: American Psychological Association. Whitten, L. (Nov, 2009). Computer-based interventions promote drug abstinence. NIDA Notes, 22 (5), pp.1, Methods Persons with an alcohol dependency are randomly assigned to receive smart phone access to the resources or treatment as usual prior to discharge from residential treatment. The phones have unlimited internet access and call time and are linked to the web based services for eight months. Follow-up evaluations are conducted at 4, 8 and 12 months. A key outcome factor is number of risky drinking days during the past 30 days for each evaluation period. A survey measuring 5 protection and 5 risk factors for recovery is pushed through the phones to participants weekly.
Applying Science to Transform Lives TREATMENT RESEARCH INSTITUTE TRI science addiction Mady Chalk, Ph.D Treatment Research Institute CADPAAC Conference.
J. Aaron Johnson, PhD 1 and J. Paul Seale, MD 2 1 Institute of Public and Preventive Health and Department of Psychology, Georgia Regents University, Augusta,
Overview of Issues: Barriers to Developing EHR in This Field Constance Weisner, DrPH, MSW Jennifer Mertens, PhD Stacy Sterling, MSW, MPH Narrowing the.
Office Redesign to Increase Prevention Services? Give “PEAs” a Chance Cheryl B. Aspy, Ph.D. Professor, Family & Preventive Medicine OUHSC – College of.
Director of Evaluation and Accountability Manager, UW’s Grand Rapids, Michigan Robert McKown, CIRS Director of Evaluation and Accountability Sherri.
Presented by the Illinois Department of Insurance Andrew Boron, Director SEPTEMBER 2012.
Journal Club Alcohol, Other Drugs, and Health: Current Evidence January–February 2011.
Introduction Results and Conclusions On counselor background variables, no differences were found between the MH and SA COSPD specialists on race/ethnicity,
Using New Communication Technologies to Enhance Services at Smoking Quitlines Lorien Abroms, ScD. Dept. of Prevention & Community Health GW School of Public.
Component 1: Introduction to Health Care and Public Health in the U.S. 1.5: Unit 5: Financing Health Care (Part 2) 1.5d: Controlling Medical Expenses.
Health Records in Other Settings Ambulatory CareRehabilitation Long Term CareHome Care Mental Health Hospice.
Ayer Concord Drug Court Program Hilary Curtis Ph.D., Program Director Technology & Relapse Prevention Project.
Michael Celestin, MA,CHES,CTTS 3/6/2013 R2R MENTORSHIP EXPERIENCE.
Illness Management and Recovery An Evidence-Based Practice.
Virtual Townhall Meeting: Reducing the Risk of Spinal Cord Injuries for People with SCI.
Community Planning Training 1-1. Community Plan Implementation Training 1- Community Planning Training 1-3.
Moving the Addictions Treatment Field Forward Dick Dillon Innovaision, LLC St. Louis, Missouri Arthur Schut Arapahoe House, Inc Colorado 39 th Advanced.
Improving Online Weight Loss and Dissemination Potential RC1 HL
You can customize your privacy settings. The privacy page gives you control over who can view your content. At most only your friends, their friends and.
About Attend Anywhere™ Private company based in Melbourne, Australia Provides web services that facilitate the exchange of education and professional services.
SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) 1.
Integrated Health Home Services in an Opioid Treatment Program: A Model Yngvild Olsen, MD, MPH Institutes for Behavior Resources, Inc./REACH Health Services.
Professional Practices: Referral & Documentation Melody Kipp, PhD, LMHC Life & Work Soulutions, Inc.
The Patient-Centered Medical Home and Health 2.0 Beyond the Bricks Jane Sarasohn-Kahn, MA, MHSA THINK-Health and Health Populi blog AHRQ 2009 Conference,
The Claromentis Digital Workplace An Introduction
Health Management Information Systems Unit 3 Electronic Health Records Component 6/Unit31 Health IT Workforce Curriculum Version 1.0/Fall 2010.
Steps for Success in EHR Planning Bill French, VP eHealth Strategies Wisconsin Office of Rural Health HIT Implementation Workshop Stevens Point, WI August.
Team Care For Chronic Disease Patients: Using Lay “Care Guides” Allina Health Friday February 21, – 2 p.m. CST.
Participants Adoption Study 109 (83%) of 133 WSU Cooperative Extension county chairs, faculty, and program staff responded to survey Dissemination & Implementation.
| healthy behavior through technology Innovations in Treatment : How Technology Can Improve Your Clinical Practice NIATx Action Campaign.
Your Guide. Table of Contents Welcome to MyChart…………………………….…..3 How to Sign Up………………………………… MyChart Homepage (navigating through MyChart)……...
HealthNet connect Telehealth Rodney Brown Executive Director HealthNet connect, HNc Services & BroadNet connect.
Written Care Plans for Children with Chronic Conditions: What Do Families Think? Linda Barnhart Shervin Churchill Jean Popalisky Nanci Villareale June.
Electronic Use Policies. Social Media Internet.
Susie Mullens MS, LPC, ALPS, Licensed Psychologist, AADC-CCS
Conference on Medical Thinking University College London June 23, 2006 Medical Thinking: What Should We Do? Edward H. Shortliffe, MD, PhD Department of.
National Family Support Network The Model and the Method The experience of family members in the research was very familiar Certain nuances.
DR EBTISSAM AL-MADI Consumer Informatics, nursing informatics, public health informatics.
Foundations of Addictions Counseling, 3/E David Capuzzi & Mark D. Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved.
Innovative Use of Social Media Tools to Enhance Retention in Community-based Research Gloria M. Miele, Ph.D. 1, Aimee N. C. Campbell, Ph.D. 1,2, Eva Turrigiano.
National Strategy for Quality Improvement in Health Care June 15, 2011 Kana Enomoto Director Office of Policy, Planning, and Innovation.
Overview NIATx-SI Business Practices for the Future Learning Collaborative Fee-for-Service NIATx-SI: Business Practices for the Future Learning Collaborative.
Web-based Transdisciplinary Training: Problem Solving and Response to Intervention Presented to Nebraska RtI Consortium February 23, 2007 Kathy L. Bradley-Klug,
Christa Marsh Southern Arkansas University Biology Professor.
About Attend Anywhere™ Private company based in Melbourne, Australia Provides web services that facilitate the exchange of education event, consulting.
The student will be able to: Define Drug Information Center List Drug Information Center goals Recognize the activities provided by Drug Information.
Good Morning Connecting with National Cancer Institute Sara Comstock, ICC, NCI CIS Maebe Brown, NCI CIS.
Proposed Cross-center Project Survey of Federally Qualified Health Centers Vicky Taylor & Vicki Young.
CTxCPCRN Central Texas Cancer Prevention and Control Research Network Kick Off Grantee Meeting Atlanta, Georgia October 15-16, 2009.
Programs of the Intel® Education Initiative are funded by the Intel Foundation and Intel Corporation. Copyright © 2007 Intel Corporation. All rights reserved.
© 2017 SlidePlayer.com Inc. All rights reserved.