1. www.inflexxion.com | healthy behavior through technology Innovations in Treatment : How Technology Can Improve Your Clinical Practice NIATx Action Campaign Webinar April 13, 2010 Presented by: Albert J. Villapiano, Ed.D. Todd Bresler Vice President Clinical Development, Substance AbuseProduct Coordinator ASI-MV Connect avillapiano@inflexxion.comtbresler@inflexxion.com

2. www.inflexxion.com | healthy behavior through technology Agenda  Introductions & Background  Common Challenges  Barriers to Implementation  Overview of New Technologies  Summary  Additional Resources  Questions & Discussion

3. www.inflexxion.com | healthy behavior through technology Google (www.google.com) –Search engine for instant news & information Join Together (www.jointogether.org) –News in the field, research, grant announcements & action alerts Treatment Improvement Exchange (www.treatment.org) –TIP & TAP publications

4. www.inflexxion.com | healthy behavior through technology In Early 2000… Technology was mostly used for: Billing, Faxing & E-mailing Video-conferencing Reading latest news in the field Learning about research & “best practices” Getting help with complex cases Finding online resources for clients Locating grant & funding opportunities

5. www.inflexxion.com | healthy behavior through technology Today…. In addition to the above, technology is also used for: Creating Electronic Health Records (EHRs) Gathering, integrating & sharing data electronically Professional networking, supervision & distance education (CEUs) Client/patient networking Client screening, assessment, referral, intervention, aftercare, self- help groups, monitoring & recovery coaching

6. www.inflexxion.com | healthy behavior through technology Common Challenges in Substance Abuse & Behavioral Health Treatment Staff Turnover / Staff training Decreasing budgets & growing demand Lack of cross system communications Managing data *Counselor turnover is 25-50% a year, compared to ~ 11% other occupations *~ 50% of Directors have been in their position for less than a year Carise, Deni. “Results of a State-Wide Evaluation of “Paperwork Burden” in Addiction Treatment.” Presented at SAAS/NIATx Conference, July 29- August 1, 2009. Gallon et al. (2003). The toughest job you'll ever love: A Pacific Northwest treatment workforce survey. Journal of Substance Abuse Treatment, 24, 183−196.

7. www.inflexxion.com | healthy behavior through technology Barriers to Implementing New Technology Fear of new technologies – security/confidentiality Counselor & administration acceptance Dealing with change Equipment and implementation issues Lack of staff education

8. www.inflexxion.com | healthy behavior through technology Overview of Technologies in Substance Abuse and Behavioral Health Treatment Electronic Health Records (EHR’s) Technology for Screening & Assessments Online Resources / Networking Sites Online Services / E-Therapy

9. www.inflexxion.com | healthy behavior through technology Electronic Health Records (EHRs) ExamplesStrengthsChallenges WITS (FEI) : mostly government use (www.feinfo.com) PsychConsult (Askesis) : behavioral health provider use (www.askesis.com) Review of 56 companies: Behavioral Healthcare 2009 September;29(8):12-14 – (www.behavioral.net) Standardize operations Minimizes data entry Coordinate clinical, administrative functions Gather, sort & report data in real time Can be customized for business rules & reporting requirements Costs (start-up & on-going for equipment, training & support) Process changes Integrating data sources Cross-system data sharing Confidentiality (42 CFR Part 2)

10. www.inflexxion.com | healthy behavior through technology Technology for Screening & Assessments ExamplesStrengthsChallenges GetFit ( GetFit.SAMHSA.gov) ReThinkingDrinking ( rethinkingdrinking.niaaa.n ih.gov/ToolsResources/Too ls.asp) SBIRT (sbirt.samhsa.gov/core_co mp/screening.htm) ASI-MV Connect (www.asimvconnect.com) Benefits clients in isolated or rural areas Can engage those in pre- contemplation Can get people services more quickly Gathers, sorts & reports clinical data in real time Can increase self-disclosure Assists with primary care integration Inability to observe Process changes Establishing relationship with no or less face-to-face contact Requires computer & internet access

11. www.inflexxion.com | healthy behavior through technology Online Resources / Networking Sites ExamplesStrengthsChallenges NIATx ( www.niatx.net) SAMHSA (www.samhsa.gov) Addiction Technology Transfer Centers (www.attcnetwork.org) LinkedIn (www.linkedin.com) WebMD (www.webmd.com) Promotes promising practices & EBT Free / low cost training (e.g. grant writing) Grant & funding news Knowledge sharing within the field Research Communications not completely secure Requires computer, email account & internet access Not designed for immediate responses

12. www.inflexxion.com | healthy behavior through technology E-Therapy / Online Services ExamplesStrengthsChallenges E-Getgoing (www.egetgoing.com) Enterhealth Online (www.enterhealth.com) Computer-Based Training for CBT (see Resources: NIDA Notes) ACHESS - Addiction Comprehensive Health Enhancement Support System - Smart-phones (clinicaltrials.gov/ct2/show /NCT01003119) Benefits clients in isolated or rural areas Tailored skills & relapse strategies training Offers online self-help meetings Encourages treatment compliance Promotes self-monitoring Provider training & supervision Managing confidentiality issues State regulations Establishing relationship without face-to-face contact Requires computer, email account & internet access

13. www.inflexxion.com | healthy behavior through technology Summary: How Technology Benefits our Field Provides clients more access to help when they need it Enables agencies to serve more clients Gives agencies tools for standardized screening & assessments Enhances provider impact by offering clients technology-based, tailored recovery tools during & after treatment Improves provider training opportunities & access to resources Helps agencies more easily gather, organize & report data Facilitates compliance with regulatory, state & federal requirements Saves agencies time & money when implemented effectively

14. www.inflexxion.com | healthy behavior through technology Final Thoughts NIATx offers a comprehensive process improvement guide and tools, on its website, to assist you with implementing change and adopting new technologies. Technology innovations for our field are here to stay and constantly evolving. The two biggest challenges I see as we move forward are: 1.How to adapt your system to take full advantage of your chosen technologies to benefit you and your clients; and 2.How to ensure your humanity is infused in all you do, so using technology enhances, not inhibits your ability to touch others.

15. www.inflexxion.com | healthy behavior through technology Additional Resources NIATx Introduction to Process Improvement: www.niatx.net/Content/ContentPage.aspx?NID=280 - NIATx conference: SPOTLIGHT SESSIONS on Technology and Innovation NIDA Notes: Computer-Based CBT Interventions: www.drugabuse.gov/NIDA_notes/NNVol22N5/Index.html SAMHSA funding resources: samhsa.gov/Grants SAMHSA publication, Considerations for the Provision of E-Therapy: www.samhsa.gov/samhsanewsletter/Volume_18_Number_1/ProvideETherapy.aspx SAMHSA - Knowledge Application Program (KAP) : www.kap.samhsa.gov/index.htm

16. www.inflexxion.com | healthy behavior through technology Questions & Discussion Call or email us with any additional questions: Al Villapiano avillapiano@asimv.com 800-848-3895 x 222 Todd Breslertbresler@inflexxion.com 800-848-3895 x 234 Tom Jacksontjackson@inflexxion.com 800-848-3895 x 293