#iaod13 online treatment enhancement

Online Treatment Enhancement – developments and possibilities

Ray Stephens – Online Project Leader

The future is here

Remote barriers

• < 18 y.o. male• Youth outreach worker fortnightly• Requires inpatient youth detox• Lives in Corryong

Accessing detox 1

• Wodonga via bus• 1 bus (1.5 hrs) each way / day

• Assessment withdrawal nurse• Phone assessment Williams House• Back to Corryong• Full day out• 3 week waiting list• 2nd daily phone contact with Wodonga

Accessing detox 2

• Bed comes up• Bus to Wodonga (1.5 hours)

• Meet withdrawal nurse

• Melbourne via train (4 hours)• Cab to hotel• Overnight in hotel• Next day cab to Williams House

Completed withdrawal program

Cost

3 bus trips Albury to Corryong $ 93

Train to Melbourne $ 32

Cab to hotel $ 20

Hotel$ 80

Cab to Williams House$ 10

Total$235

To get to resi-withdrawal

Cost

Cab to city $ 20

Train Melbourne to Wodonga $ 32

Cab to hotel$ 10

Hotel$ 80

Bus Albury to Corryong $ 31

Total$173

Total travel cost = $408

To get to home

Gaps

Cost of transport

Time in travelling

Separation from family

Multiple workers involved

= engagement?

Accessing detox

• Wodonga via bus• 1 bus (1.5 hrs) each way / day• Assessment withdrawal nurse

• Phone assessment Williams House• Back to Corryong• Full day out• 3 week waiting list

• 2nd daily phone contact with Wodonga

• Video assessment

TelehealthPortable kiosks

An estimated 1.8 million patients will be treated through telehealth worldwide by 2017.

Telehealth

One more thing…..