druginfo seminar: surfing the e-couch: a quick guide to e-hub services
DESCRIPTION
Julia Reynolds. DrugInfo seminar: Information and communication technology. 22 August 2011TRANSCRIPT
Julia Reynolds, e-hub clinical services manager
Turning Point: Melbourne 22.08.2011
Surfing the e-couch: a quick guide to e-hub services
Presentation made available by The Australian National University. It includes 3rd party material used with permission or under licence. Material from this presentation cannot be reproduced or communicated without prior permission of the ANU
e- services can be:
Used for mass delivery and
access, autonomy, privacy, engagement
shame, stigma
Effective, cost effective
2Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
e-hub services
Mental health Information
Automated self help tools (CBT and other therapies)
Online peer support
Free, accessible, based on best available evidence
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e-hub: current AOD projects:
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Stimulant useMI + CBTf2f practice 3 modules
Recruiting October
U/age (16-18yr) binge drinking:1) Influential factors (now)2) Brief intervention
Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
35% of people with substance use disorder have at least 1 affective or anxiety disorder
People in AOD treatment: 51- 84% have mental illness
Most freq: mood, anxiety, personality+ extremely high rate of trauma exposure
Australia: 69% outpt Rx for ETOH dependence D or Anx
as cited in Mills et al (2010) “Guidelines on the management of co-occurring drug and alcohol and mental health problems in alcohol and other drug treatment settings.” http://www.med.unsw.edu.au/NDARCWeb.nsf/page/Comorbidity+Guidelines
5Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
6Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
www.bluepages.anu.edu.au
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Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
www.moodgym.anu.edu.au
~49,000 unique visitors/month > 20 studies English/Norwegian
5 modules: 20-40 mins Quizzes, Audio downloads Interactive workbook
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10Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
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203 nation states by 2008 > 400,000 reg’d usersPresentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
Lifeline users:
0
5
10
15
20
25
30
35
40
45
Pre-intervention Post-intervention 6 month follow-up 12 month follow-up
CE
S-D
Internet only
Internet plus tracking
Tracking only
Control
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www.ecouch.anu.edu.au
The latest!
Quizzes, workbooks, downloads
Currently: 6 RCTs
6733 unique visitors per month
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e-couch
Registration
Assessment
Generalised Anxiety Disorder
Social Anxiety Disorder
Panic Disorder
Bereavement & Loss
Divorce & Separation
Depression
Toolkits:• CBT (worry)• Relaxation
therapy• Physical
activity
Toolkits:• CBT• Exposure
therapy• Attention
practice• Social skills
training• Relaxation
therapy
Toolkits:• CBT• Exposure
therapy• Relaxation
therapy• Physical
activity
Toolkits:• Techniques
for dealing with grief
• CBT
Toolkits:• CBT• Problem
solving• Practical
advice
Toolkits:• CBT• IPT• Relaxation
therapy• Physical
Activity• (Problem
solving)
CBT Relaxation Therapy
Physical activity
IPT Exposure Attention practice
Social skills
Depression * * * *
GAD * * *
SAD * * * * *
14Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
15Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
1) PSYCHOEDUCATION
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2) Tool kits
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19Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
20Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
21Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
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Board themes
Supporting others• Need for self care• The ways that caring can disempower people• Supporting others when they are not at the point
of seeking help
Self- support • Treatments• Managing symptoms• Managing ripple effects (e.g., work, r/ships)
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1) Self-help: Prevention/ Early intervention/ Relapse Prevention?
2) With the support of a therapist in dual/ multiple diagnosis?
A resource for f2f cbt – combined use may improve outcomes??
A supervised self-help intervention that runs alongside other forms of therapy – e.g., where a client’s situation is complex
Peer groups may provide social skills / exposure practice, distraction/ soothing, social support
How might e-hub be used ?
Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.
e-hub assist
25anu