www.inflexxion.com | healthy behavior through technology innovations in treatment : how technology...

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 BreslerVice President Clinical Development, Substance Abuse Product Coordinator ASI-MV Connect [email protected] [email protected]


Agenda

Introductions & Background

Common Challenges

Barriers to Implementation

Overview of New Technologies

Summary

Additional Resources

Questions & Discussion


• 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


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


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


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.


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


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


Electronic Health Records (EHRs)

Examples Strengths Challenges

• 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)


Technology for Screening & Assessments


• GetFit (GetFit.SAMHSA.gov)

• ReThinkingDrinking (rethinkingdrinking.niaaa.nih.gov/ToolsResources/Tools.asp)

• SBIRT (sbirt.samhsa.gov/core_comp/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


Online Resources / Networking Sites


• 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


E-Therapy / Online Services


• 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


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


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.


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


Questions & Discussion

Call or email us with any additional questions:

• Al Villapiano [email protected] 800-848-3895 x 222

• Todd Bresler [email protected] 800-848-3895 x 234

• Tom Jackson [email protected] 800-848-3895 x 293

www.inflexxion.com | healthy behavior through technology innovations in treatment : how technology...

Documents