TECHNOLOGY ASSISTED CARE IN SUBSTANCE USE TREATMENT
|
|
- Katherine Rodgers
- 5 years ago
- Views:
Transcription
1 TECHNOLOGY ASSISTED CARE IN SUBSTANCE USE TREATMENT AND RECOVERY Michael L. Dennis, Ph.D. Chestnut Health Systems, Normal, IL Wednesday June 14, 2017 Haymarket s 23rd Annual Summer Institute on Addictions, Elmhurst, IL
2 Chronicity and Hope Substance use disorders (SUD) are a chronic condition that typically lasts for decades and have a high risk of relapse. Yet over two thirds of the people with SUD eventually enter recovery. Treatment reduces the time to sustained recovery, but it takes 3 to 4 episodes of treatment before half the people are able to sustain remission. This is actually equal to or better than many other major chronic medical and mental conditions. Source: Dennis, M., & Scott, C. K. (2007). Managing addiction as a chronic condition. Addiction Science & Clinical Practice, 4(1), 45
3 The Challenge Unfortunately, less than 1 in 10 people with SUD access treatment, half drop out in less than 90 days, and half relapse within the 90 days after discharge. Since the turn of the century there has been a growing move to use technology (phones, pc, internet, smartphones, other devices) to reduce the barriers to entering and staying in treatment, enhance treatment and for providing recovery support. Technology has also been used to improve capacity, consistency, quality, effectiveness and costeffectiveness of care. Source: Dennis, M., & Scott, C. K. (2007). Managing addiction as a chronic condition. Addiction Science & Clinical Practice, 4(1), 45
4 Workshop Objectives 1. Review advances in technology and technology assisted care in substance use treatment and recovery support; 2. Examine evidence on their acceptability and effectiveness with actual clients; 3. Identify existing resources that participants can access immediately; and 4. Identify some of the limits of what is available and look at where we are going.
5 Review advances in technology and technology assisted care in substance use treatment and recovery support
6 Examples of Technology Used to Make Care More Accessible and Efficient, and Effective Telephones, cell phones, smartphones Computers, Laptops, and e readers Internet, streaming and mobile applications Electronic health records Clinical decision making and machine learning Each can be used to help with gaining access, scheduling appointments, communications counseling, recovery support, skill building, and increasing patient engagement
7 Growth in Mobile Phones 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Cellphone (95%) Smartphone (77%) Of the 56% of people in 2016 with landlines, 48% also have cellphones In addition to numbers, smartphones have gone from PDA (Palm, blackberry) to being handheld computers Source: sheet/mobile/,
8 Correlates of Smartphone Ownership in % 80% 60% 95% 96% 94% 94% 94% 98% 100% 99% 97% 80% Cellphone Only Smartphone 40% 20% 0% Total Men Women White Black Hispanic Ages Little relationship to gender or race (very different than PC) Does go down with age Source: sheet/mobile/
9 Correlates of Smartphone Ownership in 2016 (continued) 92% 92% 96% 97% 92% 95% 96% 99% 95% 96% 94% 100% 80% 60% 40% 20% 0% Cellphone Only Smartphone Smartphone ownership goes up with education and income, and is lower in rural areas Less than H.S. High school Some college College graduate Less than $30,000 $30,000 $49,999 $50,000 $74,999 $75,000+ Urban Suburban Rural Source: sheet/mobile/
10 Comparison with Trends for Other Devices 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Desktop/laptop (78%) Tablet (51%) E reader (22%) Source: sheet/mobile/
11 Internet Usage in the U.S.: % of us use the internet 85% access it by a mobile device The most common uses include News Social networking Music/video streaming Accessing health information Source: sheet/mobile/
12 Internet as a diagnostic tool Source: internet and health/
13 Internet for Self Tracking Source: internet and health/
14 Internet for Self Tracking And the above numbers were from 2012 and have likely grown further in the past 5 years Source: internet and health/
15 How many of you 1. Have looked up health information on the internet? 2. Looked up information on health care providers? 3. Have a health application on your computer, tablet or phone? 4. Have refilled a prescription on line, made an appointment? 5. Have accessed your health care providers patient portal? 6. Wanted to communicate with your health care provider on line, including text or ? Source: sheet/mobile/
16 Examine evidence on technology assisted care s acceptability and effectiveness with actual clients
17 7 Reviews and formal meta analyzes across studies have found that Technology based prevention treatment and recovery support services as adjuncts can improve treatment satisfaction and outcomes Can work as well or slightly better than traditional human delivery of services Meta analyses of EMI across multiple platforms (e.g., SMS, IVR, smartphones) and health outcomes have generally found positive effects. Similar results for the limited number of smartphone studies to date. Sources: In notes
18 Telephone Continuing Care Experiment 104 Adult patients being discharged from residential treatment were randomized to usual continuing care vs telephone continuing care (TCC) for 3 months The TCC group were significantly more likely to have: Higher rates of initiating continuing care More sessions of continuing care Fewer symptoms of substance use disorders High treatment satisfaction The TCC group also expressed high satisfaction with the 20 min calls and 72% would like them to have to continued Source: Godley, M. D., Coleman Cowger, V. H., Titus, J. C., Funk, R. R., & Orndorff, M. G. (2010). A randomized controlled trial of telephone continuing care. Journal of substance abuse treatment, 38(1),
19 CBT4CBT Experiment 77 patients randomized to standard treatment vs. standard treatment plus 6 more modules of Computerized CBT CBT4CBT group were significantly more likely to have: Clean urines Longer continuous periods of abstinence High treatment satisfaction No significant difference on total days in treatment or total days of abstinence Completion of CBT4CBT modules was correlated with treatment involvement and outcomes Source: Campbell, A.M., Nunes, E.V., Miele, G.M., Matthews, A.., Polsky, D., Ghitza, U., Turrigiano, E., VanVeldhuisen, P., Chapdelaine, R., Froias, A., Stitzer, M.L.,Carroll, (2014). Internet delivered treatment for substance abuse: A multisite randomized controlled trial. American Journal of Psychiatry, 171,6,
20 ACHESS Smartphone Experiment 349 adult patients at residential discharge randomized to continuing care as usual vs. that plus the Addiction Comprehensive Health Enhancement Support System (ACHESS) smartphone application ACHESS patients used the application and average 56 times per week over 8 months ACHESS group were significantly more likely to have: fewer days of risky drinking Longer continuous periods of abstinence No significant difference on total days of abstinence The frequency of using the ACHESS application was correlated with better outcomes Source: Gustafson DH, McTavish FM, Chih M Y, et al. A smartphone application to support recovery from alcoholism: A randomized clinical trial. JAMA Psychiatry. 2014;71(5):
21 Combining EMA and EMI 29 adolescents being discharged from residential adolescents being asked to self monitor via ecological momentary assessments (EMAs) 6 times a day and provided 24/7 access to ecological momentary interventions (EMIs) related to relapse prevention for 6 weeks 5580 EMA observations (87% completion) and 24,563 EMI (average of 84 EMI per person week). Demonstrated ability to use the EMA to predict time to relapse. Demonstrated that use of EMI was associated with reducing this risk. Source: Dennis, M. L., Scott, C. K., Funk, R. R., & Nicholson, L. (2015). A pilot study to examine the feasibility and potential effectiveness of using smartphones to provide recovery support for adolescents. Substance abuse, 36(4),
22 Substance Use in the Next 7 Days by EMA Observation Risk Group Source: Dennis, M. L., Scott, C. K., Funk, R. R., & Nicholson, L. (2015). A pilot study to examine the feasibility and potential effectiveness of using smartphones to provide recovery support for adolescents. Substance abuse, 36(4),
23 Smartphone Recovery Support Services (mean of 84 per week) Times Per Week Recovery Support Recovery Motivation Relaxation Most popular were within cohort discussion groups, and texting within group Social Networking 11 Source: Dennis, M. L., Scott, C. K., Funk, R. R., & Nicholson, L. (2015). A pilot study to examine the feasibility and potential effectiveness of using smartphones to provide recovery support for adolescents. Substance abuse, 36(4),
24 Substance Use in the Next 7 Days by EMI Utilization within 1 Hour 100% % Using in the Next 7 Days 80% 60% 40% 20% 43% 32% 0% 0 1 Times 2+ Times EMI Utilization within 1 hour of EMA * OR=0.62, p<.05 Source: Dennis, M. L., Scott, C. K., Funk, R. R., & Nicholson, L. (2015). A pilot study to examine the feasibility and potential effectiveness of using smartphones to provide recovery support for adolescents. Substance abuse, 36(4),
25 Substance Use by Risk and EMI Utilization within 1 Hour % Using in Next 7 Days 100% 80% 60% 40% 20% 96% 93% 51% 43% Effect was largest and use was lowest for youth who were recognizing risk and using EMI 33% 21% 0% Current use (O=94; OR=.55) Unrecognized Risk (O=1552; OR=.69) Recognized Risk (O=1994; OR=.54) 0 1 Times 2+ Times *p<.05 Source: Dennis, M. L., Scott, C. K., Funk, R. R., & Nicholson, L. (2015). A pilot study to examine the feasibility and potential effectiveness of using smartphones to provide recovery support for adolescents. Substance abuse, 36(4),
26 Identify existing resources that participants can access immediately
27 Technology Assisted Care (TAC) Brief Intervention: Targeted a places with limited behavioral health that may do a lot of screening / referral sources such as primary care, FQHC, CMHC, probation/parole Clinician Extender: Administered as an adjunct to treatment where clinicians prescribe modules as home work to enhance intervention; phone, text or portal to fill in down time. Stand Alone Treatment: Comprehensive services (up to 65 modules) delivered over a structured period of time as an alternative to regular treatment due to access issues, schedule or preference Source:
28 TAC Consideration Self directed websites are often administered by a third party will likely want a business associate agreement. To allow staff access and control, typically purchase a license agreement for so many clients and provide them with individual id and passwords need to ensure that the patient portal is compliant with HIPAA and HITECH Applications vary in in the amount of person information they collect (e.g., names, date of birth) and their ability to preload it from your records need to assess ability to integrate with your electronic records system Source:
29 Some Key Resources for Evidence Based Practices that are available NOW Computer Based Training for Cognitive Behavioral Therapy at Technology Assisted Care for Substance Use Disorders at Addiction Comprehensive Health Enhancement Support System (ACHESS) at Global Appraisal of Individual Needs (GAIN) Coordinating Center at
30 Therapeutic Education System (TES) TES is an interactive, web based psychosocial intervention for SUDs, grounded in: Community Reinforcement Approach (CRA) + Contingency Management Behavior Therapy + HIV Prevention Self directed, evidence based program includes skills training, interactive exercises, and homework Audio component accompanies all module content Electronic reports of patient activity available Contingency Management Component tracks earnings of incentives dependent on some defined outcome (e.g., urine results confirming abstinence) New content can be readily added Uses incentive procedures including a virtual fishbowl using intermittent schedule of reinforcement based on abstinence, and module completion Currently enroll through an existing treatment program or private practice. Source:
31 TES Consists of 65 interactive, multimedia modules including Conducting a functional analysis Effective problem solving Drug refusal skills training Managing negative thinking Steps for giving constructive criticism Giving and receiving complements Communication skills Sharing feelings HIV and AIDS Drug use, HIV and Hepatitis Increasing self confidence in decision making Source:
32 Computer Based Training for Cognitive Behavioral Therapy (CBT4CBT) CBT4CBT is a web based program that teaches a variety of CBT skills that are specific for helping people to reduce substance abuse. CBT4CBT is a self guided web based program with 7 one hour modules that uses movies and examples to teach skills. Typically take one module per week, they can be done in any order. Currently enroll through an existing treatment program or private practice. Source:
33 CBT4CBT includes modules on Understanding patterns of substance use, Learning to recognize and deal with craving, Addressing thoughts about substance use that can set you up to use, How to effectively say No to offers of alcohol or drugs, and how to be more aware of patterns of thinking and decision making that can lead to drug use. Source:
34 Addiction Comprehensive Health Enhancement Support System (ACHESS) ACHESS is a smartphone based relapse prevention program designed to improve continuing care. It is grounded in self determination theory and seeks to satisfying three fundamental needs contributes to adaptive functioning: perceived competence, a feeling of relatedness, and autonomous motivation. It is also based on relapse prevention to address high risk situations, lack of coping responses, and craving. ACHESS also has a counselor dashboard for interacting with patients Currently enroll through an existing treatment program or private practice. Source:
35 ACHESS features include: resources to cope with pressures to relapse such as cravings, withdrawal symptoms, and high risk situations (competence); providing opportunities to give and receive social support to persevere (relatedness); and developing and maintaining autonomous motivation to prevent relapse (autonomy). GPS alerts when approaching a high risk area, Medication and appointment reminders Daily and weekly surveys Recovery management plans Source:
36 GAIN features include: The Global Appraisal of Individual Needs (GAIN) is a family of standardized instruments that include clinical decision support to help clinicians with diagnosis, treatment planning, placement and program evaluation They can each generate narrative and tabular reports that can used with patients, other staff and other providers The cloud based system is also designed so that it can be a component of a n electronic medical record system The GAIN has been used by collect 711,000 assessments by 14,500 staff in over 4700 agencies in all 50 states of the U.S., 10 provinces of Canada and 11 other countries. It has over 450 publications and publically available psychometrics on over 100,000 adults, young adults and adolescents. It has been recognized and recommended as a standardized assessment tool by multiple federal, states, tribal and private agencies. Source:
37 Range of GAIN Instruments a 5 minute screener for general populations that can accurately identify 90% of the diagnoses related to internalizing or externalizing mental health disorders, alcohol or other drug disorders, and crime or violence, accurately rule out 90% that do not have them, and be used to measure change. a 25 minute quick assessment for indicated populations that incorporates above plus additional screeners for work, school,, health, stress, risk behaviors, life satisfaction, health care utilization and costs, as well as motivational interviewing to a 1 2 hour full bio psychosocial assessment tool for intake to substance use and co occurring substance use/mental health programs across levels of care and ages that incorporates the above but also measures more detailed scales and information in each area, as well as HIV risk behaviors, psychosocial stress, lifetime history of problems./utilization, more detailed diagnoses, triggers for treatment planning recommendations and placement. Source:
38 Highlights the importance of using technology based assessments and interventions in behavioral health treatment services. Discusses how technology reduces barriers to accessing care. Literature review through 2014 Source: 60 Using Technology Based Therapeutic Tools in Behavioral Health Services/SMA
39 Information on treatment approaches and medications approved by the U.S. Food and Drug Administration for use in the treatment of opioid use disorders. A buprenorphine prescribing guide, which includes information on the Drug Addiction Treatment Act of 2000 waiver process and patient limits Clinical support tools, such as treatment guidelines, ICD 10 coding, and recommendations for working with special populations, access to critical help lines and SAMHSA treatment locators Source:
40 National Frontier and Rural ATTC Source:
41 Identify some of the limits of what is available and look at where we are going
42 Some Current Limits of These Systems Most of the evidence based systems are currently only available through a SUD treatment program or private practice and not yet accessible directly by individuals Tend to mimic treatment or continuing care with a duration of 3 months or less and may not be as useful for longer term support with out further development of new models of care and/or recovery support While relatively inexpensive, it is not always clear how to bill for it as an adjunct to treatment.
43 Real Security Concerns 64% of Americans have personally experienced a major data breach and Tend to mimic treatment or continuing care with a duration of 3 months or less and may not be as useful for longer term support 41% have had fraudulent credit card charges 35% have received notices that sensitive information has been compromised 15% say someone has take over their 13% say someone has take over their social media 6% say someone tried to steal their tax return Source: PEW Research and cybersecurity/
44 Trust to Protect Their Data Source: PEW Research and cybersecurity/
45 Where are we going More user friendly applications to help with screening and referral that can be used by community partners (e.g., first responders, teachers, health care providers) and/or even directly by individuals More user friendly electronic health records (EHR) that better follow workflow, integrate information between providers and with patient portals, and have more useful dash boards to help manage care from different perspectives More user and mobile friendly patient portals to improve access, scheduling, communications and even coordinate providing direct services Updates to make websites more mobile friendly
46 Next Generation of Patient Portals Focus on patient activation/engagement in treatment and recovery support User and mobile friendly with better management of views based on what people what to do, like: View Clinical Summaries Health and Behavior Tracking Access to patient education and resources Secure electronic messaging Timeline access to health care information Reminders about appointments and preventive care (including relapse prevention) Links to adjunct and continuing care services Intuitive search and indexing (vs current data dump you have to manually dig through) Source: nlc_how_to_optimizepatientportals_for_patientengagement.pdf
47 QUESTIONS? Comments on this presentation can be addressed to Michael Dennis at or A copy of this presentation is publicly available at Haymarket
Technology-Based Models for Substance Abuse Treatment Delivery: Lessons Learned
Technology-Based Models for Substance Abuse Treatment Delivery: Lessons Learned Lisa A. Marsch, Ph.D. Director, Center for Technology and Health (CTH), National Development & Research Institutes (NDRI)
More informationCHESS Framework. Relatedness. Competence. Autonomy
CHESS Framework Relatedness Competence Autonomy *Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum. A-CHESS is a smartphone app It is
More informationNote: The trainings below represent a foundational list, and may be adapted based on audience and need.
MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing (offered in English and Spanish) 2-day Course (12-14 credit hours) This course is designed to introduce clinicians and staff members
More informationEvidence-Based Practice: Psychosocial Interventions
Evidence-Based Practice: Psychosocial Interventions Maxine Stitzer, Ph.D. Johns Hopkins Univ SOM NIDA Blending Conference June 3, 2008 Cincinnati, Ohio Talk Outline What is an evidence-based practice?
More informationNote: The trainings below represent a foundational list, and may be adapted based on audience and need.
MOTIVATIONAL INTERVIEWING Introduction to Motivational Interviewing (offered in English and Spanish) 2-day Course (12-14 credit hours) This course is designed to introduce clinicians and staff members
More informationIncreasing Access to Addiction Treatment Services Exploring Mobile Applications
Increasing Access to Addiction Treatment Services Exploring Mobile Applications David Gerber St. Christopher's Inn Bret R. Shaw, Ph.D. University of Wisconsin - Madison How does technology improve access
More informationAs substance abuse treatment agencies become more familiar with Motivational
SEPTEMBER 2007 VOLUME 10, ISSUE 9 PLEASE COPY OR POST SERIES 27 Northwest Frontier Addiction Technology Transfer Center 810 D Street NE Salem, OR 97301 Phone: (503) 373-1322 FAX: (503) 373-7348 A project
More informationYOUTH ADDICTIONS E-THERAPY PROGRAM SPONSORED BY FEDERAL GRANT
YOUTH ADDICTIONS E-THERAPY PROGRAM SPONSORED BY FEDERAL GRANT Strengthening Teens Empowering Parents 09/24/08 AOCMHP Meeting Slide 1 What is STEP? Alcohol and/or drug education, prevention and intervention
More informationImproving Outcomes in Methadone Treatment
Improving Outcomes in Methadone Treatment Cognitive/Behavioral Treatment Contingency Management Michael J. McCann, MA Matrix Institute on Addictions COMP Symposium September 11, 2007 Overview of Presentation
More informationEffectively Addressing Co-Occurring Nicotine Dependence and Marijuana Use. Chad Morris, PhD March 7, 2018
Effectively Addressing Co-Occurring Nicotine Dependence and Marijuana Use Chad Morris, PhD March 7, 2018 2018 BHWP Behavioral Causes of Death in U.S. 2018 BHWP 2018 BHWP Health Disparities Population Behavioral
More informationContinuing Care Strategies for Long Term Recovery
Continuing Care Strategies for Long Term Recovery Richard Spence, PhD, ACSW Addiction Technology Transfer Center School of Social Work University of Texas at Austin Three Concepts That will Change the
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If you re seeking treatment, you can call the Substance
More informationTrigger. Myths About the Use of Medication in Recovery BUPRENORPHINE TREATMENT: A TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS
BUPRENORPHINE TREATMENT: A TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS Module VI Counseling Buprenorphine Patients Myths About the Use of Medication in Recovery! Patients are still addicted!
More informationBehavioral Therapies for Methamphetamine Use
Behavioral Therapies for Methamphetamine Use Will M. Aklin, PhD National Institute on Drug Abuse Division of Therapeutics and Medical Consequences June 27, 2017 1 Behavioral Therapy Development Program
More informationUse of Reminder Messages to Improve Utilization of an Automated Telephone-Based Treatment for Methadone Patients
Use of Reminder Messages to Improve Utilization of an Automated Telephone-Based Treatment for Methadone Patients Destiny M.B. Printz, B.A. Daniel P. Lloyd, M.A. Frank D. Buono, Ph.D. Brent A. Moore, Ph.D.
More informationTelemedicine: Connecting Behavioral Health and Medical Care
Telemedicine: Connecting Behavioral Health and Medical Care Lawrence S. Brown, Jr., MD, MPH, FASAM CEO, START Treatment & Recovery Centers Clinical Associate Professor of Medicine and Health Care and Policy
More informationOPIOID USE DISORDER CENTERS OF EXCELLENCE APPLICATION GENERAL INFORMATION
OPIOID USE DISORDER CENTERS OF EXCELLENCE APPLICATION GENERAL INFORMATION The Department of Human Services (DHS) is implementing 50 opioid use disorder (OUD) Health Homes or Centers of Excellence (COE)
More informationManagement Options for Opioid Dependence:
Management Options for Opioid Dependence: Policy Implications and Recommendations Dan Ollendorf, PhD Sarah Jane Reed, MSc New England CEPAC Goal: To improve the application of evidence to guide practice
More informationThe Importance of Psychological Treatment and Behavioral Support
The Importance of Psychological Treatment and Behavioral Support Michael W. Otto, PhD Department of Psychological and Brain Science Boston University Conflicts and Acknowledgements No industry funding
More informationCANDIS. A Marijuana Treatment Program for Youth and Adults SCOPE AND SEQUENCE. An Evidence-Based Program from
A Marijuana Treatment Program for Youth and Adults SCOPE AND SEQUENCE An Evidence-Based Program from For more information about this program, visit hazelden.org/bookstore or call 800-328-9000. Introduction
More informationA 5-volume series on promising new brief therapies for teens who use marijuana CYT. Cannabis Youth Treatment Series
A 5-volume series on promising new brief therapies for teens who use marijuana CYT Cannabis Youth Treatment Series U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services
More informationContinuing Care. Part 3 Telephone Monitoring
Continuing Care Part 3 Telephone Monitoring The goal of telephone monitoring is to establish a consistent avenue for tracking a client s recovery process. Through telephone collaborations the addiction
More informationMinneapolis VA s Intensive Outpatient Program (IOP): Screening, Treating, and Tracking Veterans
Minneapolis VA s Intensive Outpatient Program (IOP): Screening, Treating, and Tracking Veterans Stephanie Bertucci, LICSW, IOP Coordinator Marcus Moore, Certified Peer Specialist Daniel Silversmith, PsyD,
More informationJerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry
Jerry Cochran, MSW, PhD University of Utah School of Medicine Department of Internal Medicine Department of Psychiatry Acknowledgements Funding for this work has come from: The Staunton Farm Foundation
More informationOPIOIDS IN AMERICA. A complex crisis. A comprehensive response.
OPIOIDS IN AMERICA A complex crisis. A comprehensive response. Prescription opioids play a critical role in helping millions of people effectively manage chronic pain. But for some, opioid use has become
More informationMedia Kit. September 2017
Media Kit September 2017 About Pear Pear Therapeutics is the leader in FDA-cleared Prescription Digital Therapeutics. The company s approach is to integrate clinically-validated software applications with
More informationPrescription Abuse: Cause, Consequence and Control
Prescription Abuse: Cause, Consequence and Control Glen R. Hanson, Ph.D., D.D.S. Professor in Pharmacology, University of Utah Director of the Utah Addiction Center, University of Utah Senior Advisor,
More informationCommunity-based sanctions
Community-based sanctions... community-based sanctions used as alternatives to incarceration are a good investment in public safety. Compared with incarceration, they do not result in higher rates of criminal
More informationThe Use of Technology in
Slide 1 The Use of Technology in Counseling and Mental Health 1 Page1 Slide 2 Copyright Copyright Texas Education Agency, 2015. These Materials are copyrighted and trademarked as the property of the Texas
More informationWhat Works/ Effective Treatment: Adolescents with Substance Use and Co-occurring Mental Health Disorders
What Works/ Effective Treatment: Adolescents with Substance Use and Co-occurring Mental Health Disorders Randolph D. Muck, M.Ed. Advocates for Youth and Family Behavioral Health Treatment, LLC Most Programs
More informationCTN Research Update. National Advisory Council on Drug Abuse May 8, Betty Tai, Ph.D. Center for the Clinical Trials Network
CTN Research Update National Advisory Council on Drug Abuse May 8, 2013 Betty Tai, Ph.D. Center for the Clinical Trials Network CTN Steering Committee NIDA - CCTN NIDA National Drug Abuse Treatment Clinical
More informationMultimedia Appendix 1. Treatment and disease management Overview of papers mhealth articles
Multimedia Appendix 1. Treatment and disease management Overview of papers mhealth articles Research Country and Sampl e size Device Aims Key effects reference USA [1] 8 Voice To evaluate the practicality
More information7/7/2016 Journal of the American Medical Association,
1 2 Journal of the American Medical Association, 2008 3 The Clinical Trial 152 Adolescents and Young Adults (Age 15 to 21) randomly assigned to either; 1. 2 weeks of Buprenorphine detox 2. 12 weeks of
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment BASIC VOLUME MODULE 1 Drug dependence concept and principles of drug treatment MODULE 2 Motivating clients for treatment and addressing resistance MODULE
More informationCognitive Therapy for Suicide Prevention
This program description was created for SAMHSA s National Registry for Evidence-based Programs and Practices (NREPP). Please note that SAMHSA has discontinued the NREPP program and these program descriptions
More informationSubstance Use Disorders (SUDs) and Medication Assisted Treatment (MAT) for Opiates
Substance Use Disorders (SUDs) and Medication Assisted Treatment (MAT) for Opiates What is MAT? Medication Assisted Treatment (MAT) is the use of medications, in addition to counseling, cognitive behavioral
More informationPsychotherapy Services
Psychotherapy Services Available now Free mental health services for people in Ontario experiencing mild to moderate depression and anxiety Funded by the Government of Ontario Meet Sarah. Sarah is 30
More informationAbout this consent form
Protocol Title: Development of the smoking cessation app Smiling instead of Smoking Principal Investigator: Bettina B. Hoeppner, Ph.D. Site Principal Investigator: n/a Description of Subject Population:
More informationSlide 1. Slide 2. Slide 3. Purpose of the ATTCs
Slide 1 Implementing Technology Assisted Care in Behavioral Health Settings: A Framework for Change (ITAC) Mark Disselkoen, MSW, LCSW, LADC Project Manager Center for the Application of Substance Abuse
More informationAgenda. 1 Opioid Addiction in the United States. Evidence-based treatments for OUD. OUD Treatment: Best Practices. 4 Groups: Our Model
Agenda 1 Opioid Addiction in the United States 2 Evidence-based treatments for OUD OUD Treatment: Best Practices 4 Groups: Our Model 2 Groups is a national network of clinics providing affordable, evidencebased
More informationNJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D.
NJ SBIRT Project QUARTERLY PROVIDER MEETING MARCH 9, 2017 SUZANNE BORYS, ED.D. SBIRT stands for S CREENING BRIEF INTERVENTION R EFERRAL TO TREATMENT SBIRT Defined SBIRT is a comprehensive, integrated,
More informationTechnology-based Strategies for Adolescent Substance Abuse Prevention
Technology-based Strategies for Adolescent Substance Abuse Prevention Sion Kim Harris, PhD Center for Adolescent Substance Abuse Research Boston Children s Hospital Harvard Medical School Disclosures I
More informationKAP Keys. For Clinicians. Based on TIP 33 Treatment for Stimulant Use Disorders. CSAT s Knowledge Application Program
Treatment for Stimulant Use Disorders CSAT s Knowledge Application Program KAP Keys For Clinicians Based on TIP 33 Treatment for Stimulant Use Disorders U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance
More informationPosition Description Counsellor/ Psychosocial Team leader
We get it. Just when life should be full of possibilities, cancer crashes into a young person s world and shatters everything. CanTeen is the game changer. CanTeen is a national support organisation for
More informationHelp for Pregnant Women to Quit Smoking and Stay Quit
BABY & ME Tobacco Free Hendricks County Health Department 355 S. Washington St. #211 Danville, IN 46122 Phone: (317) 745-9222 Fax: (317) 745-9383 Help for Pregnant Women to Quit Smoking and Stay Quit UPDATED
More informationVOLUME B. Elements of Psychological Treatment
VOLUME B Elements of Psychological Treatment VOLUME B MODULE 1 Drug dependence and basic counselling skills Biology of drug dependence Principles of drug dependence treatment Basic counselling skills for
More informationUSING APPS TO HELP SMOKERS QUIT
USING APPS TO HELP SMOKERS QUIT SOME RESEARCH, DATA, AND REAL-WORLD APPLICATIONS NAQC Presentation Jo Masterson, RN, MBA, Co-Founder 2Morrow, Inc. Joella Pyatt, RDH, BS, Tobacco Cessation Coordinator,
More informationRECOVERY BASICS SCOPE AND SEQUENCE. An Educational Video Based on Best Practices in Recovery Management. from
How to Start Strong and Keep Going SCOPE AND SEQUENCE An Educational Video Based on Best Practices in Recovery Management from For more information about this program, visit hazelden.org/bookstore or call
More informationDMHAS ASAM SERVICE DESCRIPTIONS
(DMHAS) Fee for Service (FFS) ANNEX A1 DMHAS ASAM SERVICE DESCRIPTIONS Please carefully review the Service Descriptions that are included in the DMHAS FFS Initiatives in this Annex A1 contract section.
More informationThe role of behavioral interventions in buprenorphine treatment of opioid use disorders
The role of behavioral interventions in buprenorphine treatment of opioid use disorders Roger D. Weiss, MD Harvard Medical School, Boston, MA, McLean Hospital, Belmont, MA, USA Today s talk Review of studies
More informationElectronic Communication Systems: Energizing the Patient with Diabetes to Engage in Their Own Health Care
University of Massachusetts Medical School escholarship@umms UMass Center for Clinical and Translational Science Research Retreat 2016 UMass Center for Clinical and Translational Science Research Retreat
More informationFreedom. Bring the American Lung Association s premier smoking cessation solution to your workplace. FROM SMOKING
Freedom FROM SMOKING Bring the American Lung Association s premier smoking cessation solution to your workplace. Choose the option that s best for your organization. Freedom FROM SMOKING Freedom From Smoking
More informationCare Team Training. Key Components of Collaborative Care. Collaborative Team Approach 4/21/2014 PCP. Core Program. New Roles. Psychiatric Consultant
Team Training Key Components of Collaborative Collaborative Team Approach Patient PCP Manager New Roles Core Program Psychiatric Consultant Behavioral Health Clinicians Additional Clinic Resources Substance,
More informationOverview of MET/CBT 5 Adoption
Overview of MET/CBT 5 Adoption Randolph Muck, M.Ed. Substance Abuse and Mental Health Services Administration Rockville, MD and Michael L. Dennis, Ph.D., Melissa Ives, M.S.W. Chestnut Health Systems, Bloomington,
More informationIDDT Fidelity Action Planning Guidelines
1a. Multidisciplinary Team IDDT Fidelity Action Planning Guidelines Definition: All clients targeted for IDDT receive care from a multidisciplinary team. A multi-disciplinary team consists of, in addition
More informationContingency Management with Adolescents and Their Families
+ Contingency Management with Adolescents and Their Families Evidencebased approach for treating adolescent substance abuse Promotes positive behaviors and addresses ambivalence Strength- Based, Family-
More informationEFFECTIVE PROGRAM PRINCIPLES MATRIX
Page 1 of 6 EFFECTIVE PROGRAM PRINCIPLES MATRIX (Portions taken from National Institute on Drug Abuse) The purpose of this Effective Program Principles Matrix is to provide a framework for bidders to describe
More informationRequest for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services
Request for Proposals (RFP) for School-Based Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services As issued by Montgomery County Alcohol, Drug Addiction and Mental Health Services
More informationInteractive Mobile Health and Rehabilitation
Interactive Mobile Health and Rehabilitation Table of Contents Brief Overview... 4 What Makes imhere Unique... 6 Applications... 11 Steakholders... 15 Brief Overview imhere is a mhealth platform for providing
More informationADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
More informationAsthma Educator Sharing Day October 28, 2016
Asthma Educator Sharing Day October 28, 2016 Tobacco Use vs. Asthma What Can I Do? Smoking and Asthma One of the biggest triggers of asthma. Every year in Michigan, over 1,740 non-smokers die as a result
More informationOUTPATIENT TREATMENT WESTPORT, CONNECTICUT
OUTPATIENT TREATMENT WESTPORT, CONNECTICUT ABOUT CLEARPOINT At Clearpoint, we focus on healing the whole person: mind, body, and spirit. Our comprehensive care methods set clients up for long-term success
More informationBEHAVIORAL HEALTH SERVICES Treatment Groups
BEHAVIORAL HEALTH SERVICES Treatment Groups MOTIVATIONAL ENHANCEMENT GROUP This eight week group is design to assist individuals in resolving the ambivalence that is typical and predictable by anyone faced
More informationOPIOID ANALGESICS AND STIMULANT MEDICATIONS: A Clinician Guide to Prevent Misuse
OPIOID ANALGESICS AND STIMULANT MEDICATIONS: A Clinician Guide to Prevent Misuse Advances in pharmacologic therapy have improved quality of life for patients living with pain, ADHD, and other conditions.
More informationImplementation of a Community-Wide Screening and Brief Intervention Project
Implementation of a Community-Wide Screening and Brief Intervention Project When you look at what determines morbidity in this country, 80% of that has nothing to do with the quality of health care received
More informationTechnology Based Interventions and SBIRT. Nancy A. Roget, MS
Technology Based Interventions and SBIRT Nancy A. Roget, MS Purpose of the ATTCs (SAMHSA FUNDED) develop and strengthen the workforce that provides addictions treatment and recovery support services to
More informationYouth Detox & Supported Recovery Annual Program Report
see what s possible & Annual Program Report 2016-17 About us Our and Services provide a community-based family care model of non-medical withdrawal management, and supported recovery in Vancouver to youth
More informationApplying for Transition House
4.2 Applying for Transition House Welcome to Transition House, Inc. Before you begin the application process here are a few things for you to consider: You must be 18 years old or older You must be seriously
More informationFY17 SCOPE OF WORK TEMPLATE. Name of Program/Services: Medication-Assisted Treatment: Buprenorphine
FY17 SCOPE OF WORK TEMPLATE Name of Program/Services: Medication-Assisted Treatment: Buprenorphine Procedure Code: Modification of 99212, 99213 and 99214: 99212 22 99213 22 99214 22 Definitions: Buprenorphine
More informationTRAUMA RECOVERY CENTER SERVICE FLOW
TRAUMA RECOVERY CENTER SERVICE FLOW Photograph by Ezme Kozuszek What wisdom can you find that is greater than kindness? Jean Jacques Rousseau The UC San Francisco Trauma Recovery Center Model: Removing
More informationImproving the Quality of Addiction Treatment
Improving the Quality of Addiction Treatment Expanding Access to Medication-Assisted Treatment in Residential Addiction Treatment Programs Webinar sponsored by RTI International January 18, 2018 RTI International
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment BASIC VOLUME MODULE 1 Drug dependence concept and principles of drug treatment MODULE 2 Motivating clients for treatment and addressing resistance MODULE
More informationNCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Medicaid Transformation Project
NCACH RAPID CYCLE APPLICATION: OPIOID PROJECT North Central Accountable Community of Health - Introduction The North Central Accountable Community of Health (NCACH) is accepting applications from partners
More informationJust relax while we run it.
Just relax while we run it. the problem In the Philippines, especially in Metro Manila, average Filipino people spend most of their time working to earn a living. They try their best to accomplish household
More informationAngie Boarman Forensic Treatment Program Manager FSSA Division of Mental Health and Addiction
Angie Boarman Forensic Treatment Program Manager FSSA Division of Mental Health and Addiction Agenda Recovery Works Overview Current Status Changes Coming soon DMHA Happenings Recovery Works Overview DMHA
More informationQuitline Activity in the Republic of Korea
DOI:http://dx.doi.org/10.7314/APJCP.2016.17.S2.1 QUITLINE SUPPLEMENT E Hwa Yun 1,2,3, Min Kyung Lim 1,2,3 * Jin-Kyoung Oh 1,2,3, In Ha Ki 3, Sang-Hwa Shin 3, Bo Yoon Jeong 2 Abstract To reduce tobacco
More informationEVALUATION OF AN INTERRELATED TIERED INTERVENTION TO REDUCE HAZARDOUS AND HARMFUL DRINKING
EVALUATION OF AN INTERRELATED TIERED INTERVENTION TO REDUCE HAZARDOUS AND HARMFUL DRINKING Ciara Close, Research Fellow, Centre for Public Health, QUB ALCOHOL MISUSE Alcohol misuse means drinking excessively
More informationOrganization: NAMI Minnesota Request ID: Program Title: Reducing Smoking Among People with Mental Illnesses
Organization: NAMI Minnesota Request ID: 16872475 Program Title: Reducing Smoking Among People with Mental Illnesses 1. Overall Goal & Objectives The overall goal of this project is to reduce the rate
More informationWhat is Measurement Based Care?
ur agenda Background & Development of the BAM What is the BAM? Contents, Administration, Scoring Who gets the BAM and when do they get it? Treatment Planning Integrating the BAM into your practice and
More informationTreatment of Methamphetamine Dependence: Does Treatment Work?
Treatment of Methamphetamine Dependence: Does Treatment Work? Mary Lynn Brecht, Ph.D. Richard A. Rawson, Ph.D Semel Institute for Neuroscience and Human Behavior David Geffen School of Medicine University
More informationUpdate from NIAAA. Alcohol Prevention, Treatment, and Recovery Research
Update from NIAAA Alcohol Prevention, Treatment, and Recovery Research Lori Ducharme, Ph.D. Program Director Division of Treatment & Recovery Research NASADAD 2017 Annual Meeting NIAAA Strategic Plan:
More informationA guide to peer support programs on post-secondary campuses
A guide to peer support programs on post-secondary campuses Ideas and considerations Contents Introduction... 1 What is peer support?... 2 History of peer support in Canada... 2 Peer support in BC... 3
More informationApplying Mobile Technology to Mental Health and Substance Use Disorders: The State of the Science
Applying Mobile Technology to Mental Health and Substance Use Disorders: The State of the Science Lisa A. Marsch, PhD Director, Dartmouth Center for Technology and Behavioral Health Director, Northeast
More informationIT and Information Acceptable Use Policy
BMI IMpol04 Information Management IT and Information Acceptable Use Policy This is a controlled document and whilst this document may be printed, the electronic version posted on the intranet/shared drive
More informationVivitrol Drug Court and Medication Assisted Treatment
Vivitrol Drug Court and Medication Assisted Treatment Amy Black, CNP and Judge Fred Moses Court program Self-starters Mission Statement To provide court-managed, medically assisted drug intervention treatment
More informationPrivate Intensive Therapy Retreats Information for Therapists
Private Intensive Therapy Retreats Information for Therapists In the interest of making the Fairy Tale Model of trauma-informed treatment more widely available, Trauma Institute & Child Trauma Institute
More informationOctober 11, July 25, Great Lakes Mental Health Technology Transfer Center (MHTTC) New. A resource for Indiana Mental Health providers.
October 11, 2018 July 25, 2018 New Great Lakes Mental Health Technology Transfer Center (MHTTC) A resource for Indiana Mental Health providers. University of Wisconsin-Madison Scott Gatzke Director of
More informationIntegrated Care for Depression, Anxiety and PTSD. Introduction: Overview of Clinical Roles and Ideas
Integrated Care for Depression, Anxiety and PTSD University of Washington An Evidence-based d Approach for Behavioral Health Professionals (LCSWs, MFTs, and RNs) Alameda Health Consortium November 15-16,
More informationSC MAT ACCESS. Medication Assisted Treatment Academic Community Capacity Expansion for Sustainable Success Kathleen Brady, MD, PhD, VPR, MUSC
SC MAT ACCESS Medication Assisted Treatment Academic Community Capacity Expansion for Sustainable Success Kathleen Brady, MD, PhD, VPR, MUSC Overdose Death Rates from Opiates Most important sign of a
More informationSafe States Alliance 2018 Innovative Initiatives Finalist Summaries for Review
Safe States Alliance 2018 Innovative Initiatives Finalist Summaries for Review 1 Initiative #1: Aiming for Equity in Sexual Violence Prevention - Mapping Risks, Policies, Outcomes and Resources Statement
More informationScience = Solutions. Carlos Blanco, M.D., Ph.D. Director, Division of Epidemiology, Services and Prevention Research National Institute on Drug Abuse
Advancing Addiction Science Science = Solutions Carlos Blanco, M.D., Ph.D. Director, Division of Epidemiology, Services and Prevention Research National Institute on Drug Abuse John Smith James Smith Ann
More informationHow to use GoToWebinar
How to use GoToWebinar RESEARCH & TRAINING CENTER FOR PATHWAYS TO POSITIVE FUTURES Move any electronic handheld devices away from your computer and speakers We recommend that you close all file sharing
More informationAn Oncology Digital Companion for Patient-Reported Outcomes with Electronic Health Record Integration. Dr Zachary Tan
An Oncology Digital Companion for Patient-Reported Outcomes with Electronic Health Record Integration Dr Zachary Tan A Diagnosis Of Cancer Is Devastating Shocked Confused Disorganized Alone The Digital
More informationSubstance Abuse Suboxone Treatment
Substance Abuse Suboxone Treatment Program Waterbury Hospital Infectious Disease Clinic Richard Smith, LCSW Leonard Savage, Consumer Steven I. Aronin, MD FACP, Program Director Ryan White All Grantee Meeting
More informationManagement of Marijuana Addiction
Management of Marijuana Addiction Martha T. Kane, PhD Clinical Director, Center for Addiction Medicine Associate Director, Ambulatory Psychiatry Massachusetts General Hospital Does marijuana addiction
More informationMary s Center. School Based Mental Health Program
Mary s Center School Based Mental Health Program 2017-2018 Mary s Center Our Mission: Building better futures through the delivery of health care, education, and social services by embracing our culturally
More informationEARLY INTERVENTION SERVICES I. DEFINITION OF SERVICE
EARLY INTERVENTION SERVICES I. DEFINITION OF SERVICE Support of Early Intervention Services () that include identification of individuals at points of entry and access to services and provision of: 1.
More informationREQUEST FOR PROPOSALS: CONTRACEPTIVE ACCESS CHANGE PACKAGE
REQUEST FOR PROPOSALS: CONTRACEPTIVE ACCESS CHANGE PACKAGE OVERVIEW The Colorado Collaborative for Reproductive Health Equity (Collaborative), supported by the Colorado Health Foundation and Caring for
More informationThe age of feeling in-between : Factors that influence emerging adult outcomes during and after residential substance use disorder treatment
The age of feeling in-between : Factors that influence emerging adult outcomes during and after residential substance use disorder treatment Brandon G. Bergman, PhD Associate Director & Research Scientist,
More informationaddiction clear haven center
addiction clear haven center who are we hc Clear Haven Center - 3 When Outpatient services aren t enough... We Provide Total Immersion Recovery Services Our program is challenging and multifaceted, just
More information