Category: Professional Issues

Mini Workshop

Mini Workshop 1 - Using Telemental Health in Diverse Contexts to Overcome Barriers of Access to Care

Friday, November 17
8:30 AM - 10:00 AM
Location: Sapphire Ballroom K & L, Level 4, Sapphire Level

Keywords: Technology / Mobile Health | Community-Based Assessment / Intervention | Service Delivery
Presentation Type: Mini Workshop
Level of Familiarity: All

Due to the plethora of barriers preventing access to appropriate and evidence-based treatment (EBT) for mental health conditions, it is imperative that clinicians and researchers move beyond the traditional modalities of service delivery. HIPAA-compliant videoconferencing (VC) and other new technologies can break down the barriers to care, reach underserved populations, and expand the ecological validity of care by providing treatment in natural settings (e.g., homes). This scope of this mini-workshop includes the nuts-and-bolts application of ethically and legally incorporating VC into clinical research and service provision. We discuss feasibility, utility, ethics, security and confidentiality, guidelines, and efficacy of telemental health programs, as applied in vignettes. This session is intended for providers across disciplines and levels of experience.

Cutting-edge research advances in the implementation of and obstacles to VC across community and institutional settings are described. Critical issues in valid evaluation of telemental health care (e.g., controls, methodological rigor vs. clinical relevance), safety and confidentiality specific to VC treatment in "unsupervised" settings (e.g., the home), are addressed. Mary K. Alvord presents VC integration into practice as stand-alone and adjunct to in vivo sessions. Explanation of informed consent, CPT coding and HIPAA-secure platforms, risk considerations, as well as interjurisdictional practice are highlighted. Workshop participants receive a sample Telemental Health Checklist for providers. Daniel Hoffman discusses the history of telepsychology in settings including psychiatric hospitals and individual psychotherapy. He reviews the current state of the efficacy literature of CBT delivered via videoconferencing in adult populations. Vignettes highlighting VC's use to provide tele-in vivo exposure therapy using inhibitory learning vs. extinction/habituation models are presented. Jonathan Comer provides focused coverage of progress in the use of VC to deliver real-time treatment to naturalistic client settings for children and adolescents. He discusses breaking advances in Internet-delivered Parent-Child Interaction Therapy.

Learning Objectives:


Recommended Reading: Joint Task Force for the Development of Telepsychology Guidelines for Psychologists. (2013). Guidelines for the Practice of Telepsychology. American Psychologist, 68, 791-800.
Substance Abuse and Mental Health Services Administration (November, 2015). Tip 60: Using Technology-Based Therapeutic Tools in Behavioral Health Services: Treatment Improvement Protocol (TIP) Series.
Comer, J.S., & Barlow, D.H. (2014). The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments. American Psychologist, 69, 1-18.

Daniel L. Hoffman

Psychologist
Northwell Health Zucker Hillside Hospital

Presentation(s):

Send Email for Daniel Hoffman

Mary K. Alvord

Psychologist and Director
Alvord, Baker & Associates, LLC

Presentation(s):

Send Email for Mary Alvord

Jonathan S. Comer

Director of the Mental Health Interventions and Technology (MINT) Program; Professor of Psychology and Psychiatry
Florida International University

Presentation(s):

Send Email for Jonathan Comer


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