Operations and Implementation

Oral Presentation

(OI4-3) Technology-Based Interventions: Exploring New Models of Care – Navigating New Ethical Dilemmas

Sunday, April 23
3:40 PM - 4:00 PM
Location: Tangerine Ballroom

Access to health care services, especially for individuals with stigmatizing conditions like behavioral health problems, HIV and other STDs, and other public health concerns, remains a significant problem in the US, especially in frontier and rural areas. Approaches to bridging this access gap have emerged as a result of advances in technology and increased availability of and access to the Internet. Using technology-based interventions to deliver prevention, treatment, and recovery support services for individuals participating in risky behaviors impacts how health care professionals deliver services and what constitutes typical standards of care. While these growing trends towards using technology-based interventions helps expand access and enhance care, it also raises specific practice concerns that administrators and practitioners need to take into consideration. This presentation will highlight: technology-based interventions; concerns and advantages to using technology-based interventions at the staff and organization levels; an agency-focused decision matrix; an introduction to methods and resources to help agencies move forward with implementing technology-based interventions to enhance and expand access to services for patients; the use of social networking websites by practitioners and patients; and social media policy dos and don'ts from a practitioner and organization perspective. Individuals residing in frontier/rural areas may have similar prevalence rates of drug/alcohol dependence as their urban colleagues but their mortality rates and risks for suicide are higher and in general their alcohol/drug problems more severe. The most significant issue facing individuals with substance use disorders (SUD) in frontier/rural areas is access to treatment/recovery services. Although the medical and behavioral health professions have started using telehealth technologies to deliver services to individuals with limited access to services, SUD treatment and recovery providers lag behind when it comes to using telehealth technologies for service delivery. For example, a 2009 study by the National Association of State Alcohol and Drug Abuse Directors (NASADAD) revealed that addiction treatment providers in fewer than 16 states reported offering services using telehealth. A literature review found numerous articles for psychiatrists, psychologists, and social workers on using telehealth technologies, but only a few were found that reference using telehealth to deliver SUD treatment and recovery services and no articles were specifically written on telehealth for the addiction counseling profession. Given the importance and potential benefits of providing SUD treatment and recovery services using telehealth technologies, it is essential that administrators and clinicians be able to access accurate information about implementation in order to make informed decisions. This presentation will introduce individuals working in the SUD treatment and recovery field to the benefits and risks to using technology-based interventions, including privacy and security considerations.

Learning Objectives:

Terra Hamblin

Senior Project Manager
University of Nevada Reno/CASAT/NFAR ATTC

Terra Hamblin is a Nationally Certified Counselor, Distance Credentialed Counselor and works for the University of Nevada, Reno’s Center for the Application of Substance Abuse Technologies on multiple behavioral healthcare-related grants and contracts. Ms. Hamblin is the Senior Project Manager for the National Frontier and Rural Addiction Technology Transfer Center (NFAR ATTC), which serves as the national subject expert and key resource on delivering addiction treatment and recovery services in frontier and rural areas using telehealth technologies, and Principal Investigator for the Career Healthcare Connections contract.


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Wendy Woods

Senior Project Manager
University of Nevada, Reno

Wendy Woods, M.A. is a Senior Project Manager and Faculty at the University of Nevada Reno’s Center for the Application of Substance Abuse Technologies (CASAT). She earned her M.A. in Rehabilitation Counseling from the University of Arizona and prior to her position at UNR, worked at Sierra Tucson™ in Tucson, AZ. As part of her role as a Senior Project Manager at CASAT, Ms. Woods manages and coordinates all aspects of Nevada’s Train, Educate, Adopt & Collaborate for Healthcare Screening, Brief Intervention and Referral to Treatment (teachSBIRT) curriculum/ resource development and implementation into academic courses within the Schools of Nursing and Social Work at UNR. Ms. Woods is also a Project Manager for the National Frontier and Rural Addiction Technology Transfer Center (ATTC) and has worked on several National ATTC Network Work-group Committees and as a National Institute on Drug Abuse (NIDA) Liaison for the NIDA/Substance Abuse and Mental Health Services Administration Blending Initiative activities/training in rural and frontier communities. In addition, Ms. Woods developed and teaches online courses in CASAT’s Addiction Treatment Minor program at UNR and has over 17 years’ experience in the addictions treatment field providing culturally appropriate, research-based training, education and technology transfer activities in order to strengthen the allied health workforce.


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(OI4-3) Technology-Based Interventions: Exploring New Models of Care – Navigating New Ethical Dilemmas

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