Telepsychology Best Practices
Maximizing Opportunities in
Health Care Reform -Alternative
Revenue Streams

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Marlene M.  Maheu,  Ph. D.
Te| eMenta|  Health Institute,  Inc. 
Phone:  619-255-2788
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Telepsychology Best Practices: Maximizing Opportunities in Health Care Reform: Alternative Revenue Streams -- Part II -- M...
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Telepsychology Best Practices: Maximizing Opportunities in Health Care Reform: Alternative Revenue Streams -- Part II -- Marlene Maheu

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Telepsychology Best Practices: Maximizing Opportunities in Health Care Reform: Alternative Revenue Streams -- Part II
American Psychological Association Annual Convention, August 9, 2014

To invite Dr. Maheu to speak to your group about these issues, please send an inquiry at www.telehealth.org/contact

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Telepsychology Best Practices: Maximizing Opportunities in Health Care Reform: Alternative Revenue Streams -- Part II -- Marlene Maheu

  1. 1. Telepsychology Best Practices Maximizing Opportunities in Health Care Reform -Alternative Revenue Streams AMERICAN PSYCHOLOGICAL ASSOCIATION
  2. 2. _. _._. .~ . ,___. . Developing Alternative Revenue Streams as Telepsychologists . _i .1. . :. :3 3"». . . III -I. I ail‘ (I ‘II 5’ IE I‘
  3. 3. j§, elfheIpMagazine Home U, ‘(V I. V HI, .>g. mr. r,. _. I. - ¢ I. .—. ..w; .¢. I («.4 How Not to Get F red at Your Job: Top Ten Strategies H-‘-I-= aw —' "IF w["'I7I' =71 air-I; I=« at . vIIl iwlp I-<'II‘I 5II: I I: v.~Ii_I: I:.9I irI; Ii. .: ILIII. -', — ; IrI‘1I '09‘ How to Repair the Damage Local Guides . . . Ten ‘lips For Coping With Parkinson's Disease Al Guides , ‘Z Alabama . _ Alaska 7 »'«pg-I: IIm.3!e: . one r'I: iII. :I, rI is»: -aria In iicIrIr. »'<l‘7>3III: J 3:5 Arizona - 3u? i»: =III'I; iiI; Ir'I Pamnsori 5 disc-as-: « . ‘.ri-: -n II; Iu Iva. -2 P3'Dl'1§IjIr1 3 I1IE63SI3I~: Ir3r~. I I: I!IeirnronII: I‘ln€$: -CIII are sIiuI; I;lIrII_: .II1l‘I 3-NIDIC-"A3 mat C30 III: . , D-9I‘yhQl"IllHI; TrIeIeroIr. - in-3 : IuihI: Ii -: I In: ‘» Je has Flmd a -iieaiec the iI: I§I: II-IIrII; 'T-en Tips‘ IISI in help Inar. II. ‘.u3Is min Pamns. -:In 3 .2339 I: -:ILW. = 593,0‘ by Zip 0’ cl" I-. ItrI so I-2 mine rI3I-; nI: I|tIgII:3I sI'IIciI: 'II I ion-an-'-Ina‘ "IwlllIn| ;IM. Iii. I,»'IrIII I. I""""7“‘-""‘ "“""‘7' "“I"“”‘*“‘”‘l V” Holiday Care for Yourself: Body Mind and Spirit L‘. P.! I', II'y‘II‘-'3"II(3II‘v‘l:1(7‘y‘I"lI‘IlII{t“- I‘ H
  4. 4. Telehealth Includes Psycho-Education Advantages II Serve More People : Work Part-Time * Practice Generator * Lower Risk ( ‘ Develop Non-therapeutic Relationships * Easy-to-Follow Legal/ Ethical Mandates
  5. 5. Existing Te| eMenta| Health Guidelines °American Medical Association. (2000). Guidelines for Patient-Physician Electronic Mail ° American Counseling Association. (1999) (2005). ACA Code of Ethics ° American Mental Health Counselors Association. (2000). Code of Ethics of the American Mental Health Counselors Association, Principle 14, Internet On-Line Counseling °American Psychological Association. (1997). APA Statement on Services by Telephone, Teleconferencing, and Internet, A statement by the Ethics Committee of the American Psychological Association °Amen‘can Psychological Association. (2010). Ethical principles of psychologists and code of conduct ° American Telemedicine Association. (2009). Evidence-Based Practice for Telemental Health ° American Telemedicine Association. (2009). Practice Guidelines for Videoconferencing-Based Telemental Health ° Australian Psychological Society. (2004). Guidelines for Providing Psychological Services and Products on the Intemet ° British Psychological Society. (2009). The Provision of Psychological Services via the Internet and Other Non-direct Means ° Canadian Psychological Association. (2006). Ethical Guidelines for Psychologists Providing Psychological Services via Electronic Media ° Federation of State Medical Boards of the United States, Inc. , Report of the Special Committee on Professional Conduct and Ethics. (2002) Model guidelines for the appropriate use of the Internet in medical practice ° National Association of Social Workers. (1999) (2008). Code of Ethics ° National Board for Certified Counselors and Center for Credentialing and Education, (2001). The Practice of Internet Counseling. (2001) ° New Zealand Psychological Psychologists Board (2011). Draft Guidelines: Psychology services delivered via the intemet and other electronic media ° Ohio Psychological Association. (2010). Telepsychology Guidelines ° Winlder, M. , Flanagin, A. , Chi-Lum, B. , White, J. , Andrews, K. , Kennett, R. , DeAngelis, C. & Musacchio, R. (2000). Guidelines for medical and health Information sites on the Internet. Journal of the American Medica/ Association, March 22/29, 283(12), pp. 1600-1606
  6. 6. All Legal & Ethical Rules Apply Copyright 2001 Randy Glasbcrgcn. www. glasbcrgon. com » E $ 5 I ' —6lA55€3G A ‘- ‘* ‘- V «I typed up my résumé on the computer. The spell-checker accidentally changed ‘Mid-State Junior College’ to ‘Harvard’. ’’
  7. 7. 7 Types of Passive Income (self—he| p) & Practice Development Products ° Blogs/ Guest Blogs ° eBooks ° Podcasts ° Webinars ° Continuity Programs ° Kindle Books/ Audiobooks ° ProfessionalTraining
  8. 8. Which opportunities are best for you?
  9. 9. ,/ Start with your Current Expertise 1. Work with what you know 2. Keep it simple 3. Stay focused — go deep 4. Work at it regularly 5. Get feedback 6. Follow Ethics Code
  10. 10. / Repurpose Your Material 1. Handouts Concepts/ Metaphors/ AnalogiesYou Use Favorite Quotes, Books, Assays, Articles You May have Written Audio Recordings Video Recordings Short YouTubeVideos N . ’. °‘S".4>. “-’
  11. 11. / Use your best skills and talents: Have a good speaking voice? Photogenic? Musician? Storyteller? Dancer? Poet? Photographer? . '. °"S"': "'. °~’! "!“
  12. 12. 5- -) G fl 7 wwwamazonoom/ Best-Sellers-Kind| e-Store—Love-Romanoe/ zgbs/ Amazon Best Sellers Our most popth products based on sales Updaed hotrly. <AnvDeDaflment Ioatsollonlnuvollomuwo ¢ Kindle Store ( Kmme eBooks Top 100 Paid Top iflfno « I-lealh, Fitness 8. Dieting Relationstips Irlerpersonal Relations Low 8 Danna Mamage Male Seeking _ _-m2go__ Strong Women, Strong Love: 8 (3)
  13. 13. lit Which Areas Have Most Potential for Profit? Anything related to primary health and disease (driven by Health Care Reform) Areas with natural ”upse| |s” Formats that deliver education and interactivity One you can sustain over time — will take a while Topics based market information (what is the size of your market? ) Ones you already have skills/ talents to develop
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  16. 16. Sunciay. Januarv15th. 2012 TELEH EA H. NET Your trusted iniomiatioii and networking sourcr: tor eneaiin. tr, -lent-alth, home health and telern-zdicine . ~l)outI7s Articles Blog Books (‘aleiidar Discussion Glossar_‘ Inteniews Training Progrzinis Vlfhat VI/ e VI/ ill Be Doing in mHealth by 2015 or Before! Reiinbursement: Recent Legal and . Iarl-cetplace Changes ‘iw ~ U cw ; " — n [it Lisnet. wv- '1 ‘.1 ii 3: i Km :1.‘ , ,. _ ’ _ ~ ‘ _ _ > Free Reimbursement Handbook with Suicide Preparedness: 7 Strategies for '1eleinental Health or Online Tlierapx‘ Teieiviemaii-ieammgws signupi It 2-: I. l3hc-u Jl , Free Access full Story . l. ~ND: TED CHILD . -Bl'SE REPORTING IN ONLINE THERAPY —— A Sobering Realityi’ ilsui’-_ii . 'uJu: ;i: : . '.C'= I.laneu: ii J11 i‘_4l! .~‘E; r Want to Practice Onlinei . .. - .1 Ilnrn Datunnlc
  17. 17. Lhhdmo Go l'9Ln| e4h Au . - | J.r'er‘<l umeu, an Aaocnullm Home Profile Comacls Group: Jobs Inbax. companres News More Takeaminuleloselupyouropengroupforsucoess I'Jlodrf*, ~ wnle permrssions an Grwp Seumgs : Edd your Group Rules : sn-at Start a arsaxssaon or sham sommna mm the group TOIOMBMAI Health Institute (TMHI) Pxamohons Jobs Mae nuqguogn Members Search Manage '_'—'- Poi! Lntesi Discussions Surcrde Preparedness 7 SUBIQQIES lor Telemental Heallh or Onhne Therapy Potulfldyniciddciulsmdpuiulspouundunrmstfigmundlanmguhcndby tdnrnuul mam pmlusionals nu ma! r. ')‘r': ' x-:4: ~: Medrcal sensors could phone lor help mmonmmm Ammswwngnnaugaaaamlursaaamounmgmmnssnmuravraoooummis nmaanovaumokI? m4un; nauIanuuu¢m. aurnoamarhgonuuu. anumuuu messalnau-nrlrlsiadua C4 ‘n! ' . ‘.. v. -3: Usrng telephone field notes In qualrtauve research analysts Huy_fmirIhnlapic| rh. fmanuI1ycuIfixlkIgnulchudlr¢«iadhlutic urmqnctld gloom «is and am [living on . ; «~: 'r~, ' 1.1; Igm See rare » Unlukw Hr All, I am wondenng what are the most commonly used services for onlme mum». .. I rn-sup. Imam nm. ..A. -u. rrent. »-wt--An m-mu . -Inn». Imu- [anti ' Soarw Sr-ate group I Group rules Manager’: Ctrolci l‘. ‘o. v Accessrble FREE rep‘: -,1 al today’: wbmar 'pS)'Chl'/ ‘C-}cZ£ Assessment Teierwnlal Health Srralegres Usrng Video‘ Mnmneflfllhwwb Stella Luna upams Kristina Welter. PsyD cocmnnlod n the may on H: Everycni-' I am a Docicr cl Psychology and a Lrcensed Pnfasssonal Cwnselar rn prr. :(e V-3C1fCE: fl Pltcenrx I also wme practrcal mace ar1=c’es la! our fecal Arman. -lree FOCrU1rrl3“E'V¢‘§ 144 Dan. W0 do IIIII good at Imssum : | And ow rumor India! is luminary rncmibla. um: an urine fiaico an cow walk «I r Ln - Cc«-ma-nr". “r - Iucurlco 4 pofli hull jdmd lhn gulp, indafilg Chlrlllu Morrison. Ph. D._ Niamh llaher lid Scolt Sell snomwv flagalle Brewer. Psy. D. Hm: ills Iiscuuion by Di! Adina HIV rm 3 cl mcai psychalogrsl m Lo: Artgeles C: -my I am loclcng mm usmgtecrr-: 'r. ~gytore.1:h clrenl nopulatrons vn rural areas uuu) - naounloo Ste Al uvutu. n , [ NIMWIIIAPFBFORMANCF 1
  18. 18. DEVELOP A NEWSLETTER In HHS ISSUC‘ . Suicide Preparedness Strategies . FREE Webinar: Reimbursement 7 Strategies for Working with Suicide in Telemental Health or Online Therapy Poteriliaiw SL. ‘ meal c‘ ants and patents pose one 0! the most ngvrous ma" ‘es latéd Dy'. e3l. -;-me: ntalhea1ln pro! -:55 aria‘: Tn.5 l’)’l('l am >L . '-l 1 gm‘: 3 g mpse at the advance preparation you ! ‘.1;_]. "llCOl'lS: .,dv2‘f Institutional Telemental Health Practice may mswullonal . '.ory< settings are mv
  19. 19. (k< Y&! Ifl)lU| £IIlIIMIQl WcddvY¢I¢HutnHIuI! uIcIaiIrI¢l. lIq'. rliIullI. am Mt‘/ lnucnc. :nn/ I/CFe9D l(I: zfnlIarvu; Al£Ie«: orIRll! nQhcU'ot5nr»txindzv2bcIl; Lxl anmglocln S: rdv«lVUrIc. &9:eiOe': $:¢lSfVbUkrm: I nfufitzisevtt-eaiIhicm> 1Pe1m? .2o: aed flu»: smnem I-ez, -he-: *Ji3J11s! j,EIr _uA. ‘.e-xv r; ~.r~'. .‘». -an; Cw Tdmniblflcfllllsflntn sI&ePl®t&IeIs7§1uq| ¢sfov‘l: lenuh| % nun-uonaurumpytumeauimuu-us $Peopl: R93a'Ie¢ i: rv~v. ‘ameoa, ::nN5‘: va (. um Connml zero. » 1- :11 5' : Fr . -A e'. ~:v fa» ~m, —:r. ,~ (« (<< Iduludaiblfiillllhnt fid flflly Tklelllllhlli I Ihdxmk Sopphpfiufle *! u:: .‘n-e! se. co'~i1k. ‘¢v<n nzedfi : ru-In-= rwveuvrnntSy: a1~'5:xitatv: . fu-tn he mmfutaf val Nxre/ ufitz. and d hm the Sdd: kfi1$nI1Q! lEI'lI. ifI‘UB1 KIWI, ‘ Y: Iu‘7fd'. ‘(‘r. '0E1 mrvrecemne. racucrfieai And mtmg; -26¢ nfamtxn mrv-nu: Utnlhemnwltmiebelownwromncr: Shock Reached (flu: Zovwvset -r. »=-«be: :5 321:1: 1: ;4.- . -.3 Ema’ '~L-nrryc; fduneltdblenflnlnfluk | V‘ allahsclepuunoumholilvetherupyn-I -" Yeleflelldllulhflllllewn _ - ne: :i, ‘a. -aaacmlxlqmy ‘; Peod: Re)c'1¢-d (flu. ca-rr-air -4:»-zv~ :4 3:2.» i-um . v.- A. -.25» 1.»: -.9 Vairwx; Ydanuhlblealiluubtc l Fllflwuvelfilouwoevdupitlihhu , 1dew4ddI| e&hPndInebuIVouwNwIne'1II¢l
  20. 20. Copvright 2012 Te Ieli-lental H ealth Institute. Inc Allriglits reserved. Kevin Pho. M. D. The Confrontation (A Les Miserables Parody) ‘ ii: Thanks l"l1 ‘ii 'i‘ T171!’-: ‘T_'»lT i, _i Marlene Maheu i Suicide Preparedness 7 Strategies for Telemental Health or Online 'll‘1'ill l: .3r -v -'. 1- What you need to know about popular diets - Iii 7' ; w Kevin Pho. M. D. Why the lamiiy meeting is important ~ ijii A'4“rV'Yv . - ESPN Syracuse iust sent a message to everyone matching ‘You do not . l Jennifer Barbour want to play us in March " 304 Best regular season record in 3.’ li J basketball history riot too shabby Jennifer Barbour Thanks to -' , 3.2 and , ~_: :1‘ , :'i, : i‘~: ~ lord years , i., ,~i: . i-i l 2!. -., ‘ Jennifer Barbour Let's go jig‘ . "i'n'i‘l lll'~. Kevin Pho. M. D. Doctors Don't be ashamed about going bankrupt in 'f l «ij: '- ii; APAHI-Jlpcenler The Psychologists Dan :13: . ,»ri -‘i» ’t-er: -3;’. Kevin Pho. M. D. Y is oull : i' '. -: i, :1 3 _; l - Top stories today via ‘C ; ','i%-. ‘ ‘i
  21. 21. TELEMENTAL HEALTH I N s T l T U T E Nomi: Blur; l7.ir1m-rs Rcsiuirtcs Scrvlu-s Sliirv lmlriliiq Ilbuullls TMHI Webinars Skype Update 2012: The Good, the Bad, the Ugly —- and Affordable Altematives by Marlene M. Maheu, Ph. D FREE 1-hour Training Webinar (LIVE) Haveyouovyouvcoloaquabaonusnqskypflooyoufinymdomzndmoplatfamwastoproputy eiwlan mics and Benefits to you cberlts or patients? Do you Irnow you cost-efficient itamatzves for HIPAA compliant (or I-UPAA certified) platlovms avafiabte today. ’ Do you know what etc you need to be dong to meet both privacy and SECIIIIY lens on both the federal (NIPAA in the U5) and state levels? Join Dr. Modem Maheu an Sh! dscusus risks and borufits ol tang Skyvo. what to put vi your inlet-mod consent do<uv-not and now to evaluate the range of platforms that are now avalable as alternatives to Skyw- - why use video as a platlorm for psychotherapy? 0 skype update: what is Mctowk doong to nipmve Slrypfs HIPM compliance. ’ 0 what iniokabons do Mtrosafrs recent acnons have (or mental health professionals usng Skype now. ’ 0 what is the dfluence between KIFAA comohnce and PEPM ceruficataom 0 which featues do mental hedui pvoiessionals need vi a video platlorni for ouns&tg, therapy or unorvmon? - which alternative plarvonns are avalable lor healthcare prolessaornls? - what else do heakhcatre professionals need to know to be compliant with HIPAA regulations today? Free Weblnar Date: March 27, 2012 rnzeiuinisuuu-nu. -A-con! -Ian. -nun-n u-uunornogim-on Imu- vmnuv Emil. View My (‘art What others are saying ‘Dr. Nolan is anthology‘; t-Ioheulh wuoaorv. Iudlno out «Iago-as through udeuionol tulnung In ethics and IIIIIIVIINE Iechaolopaui unto the all-9tl‘s. nnuwholon own not cutufv and out OfI¢l| tlon«s In uflkular must bototno hiaI| IdoenII: .' vu onus-. vIi. o.. now. )0. tam-v Duncan. Mm-u-i P-nzvlolooul Anuimiui ‘Or. Maheu s I lending Moons! upm on in I994-at-on J Dtveloloev in Ink-hulth. col-no / luvlczs Ind use of new Iecrwdogies to savour! and around V0ur nannies, M040! duel ten-I-c wodtnhooi--don! min then I Vouhlvelchlrtctlnaathuinomwii Youi-ill loom Vic-at loos M omen? your VIGKI and micron your union us-no uric tum "‘hw| Q‘i I hugfifl roomIViend Dr. Maheu. ’ . I--i-n lay, “ha nu: am-amt. Amer-(en 5lKho| ¢9<nl nu-xiovien. Anon». amluwv It Baylor collvvc 9’ Hod-one ‘II-Ilene he worked ol the lorelronl ol lelebeolh lot new years and Van Iuhiullul aiauuu In Itia area. I ctrnogly ncomlncnd her as a wake: and rmuallul to thts neon. ‘
  22. 22. CREATE YOUTU BE VIDEO OF A TALK, DISCUSSION OR A DEMO Not Sure Where to Stan or Get Funding for Telemedicine?
  23. 23. Q Bvowse hluawes Upload ". T‘11l, »‘u1"r»: -r [nu-. l_l. !v'. rI(~§ Feed Search Channel About TMHICnannel's channel Add a featured video Pasta channel comment Vim Uploaded videos hm . ... ... .., . j Cyeaugg D, i r . r 04.4 . ... . 7 y ' ‘ Lalesl acunr, g B Society for Technology 8. Te| epsychoI. ._ Dare Joinea ; . r. -,. ... . . .._. r.. ... . M. ,.. . r Featured Playlnsls E-an Ea Online Therapy 8 New York Times LlD1Oad‘C: G WOEOS Other channels New Perspectives Ethics in Therapy E. ..
  24. 24. Ebooks vs Print Books: Titles, Images, Keywords & Colors l'lll. I; .. c. .. 1ll. l. lll l. llH <__, ! rl'l5~I, Q? .Xl)Tll'~. ; ‘ ‘ is l m‘llxol.0<-l= ‘ l <79; r’ ; _. 'r. :_. —-—--"I l I C‘? . i <9 it I 1 , - . l l I‘ 1‘ _. , '. T »| ‘ ‘ -.2. ‘ ‘4.“1‘-CL V‘ in (i7 V’ ‘. ‘-'SL7:7:: - 1 <1»; ‘: .‘3’z’§3a§: > 33 l _‘ -35;’ ‘- , r: ~r —- , . ll ‘L4 £4 -CL. »
  25. 25. Process Review Blog Linkedln Newsletter Facebook Twitter Webinar YouTube eBook Courses *** Consultation ***
  26. 26. Federal Trade Commission (FTC) 2009 * What is an unfair ad? 6* Ad is likely to cause substantial consumerinjury (physical or economic). U @ Injury is not reasonably avoidable by consumers (e. g. refundsfor fees are not easy to obtain) 6 And it is not outweighed by benefits to consumers or competition.
  27. 27. Competent/ Reliable Scientific Evidence What It Isn’t What It I_S 9 Anecdotal evidence from 9 Met'? °d°'9gi°‘? '.'V 5°”“d tests’ studies, scientific research consumers @ Based on expertise of é Popular press articles professionals in field ér Objectively conducted by % Sales materials from qualified People m<3nUfaCtUr€| ' ® Using procedures accepted as accurate 9 I-OW return rate $ Yielding statisticallysignificant results ® Money-back guarantee
  28. 28. ”New” FTC Substantiation Standard? ** Weight Loss Claims — at least 2 controlled clinical studies on advertised product by i- a separate, independent l= researchers
  29. 29. Revised FTC Endorsement Guides * Testimonials still must represent what consumers ’’typically’’ will achieve * BUT: if they don't, ’’Results not typical” disclaimer no longer suffices
  30. 30. OCPM: Online Clinical Practice Management - _ . ‘ Z‘.
  31. 31. /(fr . ’.i; J.l. ’/1.31:. ’ Lfi£1;JUl . './ J:/ UL! /l1’_ll «M u. wi: ;.; ,:u V > . -‘? r>fl“ T 7 T :9J ‘ '-ll-‘E--'~ "': r:iv: = rieaar l" ThisSit£V , Seaich ‘ mHealth °S~aiel= I? r 1 f5'gii‘. -ii_: ) "of Federal mHea| tri - Updates U mHeaIth is the use of mobile and wireless devices to improve health outcomes, healthcare services and health research. "wealth in the News ~ This definition was developed by a NIH Consensus group Your MQQIIG Devigg ang Health lnlormatioh Pnvacy and Secung r, cosleo12i‘19i'2012i [cc aggresses mHe, ‘glIg Tg§§ Foigg recommendations (posted 12/18/2012) Video Report: What is mHea| th? Feedback Reguesleg! Healthy Aging White Papgr #2 (posted 12/13.i'2012l &| .Q1.e. iI_q| .Ita_ILQt1_QLl! w_I. €2rJ: £Qam mobile health prggram 1? lPDF - 224 KB}1p0$leu12/11/2012) TXT4Tots Library TXT4Tots is a Iibrar. oi snon‘ evidence-based messages in English and Spanish Messages are laigelecl to parents and caregivers of children Federal mHealth Coordination between 1 and 5 was old am locus on nutrition and physical 3C1lVlty l. lgre= = Text4Health Task Force
  32. 32. INTERNET USAGE STATISTICS The Internet Big Picture World Internet Users and Population Stats WORLD INTERNET USAGE AND POPULATION STATISTICS June 30, 2012 ( 2012 Est. ) Dec. 31. 2000 Latest Dara ('/ . Population) 2000-2012 of Table L= sien~'*'»sn2=m*r: *2ee= n N NOTES (1) Internet Usage and World Population Statistics are for June 30, 2012 (2) CLICK on each world region name for detailed regional usage information (3) Demographic (Population) numbers are based on data from thell§ §; en-zus Bureau and local census agencies (4) Intemet usage inlormazion comes from data published by Lliqsgn Onlzne by the lnterital_lon, al T€J§C0lTln1gf1lCa{| Ol'S Llrggan by QM local ICT Regulators and other reliable sources (5) For d€lll'l[I0nS‘ disclaimers. navigation help and methodology. please reler to the 5ite_$ur{ing_Qi; l¢e (6) Information in this site may be crted, giving the due credit to ly_y_vw_irite-; met; .u; i,rlr1§ra:5, mm Copyright 9 2001 ~ 2013 Miniwatts Marketing Group All rights reserved worldwide http: //www. internetwor| dstats. com/ stats. htm
  33. 33. Today's teens use media an average of: * 10 hours and 45 minutes it every day * 7 days per week* *Kaiser Family Foundation, 2010
  34. 34. mHea| th ° The U. S. Army Telemedicine and m-Health Program: Making a Difference at Home and Abroad Ronald Poropatich, Eva Lai, Francis McVeigh, and Rashid Bashshur. Telemedicine and e—Hea| th. -Not available-, ahead of print. doi:10.1089/tmj.2012.0297. March 28, 2013 ° This article highlights the deploymentof telemedicine by the U. $. Army through the various echelons of care and in overseas locations, including range and scope of health services provided by telemedicine in a Challenging environment. This is followed by a discussion of technological developments advances in mobile communications likely to change the practice of telemedicine in the military from limited fixed—point access to a highly mobile individual with handheld communication devices.
  35. 35. Selecting Smartphone Apps * Empirical support for theory ‘,1 ~ Empiricalsupport for "4-em 7‘ ‘f| . app O " 1 y «» utility _ la — User ratings / z4« — Peer review — Blogs — Ease of Use — Confidentia| ity/ Security
  36. 36. Test Messaging? Reported on July 28,2014, HealthCrowd reported that a study with pregnant moms and families with teens could reach 86% of its Medicaid population with text messages. ”Our response rate was anywhere from 30 to 60 percent and our opt out rate was really really low; it was 3.7 percent. " "The average response rate was 30.7 percent. .. It was 100 times more effective than postcards, 50 times more effective than buckslips in mailers, 30 times more effective than voice calls, and 15 times more effective than email. ” ”The ROI was 30 times as good as postcards, 35 times as good as buckslips, seven times as good as voice calls, and three times as good as email. ’’ "About40 percent of these members actually have smartphones, " she said. ”But as we discussed back in 2012, andl think it's still true, it's really hard to get a patientor a member to actually download an app the health plan wants them to download and it's even harderto get them to use it. So we see text messaging not only as a very strong communications channel, but one that will increase in usage over the next three to five years. ”
  37. 37. Test Messaging * If you text your clients/ patients, how do you do so safely?
  38. 38. Empirical Guidance for Text Messaging with Behavioral Health Clients/ Patients? Does that research exist? — htt : te| ehealth. or blo * Lookat — funding sources for studies — meta-analyses
  39. 39. Phone Safety SAFETY TIPS ' Password protect your phone as soon as you receive the device. - Change your online and voicemail passwords often. ° Protect your service. Add a security passcode to your account today. - Download device protection and privacy apps for your messaging or smartphone. - Learn how to back up your SIM card contacts. - Use locking software.
  40. 40. Healthcare Unbound ° 2002, Forrester Research coined the term ”Healthcare Unbound” to reference "technology in, on and around the body that frees care from formal institutions. ” ° Combines a shared focus upon: —self-care — mobile care, and — home care
  41. 41. Quantified Self To better understand what's happening in this next generation of sensor—based "apps/ ’ visit some of the product pages currently available from a number of leading manufacturers of these wearable devices: lNTEL’s recent purchase of Basis Samsung’s new Gear watches Garmin’s Vivfit or Forerunner Nokia’s Pu| seOn Polor Loop’s products and Google’s new GoogleFit
  42. 42. Health & Behavioral Care in 20 Years ° Mobile devices and peripherals will deliver most health and mental health care —Sensor—based information gathering ° Mirrors, scales, vests, chairs, mattresses, steering wheels, exercise equipment, etc. —Se| f-report
  43. 43. Health & Behavioral Care in 20 Years ° Mobile devices will be networked into central database that will correlate all real—time data with your genetic profile: — as reported by you, family members, friends and neighbors who share your environment; and — demographics of people who share your habits, lifestyle, and personal preferences for food, drink, exercise; — medical conditions and medication; — combined with latest empirical evidence about each source
  44. 44. Health & Behavioral Care in 20 Years * Data will be complied into recommendations that will deliver medications, foods other ingestible substances and behavioral prescriptions in ways that will help remedy diseases and problems before they can even be noticed now.
  45. 45. Coalition for Technology in Behavioral Science APA Divisions 18 Er 22 American Counseling Association American Psychiatric ssociation American Bar ASSOCTEIUOIT American Telemedicine Association Competencies Task Force is exploring ways to validate competency in various technologies related to Behavioral Health practice (telehealth, mHea| th etc). HL7 & Psychotherapy Note Task Force is working to help standardize interoperability between Electronic Health Records. An additional focus is the defining of the Psychotherapy Progress Note for EHRs. Journa| Task Force is forming an exciting new journal devoted to research and articles related to technology in the behavioral sciences. It is now forming an Editorial Board. If interested in participating in any initiatives, please apply by visiting website: www. ctibs. org[
  46. 46. 6 Learning Objectives Explain at least three important features of health care reform and how it will impact the future of telepsychology in the next 2-5 years Name at least three essential elements covered by the APA’s 2013 Telepsychology Guidelines Explain how multi-cultural issues are relevant to telepractice. Name three factors of relevance to telepsychology when practicing over state or international borders. Describe at least one best practice when using assessment tools online. Discuss at least one best practice for successful reimbursement when delivering telepsychological services.
  47. 47. ' ‘P Questions. ,. J@M I Marlene M. Maheu, Ph. D. Te| eMenta| Health Institute, Inc. Phone: 619-255-2788 Email: mmaheu@te| ehea| th. ORG

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