Women, Technology & Psychology


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"Rocking the House with Tech -- How to Use Technology to Improve Behavioral Interventions with Women" presentation at the American Psychological Association Annual Meeting, August 1, 2013.

Presenter: Marlene M. Maheu, Ph.D., Executive Director of the TeleMental Health Institute, Inc.

Topics covered include women, technology, psychology, mental health, feminism and feminist values.

To invite Dr. Maheu to speak to your group about these issues, the her a message through http://support.telehealth.org

TeleMental Health Institute, Inc.

Published in: Health & Medicine, Technology
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Women, Technology & Psychology

  1. 1. Rocking the House with Tech -- How to Use Technology to Improve Behavioral Interventions with Women American Psychological Association August 1, 2013 Marlene l/ l.l/ laheu, Ph. D.
  2. 2. Learning Objectives 1. Identify at least 1 technology-based intervention that has empirical support for use with women clients/ patients. 2. Intelligently discuss at least 1 multi-cultural issue and 1 socioeconomic issue of relevance to woman and technology.
  3. 3. Our planet is re-tooling 1 if «Q» , j/? ~* l A / .;= ' ll . ~ , l/ ,1. asis "if"/ o2 X,2-_/ 5v_, k/_v»! I_; g.. V. p_ V l psychology
  4. 4. APA Proposed Society for Technology & Psychology COMMUMCATIOI-I St Practice ‘°'~; ;', r,*; tg; :;'°'** Science a‘e. g.. Internet, Blogging. Social media, Cybemetics : e.g. . Biosensings‘ Fee<II2adj, SociaI networltingl COMPUTING IVETHODOLOGIE le. g., Artificial Intelligence; TH E: Ow W U, _ I: _. ,mo, _5 I-Iatural Lang. Processing; , I} n, y _ < u, _ r‘_ Robotics; L|serComputer '. ‘ ‘ "'l. “ “(AF J" ‘I'll? lnter1ace: [e. g., (omputer _’ ' ’isionTracIing. Haptic [V I [:1 '_]I| | H911“ g‘. lnter1a. ces_; Computer SunuIations[e, g.. VirtuaI Human Agents. " 'atars3 Environmentsj; I-Jicrocomputers; 3D Imaging, Software [e. g.. ."ideo Games: "nu ‘. 'u. II'rI3' . -um I‘ = ‘.iim : =I Lmmnai-5 Education T I'_lH‘: Jl mm-.2:-, Public Interest ‘Imgu-. un-. m rm. (4. HEALTH Its. IIIFORMATICS :57 ""1 NE ue. g.. Big Data; Contmlled Vocab: [e. g.. ICE‘-10:; Decision '‘l3l<l"€ -~ 5UPP°"£ D3“ OTHERTECHNOLOGIES Mining; Electronic Health and . Personal Health Records; 'e"ir": :'ceh‘I: l:I: l;yg" Electronic | ZIataPri acy. ‘ . . ' Security and lntegi-ity‘, "HeaIth llanomedlclna Information Exchange, HITEIZH; Information Storage 3. Retrieval; Interoperability C-: upvrIgh't tcl 2012 by Marlene M Ivlaheu, Ph D.
  5. 5. II . .. . .. . . , . _ , ‘C x W ‘ -. >. l ( . .. ~ . _ .1 . & . l . ,_ . c l. ,. .l . hurl! tl . , l in o la: . WV, .. .
  6. 6. Providing psychiatric services to anyone, anywhere. anytime using real-time video conferencing. About Us Services Success Stories Employment Resources Contact Us : l'}tll'- — 3!-his VA's Telemental Health Efficacy Surpasses Face-to-Face Encounters 05/07/2012 Clinical Psychiatry News Digital Netviork PHILADELPHIA - The rapidly growing telemental health program of the US. Veterans Affairs health care system delivered more effective mental health services to nearly 100,000 patients than standard, face«to—face encounters during 2007-2010, demonstrated by its slashing the rate of psychiatric hospitalizations. "This is the first largevscale study to show that telemedicine dramatically reduced hospital admissions and total hospitalized days, ‘ Dr. Linda S. Godleski said May 6 at the annual meeting of the American Psychiatric Association. ‘the decreased hospitalization rate may be explained by increased access to services. Patients do not wait [to get mental health sessions] until they are completely decompensated" when mental health care services are more readily available by telemedicine, said Dr. Godleski, diredor of the national telemental health center for the Department of Veterans Affairs and a psychiatrist at Yale University in New Haven, Conn. She and her associates reviewed 98,609 VA patients who required mental health services and were new to the agency's telemental health __; ,~ 3- " program during 2007~2010. They found that the telemental health - pafients had 24% fewer psychiatric hospital admissions during, on average, their first 6 months in the program, compared with their immediately preceding 6 months of care by conventional, face-to-face . . encounters with mental health clinicians, Dr. Godleski reported at the A . J meefing and in a joumal artide by she and her associates (5 , . 2 Y H} ‘Si 3.’ Z‘ =2 i‘ ’ i f -S). The analysis also showed that me first 6 months of ‘ telemedicine management produced a 27% reduction in total days of r‘ 9- i psydiiatric hospitalization for these patients during 2007-2010, _, 'I5 ‘ compared with their management history during the 6 months before -‘ each patient entered the telemental health program. These shifts were specific to patients who entered the telemental health n- n x_. I- 1- I-‘-. n--| .x O 513:: -"mu '11 2 EVEPS/ iiC= l-ll£TRY, LLC A CFG Health Network Company 765 East Route 70 Building A Marlton NJ 08053 Phone 856 797 4870 Email inigfajinsight ngg , :‘l§-, ““"n‘l3'i'l~‘ CFG and In i ht: One C m an l. lan Examples of Innovation and Partnership 5i’1-l/ ‘2012 May is Mental Health Month and lnsight Telepsychiatry has been chosen to be featured in this months issue of IIJAMHAA r‘19'i'S Read More VA's Telemental Health Efficacy _S_i_r, p§_sgs Ease-to»E§cg Encounters 05i‘07r'2012 Pl-ilLADELPHlA — The rapidly growing (elemental health program ofthe U 5 Veterans Afiairs health care system delweied more ellective mental health semces to nearly ‘I00 000 patients than standard f Read More Telepsychiatg Industry Leaders to S a American chiatric Association's Telegsyghigtry Symmsium 5592012 Clinical and Academic Telepsychialry Leaders Are To Discuss Successful Behavioral Health Telemedicine Applications at AP/ X5 Upcoming Telepsychiatry Symposium Dr James R Variell Will Share his Clini
  7. 7. Supporting Research Backhaus and colleagues (May, 2012) reported in their abstract of a meta—analysis that: — 821 potential articles were identified, and 65 were selected for inclusion. — The results indicate that VCP is feasible, has been used in a variety of therapeutic formats and with diverse populations, is generally associated with good user satisfaction, and is found to have similar clinical outcomes to traditional face—to-face psychotherapy. — Videoconferencing psycliotherapyz A systematic review. Backhaus, Autumn: Agha, Zia: Maglione, Melissa L. : Repp. Andrea: Ross, Bridgett: Zuest, Danielle: Rice-Thorp. Natalie M. : Lohr, James: Thorp. Steven R. Psychological Services, Vol 9(2), May 2D12,111-131. doi:10.1037[aOO27924
  8. 8. 1: «/
  9. 9. I ' , Children's ' Hospitals
  10. 10. Specialty Schools & Services * SpecialNeeds - Autism 4* Residential Treatment Centers — Drug & Alcohol — Other
  11. 11. Rural Hospitals -as " . 3. O’ . p* f ’ . ‘v. ’
  12. 12. Correctional Facilities
  13. 13. Nursing Homes
  14. 14. Home Health
  15. 15. Military & Veteran's Administration
  16. 16. Employers . :.. ... / .
  17. 17. ValueOptions and American Well Partner to Deploy the First National Behavioral Telehealth Network am--_ 8'-~ ELM NORFOLK. Va. and BOSTON. June 27. 2012 / PRNewswire/ — ValueOptions”. a health improvement company that specializes in emotional wellbelng and recovery. and American Well"" today announced a partnership to bring critically-needed behavioral healthcare to patients wherever they are. whenever they need it. Using American WelI's industry-leading Onllne Care telehealth solution. ValueOptions will transform behavioral healthcare by offering members immediate. live and clinically meaningful consultations. With American Well technology. ValueOptions will develop a first-of-its-kind. national network of telehealth-enabled providers. Through Onllne Care. ValueOptions members will have secure and private access to skilled behavioral specialists from home. work or any location where they have lntemet connectivity. Telehealth removes many barriers to healthcare such as distance. mobility and time constraints and can help lessen the stigma sometimes associated with behavioral health. Onllne Care provides ValueOptions an efficient and convenient solution to dramatically enhance behavioral healthcare access and quality for its diverse membership. which includes both commercial and public sector employees and their families; military servicemen and women and their dependents: as well as Medicaid. Medicare and dual eligible populations. ‘With over 130.000 provider locations. we have one of the nation's largest behavioral health networks. However. the reality is that there are still not enough providers to serve the growing demand for quality behavioral health services in every comer of the United States. Access to care is an issue for many. " said Heyward Donigan. president and CEO of ValueOptions. "Growing demand for telebehavioral health services is evidenced by the speed at which reimbursement is accelerating. Today. 34 state Medicaid programs have recognized the need and the value of telehealth services. These 34 states already reimburse for such services. and 14 states are mandating telehealth reimbursement. Additionally. we continue to witness increased demand for telehealth in the Federal marketplace as well as a growing interest in our commercial business segments. " "Online Care telehealth allows us to bring behavioral health directly to our members. " adds Dr. Hal Levine. chief medical officer of Valueoptions. "Whether location or transportation inhibits access. or perhaps a member is simply having trouble taking that important first step toward engaging available services. telehealth enables us to connect with the member where they are - not just where they are located. but where they are In mindset when it comes to seeking treatment. “ ValueOptions will hamess telehealth to reduce the rate of missed appointments and increase compliance. Moreover. with Online Care. ValueOptions will build a more eflicient. more convenient model for care delivery that will complement existing in-person services. lead to better health outcomes for members. enhance the bottom line for providers. and eventually. reduce costs for the system of care.
  18. 18. F3e'ftte: ir T. ‘i1i1t.1l<iZi1g for Better Health Home Pharmacies ill Telemedicine Role Models *3 Mayo, Mission Health offer lessons on effective teleiiiedicine progmms March 5 2013 Two years into its telemedicine efforts, the desired shift shows In Mission's patient data "We've seen a 40% Increase in our case mix index, " which measures the acuity and complexity at patients’ C0l'dIltOnS, Bailey says "We would not have anticipated that big a Jump " Corresponding changes have been measured at small hospitals in the region Their admissions of stroke patients and use of thrombolytic drugs have increased since telestroke consultations became available. And like Memorial and St Joseph, community hospitals have regained capacity that they were losing to Inefficient care A psychiatnc patient used to spend up to a week in a local emergency department waiting for assessments and treatment plans Bailey says tele—mentaI health consults have reduced that time by 60-70%
  19. 19. ° CopeToday ° MDLive ° Securevideo ° Virtua| TherapyConnect ° WeCounse| Private Companies Serving Consumers On| ine* ' ‘FMH Institute has partnered with some ofthese companies and will receive a referralfee if you inentionTMHI. You may also get an added discount.
  20. 20. Migration Model Start with your current clients Select those who are reliable, have good support systems and with whom you have a good working relationship Consider their diagnosis Take the time to prepare them Plan in—person sessions at regular intervals Do not work through their secretaries or others
  21. 21. Digital stalking: A guide to technology risks for victims Jennifer Peny Remember to be safe with all forms of technology- your computer, mobile devices, and GPS. If you would like to read more about how to keep yourself safe from digital stalking, you can read this guide, DigitalStalking: A Guide to Technology Risks for Victims. This guide was published jointly by Network for Surviving Stalking and Women's Aid Federation of England and offers fabulous insight into the nefarious uses of technology and what you can do to stay safe. http: //onlinetherapyinstitute. com/ wp- content/ uploads/2012/08/Digita| _stalking_A_guide_to_technology_risks_for_victims_2012.pdf
  22. 22. Fungus I Eiwlsh Ioauiachl Espdiol millenniazow E] Iunbook Mulicnm-20 X 5 R55 VII Mllllflrul rum: in! den " Site map Plzn do an MiilennIa202S Foundation : steering Committee -Yllfli IM3 Camminnl - Goal I -Muhodalocy -Guidulmu -Evunu -Dublncumru -wrruiomod -women I 325 I: COHINIUHIUES Members’ space . ,_, .. Passive: -II CL: _ mcmbevmc E ovum-znncn > [W6 > woman-and-ofloaiih Suggest this mac to a incnd Direct link: nrm. mI| IonMc2oI5.oInIWomIa_nn¢_oi~0ooiIh ll Iennia20l5 V08: Women and eflealth: connected medical knowledge benefiting all Miliennia2o15 women and eiieaiih (Weileaith) Inrernationai Working Group (IWG) Cronud m Auqufl 2010 Chnu: Dr Véronique Thouvenol MBA, nh. D. Evaluation Expert an owoolxh. mnoaith. 1Ln| mmq and T. |.. “.dKI"g4 M. d olM-ilonru-2015 ‘Women um eNen| (h' intcrnalvoncl Working Group IWCHCIIIH‘. mac or mninnmuzozs ‘worm na 1- modm-u" Giobui uucv-ars: "W-'i’n| nmod'. Administrator oi M: ilonn| .n2015 ‘Women ma irmovnbon" rcunaumn. vur. Coordinator cl rm. u. u.nn. .2n25 Faunduuon ‘Women and innovation‘ Rqprolunnuon m ' GI: -nvl WeHealth &n".4 Sutznviund - Lynn‘ Prince - thouvenohvcvonaquc [at] mnilcnna2025-lound-uomorg :1 welleaith Team an I‘! wefleaith Objectives I‘ Guidelines & documents Committees mn. ~.. .2o; s w. »+. .:u. mm and comrmnou mombqrl have Dfoducod 1 non“ oi guideline: nnd bun! note: that dcluuba the We llh study and method: of ‘n-ml-A Hdlunn-32015 ii/ oklonllh Al <Oi'V| N|lI(Od to cenducr - nudy u the mtomumon of women, iwiilh nnd ICTI and mvut-gun how nomnn hnvo uton Ind use 1C7: for he-Ilh in UIIW local (ommunmu. Mullcnnmzoifi iirorienlth II tofI'IDOIcd «III a tum oi 1}! arm -xpm: um zonttibuio to the scmnxmc. Nnkhodologlul ma sdm. -uul camrmtton. *1 Weiieaith Members 3" Weiieailh Report 2011 '3 Selected Publications A l¢I1O 9' flublilhod -macs And . -n. ..-, a n. -. _.4 M| ilurImi2Dl5 Wofionlth Report 2011 . u. IR .1.. . : .-.4. ». -..
  23. 23. Millennia 2015 Women and eHea| th (WeHea| th) * Chair — Dr Véronique Thouvenot * Objectives — Mi| |ennia2015 WeHea| th is committed to conduct a study at the intersection of women, health and Information and communication technologies (| CTs) and investigate how women have access and use | CTs for health in their local communities.
  24. 24. Millennia 2015 Women and eHea| th (WeHea| th) Women considered are of all ages, with a particularattention to those living in low income settings, urban slums and rural communities. 'Health' is taken in its broad dimension, including healthcare, humanitarian emergencies, health prevention, promotion and education, at community, regional, national and international levels. Technologies cover local radios, television, mobile phones, internet, satellite communications, social media.
  25. 25. Millennia 2015 Women and eHea| th (WeHea| th) 1. Coordination mechanisms There is an urgent need to improve , —'; _ coordination and communication ’” -' mechanisms at all levels with a particular attention given to women living in refugee camps, areas of . ,. conflicts and violence. :7 - . ._: _:~_~>. _’ - ; ,-—‘ ~. “ f. ~.“"-. *-. -V; 1 “ i 1 l_ . . 2. Gender and digital gaps {I "'’ ' The combination of the gender gap with the digital gap affects dramatically‘ ‘ the access of women into the arena of eHea| th at all levels, beneficiaries, users, designers and leaders, and in particular in rural areas where more than 75% of the women live.
  26. 26. Millennia 2015 Women and eHea| th (WeHea| th) 3. Health information Receiving regular information on maternal and child health, family health, disease control, HIV AIDS, malaria, cancer and vaccination is the most often cited as of interest to women.
  27. 27. Millennia 2015 Women and eHea| th (WeHea| th) 4. Cost Clearly, the costs of the devices, connections and communications are a major barrier for women to have access and use | CTs for health. . .z""" 5. Education / "_____. / Education of women on how to use . , '« ‘*__"/ __, 9. the | CTs is of major concern and - " :44’ / V ’ ~ ‘ repetitively mentioned in the *~‘— _ . E” interviews and reports. illiteracy and ’ “ - disabilities constitute major impediments to the use of | CTs by women.
  28. 28. Millennia 2015 Women and eHea| th (WeHea| th) 9. Telemedicine Telemedicine remains a ’’male'’ sector at all levels: medical, technical, engineering. Women are 4 ‘“‘°jl beneficiaries as patients * l where such services are j - made available. Very few are , ‘._ doctors, nurses or midwifes _-_—*_§. .— active in Telemedicine services.
  29. 29. Millennia 2015 Women and eHea| th (WeHea| th) 8. Mobiles and voice messaging mHealth or mobile health shows interesting results but remain limited to pilot projects that hardly expand at national / ' levels. Women having the experience of receiving Health related SMSs on their mobile appreciate the service when messages are delivered by voice.
  30. 30. Millennia 2015 Women and eHea| th (WeHea| th) 7. Radios and TVs . _.7 Radios and TV continue to i/ — play a major role in the dissemination of health _ / information and should T‘ ” . .5 ; interact more with mobile , 6' ”‘ phones and internet . _ e . . __g/ ~ services to reach more ‘~~/ /' WO| 'Ti€l'l.
  31. 31. Millennia 2015 Women and eHea| th (WeHea| th) 10. Free call lines Free call lines dedicated to women to reach health centers and health workers is an option proposed by many WeHealth members, in particular to support women living in difficult , _ situations such as violence, ‘ natural disasters, wa rs/ conflicts, refugees.
  32. 32. Millennia 2011 Women and eHea| th (WeHea| th) s Report htt : www. mi| lennia2015.or a e. as ? id= l233&| a ngue= EN * Articles A series of published articles and reports are selected based on their content in liaison with women health and | CTs.
  33. 33. "It would be strange, and embarrassing, if clinical psychologists, supposedly sophisticated methodologically and quantitatively trained, were to lag behind internal medicine, investment analysis, and factory operations control in accepting the computer revolution. " - Paul Meehl, 1987 Please sign our petition: WWW. StQ-El Q8 . netg SOCIETY FOR U r TECHNOLOGY AND {J I PSYCHOLOGY
  34. 34. ' ‘P Questions. Um‘ L Marlene M. Maheu, Ph. D. Te| eMenta| Health Institute, Inc. Phone: 619-255-2788 Email: mmaheu@te| ehea| th. ORG