Using technology to support screening, identification and early - - PowerPoint PPT Presentation

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Using technology to support screening, identification and early - - PowerPoint PPT Presentation

Using technology to support screening, identification and early intervention for psychiatric and substance use disorders Ken Weingardt, Director Web Services Office of Mental Health Services, VACO AVAPL Annual Meeting San Antonio, TX May 14,


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Using technology to support screening, identification and early intervention for psychiatric and substance use disorders

Ken Weingardt, Director Web Services Office of Mental Health Services, VACO AVAPL Annual Meeting San Antonio, TX May 14, 2010

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Agenda

  • Overview of OMHS Web Services
  • Screening measures and psycho-educational resources that

are currently available on My HealtheVet

  • Web resources to support secondary prevention and a

stepped-care model.

  • Blending technology with traditional mental health services to

support the delivery of evidence based behavioral health practices.

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OMHS Web Services Division

  • Provides strategic direction and coordination for all

Internet and Intranet web sites managed and maintained by OMHS and its organizational units.

  • Coordinates the development and evaluation of web

based patient education and self-management resources available to Veterans through the MyHealtheVet Personal Health Record.

  • Coordinates the development and evaluation of

technology-based clinical training resources available to VA staff through the VA Employee Education System (EES).

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www.mentalhealth.va.gov

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vaww.mentalhealth.va.gov (to launch June 2010)

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vaww.mentalhealth.va.gov\ebp

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https://vaww.portal.va.gov/sites/cpt_community/default.aspx

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Agenda

  • Overview of OMHS Web Services
  • Screening measures and resources that are currently available
  • n My HealtheVet
  • Web resources to support secondary prevention and a

stepped-care model.

  • Blending technology with traditional mental health services to

support the delivery of evidence based behavioral health practices.

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VA EMR My HealtheVet PHR

Inform Engage Activate

  • VistA/CPRS is the authoritative VA

medical record.

  • Veteran "owns" his/her

My HealtheVet Personal Health Record (PHR).

  • Veteran will access extracted data

sent to My HealtheVet from VA Electronic Medical Record (EMR).

  • Veteran control of access to

information (via delegation).

CPRS  VistA  BCMA VistA Imaging

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www.myhealth.va.gov

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Agenda

  • Overview of OMHS Web Services
  • Screening measures and resources that are currently available
  • n My HealtheVet
  • Web resources to support secondary prevention and a

stepped-care model.

  • Blending technology with traditional mental health services to

support the delivery of evidence based behavioral health practices.

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NHS Stepped Care Model for Mental Health

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http://www.veterandrinkerscheckup.org/

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www.afterdeployment.org

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Agenda

  • Overview of OMHS Web Services
  • Screening measures and resources that are currently available
  • n My HealtheVet
  • Web resources to support secondary prevention and a

stepped-care model.

  • Blending technology with traditional mental health services to

support the delivery of evidence based behavioral health practices.

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Cucciare & Weingardt, 2007

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Guided Self-help + therapist email “…there are clear indications that the presence of an online therapist guiding the patients and providing feedback is important to adherence and outcomes” (Andersson, 2009) Guided self-help + therapist training/support + face-to-face “…we developed a program in which a computer program guides the clinician session-by-session….the computer program also guides the patient in an interactive format by presenting information and video depictions of CBT in action…” (Craske, Roy-Byrne, Stein et al., 2009) Guided self-help + social media Social media can reduce attrition from public health internet interventions (Bennet & Glasgow, 2009)

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  • Annu. Rev. Clin. Psychol. 2009. 5:121–41

Factors that Influence Whether CP is effective

  • The importance of screening patients for suitability for CP (simple screening

can enhance uptake, motivation, and economies of scale)

  • The role of live human support for CP users (just a little human contact can

go far to reduce attrition, improve uptake and pt outcomes)

  • The background of successful CP supporters (typically professional,

paraprofessional or student CBT therapists)

  • The importance of routine monitoring of CP progress and live support

(monitoring number of users, what sections they access, the goals they work

  • n, their outcome ratings)
  • How CP can fit with (complement/augment) traditional face to face

psychotherapy.

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Ken.Weingardt@va.gov www.mentalhealth.va.gov vaww.mentalhealth.va.gov