Home-Based Clinical Video- Teleconferencing Technology for PTSD: A Patient Centered Model Leslie Morland, PsyD, Steven Thorpe, PhD., Ron Acierno, PhD.

Slides:

Advertisements

Similar presentations

Prolonged exposure An Evidence-Based Psychotherapy for PTSD

Advertisements

Adaptive Disclosure Brett Litz National Center for PTSD VA Boston Healthcare System Boston University.

 Virginia Tech Institute for Policy and Governance Mary Beth Dunkenberger, Principal Investigator Suzanne Lo, Project Manager Veterans and Broadband Access.

1 Setting the Stage for Transformation Robert Jesse, MD, PhD Principal Deputy Under Secretary for Health National Planning Conference July 2010.

“To care for him who shall have borne the battle and for his widow, and his orphan,” President Lincoln March 4, 1865 UNITED STATES DEPARTMENT OF VETERANS.

Included Literature Review

HEALTH services MMU & Health Camps. Evolution of new concepts MMU +MMU ++ ~ 2008 MMU Health Camps Transition Phase of MMU programme.

TIDES Collaborative Care for Depression: From Research to Practice Jeffrey L. Smith, PhD(c) Implementation Research Coordinator VA Mental Health QUERI.

Interdisciplinary Pain Team Training Program Michael E. Clark, PhD Candon Norton, PsyD Chronic Pain Rehabilitation Program Tampa Veterans’ Hospital

Integrating Collaborative Health Care Training Using Telehealth into an Advanced Practice Nursing Curriculum Participants indicated high satisfaction with.

Samuel Kacew, Ph.D. University of Ottowa David Kalman, Ph.D. University of Washington Judy LaKind, Ph.D. University of Maryland, Pennsylvania State University,

Dual Diagnosis Capability in Addiction Treatment: A Comparison of Client Characteristics and Treatment Outcomes Laurel Mangrum, Ph.D. University of Texas.

VA Women’s Mental Health Services Research Paula P. Schnurr, Ph.D VA National Center for PTSD Dartmouth Medical School.

VISN 1 Rural Health Program Daniel H. Mades Rural Health Consultant Veterans Integrated Service Network 1 1.

IPods in the Exam Room: A Pilot Study and a Discussion of Technology’s Role in Patient-Centered Care and the Treatment of Chronic Illness Danielle King,

VHA INNOVATION PROGRAM Innovation #391 Phonak Teleaudiology VHA ISB Business Case September 25, 2013.

VA Mobile Applications for Mental Health: PTSD Coach

What Does Women’s Health Care Look Like in the VA? Elizabeth M. Yano, PhD, MSPH; Bevanne Bean-Mayberry, MD, MHS; Ismelda Canelo, MPA; Andrew B. Lanto,

Serving America's Veterans: How Florida Health Centers Can Answer the Call Florida Association of Community Health Centers Webinar 08/19/2015 3pm, EST.

VHA INNOVATION #669: HOME-BASED TELEMENTAL HEALTH Peter Shore, Psy.D. Director of Telehealth, VISN 20 Department of Veterans Affairs Apps, Telehealth,

1 DoD-VA Partnership Status 22 February DoD/VA Partnership DoD/VA Mission, Vision, Authority DoD/VA Council Structure Joint Strategic Plan Current.

The Mental Health of UK Military Personnel, Reservists and Veterans: A programme of research Dr Lisa Webster Post-doctoral Research Associate Mental Health.

Partnership with the Mental Health Product Line Kathy L. Henderson, MD Michael R. Kauth, PhD February 2011.

2015 Rural Health Summit National Organization of State Offices of Rural Health Rural Recruitment and Retention Network National Cooperative of Health.

High Value Primary Care: New Evidence on the Excellent Return on Investment in Primary Care Commonwealth Fund and Alliance for Health Reform Briefing December.

ADAPT serving geriatric populations in rural communities. Project ADAPT Assessing Depression and Proactive Treatment The Minnesota Area Geriatric Education.

Veterans Health Administration Office of Rural Health VA Advisory Committee on Women Veterans Office of Rural Health Office of the ADUSH for Policy and.

Live, Online Service Delivery Therapy | Behavior Intervention| Mental Health | Special Education Support.

{ Managing the Impact of Mental Health Issues on a Healthcare System David W. Greaves, Ph.D. VA Portland Healthcare System.

Together.Today.Tomorrow. The BLUES Project Karen C. Fox, PhD Chief Executive Officer.

Collaboration Across Pediatric Health and School Mental Health Systems Nita Kumar, PhD, LMFT, LPCC Mental Health Consultant.

Old Traumas, New Traumas, and New Approaches to Treating Trauma May 14-15, 2007 Houston, TX.

Evidence-Based Psychotherapies for Managing PTSD in the Primary Care Setting Kyle Possemato, Ph.D. Clinical Research Psychologist Collaborative Family.

VACO OFFICE OF MENTAL HEALTH SERVICES UPDATE Antonette M. Zeiss, Ph.D. Deputy Chief Consultant, Office of Mental Health Services Department of Veterans.

Increasing the Relevance of Health Care Organizational Research Jeff Alexander, Ph.D. AHRQ Annual Meeting Sept 8, 2008.

NAMI July 2006 OEF/OIF; PTSD/War Related Disorders; Research.

Women Veterans’ Health Care Needs and Use Donna L. Washington, MD, MPH Core Investigator and Staff Physician VA Greater Los Angeles Healthcare System December.

Patients Seen, and Interventions Used by Behavioral Health Providers Working in Different Models of Integrated Healthcare in Primary Care Clinics Across.

1 TELEMEDICINE AND TELE-MENTAL HEALTH IN WYOMING Rex E. Gantenbein, PhD Center for Rural Health Research and Education WY Psychological Association

This article and any supplementary material should be cited as follows: Chard KM, Ricksecker EG, Healy ET, Karlin BE, Resick PA. Dissemination and experience.

PE Coach Supports evidence-based exposure therapy for PTSD Installed on the patient’s device Used in each session and after each session during homework.

Effect of Telemedicine on Patients’ Diagnosis and Treatment *Ann B. Bynum, EdD, Rural Hospital Program, Arkansas Area Health Education Center (AHEC) Program;

Telehealth & Telemedicine Review and Resources. Terminology Telehealth  Broad concept of remote healthcare and inclusive of a range of health related.

Improving Access to Care through Telehealth for Veterans with MS and ALS Sean C. McCoy, PhD Veterans Rural Health Resource Center-Eastern Region

Case Studies – Medical Home A 360 Degree View of the Medical Home in Action.

Evaluation of the Implementation of a Modular Cognitive-Behavioral Treatment for Posttraumatic Stress, Depression, and Anxiety in U.S. Community Mental.

This article and any supplementary material should be cited as follows: Van Voorhees BW, Gollan J, Fogel J. Pilot study of Internet-based early intervention.

Mental Health Care Services for Women Veterans Provided in the Department of Veterans Affairs Antonette Zeiss, PhD Deputy Chief Consultant Office of Mental.

This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic.

Evidence Based Psychotherapies in the VA Claire Collie, Ph.D. Local Evidence Based Psychotherapy Coordinator Durham VAMC.

The VA eScreening Program: Technology to Improve Veteran Healthcare Niloo Afari, PhD James Pittman, LCSW Elizabeth Floto, MS VA Center of Excellence for.

Manchester 15 th November m-Health Innovation Centre (mHIC) Established 2008 In partnership with GSMA Multidisciplinary informatics capability.

Telehealth Implementation: Strategy for Measuring Impact on Quality, Access and Cost Kathleen Webster MD, FAAP Background Our Initial Goals Setting Program.

Analytical Interventional Studies

Elisa Borah, PhD and Val Rosen, MD

TITLE Differentiated Care for People who inject Drugs, Men who have sex with men, Sex workers, Transgender people, Prisoners and other people living in.

Home Based Palliative Care

Center of Excellence for Suicide Prevention

Telehealth and Research

The VA & Military Sexual Trauma

PICO by Jarred Wolfe.

Residential care in the VA: Helping or Veterans achieve a valued life one day at a time Andrea rehMert, Phd.

Testing the Getting To Outcomes implementation support strategy to facilitate the use of an evidence based practice in VA homeless programs Matthew Chinman,

Pre-implementation Processes Implementation, Adoption, and Utility of Family History in Diverse Care Settings Study Lori A. Orlando, MD MHS.

Experiences from The Center for Deployment Psychology

VHA Telehealth Sandra K. Schmunk, BS, MT-ASCP, MA, MS

2016 Prioritized Research Gaps – PTSD

Health Strategies Group

Co-PI: Ben Coopwood, MD, FACS

North Florida/South Georgia Veterans Health System

Presentation transcript:

Home-Based Clinical Video- Teleconferencing Technology for PTSD: A Patient Centered Model Leslie Morland, PsyD, Steven Thorpe, PhD., Ron Acierno, PhD.

2 What is Clinical VideoTeleconferencing?

3 Why Use CVT?

VHA CVT Services FY

What Do We Know? Evidence Base for CVT Feasibility & Acceptability Efficacy & Effectiveness Equivalence/ Noninferiority Implement

6 Non-inferiority Trials Underway Group Cognitive Processing Therapy (CPT) with male PTSD combat veterans Individual Cognitive Processing Therapy (CPT) with female PTSD combat veterans Individual Prolonged Exposure with male PTSD combat veterans

7 Primary Research Goal Evaluate the efficacy of using Video Teleconferencing (VTC) modality as compared to the traditional face-to- face in-person (NP) modality for providing an evidence-based cognitive-behavioral group anger management intervention to veterans with PTSD. Hypotheses: EBP over CVT modality will be as effective as in-person service delivery for providing CPT, PE, AMT... 1: Clinical outcomes 2: Process outcome 3: Cost Outcomes

8 Clinical Implications: Data supports that using a video teleconferencing modality for providing an evidence-based anger group therapy treatment is as good as providing this treatment in a traditional face-to-face modality. Clinical efficacy for this modality was established. Preliminary data support feasibility and effectiveness of using video teleconferencing for a CPT group intervention and PE and CPT individual intervention to treat PTSD directly. Veterans reported an acceptance and willingness to use these services in the future & reported satisfaction & comfort this modality.

Limitations of Traditional Model Long Term Sustainment Hi degree of Coordination Personnel Cost Facility Resources Patient Burden Staff Burden

Home-based CVT Provide Care in the home through MOVI or Jabber technology Less need for coordination, space, travel reimbursements Pilots under way through Portland and Charleston have demonstrated feasibility

Providers reach remote Veterans via secure and encrypted software with two- way facing cameras Providers from multiple disciplines can access their VA network and patients Less need for coordination, space, travel reimbursements Home Based CVT

PCL Scores across Time (N=33)

Recently or Pending Funding Comparison of Prolonged Exposure for PTSD in OIF- OEF Veterans Delivered In-Office vs. Home-Based Telemedicine vs. Home-Based In Person Modalities PIs: Thorp and Morland; Funding Approved FY12 (FY12-FY16) Home-Based Cognitive-Behavioral Conjoint Therapy for PTSD via Video teleconference” In response to NIMH RFA titled Harnessing Advanced Health Technologies to Drive Mental Health Improvement“ PI: Morland

Future Research Directions Continue to evaluate when, how, & with whom technologies can be used to impact care with difficult to reach military populations. Examine integration of different technology platforms to overcome barriers across the access to continuum of care.