The Mental Health Professional and the New Technologies: A Handbook for Practice Today

Contents......Page 8
About the Authors......Page 14
Preface......Page 16
Personal Notes......Page 19
General Disclaimers......Page 21
Acknowledgments......Page 24
1 Introduction......Page 30
Key Terminology......Page 34
Specific Definitions......Page 35
Benefits to Using the Psychotechnologies......Page 39
Barriers to Using the Psychotechnologies......Page 41
Psychotechnologies and the Demand for Mental Health Services......Page 43
Economics and Mental Health Care......Page 44
Expanding the Role of Mental Health Care......Page 53
Beyond Mental Health Care......Page 56
Mental Health versus Behavioral Services......Page 58
Large-Scale Web Site Services......Page 63
2 Telecommunication Technicalities......Page 68
Synchronous Communication......Page 69
Asynchronous Communication......Page 70
The Data......Page 72
Transmission Channels and Devices......Page 74
Transmission Channels......Page 75
Devices......Page 78
Connecting to the Internet......Page 79
The World Wide Web......Page 80
3 E-Mail, Chat Rooms, and Other Text-Based Environments......Page 82
Just Add Modem and Mix......Page 83
Connection by E-Mail......Page 85
Newsgroups......Page 86
Internet Chat......Page 88
Joining, Developing, and Maintaining E-Mail Forums......Page 90
Everything Is Public......Page 94
Professional Literature: Text-Based Communication......Page 99
The Signature File......Page 104
Ad Out......Page 105
Road Hogs......Page 106
Don't Be a Robot......Page 107
4 Professional Web Site Considerations......Page 108
Web Site Planning......Page 109
Overall Goals......Page 110
Web Site Development......Page 111
Ensuring Security......Page 113
Individual or Small-Group Web Sites......Page 114
Web Site Construction......Page 119
Domain Names......Page 122
Home Page......Page 123
Content......Page 124
Promotional Activities......Page 132
Other Attractions......Page 133
Retaining Visitors......Page 134
Error Management......Page 139
Traffic Statistics......Page 140
Visitors' Reactions......Page 141
5 Telephonic and Videoconferencing Technologies......Page 142
Benefits of and Barriers to the Telephone and Videoconferencing Technologies......Page 143
Benefits of the Telephone and Videoconferencing......Page 144
Barriers to Using the Telephone and Videoconferencing......Page 148
Wireless Telephone Technologies Combined with Text Messaging......Page 156
Transmission Channels......Page 160
Videoconferencing Devices and Programs......Page 163
Videoconferencing Practicalities......Page 167
Videoconferencing Applications in the Real World......Page 173
Rural Area Programs......Page 174
Correctional Facility Programs......Page 176
School Programs......Page 177
Beyond Mimicry of Traditional Care......Page 178
Benefits......Page 180
Barriers......Page 181
Development and Use of Computer-Aided Assessment......Page 182
Computer-Based Questionnaires......Page 183
Computer-Based Tests......Page 185
Clinical Interviews......Page 186
Electronic Diaries......Page 192
Interactive Voice Response Systems......Page 194
Clinical Decision Support......Page 196
Benefits of Computer-Aided Psychotherapy......Page 202
Barriers to Computer-Aided Psychotherapy......Page 204
ELIZA......Page 206
Psychoeducational Programs......Page 207
Therapeutic Learning Program......Page 208
Desktop Computers......Page 209
Therapy Assisted by Handheld Computers......Page 215
Virtual Reality–Assisted Therapy......Page 217
Biofeedback Devices......Page 220
Practice Management Systems......Page 226
Practice Management Program Features......Page 227
Changing Professional Relationships......Page 228
Practical Considerations......Page 233
Computer-Based Patient Records......Page 238
Benefits of the Computer-Based Patient Record......Page 240
Barriers to the Adoption of Computer-Based Patient Records......Page 242
Legislation, Standards, and Guidelines......Page 245
Choosing a Computer-Based Patient Record System......Page 247
Advocacy......Page 249
Privacy Protections......Page 250
A Brief History......Page 251
Working Definitions......Page 252
Trust versus Trustworthiness......Page 253
Health Insurance Portability and Accountability Act......Page 254
Children's Online Privacy Protection Act......Page 266
International Privacy and Security Measures......Page 267
Regulation......Page 268
Food and Drug Administration Regulation of Telemedicine Devices......Page 270
Electronic Signatures in Global and National Commerce Act......Page 271
State Licensure and Liability......Page 272
Definitions of Practice......Page 275
Selecting Legal Counsel......Page 277
10 Standards and Guidelines......Page 280
Ethical Foundations......Page 282
Clinical Standards......Page 284
Standards of Professional Conduct......Page 285
Standards of Care......Page 304
Practice and Treatment Guidelines......Page 305
Administrative Standards......Page 309
Transmission......Page 312
Security......Page 314
Virtual Private Networks......Page 316
11 Online Clinical Practice Management (OCPM): Training and Support......Page 320
Proceeding with mindfulness rather than willfulness......Page 321
Definition of Online Clinical Practice—Revisited......Page 322
OCPM Step 1: Professional Training and Support......Page 324
Choice of Technologies......Page 325
Practitioner Competence......Page 331
Risk Management......Page 345
Training Opportunities......Page 348
Directory Web Sites......Page 350
Accepting Online Referrals......Page 351
Psychotechnology......Page 360
Security......Page 361
Explaining Web-Based Information......Page 362
Informed Consent......Page 364
Financial Agreements......Page 374
OCPM Step 5: Clinical Assessment......Page 376
The Case for In-Person Assessment......Page 377
Suggestions for Assessment......Page 379
Direct Patient Care via Text......Page 382
Web Sites as Adjunct Treatment Vehicles......Page 392
Audio- and Videoconferencing......Page 398
OCPM Step 7: Reimbursement......Page 400
Reimbursement Legislation......Page 403
Claims Submission and Payment Processes......Page 404
Advocacy and Lobbying......Page 406
14 The Near Future......Page 410
New Internet-Related Issues......Page 411
Cybersex......Page 412
The Younger Generation......Page 413
Professional Issues......Page 416
The Electronic Patient Record......Page 417
Ongoing Changes in the Web and in Computers......Page 419
The Market for Psychotechnologies......Page 429
Career Opportunities......Page 430
Telehome Health Care......Page 431
15 The Distant Future......Page 434
Watch Your Language......Page 436
Actions Speak Louder than Words......Page 437
Wearable Computers and Smart Clothing......Page 438
Cyborg Theory......Page 440
Virtual Assessment......Page 442
Virtual 3-D Therapeutic Games......Page 443
Affective Computing......Page 444
Human versus Computer Therapist......Page 445
Summary of Risk Management Issues......Page 448
Security......Page 449
Impressing the Press......Page 452
Partnering with Employers, Labor Unions, and Employees......Page 453
Immediate Needs......Page 454
Journal Resources......Page 456
Additional Information Sources......Page 457
General Suggestions......Page 458
Concluding Remarks......Page 459
Appendix A: Comparative Studies of Psychotechnologies......Page 462
Appendix B: Sample Listserv Guidelines......Page 468
Appendix C: Addendum to Patient Consent Agreement......Page 476
Appendix D: Draft International Convention on Telemedicine and Telehealth......Page 480
Vignette Contributors......Page 490
References......Page 496
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