Online Treatment Enhancement: Low Cost, Low Tech (2013 APSAD Conference)
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Transcript of Online Treatment Enhancement: Low Cost, Low Tech (2013 APSAD Conference)
Using the Internet to Enhance Treatment ServicesLow Cost, Low Tech
APSAD Conference 2013
Ray Stephens – Online Project Leader
“The community services system needs to be focused on digital technology opportunities and prepared for the changes and challenges it will bring”.
(Shergold, 2013)
TelehealthPortable kiosks
Current climate
• Pressures on health funding• AOD service reforms• NBN, ehealth, telemedicine, smartphones,
increasing use of internet for health and health information
• = focus on technology to increase access, timeliness, reduce costs
“Digital Health feels like the PC industry in the early ’80 s.”′
John Sculley – Former CEO of Apple and PepsiCo – Digital Health Summit, January 2012
“80% of what doctors do today will be replaced by technology in 10 years.”
Vinod Khosla - Sun Microsystems co founder, 2013
1960
1993
An estimated 1.8 million patients will be treated through telehealth worldwide by 2017.
Telehealth
Low CostLow Tech?
iPads for remote monitoring
Self - help courses
Promotion of online screening tools
Social media
Education via webinar
Video conferencing
Low CostLow Tech?
iPads for remote monitoring
Online self - help courses
Promotion of online screening tools
Social media
Education via webinar
Video conferencing
Remote barriers
• < 18 y.o. male• Youth outreach worker fortnightly• Requires inpatient youth detox• Lives in Corryong
Gaps
Cost of transport
Time in travelling
Separation from family
Multiple workers involved
= engagement?
Accessing assessment
• 4 bus trips• 2 train trips• 2 taxi rides• An overnight hotel stay
• Video assessment
Videoconferencing Project
• 2 year trial• Using videoconferencing for remote assessments• Access to Williams House Youth Resi Withdrawal• Statewide catchment
Videoconferencing Project - Aims
• Reduced travel time – staff, client, family• Reduced costs • Improved assessments, timely responses• Demystify• Engagement• Collaboration
Videoconferencing Project - Cost
• ~ $15K setup• Using Microsoft Lync• Free to partners• Can be done for free (or a webcam)
Videoconferencing Project - Progress
• Conducting assessments with 2 rural agencies• Positive client experiences• Positive staff experiences• “It has confirmed that we have opened a new door
for allowing access to remote clients to our service and reducing barriers.”
Remote staff member
Videoconferencing Project - Learnings
• Needs to be integrated• Technical issues, firewalls, sound, ongoing• Change is slow – training and lots of support• Staff will find other uses
Pie in the sky
Online treatment
5 years from now what might you be doing?
• With clients• Within your organisation• With other organisations
What are the barriers?