Julia Reynolds. DrugInfo seminar: Information and communication technology. 22 August 2011

1. Surfing the e-couch: a quick guide to e-hub services Julia Reynolds, e-hub clinical services manager Turning Point: Melbourne 22.08.2011 Presentation made available by The Australian National University. It includes 3rd party material used with permission or under licence. Material from this presentation cannot be reproduced or communicated without prior permission of the ANU

2. e- services can be: Used for mass delivery and access, autonomy, privacy, engagement shame, stigma Effective, cost effective 2 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

3. e-hub services Mental health Information Automated self helptools (CBT and other therapies) Online peer support Free, accessible, based on best available evidence 3 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

4. e-hub: current AOD projects: 4 Stimulant use MI + CBT f2f practice 3 modules Recruiting October U/age (16-18yr) binge drinking: 1) Influential factors (now) 2) Brief intervention Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

5. 35% of people with substance use disorder have at least 1 affective or anxiety disorder People in AOD treatment: 51- 84% have mental illness Most freq: mood, anxiety, personality + extremely high rate of trauma exposure Australia: 69% outpt Rx for ETOH dependence D or Anx as cited in Mills et al (2010) “Guidelines on the management of co-occurring drug and alcohol and mental health problems in alcohol and other drug treatment settings.” http://www.med.unsw.edu.au/NDARCWeb.nsf/page/Comorbidity+Guidelines 5 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

6. 6 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

7. www.bluepages.anu.edu.au 7 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

8. 8 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

9. www.moodgym.anu.edu.au ~49,000 unique visitors/month > 20 studies English/Norwegian 5 modules: 20-40 mins Quizzes, Audio downloads Interactive workbook 9 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

10. 10 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

11. 11 203 nation states by 2008 > 400,000 reg’d users Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

12. Lifeline users: 12 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

13. www.ecouch.anu.edu.au The latest! Quizzes, workbooks, downloads Currently: 6 RCTs 6733 unique visitors per month 13

14. 14 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

15. 15 1) PSYCHOEDUCATION Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

16. 16 2) Tool kits Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

17. 17 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

18. 18 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

19. 19 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

20. 20 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

21. 21 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

22. 22 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

23. Board themes Supporting others Need for self care The ways that caring can disempower people Supporting others when they are not at the point of seeking help Self- support Treatments Managing symptoms Managing ripple effects (e.g., work, r/ships) 23 Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

24. 24 How might e-hub be used ? Self-help: Prevention/ Early intervention/ Relapse Prevention? 2) With the support of a therapist in dual/ multiple diagnosis? A resource for f2f cbt – combined use may improve outcomes?? A supervised self-help intervention that runs alongside other forms of therapy – e.g., where a client’s situation is complex Peer groups may provide social skills / exposure practice, distraction/ soothing, social support Presentation made available by ANU and cannot be communicated or reproduced without prior permission of ANU. May include 3rd party material used with permission or under licence.

25. e-hub assist 25 anu