1. Inside the P20 TelehealthReesearch Lab With your Host: Jeff Reese, Ph.D. Next Generation Learning Summit September 7, 2010

2. Today’s Goals:1. Provide rationale for need of increased psychosocial services for children & families2. Address why telehealth is a viable tool to address this concern 3. Discuss current Telehealth Lab projects and collaborative possibilities

3. 1. Rationale for Lab Goal: Improve access to specialized psychosocial services for children and families in rural and remote areas of Kentucky using telehealth technologies. Why?: Children and families in Kentucky are vastly underserved – 75% of children dx w/ developmental, behavioral, or emotional problems are not receiving the appropriate services in their schools or communities (KY DOE, 2006-2007)

4. 1. Rationale for Lab 1 in 5 children will struggle w/ a mental health concern during their education (Surgeon General, 1999) . 50% of adolescent students with a mental health condition fail to complete high school 70% of youth involved in state and local juvenile justice systems suffer from mental health conditions

5. 1. Rationale for Lab Kentucky recently ranked 42nd out of 50 states on a measure of child wellbeing (Casey Foundation, 2008). According to the 2003 National Survey of Children’s Health, the reported prevalence of AD/HD in the state of Kentucky was 10.12%, the third-highest rate in the nation

6. Just a Guess, But… Kentucky School Superintendent?

7. Why Telehealth? Reduces barriers of geography and accessibility Takes advantage of existing KTHN Statewide videoconference consortium of over 1,000 sites, including 45 of state’s 120 county school systems Can assist with long waiting-lists for child psychiatrists

8. Why Telehealth? It is an acceptable alternative to in-person contact: - adult individual therapy (Reese, Conoley, & Brossart, 2002) - family therapy (Glueckauf et al., 2002) - child-based interventions (Nelson, Barnard, & Cain, 2006)

9. Why Telehealth? Parents prefer interventions that have a psychosocial component (Antshel & Barkley, 2008)

10. A Possible Win/Win? Psychology doctoral students could provide supervised services Costs would be minimal – goal is to obtain external funding Result is that children and families benefit and so do our doctoral students!

11. Current Telehealth Project Kentucky TeleCare (College of Medicine) Dept. of Pediatrics (College of Medicine) Counseling Psychology (College of Education) AT&T Foundation Grant: Using Telehealth to Reach Underserved Populations: A Behavioral Family Intervention for Parents of Children with ADHD

12. Parent training program based on behavioral family interventions grounded in social learning theory Evidence-based method that has an excellent track record as an intervention for children with behavioral issues Has a modified telehealth application

13. Current Status of Project Have had 1 round of sessions in Morehead with 3 families, feedback has been very positive Currently conducting intakes for group starting in mid-September Getting the “word out” in rural communities via primary care physicians, a radio show, school nurses, schools, and other health care providers in the identified area

14. Next Steps… Plan is to use pilot data for further funding to expand program Looking to partner with other medical centers and schools before submitting NIH R21 grant Hope to expand lab to include other intervention-based services, consultation, and training (e.g., Autism)

15. What Are Your Needs and Ideas?