Browsing by Author "Luxton, David D"
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- ItemATA practice guidelines for video-based online mental health services.(2013-09-10) Turvey, Carolyn; Coleman, Mirean; Dennison, Oran; Drude, Kenneth; Goldenson, Mark; Hirsch, Phil; Jueneman, Robert; Kramer, Greg M; Luxton, David D; Maheu, Marlene M; Malik, Tania S; Mishkind, Matt C; Rabinowitz, Terry; Roberts, Lisa J; Sheeran, Thomas; Shore, Jay H; Shore, Peter; van Heeswyk, Frank; Wregglesworth, Brian; Yellowlees, Peter; Zucker, Murray L; Krupinski, Elizabeth A; Bernard, JordanaTable of Contents PREAMBLE SCOPE INTRODUCTION Internet Based Telemental Health Models of Care Today CLINICAL GUIDELINES A Professional and Patient Identity and Location 1 Provider and Patient Identity Verification 2 Provider and Patient Location Documentation 3 Contact Information Verification for Professional and Patient 4 Verification of Expectations Regarding Contact Between Sessions B Patient Appropriateness for Videoconferencing Based Telemental Health 1 Appropriateness of Videoconferencing in Settings Where Professional Staff Are Not Immediately Available C Informed Consent D Physical Environment E Communication and Collaboration with the Patient s Treatment Team F Emergency Management 1 Education and Training 2 Jurisdictional Mental Health Involuntary Hospitalization Laws 3 Patient Safety When Providing Services in a Setting with Immediately Available Professionals 4 Patient Safety When Providing Services in a Setting Without Immediately Available Professional Staff 5 Patient Support Person and Uncooperative Patients 6 Transportation 7 Local Emergency Personnel G Medical Issues H Referral Resources I Community and Cultural Competency TECHNICAL GUIDELINES A Videoconferencing Applications B Device Characteristics C Connectivity D Privacy ADMINISTRATIVE GUIDELINES A Qualification and Training of Professionals B Documentation and Record Keeping C Payment and Billing REFERENCES
- ItemmHealth data security: the need for HIPAA-compliant standardization.(2012-05-08) Luxton, David D; Kayl, Robert A; Mishkind, Matthew CThe rise in the use of mobile devices such as smartphones tablet personal computers and wireless medical devices as well as the wireless networks that enable their use has raised new concerns for data security and integrity Standardized Health Insurance Portability and Accountability Act of 1996 HIPAA compliant electronic data security that will allow ubiquitous use of mobile health technologies is needed The lack of standardized data security to assure privacy to allow interoperability and to maximize the full capabilities of mobile devices presents a significant barrier to care The purpose of this article is to provide an overview of the issue and to encourage discussion of this important topic Current security needs standards limitations and recommendations for how to address this barrier to care are discussed
- ItemMobile app self-care versus in-office care for stress reduction: a cost minimization analysis.(2014-12-10) Luxton, David D; Hansen, Ryan N; Stanfill, KatherineWe calculated the cost of providing stress reduction care with a mobile phone app Breathe2Relax in comparison with normal in person care the standard method for managing stress in military and civilian populations We conducted a cost minimization analysis The total cost to the military healthcare system of treating 1000 patients with the app was 106 397 Treating 1000 patients with in office care cost 68 820 Treatment using the app became less expensive than in office treatment at approximately 1600 users From the perspective of the civilian healthcare system treatment using the app became less expensive than in office treatment at approximately 1500 users An online tool was used to obtain data about the number of app downloads and usage sessions A total of 47 000 users had accessed the app for 10 30 min sessions in the 2 5 years since the release of the app Assuming that all 47 000 users were military beneficiaries the savings to the military healthcare system would be 2 7 million if the 47 000 users were civilian the savings to the civilian healthcare system would be 2 9 million Because of the large number of potential users the total societal savings resulting from self care using the app may be considerable
- ItemSuicide risk management during clinical telepractice.(2014-10-30) Luxton, David D; O'Brien, Karen; Pruitt, Larry D; Johnson, Kristine; Kramer, GregoryThe effective assessment and management of suicidal patients is an essential component of telehealth based care With this article we describe how we have implemented procedures for the ongoing assessment and management of suicide risk in a clinical trial that compares in office treatment to home based treatment delivered via web cam to U S military service members and veterans with depression We describe our safety protocol and how it was adapted from current recommended best practices published guidelines and local requirements for managing patient safety during home based telepractice We conclude with discussion of other key safety issues associated with telepractice The topics discussed are relevant to all mental health practitioners who are interested in clinical telepractice services
- ItemTechnology-based suicide prevention: current applications and future directions.(2011-02-07) Luxton, David D; June, Jennifer D; Kinn, Julie TThis review reports on current and emerging technologies for suicide prevention Technology based programs discussed include interactive educational and social networking Web sites e mail outreach and programs that use mobile devices and texting We describe innovative applications such as virtual worlds gaming and text analysis that are currently being developed and applied to suicide prevention and outreach programs We also discuss the benefits and limitations of technology based applications and discuss future directions for their use
- ItemUsability and feasibility of smartphone video capabilities for telehealth care in the U.S. military.(2012-07-20) Luxton, David D; Mishkind, Matthew C; Crumpton, Rosa M; Ayers, Todd D; Mysliwiec, VincentThe two way audio visual capabilities on the latest smartphone platforms bring new possibilities for the delivery of healthcare services to users Because this technology is so new the feasibility and the basic usability of the technology need to be evaluated before more research is conducted on its application in the telehealth field The purpose of this study was to conduct preliminary usability testing of smartphone two way video capabilities for potential telehealth use for U S military service members Seven service member volunteers communicated with research staff at a large military installation via Apple s Cupertino CA FaceTime app on the iPhone 4 smartphone platform and conducted basic usability testing of the technology Preferences for potential use of the technology were also assessed The results showed that the technology has both limitations as well as potential for telehealth applications that warrant additional research