An Equal Opportunity University

Inside the P20 Telehealth

Reesearch LabWith your Host:Jeff Reese, Ph.D.

Next Generation Learning Summit

September 7, 2010

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Today’s Goals:

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

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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)

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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

An Equal Opportunity University

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

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Just a Guess, But…

Kentucky School Superintendent?

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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

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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)

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Why Telehealth?

• Parents prefer interventions that have a psychosocial component (Antshel & Barkley, 2008)

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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!

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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

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• 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

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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

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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)

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What Are Your Needs and Ideas?