Julia Reynolds, e-hub clinical services manager

Turning Point: Melbourne 22.08.2011

Surfing the e-couch: a quick guide to e-hub services

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e- services can be:

Used for mass delivery and

access, autonomy, privacy, engagement

shame, stigma

Effective, cost effective

2Presentation 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.

e-hub services

Mental health Information

Automated self help tools (CBT and other therapies)

Online peer support

Free, accessible, based on best available evidence

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e-hub: current AOD projects:

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Stimulant useMI + CBTf2f practice 3 modules

Recruiting October

U/age (16-18yr) binge drinking:1) Influential factors (now)2) Brief intervention

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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

5Presentation 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.

6Presentation 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.

www.bluepages.anu.edu.au

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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.

www.moodgym.anu.edu.au

~49,000 unique visitors/month > 20 studies English/Norwegian

5 modules: 20-40 mins Quizzes, Audio downloads Interactive workbook

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10Presentation 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.

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203 nation states by 2008 > 400,000 reg’d usersPresentation 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.

Lifeline users:

0

5

10

15

20

25

30

35

40

45

Pre-intervention Post-intervention 6 month follow-up 12 month follow-up

CE

S-D

Internet only

Internet plus tracking

Tracking only

Control

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www.ecouch.anu.edu.au

The latest!

Quizzes, workbooks, downloads

Currently: 6 RCTs

6733 unique visitors per month

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e-couch

Registration

Assessment

Generalised Anxiety Disorder

Social Anxiety Disorder

Panic Disorder

Bereavement & Loss

Divorce & Separation

Depression

Toolkits:• CBT (worry)• Relaxation

therapy• Physical

activity

Toolkits:• CBT• Exposure

therapy• Attention

practice• Social skills

training• Relaxation

therapy

Toolkits:• CBT• Exposure

therapy• Relaxation

therapy• Physical

activity

Toolkits:• Techniques

for dealing with grief

• CBT

Toolkits:• CBT• Problem

solving• Practical

advice

Toolkits:• CBT• IPT• Relaxation

therapy• Physical

Activity• (Problem

solving)

CBT Relaxation Therapy

Physical activity

IPT Exposure Attention practice

Social skills

Depression * * * *

GAD * * *

SAD * * * * *

14Presentation 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.

15Presentation 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.

1) PSYCHOEDUCATION

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2) Tool kits

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19Presentation 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.

20Presentation 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.

21Presentation 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.

22Presentation 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.

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)

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1) 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

How might e-hub be used ?

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.

e-hub assist

25anu