Critical incidents in the marriage of psychology and technology: A discussion of potential ethical issues in practice, education, and policy.

Allen, Jason Van; Roberts, Michael C.

doi:10.1037/a0025278

Cited by 43 publications

(36 citation statements)

References 15 publications

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“…It is important to note that VTC innovations and opportunities for conducting psychological treatments over the Internet are advancing at a more rapid pace than the development of relevant legal, regulatory, and ethical standards (see Van Allen & Roberts, 2011). Accordingly, we must be cautious against conducting VTC-based treatment in the absence of guidance from the broader professional community, particularly given the unique security, privacy, and liability concerns associated with such care.…”

Section: Discussionmentioning

confidence: 99%

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Comer

Furr

Cooper‐Vince

et al. 2013

Journal of Clinical Child & Adolescent Psychology

117

112

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Given the burdens of early-onset obsessive-compulsive disorder (OCD), limitations in the broad availability and accessibility of evidence-based care for affected youth present serious public health concerns. The growing potential for technological innovations to transform care for the most traditionally remote and underserved families holds enormous promise. This article presents the rationale, key considerations, and a preliminary case series for a promising behavioral telehealth innovation in the evidence-based treatment of early-onset OCD. We developed an Internet-based format for the delivery of family-based treatment for early-onset OCD directly to families in their homes, regardless of their geographic proximity to a mental health facility. Videoteleconferencing (VTC) methods were used to deliver real-time cognitive-behavioral therapy centering on exposure and response prevention to affected families. Participants in the preliminary case series included 5 children between the ages of 4 and 8 (MAge = 6.5) who received the Internet-delivered treatment format. All youth completed a full treatment course, all showed OCD symptom improvements and global severity improvements from pre- to posttreatment, all showed at least partial diagnostic response, and 60% no longer met diagnostic criteria for OCD at posttreatment. No participants got worse, and all mothers characterized the quality of services received as “excellent.” The present work adds to a growing literature supporting the potential of VTC and related computer technology for meaningfully expanding the reach of supported treatments for OCD and lays the foundation for subsequent controlled evaluations to evaluate matters of efficacy and engagement relative to standard in-office evidence-based care.

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Section: Discussionmentioning

confidence: 99%

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Comer

Furr

Cooper‐Vince

et al. 2013

Journal of Clinical Child & Adolescent Psychology

117

112

View full text Add to dashboard Cite

show abstract

“…It is also recommended that patients generate access IDs that do not include any personally identifying information in them (e.g., last names, dates of birth), and therapists and patients should avoid using last names during sessions. Nonetheless, as considered in depth elsewhere (Van Allen & Roberts, 2011), technological innovations and opportunities are advancing at a pace more rapid than the development of relevant regulatory, ethical, and legal standards. We must be extremely cautious against allowing technology-assisted practices operating in the absence of guidance from the broader professional community, particularly given the unique privacy, security, and liability concerns inherent in such care.…”

Section: Toward a Specialty Behavioral Telehealth Care Modelmentioning

confidence: 99%

The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments.

Comer¹,

Barlow²

2014

American Psychologist

164

149

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Mental illness imposes a staggering public health burden in the United States. Although the past 40 years have witnessed tremendous advances in the identification of evidence-based practices (EBPs) in psychological treatments, gaps persist between treatment in experimental settings and services available in the community. In response, considerable attention and large financial commitments have focused in recent years on broad dissemination and implementation efforts designed to improve the quality of psychological services delivered by a variety of generalist practitioners across practice settings. Increasingly, under the influence of the Patient Protection and Affordable Care Act, it is envisioned that these generalists will practice in integrated primary care settings. These advances hold enormous potential, and yet, given the tremendous diversity of mental health problems and human suffering, broad dissemination and implementation efforts to generalists alone may not be sufficient to adequately address the burden of mental illness. Some EBPs may prove too complex for universal dissemination, and the time and expense required for quality dissemination and implementation preclude large-scale training in the treatment of low base rate disorders. As dissemination and implementation efforts work to ensure a quality generalist mental health care workforce, herein we highlight the vital need for available specialty care in the delivery of psychological treatments. Given traditional barriers that interfere with the accessibility of specialty care, we propose the transformative potential of a specialty behavioral telehealth care workforce, transacting with the generalist practitioner workforce to collectively ensure the highest quality and timely delivery of needed treatments to affected individuals.

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“…As Van Allen and Roberts (2011) considered in depth elsewhere, technological innovations and opportunities for conducting psychological treatments over the Internet are advancing at a more rapid pace than the development of relevant regulatory, ethical, and legal standards. As such, we must be cautious against conducting technology-assisted treatment in the absence of guidance from the broader professional community, particularly given the unique security, privacy, and liability concerns associated with such care.…”

Section: Using the Internet To Deliver Pcit To Home Settingsmentioning

confidence: 99%

Rationale and Considerations for the Internet-Based Delivery of Parent–Child Interaction Therapy

Comer

Furr

Cooper‐Vince

et al. 2015

Cognitive and Behavioral Practice

116

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Given the enormous individual, familial, and societal costs associated with early disruptive behavior disorders, transformative efforts are needed to develop innovative options for overcoming traditional barriers to effective care and for broadening the availability of supported interventions. This paper presents the rationale and key considerations for a promising innovation in the treatment of early-onset disruptive behavior disorders—that is, the development of an Internet-based format for the delivery of Parent-Child Interaction Therapy (PCIT) directly to families in their own homes. Specifically, we consider traditional barriers to effective care, and discuss how technological innovations can overcome problems of treatment availability, accessibility, and acceptability. We then detail our current Internet-delivered PCIT treatment program (I-PCIT), which is currently being evaluated across multiple randomized clinical trials relative to waitlist comparison, and to traditional in-office PCIT. Embedded video clips of children treated with I-PCIT are used to illustrate novel aspects of the treatment.

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Critical incidents in the marriage of psychology and technology: A discussion of potential ethical issues in practice, education, and policy.

Cited by 43 publications

References 15 publications

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments.

Rationale and Considerations for the Internet-Based Delivery of Parent–Child Interaction Therapy

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