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mHealth as a Means to Connect Services across Departments

mHealth as a Means to Connect Services across Departments. Matthew Price, PhD Post-Doctoral Fellow National Crime Victims Research & Treatment Center Department of Psychiatry Medical University of South Carolina. The Best Camera…. A Population In Need.

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mHealth as a Means to Connect Services across Departments

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  1. mHealth as a Means to Connect Services across Departments Matthew Price, PhD Post-Doctoral Fellow National Crime Victims Research & Treatment Center Department of Psychiatry Medical University of South Carolina

  2. The Best Camera…

  3. A Population In Need • 60.7% of men and 51.2% of women have been exposed to a traumatic event in their life time 1,2 • “…Event that threatened death, serious injury, or physical integrity”3 • “…Response involved intense fear helplessness, or horror”3 • Increased risk for mental health 3-6 and physical health issues7, 8 • Symptoms often become chronic 9, 10 1Breslau et al., 1997; 2Kessler et al., 1995; 3DSM-IV-TR Criteria; 4Bennice et al., 2003; 5Zlotnick et al., 2006; 6Gutierres & Van Puymbroeck, 2006; 7 Brickman et al., 2002; 8Campbell et al., 2002; 9Zlotnick et al., 1998; 10Cougle, Resnick, Kilpatrick 2011

  4. Psychiatric Diagnosis After A Traumatic Injury Zatzick et al., 2007; Bryant et al., 2010

  5. Obtaining Mental Health Treatment After an Injury Wang et al., 2005; Bryant et al., 2010; Price et al., in preparation

  6. Starting Treatment In Acute Care • Models of care that “link services” are needed1 • “Engagement strategies should specifically target these high-risk groups, as well as high-risk periods, including following an emergency room visit…”(pg. 696) 2 1BoyerMcAlpine, Pottick, Olfson, 2000; 2Kreyenbuhl, Nossel, Dixon, 2009

  7. Current Continuous Care Models • Such models have been developed for other types of care • However… • “Systematic outreach is costly and might be reserved for exceptionally traumatic events.” (pg. 765)3 • Has greater “Reach”5 Collaborative Care2 (Medium/High) PE in the ED1 (Medium) Trauma Outreach3 (Medium/High) 1Rothbaum, Kearns, Price, Kessler, Davis, Houry, under review; 2Zatzick et al., 2004; 3Shalev et al., 2011; 4Breslau et al., 1997; 5Koepsell, Zatzick, Russo, 2011

  8. Reach of Technology Based Interventions N = 4,224 N = 5,536 2 1 1Shalev et al., 2011; 2Price et al., 2012

  9. mConnected Care

  10. Moving Forward • Current Position • NCVC & Trauma Center Collaboration • Collecting Recruitment Feasibility Data • Who we are looking for to move forward • Developers with mobile application/website experience • Clinics who see a high degree of trauma patients • What we are looking for to move forward • Assessment strategies suited for mobile devices • Additional interested collaborators

  11. Acknowledgements • Kenneth J. Ruggiero, PhD • Carla K. Danielson, PhD • Jenna L. McCauley, PhD • Kirstin S. Gros, PhD • Daniel F. Gros, PhD • Dean G. Kilpatrick, PhD • Samir M. Fakhry, MD • Debbie Couillard, RN • Pamela Ferguson, PhD • Evert Eriksson, MD • Stephan A. Fann, MD • Bruce A Crookes, MD • Regina Creech, MS, CHES

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