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Mobile CCL . First Call Alcohol/Drug Prevention & Recovery, formerly known as National Council on Alcoholism and Drug Dependence, an established nonprofit agency since 1958 .
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First Call Alcohol/Drug Prevention & Recovery, formerly known as National Council on Alcoholism and Drug Dependence, an established nonprofit agency since 1958. • We have developed IT product solutions since 2004, to help community agencies become more efficient and effective in serving clients. • Recipient of SAMHSA funding and CARF certification. About Our Agency Innovative Acclaimed Recognized Expertise
Introductions • Ken Ortbals, Director of IT, Mobile CCL Project Director • Emily Hage, Mobile CCL Project Manager
How do you feel about technology? • Tell us about yourselves!! • How do you feel about learning new technologies? • Are you considering using mobile technology to serve clients? • What concerns do you have about mobile technology?
Mobile Technology What is it? Why does it matter?
What is Mobile Technology? Using technology to enable a client to access services from any location using a device that can access a cell phone network and / or the internet.
Why are we using it? • At First Call, we aim for a “no wrong door” approach for our clients and we feel technology is yet another point of access for clients in need • Mobile technology doesn’t just increase access due to rurality or lack of transportation—it may help people: • Who are worried about the stigma of addiction • Who can’t leave kids at home • Who simply prefer not to leave their homes
What is Mobile Technology? • Mobile applications • Virtual World • Use of chat rooms • Videoconferencing • Texting • Secure email • Client portal
Mobile Applications • Universities, treatment centers and the government are all putting resources into developing mobile applications (apps) • Mobile Apps can be accessed through smartphones like iPhones and Android phones, as well as tablets • Examples • A-CHESS, University of Wisconsin • Hazelden • National Center for Telehealth and Technology
Examples • A-CHESS • Hazelden • National Center for Telehealth and Technology
Virtual Worlds & Avatar Therapy • Second Life, and other virtual worlds like InWorld solutions allow therapy to take place through the use of avatars online • Increased openness and less anxiety help make this effective • Studies have shown that how you appear in a virtual world can affect your behavior in real life
Online Therapy Institute’s Second Life Office • Office is built on “Tranquil Island” – important to consider location, even in a virtual world • Avatars can mingle, learn, and get counseling at the office (Photos courtesy of Online Therapy Institute)
Virtual World Technology • Open Sim – Hippo • Pro: Easy to use for virtual world development • Con: Takes a large amount of bandwidth • Unity 3D – Jibe • Pro: Takes less bandwidth • Con: More difficult for virtual world development • Cost and Development Time • Costs $2,000 per year per world (“group”) • Takes months to build a world
Use of Chat rooms • Chat rooms can be used to facilitate group sessions or just peer-to-peer communication • Agencies can run multiple groups at the same time • No limitation on physical space • Clients can go into the rooms at anytime and connect with each other. Enhances peer support. • Use aliases for the Avatars to protect client identity
Videoconferencing • There are HIPAA-compliant video conferencing services that ensure a secure connection for your therapeutic session • Examples: • Breakthrough • Nefsis • Go-to Meeting • Facetime (on iPhone and iPad) • Not automatically HIPAA compliant—must use WPA2 Enterprise configuration
Texting • Texting may be an appropriate use of mobile technology for certain types of information • Ideas for using text with clients: • Appointment reminders • Motivational texts • Thought of the Day texts • How do we know who is receiving and reading the texts? • Boundaries????
Secure Email • Using email to work with clients is a good way to increase access and use technology to continue the therapeutic relationship • How to keep it secure? • Hushmail • Ecrypt • ZixMail • Is it realistic for clients to have an additional username and password to remember for another email account? • Cost?
Client Portal • Web-based point of access for clients • Can be accessed from any source of internet—smartphone, tablet, iPad, or computer • Common for use in primary health, and transitioning into behavioral health • A window into the client record
Client Portal, continued • Considerations: • Cost • Security • Access • Existing technology • Software development time • Client training • All factor into our decision to create and utilize a client portal, Mobile CCL
Our Solution Mobile ccl
Mobile CCL • First Call received a three-year SAMHSA grant to innovate in the field of health IT to better serve our clients and improve access to services • Mobile CCL, our SAMHSA-funded project, is essentially a patient portal into the CCL software • Partner Agencies: • Avenues to Recovery • Municipal Drug Court • Guadalupe Center • First Call • Mobile CCL uses technology to motivate individuals seeking recovery from a substance use disorder. By empowering individuals with information and easy access to providers, they are in control of their own recovery.
Client Centered Approach • Mobile CCL hinges on client and counselor willingness to work in PARTNERSHIP with one another • Web-based enables access wherever is most convenient for clients • Client can use as much or as little as they want • How do you feel about clients seeing parts of their file?
Motivational Enhancement Therapy • MET is a research-based therapy developed by William Miller, Ph.D. and Steven Rollnick, Ph.D. It is recognized for its effectiveness in assisting the client's capacity to change behaviors and to take charge of the recovery program to achieve sobriety. • Mobile CCL provides Motivational Enhancement Therapy (MET) by supporting increased, person-centered motivational interviewing and communication between the client and provider.
How can Mobile CCL work for you? • Do you work with clients who are tech savvy? • Do you work with clients who need another layer of support? • Do you work with clients who have a hard time making it to appointments? • Do you use worksheets and interactive assignments with clients?
Mobile CCL process • Process for enrollment and use can be customized to your agency needs • Enrolling clients in Mobile CCL can cut down on staff time opening new files • Avenues to Recovery • Integrating Mobile CCL enrollment into the intake process allows client to ask questions and get help enrolling • First Call
Next Steps • We are always working to make Mobile CCL as user-friendly as possible • We are planning on adding: • Appointment reminders • An easier way to navigate client landing page • Optimization for mobile device access • Self-assessment through the use of ASI-MV • Suggestions?
How Can You Participate? • Partner with us and use Mobile CCL with your clients! • Give us your feedback on the design and features of Mobile CCL • Let us know what mobile technologies you are using!
Contact Information • Emily Hage • Mobile CCL Project Manager • emilyh@firstcallkc.org • (816) 361-5900 x109 • Ken Ortbals • Director of Technology • kortbals@firstcallkc.org • (816) 361-5900 x121 www.mobileccl.org www.firstcallkc.org
