A. Dahiya, Christina G. McDonnell, Elizabeth A. DeLucia, A. Scarpa
Autism spectrum disorder (ASD) impacts an individual's developmental trajectory across several domains, supporting the importance of early detection and identification, which is ultimately the first step toward treatment planning Children should be exposed to an ASD screening at 18 and 24 months of age, but such services are not always available across demographic groups or accessible to underserved communities Screenings can be especially limited in circumstances such as the COVID-19 pandemic or other situations dictating that people stay at home Thus, it is important to expand the accessibility of assessment services that can provide accurate identification of ASD in young children through the use of technology such as video or mobile application platforms This systematic review aimed to summarize the state of the literature as it relates to accessible telehealth assessments and screening tools for infants and toddlers suspected to have ASD in remote populations Seven studies that utilized video or mobile applications to assess young children in underserved communities were found, including individuals within their first 3 years of life Although some positive results were found regarding effectiveness, there is a need for more sustainable research for this age group, especially for those with limited access to services (PsycInfo Database Record (c) 2020 APA, all rights reserved) Impact Statement Clinical Impact Statement-This systematic review aimed to understand the current video- and mobile application-based assessments that have been used to assess infants and toddlers in remote areas who are suspected to have autism spectrum disorder Findings suggest that there are a limited number of studies that utilize telehealth platforms in underserved communities The seven studies found did reveal effectiveness of these telehealth assessment tools, but there is still a strong need for more research in this area (PsycInfo Database Record (c) 2020 APA, all rights reserved)
{"title":"A systematic review of remote telehealth assessments for early signs of autism spectrum disorder: Video and mobile applications.","authors":"A. Dahiya, Christina G. McDonnell, Elizabeth A. DeLucia, A. Scarpa","doi":"10.1037/pri0000121","DOIUrl":"https://doi.org/10.1037/pri0000121","url":null,"abstract":"Autism spectrum disorder (ASD) impacts an individual's developmental trajectory across several domains, supporting the importance of early detection and identification, which is ultimately the first step toward treatment planning Children should be exposed to an ASD screening at 18 and 24 months of age, but such services are not always available across demographic groups or accessible to underserved communities Screenings can be especially limited in circumstances such as the COVID-19 pandemic or other situations dictating that people stay at home Thus, it is important to expand the accessibility of assessment services that can provide accurate identification of ASD in young children through the use of technology such as video or mobile application platforms This systematic review aimed to summarize the state of the literature as it relates to accessible telehealth assessments and screening tools for infants and toddlers suspected to have ASD in remote populations Seven studies that utilized video or mobile applications to assess young children in underserved communities were found, including individuals within their first 3 years of life Although some positive results were found regarding effectiveness, there is a need for more sustainable research for this age group, especially for those with limited access to services (PsycInfo Database Record (c) 2020 APA, all rights reserved) Impact Statement Clinical Impact Statement-This systematic review aimed to understand the current video- and mobile application-based assessments that have been used to assess infants and toddlers in remote areas who are suspected to have autism spectrum disorder Findings suggest that there are a limited number of studies that utilize telehealth platforms in underserved communities The seven studies found did reveal effectiveness of these telehealth assessment tools, but there is still a strong need for more research in this area (PsycInfo Database Record (c) 2020 APA, all rights reserved)","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49247629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susan Douglas, Amanda Jensen-Doss, Catalina Ordorica, Jonathan S Comer
Telehealth has always held great promise to increase access to mental health care, never more so than in the age of COVID-19, when clients can't or won't come to the clinician's physical location. A feasible and effective alternative to traditional in-person care, telemental health requires that clinicians adopt new strategies to build and maintain communication and the therapeutic relationship. This can be particularly troublesome for clinicians new to the modality, who may feel the loss of the "in-session" experience more acutely. As an evidence-based practice that is transtheoretical and transdiagnostic, telemental health measurement-based care (tMBC) is the ideal complement to enhance systematic ongoing monitoring, treatment engagement, and therapeutic alliance in the context of the virtual encounter. While tMBC mechanisms of actions are still being explored, there is promising evidence that tMBC improves clinician responsivity to acute client concerns. By using client-reported measures, tMBC provides an important pathway for clients to systematically communicate with their clinicians, which can guide therapeutic actions and contribute to shared understanding. This brief report summarizes the evidence for tMBC as a patient-centered communication tool and provides recommendations for evidence-based and practice-informed strategies to integrate tMBC into telehealth solutions, with suggestions for monitoring new concerns related to the COVID-19 crisis.
{"title":"Strategies to enhance communication with telemental health measurement-based care (tMBC).","authors":"Susan Douglas, Amanda Jensen-Doss, Catalina Ordorica, Jonathan S Comer","doi":"10.1037/pri0000119","DOIUrl":"https://doi.org/10.1037/pri0000119","url":null,"abstract":"<p><p>Telehealth has always held great promise to increase access to mental health care, never more so than in the age of COVID-19, when clients can't or won't come to the clinician's physical location. A feasible and effective alternative to traditional in-person care, telemental health requires that clinicians adopt new strategies to build and maintain communication and the therapeutic relationship. This can be particularly troublesome for clinicians new to the modality, who may feel the loss of the \"in-session\" experience more acutely. As an evidence-based practice that is transtheoretical and transdiagnostic, telemental health measurement-based care (tMBC) is the ideal complement to enhance systematic ongoing monitoring, treatment engagement, and therapeutic alliance in the context of the virtual encounter. While tMBC mechanisms of actions are still being explored, there is promising evidence that tMBC improves clinician responsivity to acute client concerns. By using client-reported measures, tMBC provides an important pathway for clients to systematically communicate with their clinicians, which can guide therapeutic actions and contribute to shared understanding. This brief report summarizes the evidence for tMBC as a patient-centered communication tool and provides recommendations for evidence-based and practice-informed strategies to integrate tMBC into telehealth solutions, with suggestions for monitoring new concerns related to the COVID-19 crisis.</p>","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":"5 2","pages":"143-149"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654159/pdf/nihms-1732221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39800475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Integrating Parents With Trauma Histories Into Child Trauma Treatment: Establishing Core Components","authors":"","doi":"10.1037/pri0000109.supp","DOIUrl":"https://doi.org/10.1037/pri0000109.supp","url":null,"abstract":"","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57306800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for A Systematic Review of Remote Telehealth Assessments for Early Signs of Autism Spectrum Disorder: Video and Mobile Applications","authors":"","doi":"10.1037/pri0000121.supp","DOIUrl":"https://doi.org/10.1037/pri0000121.supp","url":null,"abstract":"","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57306811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Caring for Children in Child Welfare Systems: A Trauma-Informed Model of Integrated Primary Care","authors":"","doi":"10.1037/pri0000108.supp","DOIUrl":"https://doi.org/10.1037/pri0000108.supp","url":null,"abstract":"","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57306788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trauma treatment: The need for ongoing innovation.","authors":"L. Brown, C. Courtois","doi":"10.1037/PRI0000097","DOIUrl":"https://doi.org/10.1037/PRI0000097","url":null,"abstract":"","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43449503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eye movement desensitization and reprocessing (EMDR) therapy is a very useful and innovative evidence-based treatment for posttraumatic stress disorder (PTSD), complex trauma, dissociative disorders, and many other conditions. It has received a strong recommendation in all of the recently published treatment guidelines for PTSD, with the exception of the American Psychological Association, Guideline Development Panel for the Treatment of PTSD in Adults (2017), which gave it a conditional recommendation, largely due to the limited research reviewed. This article describes the development of EMDR therapy and its method, outlines its 8-stage protocol, provides an overview of literature on the topic and research that supports its efficacy, and describes various clinical offshoots utilizing bilateral stimulation. EMDR therapy is an integrative treatment that incorporates methods from other treatment modalities while focusing on a number of elements involved in the traumatic response—such as emotions, cognitions, and somatosensory responses. EMDR therapy directs the client to imagine elements of the trauma memory while engaging in saccadic (back and forth) eye movements (or other bilateral stimuli) to create a condition of dual-awareness that assists in the processing of the traumatic material. It follows an 8-stage protocol starting with engagement in treatment and assessment of the client and the trauma memory, to processing of the trauma with bilateral stimulation conducted in sets, to evaluation of the ratings of positive and negative cognitions and somatosensory scanning until they are reported by the client to be “cleared” (i.e., resolved, with no residual distress). EMDR therapy is now often used in integrative ways with other therapies (relational psychoanalysis, ego state therapy, somatic therapies). Several of EMDR’s better known and more frequently practiced offshoots, include brainspotting (Grand, 2013) and life span integration (Pace, 2003) are discussed.
{"title":"Eye movement desensitization and reprocessing therapy and related treatments for trauma: An innovative, integrative trauma treatment.","authors":"R. Shapiro, Laura S. Brown","doi":"10.1037/PRI0000092","DOIUrl":"https://doi.org/10.1037/PRI0000092","url":null,"abstract":"Eye movement desensitization and reprocessing (EMDR) therapy is a very useful and innovative evidence-based treatment for posttraumatic stress disorder (PTSD), complex trauma, dissociative disorders, and many other conditions. It has received a strong recommendation in all of the recently published treatment guidelines for PTSD, with the exception of the American Psychological Association, Guideline Development Panel for the Treatment of PTSD in Adults (2017), which gave it a conditional recommendation, largely due to the limited research reviewed. This article describes the development of EMDR therapy and its method, outlines its 8-stage protocol, provides an overview of literature on the topic and research that supports its efficacy, and describes various clinical offshoots utilizing bilateral stimulation. EMDR therapy is an integrative treatment that incorporates methods from other treatment modalities while focusing on a number of elements involved in the traumatic response—such as emotions, cognitions, and somatosensory responses. EMDR therapy directs the client to imagine elements of the trauma memory while engaging in saccadic (back and forth) eye movements (or other bilateral stimuli) to create a condition of dual-awareness that assists in the processing of the traumatic material. It follows an 8-stage protocol starting with engagement in treatment and assessment of the client and the trauma memory, to processing of the trauma with bilateral stimulation conducted in sets, to evaluation of the ratings of positive and negative cognitions and somatosensory scanning until they are reported by the client to be “cleared” (i.e., resolved, with no residual distress). EMDR therapy is now often used in integrative ways with other therapies (relational psychoanalysis, ego state therapy, somatic therapies). Several of EMDR’s better known and more frequently practiced offshoots, include brainspotting (Grand, 2013) and life span integration (Pace, 2003) are discussed.","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48977725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sensorimotor psychotherapy in the treatment of trauma.","authors":"J. Fisher","doi":"10.1037/PRI0000096","DOIUrl":"https://doi.org/10.1037/PRI0000096","url":null,"abstract":"","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42798232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy E Ellis, S. Gold, C. Courtois, K. Araujo, Michael Quiñones
{"title":"Supervising trauma treatment: The contextual trauma treatment model applied to supervision.","authors":"Amy E Ellis, S. Gold, C. Courtois, K. Araujo, Michael Quiñones","doi":"10.1037/PRI0000095","DOIUrl":"https://doi.org/10.1037/PRI0000095","url":null,"abstract":"","PeriodicalId":74486,"journal":{"name":"Practice innovations (Washington, D.C.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48028329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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