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| The Application of Telehealth to Behavioral Assessment and Rehabilitation Services |
| Saturday, May 29, 2004 |
| 1:00 PM–2:20 PM |
| Conference Room 3 |
| Area: CBM/DDA; Domain: Applied Research |
| Chair: Anjali Barretto (Gonzaga University) |
| Discussant: Wayne W. Fisher (Marcus Autism Center) |
| Abstract: The Application of Telehealth to Behavioral Assessment and Rehabilitation Services |
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| Conducting Behavioral Consultations via Telemedicine |
| DAVID P. WACKER (The University of Iowa), Anjali Barretto (The University of Iowa), Lisa C. Winborn-Kemmerer (The University of Iowa) |
| Abstract: In 1996, we initiated functional analysis and behavioral consultation services via telemedicine, an interactive video technology operated through a statewide fiber topics network. The patients were children with diagnosed developmental disabilities and severe problem behaviors, such as self-injury and aggression. Rather than receiving services through our outpatient clinic, children and care providers received all or part of the services via telemedicine, meaning that they received the services at their local schools or hospitals. In this presentation, we will describe the telemedicine system and the model used for assessment and consultation, and provide a summary of the results obtained to date. We collected interobserver agreement for 33% of all sessions and achieved over 90% agreement across these sessions. These results will include cost as well as outcome data. We will also provide a case example of a functional analysis conducted on self-injury that was completed entirely by telemedicine. |
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| Using Technology to Extend the Continuum of Care following Catastrophic Injury |
| MICHAEL L. JONES (Shepherd Center), Linda Dufour (Shepherd Center) |
| Abstract: Since 1996, Shepherd Center has been exploring the use of advanced telecommunications technology to support community re-entry of individuals who sustain catastrophic brain and spinal cord injuries. Point-to-point videoconferencing and remote monitoring have been used, for example, to provide regular follow-up support to “high risk” patients and families when they return home after discharge from acute rehabilitation, and to provide training and support to patients in the use of assistive technology (e.g., augmentative communication systems).
More recently, we have explored use of the Internet as the backbone for delivering “telerehabilitation” services and supports. In addition to videoconferencing and remote monitoring capabilities, the Internet permits “just-in-time” delivery of information and instruction to patients, families, and caregivers in their home. To this end, we have developed interactive multimedia instructional materials that can be customized to the user (e.g., presented in English or Spanish), incorporate streaming video to demonstrate activities (e.g., correct UE exercise technique), and track progress toward competency.
This presentation will describe and demonstrate various applications of advanced telecommunications technology to support community re-entry following catastrophic injury. Results from our preliminary efforts to evaluate the efficacy of this approach will also be presented and discussed. |
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| Examining the Application of Interactive Video inFoster Home Settings |
| JAMES F. MCGIMSEY (AdvoServ), Lucas Baker (C-Now, Inc.), Judith E. Favell (AdvoServ) |
| Abstract: Delivering professional services to individuals in foster home settings has never been an easy or effective task. However, at no other point in time has the task been more complex and daunting. First the sheer number of individuals in foster home settings continues to rise dramatically, while professional resources are stretched too thin, in number of professionals available, and the physical and logistical difficulty in getting services to all in need. Interactive video technology provides a means of getting such professional services to those in need. It’s instantaneous, eliminates the need for costly travel time, and can be immediately available in times of crisis. This study evaluated the effectiveness and efficiency of delivery of professional services, including behavioral consultation, case management, medical and psychiatric support, and education and skill acquisition, through such video technology. Subjects who received these services were behaviorally challenged individuals representative of individuals receiving foster care, living in residential settings representative of foster homes. In over 500 video interactions between professionals and individuals receiving services, 90% of the interactions met all or most of their professional service objectives. Additional data will be presented regarding the effectiveness of service delivery by each profession, as well as the relative efficiency of such service delivery. |
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