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					#201 STEP Program Online: Adolescent drug and alcohol treatment online
Sorenson & Heller

Objectives:
   1. Demonstrate our process of program development
   2. Illustrate pros and cons to online therapy from a first hand perspective
   3. Build interest in ongoing development of adolescent treatment via the internet

Outline
I.     Introduction
           A. CYT Model
           B. Demographics of counties served
           C. Make up of STEP team
II.    STEP Program online
               A. Program development
                       1. vision of the program
                       2. research of existing web based programs
               B. Funding
                       1. Grant Proposal
                                a. Purpose
                                b. goals
                                c. objectives
               C. Website development
                       1. Butterfly multimedia
                                a. costs and compromises
                                b. ideas vs. reality
                                c. Second life, vokis, online environment
                                e. Demonstration of the Website
               D. Online therapy
                       1. communicating over the internet
                       2. webex vs. Microsoft live meeting
                       3. Demonstration of an online group session
III.   Considerations
               A. Confidentiality
                       1. HIPPA & 42CFR part 2
               B. Insurance Reimbursement
               C. Cost of treatment
                       1. business model for sustainability
III.   Challenges
               A. Community partner buy-in
               B. Clinician buy-in
               C. Client access to internet
               D. No shows
IV.    Overcoming Challenges
               A. Outreach and education
               B. Collaboration with community for comp. access
               C. Case management
               D. Improvement efforts
V.     Conclusions
               A. Outcomes
               B. Goals for the future of the program
                       1. partnerships
                       2. modifications
VI.    Questions and Answers
STEP Program Online: Adolescent drug and alcohol treatment online
References

Bahr, S., Hoffman, J., & Yang, X. (2005). Parental and peer influences on the risk of
adolescent drug use. The Journal of Primary Prevention, Volume 26 (6) pg.s 529-550.

Beck, K., Boyle, J., & Boekeloo, B. (2004). Parental monitoring and adolescent
drinking: results of a 12 month follow-up. American Journal of Health Behaviors.
Volume 28 (3) pg.s 272-279.

Borezekowski, D. & Rickert, V (2001). Adolescent cybersurfing for health information:
a new resource that crosses barriers. Archives of Pediatrics & Adolescent Medicine.
Volume 155(7) pg.s 813-817.

Campbell, A., Cumming, S., Hughes, I. (2006). Internet use by the socially fearful:
addiction or therapy? CyberPsychology & Behavior. Volume 9 (1) pg.s 69-81.

Cobb, N., Graham, A., Bock, B., Papandonatos, G., Abrams, D. (2004). Initial evaluation
of a real-world internet smoking cessation system. Nicotine & Tobacco Research,
Volume1 (2) pg.s 207-216.

Dennis, M., Godly, S., Diamond, G., Tims, F., Barbor, T., Donaldson, J., Liddle, H.,
Titus, J., Kaminer, Y., Webb, C., Hamilton, N., & Funk, R. (2004). The cannabis youth
treatment study: main finding from two randomized trials. Journal of Substance Abuse
Treatment. Volume 27 (3) pg.s 197-213.

Goss, E. (2004). Adolescent internet use: what we expect, what teens report. Journal of
Applied Developmental Psychology, Volume 25(6) pgs 633-649.

Kypri, K., Saunders, J., Williams, S., McGee, R., Langley, J., Cashell-Smith, M.,
Gallagher, S.(2004). Web-based screening and brief intervention for hazardous drinking:
a double-blind randomized controlled trial. Addiction. Volume 99, pg.s 1410-1417.

McCabe, S., Boyd, C., Young, A., Crawford, S. (2004). Feasibility study for collecting
alcohol and other drug use data among secondary school students: a web-based survey
approach. Journal of Drug Education. Volume 34(4) pg.s 373-383.

Wallace, P., Linke, S., Murray, E., McCambridge, J., & Thompson, S. (2006). A
randomized controlled trial of an interactive web-based intervention for reducing alcohol
consumption. Journal of Telemedicine and Telecare. Volume 12(supplemental 1) pg.s
52-54.

Young, K. (2005). An empirical examination of client attitudes towards online
counseling. CyberPsychology. Volume 8 (2) pg.s 172-177.

				
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