‘anxiety online’ ethics and the world's largest online psychology …€¦ · prevention,...
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Assoc Prof David AustinNational eTherapy Centre
‘Anxiety Online’Ethics and the world's largest online psychology clinic.
eTherapy ‐ definition
“It’s psychotherapy
Jim, but not as we know it”
Mental and physical health promotion, prevention, treatment and management‐oriented interventions that are delivered via the internet or other electronic technologies, with or without human support.
Swinburne
The world’s first • evidence‐based • automated • online psychology clinic for the assessment and treatment of clinical
psychological disorders.
3
www.anxietyonline.org.au
Psycho‐educational Information
Online Psychological Assessment system (e‐PASS)
e‐Treatment Programs (automated & assisted)
e‐Therapist Training Programs & HCP portal
Anxiety Online
• Panic disorder with or without agoraphobia
• Agoraphobia without panic disorder
• Social anxiety disorder• Specific phobia• Generalised anxiety disorder• Post traumatic stress disorder• Obsessive compulsive disorder• Depression
• Anorexia nervosa• Bulimia nervosa• Binge eating disorder• Somatisation• Body dysmorphic disorder• Pathological gambling• Insomnia• Hypersomnia• Alcohol dependence• Substance dependence (cannabis,
sedatives, stimulants, opioids)
e‐PASS is a freely available self‐administered online psychological assessment and referral system that assesses for 22 mental health disorders, including:
e‐PASS: Online Psychological Assessment System
Anxiety Online e‐Programs
Online eTherapist Training and HCP Portal
What’s next?
Anxiety Disorders Depression Alcohol and
Drug Insomnia SuicidalIdeation
• More mental health programs: (e.g., insomnia, gambling, hoarding, drug & alcohol, IBD, CVD)
• Trans‐diagnostic (multi‐disorder) early intervention and treatment programs
• Novel applications of our programs for specific populations (Same Sex Attracted Youth, unemployed, prisons, etc.)
• Chronic conditions/illness (physical health and disability ) programs (autism, schizophrenia, dementia).
What’s Next?
What’s next?
• Providing choice regarding method of communication (IM, audio‐chat, video‐chat, Virtual Reality)
What’s next?
• Health Care Professional Online Consultation and Training Facilities
Guiding principles – clinical ethics
Principles of the Quality Framework
Embedded in the Quality Framework is the understanding that all services will be:
• responsive to client needs• holistic• ethical• beneficial to service users and do no harm• respectful and empathic to clients• inclusive and equitable• evidence based
Security audit lessons
• Where data is kept matters• How data is kept matters• Meeting privacy legislation• Economic challenges for small independent operators to meet standards.
Ongoing ethical/medico‐legal challenges
• Overseas patients/jurisdiction issues• Training of practitioners/students• Provision of ‘our’ therapy programs for use by other
HP’s/researchers• Informed consent• Legal age of patients• Assessing ‘vulnerability’• Privacy/anonymity versus duty of care• Terms and Conditions – ability of patients with mental health
problems to interpret and accept• Confidentiality • Storage of patient data – and access to it• Multiple research projects based out of ‘portions’ of a single large
database• Maintaining security of the site• Reliance on 3rd party providers
Into the future…
Ethical guidelines in this rapidly evolving area will continually require re‐interpretation (and re‐writing) as ‘e‐health’ services expand in new and unanticipated ways.
e.g. – real time (or frequent) feedback via smartphone, GPS tracking, ‘virtual’ consultations…
Swinburne
End.
Thank you.
Visit www.anxietyonline.org.au
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