Episode 184 - Nancy Roget: Around the Next Curve: Using Technology in Addiction Social Work Practice

Monday, February 01, 2016, 7:51:28 AM

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The literature on the use of tele-mental health is more than 50 years old, yet its integration into clinical social work practice has lagged. In this episode, Nancy Roget illustrates how technology can be incorporated into clinical social work by using applications being developed to address the treatment and recovery needs of substance addicted individuals. Additionally, Ms. Roget explores the of use of technology in clinical supervision.

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Average Rating: 5stars  review, Sunday, February 10, 2019

By Anon :

As a counselor and burgeoning social worker in the field of substance use, I found Ms. Roget’s interview to be riveting.  Ms. Roget points out that there are studies that the use of technology in mental health treatment is as efficacious as face to face services and yet there is very little practice in the field of substance use.  She identifies programs that utilize technology to mitigate urges and triggers, enhance social support and teach refusal skills.  Ms. Roget notes that as the Baby Boomer generation leave the substance use field Generation X’ers, Millennials and Generation Z’ers are being ushered in as professionals and clients.  Technology has infused their daily lives such that it has impacted the way they communicate (i.e. email, text, IG and Facebook), learn (web-based Master’s programs and training J) and provide services (from Uber to telehealth/telebehavioral services).  Ms. Roget also introduces the use of technology in supervision and points out that although a foundation is necessary, it can be a viable avenue in the growth of clinicians.  Of course, ensuring privacy and confidentiality in accordance with HIPPA guidelines is tantamount. The use of technology in the substance use field could revolutionize treatment.  So, what is trepidation?  Ms. Roget suggests it is the mindset of those in the field that prevents growth in this area but it is slowly becoming an acceptable way for creating innovative ways or treatment and education.  She points out that the financial aspects associated with launching technological practices can be a negative factor. While this is true, as the opioid epidemic grows in rural areas where comprehensive services are difficult to access, we must be open to new avenues of providing services. 


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Average Rating: 4stars  treament in your pocket, evolving tools in mental healthcare, Monday, February 04, 2019

By Paul Carter :

I was intrigued to consider the rapid evolution of technology in the clinical setting for the treatment of substance use disorders, as discussed in this podcast recorded in February, 2016. Nancy Roget discusses the evolution of established telemedicine, into the use of smartphone technology as an adjunct to traditional clinical client/clinician relationships. Client access to care has always been a concern for the clinician who is able to see the complexity of concerns offered by mental health patients in their care. “I couldn’t get a ride”, “I forgot my appointment”, “I wrote down the wrong time”, are all common reasons patients offer as they note a missed clinical appointment. The reasons are many, and some are excuses, but they all indicate one over-arching outcome, “missed interaction”.
In 2016, applications were being developed, and they still are. In just the short three year period between this recording and today, concepts of smartphone applications have evolved. “Geo-fencing”, “location alert”, “group on-demand”, “counselor on-demand”, “peer on-demand” patient tools and access are available and easily integrated into patient access to mental healthcare, in my experience. My thoughts are imaginative, wondering where the next steps will be taking in integrated, and augmented care. It is an exciting time, in my opinion. Barriers are being lowered to patient care, and the possibilities for customized, focused care, are expanding. I am a grateful individual who is learning clinical care techniques. I’m fortunate to have an evolving suite of treatment modality tools, literally, in my pocket.

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Average Rating: 4stars  the use of technology is worth exploring. , Saturday, February 11, 2017

By Carrie :

The topic of using technology to enhance behavioral health services has been brought up at several symposiums I have attended in the last year. It was surprising to hear that telehealth is not a new idea but rather has been a topic of discussion for the last 50 years. Technology has struggled to be accepted into the helping profession for a variety of reasons. I will assume that some of the reluctance by professionals to embrace this initiative stems from the fear that technology will somehow replace traditional forms of delivering services and one on one contact with the consumer will become irrelevant. I was pleasantly surprised to hear Nancy Roget suggest that technology be used as a tool to enhance treatment efforts, not as a method to replace traditional forms of delivering care. I was especially intrigued in the mobile app that could used as an aftercare tool for consumers that have completed addiction treatment. Many times consumers are discharged with limited aftercare supports. This technology could easy fill this gap in services and keep consumers connected to relapse prevention tools along with other people in recovery. It was also highlighted that technology could be used as a way to advance professional development. It is not uncommon for new clinicians to find themselves struggling to find supervision with credential professionals. Online supervision could connect these clinicians to other professionals and provide them the opportunity to develop their skills. The most poignant fact I will take from this presentation is that 95% of those in need of addiction treatment are not receiving care due to lack of access to services. Technology could expand our reach and support those who are currently not being served. The helping profession needs to be willing to be embrace initiatives that are going to enhance outcomes and promote professional development. It appears that technology may be able to provide those opportunities and worth exploring.

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Average Rating: 1 star  cheap goods, Tuesday, June 14, 2016

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Average Rating: 1 star  cheap goods, Tuesday, June 14, 2016

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Average Rating: 4stars  the role technology can play in the social work field, Sunday, February 07, 2016

By Camille Ratajczak :

When considering using technology in areas of addiction, I myself have questioned the confidentiality behind it. How can we as workers be more accessible to our clients while adhering to the ethics and laws already established? Nancy Roget portrays the use of technology in a light that is bound to make social workers and policymakers start talking. In this insightful podcast, Nancy Roget makes us face the reality that only 95% of people who have substance use disorders are not seeking treatment. This poses the question of how to reduce this number and promote more people to seek help. As a society, we are using technology more and more each day, not because we necessarily want to but because we have to. Let’s face it, we can’t do much without technology anymore these days. I thought Nancy’s ideas behind incorporating technology into clinical supervision was fascinating; why not have your supervisor watch your sessions and provide feedback or better yet intervene with suggestions? One of the most intriguing components of the podcast I found was the discussion on client phones. Nancy is an advocate for the use of phones with screening technology, a helpful target treatment. These phones are currently being used as after-care components to deter clients from seeking out high-risk areas. I personally think this is a beneficial tool, not only to remind the client what they are working so hard for, but for the worker to be able to help in a more personalized way (e.g., call client if sound goes off to confirm OK and/or counsel). With universities expanding opportunities for students to learn solely online or in hybrid fashion, I think it only makes sense that the counseling field adapt to their clients in a similar way. It is difficult for clients to make it to outpatient as it is; if they were given the opportunity to do modules online or log in to do a session, clients may be more plausible to continue treatment.

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