Soldier Attitudes about Technology-Based Approaches to Mental Health Care

Wilson, Jaime A. B.; Onorati, Kristin; Mishkind, Matt; Reger, Mark A.; Gahm, Gregory A.

doi:10.1089/cpb.2008.0071

Cited by 105 publications

(59 citation statements)

References 3 publications

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“…This is an area where clinical VR applications have some early research support. In a survey study to assess openness to seeking care in 325 active duty Army SMs (Wilson, Onorati, Mishkind, Reger, & Gahm, 2008), results indicated that 83% of the participants reported that they were neutral-to-very-willing to use some technology as part of a treatment; 71% were equally willing or more willing to use a treatment based on technology than to talk to a therapist in a traditional treatment setting. Moreover 20% of SMs, who stated they were not willing to seek traditional psychotherapy, rated their willingness to use a VR-based treatment as neutral to very willing.…”

Section: Discussionmentioning

confidence: 99%

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Rizzo

Shilling

2017

European Journal of Psychotraumatology

144

107

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Numerous reports indicate that the incidence of posttraumatic stress disorder (PTSD) in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) military personnel has created a significant behavioural healthcare challenge. These findings have served to motivate research on how to better develop and disseminate evidence-based treatments for PTSD. The current article presents the use of Virtual Reality (VR) as a clinical tool to address the assessment, prevention, and treatment of PTSD, based on the VR projects that were evolved at the University of Southern California Institute for Creative Technologies since 2004. A brief discussion of the definition and rationale for the clinical use of VR is followed by a description of a VR application designed for the delivery of prolonged exposure (PE) for treating Service Members (SMs) and Veterans with combat- and sexual assault-related PTSD. The expansion of the virtual treatment simulations of Iraq and Afghanistan for PTSD assessment and prevention is then presented. This is followed by a forward-looking discussion that details early efforts to develop virtual human agent systems that serve the role of virtual patients for training the next generation of clinical providers, as healthcare guides that can be used to support anonymous access to trauma-relevant behavioural healthcare information, and as clinical interviewers capable of automated behaviour analysis of users to infer psychological state. The paper will conclude with a discussion of VR as a tool for breaking down barriers to care in addition to its direct application in assessment and intervention.

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Section: Discussionmentioning

confidence: 99%

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Rizzo

Shilling

2017

European Journal of Psychotraumatology

144

107

View full text Add to dashboard Cite

show abstract

“…The easy availability of information through networked technology has created a new population of empowered consumers that is not confined to the civilian arena. U.S. service members too have embraced the utility of personal electronic communication and multimedia (Wilson, Onorati, Mishkind, Reger, & Gahm, 2008).…”

Section: The Personal Technology Revolutionmentioning

confidence: 99%

afterdeployment.org: A web-based multimedia wellness resource for the postdeployment military community.

Bush¹,

Bosmajian²,

Fairall³

et al. 2011

Professional Psychology: Research and Practice

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Practicing psycbologists and otber bealtb professionals are facing a growing patient population of United States military service members witb significant psycbological and behavioral bealtb concems retuming from war zones in Afgbanistan and Iraq. Some of these issues are new and unfamiliar to many bealtb providers. Furtbermore, because of a military culture of self-reliance, strengtb, and tbe perceived stigma of seeking mental bealtb services, a second and substantial population of service members-in-need is cboosing not to consult bealtb professionals at all. Tbe Intemet and otber networked multimedia tecbnologies now offer a deb expert resource for providers, and an anonymous, less stigmatizing venue for self-management for service members and tbeir families. Over tbe last 2 years tbe U.S. Defense Department's National Center for Telebealtb & Tecbnology bas developed afterdeployment.org, a Web-based set of resources, tools, and aids for service members, veterans, and tbeir families, afterdeployment.org provides education and skills-development exercises aimed at overcoming cballenges to tbe adjustment process after a deployment. Tbe Website also provides bealtb professionals witb a comprebensive resource to serve as an adjunct to face to face treatment of individuals in tbe military community.

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“…It is difficult to say how well this modality would work with other clinical populations or other individuals. Wilson, Onorati, Mishkind, Reger, and Gahm (2008) reported that soldiers were more open to technology-based mental health interventions than the general population and that some soldiers may engage in therapy more readily when it is mediated by technology. Larger-scale and well-controlled studies are needed to replicate and build on our observations.…”

Section: Resultsmentioning

confidence: 99%

Collaborative music therapy via remote video technology to reduce a veteran's symptoms of severe, chronic PTSD

2015

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Background: Using videoconference technology to provide health care is established in many fields. The authors are not aware of any published reports of music therapy (MT) conducted remotely. This case review describes the process and outcomes of remotely delivered MT to address symptoms of post-traumatic stress disorder (PTSD) in a military veteran. Method: MT was co-facilitated by a music therapist and a clinical psychologist. Sessions were delivered as videoconferences (over 1400 km) utilizing the OntarioTelehealth Network. A retrospective case study with input from the client was conducted. Results: The client reported improvement, in many of his symptoms. At the end of the treatment period, he attributed much of his progress to MT. Using videoconference technology did not seem to hinder the treatment efficacy. The novel nature of providing MT remotely necessitated an effective collaboration between the music therapist and the client's clinical psychologist. Conclusions: Based on the experience described in this case study, the authors concluded that, (a) remotely-delivered MT can be effective in the treatment of complex PTSD, (b) inter-professional collaboration made a positive impact on the treatment process, (c) geographic distance need not be an obstacle to effective treatment and (d) a remote treatment modality was not detrimental to treatment efficacy.

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Soldier Attitudes about Technology-Based Approaches to Mental Health Care

Cited by 105 publications

References 3 publications

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

Clinical Virtual Reality tools to advance the prevention, assessment, and treatment of PTSD

afterdeployment.org: A web-based multimedia wellness resource for the postdeployment military community.

Collaborative music therapy via remote video technology to reduce a veteran's symptoms of severe, chronic PTSD

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