Abstract
The growing presence of electronic technology in the health service professions is redefining the boundaries of counseling services. Commonly referred to as telehealth, utilization of electronic communication strategies to expand connectedness has opened new frontiers in behavioral health through applications ranging from digital phones, interactive video sessions, to virtual supervision. Substantial research suggests that telehealth is generally equal in effectiveness to traditional forms of treatment, especially for those individuals struggling with substance abuse problems. Unfortunately, research also suggests that telehealth is often underutilized when it comes to providing addiction treatment services. Telehealth trends in Colorado were examined using a Telehealth Survey consisting of 29 items. Participants consisted of 125 members of the Colorado Association of Addiction Professionals. Similar to research published elsewhere, 65% reported that they do not currently use telehealth technologies. Furthermore, findings illustrated that actual use can vary by ethnicity, age group, type of organization, as well as service location. Participants’ reluctance to implement telehealth is related to concerns associated with training, confidentiality, clinician/staff acceptance, and reimbursement. Future research, employing both quantitative and qualitative methods, is recommended to further explore both the challenges and solutions to promote telehealth use, as well as methods to expand relevancy and awareness.
Similar content being viewed by others
References
American Psychological Association. (1997). APA statement on services by telephone, teleconferencing, and internet: a statement by the Ethics Committee of the American Psychological Association. Washington, DC: American Psychological Association.
Baca, C. T., Alverson, D. C., Knapp-Manuel, J., & Blackwell, G. L. (2007). Telecounseling in rural areas for alcohol problems. Alcoholism Treatment Quarterly, 25(4), 31–45. https://doi.org/10.1300/J020v25n04_03.
Batastini, A. B., King, C. M., Morgan, R. D., & McDaniel, B. (2016). Telepsychological services with criminal justice and substance abuse clients: a systematic review and meta-analysis. Psychological Services, 13(1), 20–30.
Benavides-Vaello, S., Strode, A., & Sheeran, B. C. (2013). Using technology in the delivery of mental health and substance abuse treatment in rural communities: a review. Journal of Behavioral Health Services & Research, 40(1), 111–120.
Canale, N., Vieno, A., Griffiths, M. D., Marino, C., Chieco, F., Disperati, F., Andriolo, S., & Santinello, M. (2016). The efficacy of web-based gambling intervention program for high school students: a preliminary randomized study. Computers in Human Behavior, 55, 946–954.
Carlbring, P., & Smit, F. (2008). Randomized trial of internet-delivered self-help with telephone support for pathological gamblers. Journal of Consulting and Clinical Psychology, 76(6), 1090–1094. https://doi.org/10.1037/a0013603.
Curie, C. G. (2005). From the administrator: high-tech options expand horizons. SAMHSA News, 13(1).
Enos, G. (2015). Insurance mandates for telehealth should inspire addiction field. Alcoholism & Drug Abuse Weekly, 27(9), 1–8. https://doi.org/10.1002/adaw.30093.
Evans, L., & Delfabbro, P. H. (2005). Motivators for change and barriers to help-seeking in Australian problem gamblers. Journal of Gambling Studies, 21(2), 133–155.
Gagnon, M. P., Duplantie, J., Fortin, J. P., & Landry, R. (2006). Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success? Implementation Science, 1(18).
Health Resources & Services Administration. (2012) Retrieved from: https://www.hrsa.gov/ruralhealth/telehealth/index.html.
Knopf, A. (2016). 42 CFR Part 2 proposed rule would allow ‘general’ consent. Alcoholism & Drug Abuse Weekly, 28(7), 3–5. https://doi.org/10.1002/adaw.30472.
Leach, W. D. (2009). If you bill it they will come, a literature review on clinical outcomes, cost-effectiveness, and reimbursement for telemedicine. California Telemedicine and eHealth Center. http://www.caltrc.org/wp-content/uploads/2013/10/literature-review.pdf
Linkous, J. (2012). Challenges in telehealth. The role of telehealth in an evolving health care. Environment Retrieved from https://www.nap.edu/read/13466.
Marsch, L. A., Guarino, H., Acosta, M., Aponte-Melendez, Y., Cleland, C., Grabinski, M., Brady, R., & Edwards, J. (2013). Web-based behavioral treatment for substance use disorders as a partial replacement of standard methadone maintenance treatment. Journal of Substance Abuse Treatment, 46(1), 43–51.
McCarty, D., Rieckmann, T., Baker, R. L., & McConnell, K. J. (2017). The perceived impact of 42 CFR Part 2 on coordination and integration of care: a qualitative analysis. Psychiatric Services, 68(3), 245–249.
Mehrotra, A., Huskamp, H. A., Souza, J., Uscher-Pines, L., Rose, S., Landon, B. E., et al. (2017). Rapid growth in mental health telemedicine use among rural Medicare beneficiaries, wide variation across states. Health Affairs, 36(5), 909–917. https://doi.org/10.1377/hlthaff.2016.1461.
Myrseth, H., Brunborg, S. G., Eidem, M., & Pallesen, S. (2013). Description and pre-post evaluation of a telephone and internet based treatment programme for pathological gambling in Norway: a pilot study. International Gambling Studies, 13(2), 205–220.
National Association of State Alcohol and Drug Abuse Directors, Inc. (NASADAD). (2009). Telehealth in state substance use disorder (SUD) services report. Washington DC: Jaclyn Sappah & Rick Harwood.
Ohinmaa, A., Chatterley, P., Nguyen, T., & Jacobs, P. (2010). Telehealth in substance abuse and addiction: review of the literature on smoking, alcohol, drug abuse and gambling. Alberta: Institute of Health Economics.
Qualtrics Research Core. Sophisticated research made simple. (2017). Retrieved from https://www.qualtrics.com/research-core/.
Schaper, E., Padwa, H., Urada, D., & Shoptaw, S. (2016). Substance use disorder patient privacy and comprehensive care in integrated health care settings. Psychological Services, 13(1), 105–109.
Smalley, K. B., Yancey, K. T., Warren, J. C., Naufel, K., Ryan, R., & Pugh, J. L. (2010). Rural mental health and psychological treatment: a review for practitioners. Journal of Clinical Psychology, 66(5), 479–489. https://doi.org/10.1002/jclp.20688.
Acknowledgments
Riley Cochran, Alli Tellez
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
This research has been approved by the university’s Institutional Review Board (IRB), Human Subjects Protection Program, Office of Research Compliance, and has followed procedures in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
Informed Consent
The voluntary nature of this study was stated clearly in the text and all persons gave their informed consent prior to their inclusion in the study.
Conflict of Interest
None of the authors have conflicts of interest and the authors have full control of all primary data and agree to allow the journal to review data if requested.
Appendix
Appendix
Telehealth Services Survey—For Individuals
Survey Introduction. You might have noticed the expanding role that technology is playing in behavioral health. In order to construct a state-wide plan moving forward, it is important to define the current status of Telehealth utilization in Colorado. To this end, we are attempting to identify the current technology usage patterns in the field of addictions treatment in Colorado. We greatly appreciate your input and support by completing this short survey. Study results will be provided to you upon completion of this research project.
Rights and permissions
About this article
Cite this article
Faragher, J.M., Zhang, Y.S.D., Low, V. et al. Utilization of Telehealth Technology in Addiction Treatment in Colorado. J. technol. behav. sci. 3, 226–246 (2018). https://doi.org/10.1007/s41347-018-0057-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41347-018-0057-3