Friday, March 27, 2009

Conference Schedule: Luxembourg April 3, 2009








Friday, April 3, Room 3, Session eHealth: Ethical Issues and Sustainability. The session starts at 09:30 am.

Dr. Kristie Holmes: ETHICS, QUALIFICATIONS AND LIABILITY ISSUES OF ONLINE MENTAL HEALTH PROVIDERS: A LOOK AT INTERNATIONAL VERSUS U.S. BASED PROVIDERS

Next up:

Emo Culture: Trend or Outcast Group? by Dr. Kristie Holmes

So, I figured that I should be most up to date on the topic, being that I teach both bachelor level and master's level students on the subject of Human Behavior. I have spent some time researching the "now" on this topic. For you to be ranked as a "heavily trafficked website" you need to be in the top 100K (Alexa). So I have run the stats on just two of the websites that came up when I googled them.

1. Emo Corner


As you can see, this site has been ranked highly in the last six months, with a recent surge in traffic.

2. Luv.Emo

As you can see below- I added a bit lower ranked site, that still makes the top 100K (this site stats are in red).



The Emo culture may have moved to a younger demographic as the those who previously considered this trendy have found that Emo has lost its "coolness" factor. The MTV news report below sheds more light on the changes in the Emo culture and how it is perceived. In short, it has moved to not only the younger age group, but south (Mexico) and likely to other countries. Most of you who have traveled know that you can watch 5 year old soap operas, sitcoms and dramas as "new" in other countries. Once, while in Turkey at a ferry stop in the middle of nowhere, the toll booth worker was watching a 6 plus year old show that had an ex-boyfriend of mine on it. He had long moved on to other work, but it was "new" to Turkey. Anyway, I digress. Homophobia also plays a role in the "updated" attitude towards the Emo crowd (and the attached hatred of "sissy behavior") and the sense that they (who are Emo) don't truly subscribe to any trend (music genre, clothing, hairsyles, speech), but rip everyone else's off (see clip).

Regardless of the coolness factor, these are extremely high ranked, heavily trafficked sites, so someone is going to them. And if it is indeed morphing into more of an outcast group from a trendy group, we may see even more negativity and depression attached to it. In other words, the ones who truly feel "Emo"- the depressed, the outcasts, and those who want to cut themselves will linger while the trendier ones move on to something else. The numbers are too high to ignore.

I just wanted you all to be aware.

Ok, lecture over ;)

Dr. Holmes

Saturday, September 27, 2008

Study is Published: Free Access on Proquest

















ETHICAL PRACTICE ONLINE: AN EXPLORATION OF PROVIDER LIABILITY RISK AMONG PRACTITIONERS IN THE EMERGING FIELD OF ONLINE THERAPY
by : Kristie Holmes, Ph.D. Union University

Abstract

Little attention has been given to liability issues and practitioner vulnerability in the rapidly emerging modality of online therapy. The purpose of this study was to explore ethical issues and identify potential risks of liability faced by mental health professionals in three areas of online practice: qualifications and training, domain of practice, and delivery of services. A sample of 232 online providers who were members of the International Society for Mental Health Online (International Society for Mental Health Online) completed an online survey containing items asking about their online therapy procedures and ethical practice. Descriptive statistics, including frequencies and percentages, were used to examine the distribution and patterns of item responses. In addition, t tests were used to compare responses of the participants grouped by two key online therapist characteristics, gender, and domicile of practice. Results indicated that participants were well qualified to provide mental health services with respect to educational and credential requirements (licensure). Issues of possible liability were uncovered with respect to domain of practice in the virtual world, with a significant number of therapists delivering online services outside their licensed geographical boundaries. Although most online practices were congruent with those of traditional therapy, the majority of providers did not know if their malpractice insurance covered online therapy, putting them at risk in the case of a practice lawsuit. Comparison by gender revealed no differences, and by domicile few differences suggesting that risk of liability were concerns experienced by online therapists in general. Results of this study will be useful for professional organizations and educational institutions as basis for increasing the level of clarity about ethical practice as well as providing the necessary elements for future trainings, and by regulating bodies to establish consistent standards and develop legal safeguards to guide and protect practitioners in their practice. And finally, information from this study can be used to focus further research on ethical practice in online therapy and provide a baseline for future studies examining the relationship between the ethics and efficacy of online therapy.

FULL TEXT DISSERTATION FREE OF CHARGE ON PROQUEST


For Permissions: Kristie Holmes, Ph.D. kholmes@uu.edu

Monday, May 19, 2008

CT13 Conference: San Diego June 2008- Ethical Online Therapy


Thank you to all of you who participated in this study. Currently we are sifting through the data and "cleaning" it up. You should have gotten a brief response from me (kholmes@uu.edu) stating that I had received your information and that you were on my list...or even a simple "got it!". If you didn't, I probably still have your information but my response may have gone through your spam filter. So if you are not sure, feel free to email me and check in to make sure you are on my list.

I have received approximately one thousand emails, and am getting close to sorting through each of them and designating them to various lists. I wish I had an exact timeline for you as far as incentive distribution and /or results. However, I do have to graduate at the end of August- so sometime this summer!

I will be speaking on this topic at the CyberPsychology Conference in San Diego (June) if you are going to be there...you will get a sneak peek at the results!
CT13

Thursday, August 16, 2007

New Report: Patients Seek Information from Internet Nearly as Much as from Doctors


No surprise here. Often one can get answers more quickly than the waiting list time it takes many to actually get in to see their doctor. I know that with my family and friends, by the time we make it to the doctor's office (a month later?) the issue is often resolved...often from information off of chat boards or sites like WebMd.com. Hey, I didnt say it was the best practice, but that is how it goes. Although the issue of mental health was not addressed in the study, I am sure it also reflects the liklihood of increased number searching out information on Mental Health issues as well.



Ask.com, yesterday released the findings from a 2007 Consumer Medical and
Health Information poll
, commissioned by Ask.com and conducted by Harris
Interactive. The study demonstrates that adults now rely on the Internet as a
primary source of health-related information nearly as much as they rely on
their primary doctors. Seventy percent of adults are now turning to the Internet
as one of their primary resources for medical and health information, surpassed
only slightly by their personal physician (72 percent). Results also cited the
Internet as a far more popular resource for health information than traditional
media outlets such as newspapers/magazines (30 percent), television (26 percent)
and books (25 percent) -- even surpassing friends and family (40 percent) as a
source to find the medical information people seek.Additional findings from the
Harris survey include:
Knowledge is Power: It's all about being informed. 73
percent of adults expressed a desire to be more informed about their personal
health, as well as the well-being of friends and family. Even those born well
before the Internet generation (ages 55+) feel the medium has helped them
diagnose and better understand their condition (76 percent).
That's What
Friends are For: Two-thirds of Americans search to help them diagnose or better
understand a condition (71 percent), and more than half of adults reporting
doing the same for friends and family members (55 percent).
For Your Eyes
Only: Adults aged 18-34 are still embarrassed when it comes to sharing personal
health information, and 21 percent noted they turned to the Internet for
privacy, stating that they were just too embarrassed to talk to anyone about
their medical or health issues.
What's the Alternative: Nearly 30 percent of
adults (28 percent) reported leveraging the Internet to find alternative (e.g.,
homeopathic) treatment options.
This survey was conducted online within the
United States between July 5 and July 9, 2007 among 3,389 adults (aged 18 and
over). Figures for region, age within gender, education, household income and
race/ethnicity were weighted where necessary to bring them into line with their
actual proportions in the population. The data was also weighted to be
representative of the online population of U.S. adults on the basis of Internet
usage (hours per week) and connection type.

Thursday, August 9, 2007

Baby Educational Videos May Be Harmful, Slow Development


Yahoo News! is reporting that educational videos currently gobbled up by parents in hopes of giving their children a educational head start may be failing. This is not the sort of study a parent wants to read about- especially if they have been in the practice of plopping their baby down in front of the television for some well- endorsed educational time. Every parent hopes to give their child the best developmental start. Some hope for a boost with these types of products.


WASHINGTON (Reuters) - Recordings that claim to stimulate baby brain development may actually slow vocabulary development in infants if they are overused, U.S. researchers reported on Wednesday.

For every hour per day spent watching baby DVDs and videos, infants aged 8 to 16 months understood an average of six to eight fewer words than babies who did not watch them, Frederick Zimmerman of the University of Washington and colleagues found.

Older toddlers were not harmed or helped by the videos, the researchers reported in the Journal of Pediatrics.

"The most important fact to come from this study is there is no clear evidence of a benefit coming from baby DVDs and videos, and there is some suggestion of harm," Zimmerman said in a statement.

"The bottom line is the more a child watches baby DVDs and videos, the bigger the effect. The amount of viewing does matter."

Zimmerman and colleagues conducted random telephone interviews with more than 1,000 families in Minnesota and Washington with babies and asked detailed questions about television and video viewing.

Parents of the 8- to 16-month-olds were asked how many words like "choo-choo," "mommy" and "nose" their child understood. Parents of the toddlers were asked how many words like "truck," "cookie" and "balloon" their children knew.

"The results surprised us, but they make sense. There are only a fixed number of hours that young babies are awake and alert," said Andrew Meltzoff, a psychologist who worked on the study.

"If the 'alert time' is spent in front of DVDs and TV, instead of with people speaking in 'parentese'-- that melodic speech we use with little ones -- the babies are not getting the same linguistic experience," Meltzoff added.

"Parents and caretakers are the baby's first and best teachers. They instinctively adjust their speech, eye gaze and social signals to support language acquisition. Watching attention-getting DVDs and TV may not be an even swap for warm social human interaction at this age. Old kids may be different, but the youngest babies seem to learn language best from people."

Dr. Dimitri Christakis, a pediatrician at Seattle Children's Hospital Research Institute who worked on the study, said parents frequently asked him about the value of such videos.

"The evidence is mounting that they are of no value and may in fact be harmful," Christakis said.