Originally Created by the NFAR ATTC, Telehealth Tuesdays is a series of media events on using telehealth technologies to deliver substance use disorder treatment and recovery services. 

Telehealth Tuesday #46 – October 10, 2017 – Webinar

Is There an App for That? Mobile Applications in Behavioral Health

Using mobile behavioral healthcare applications to decrease relapses and provide real-time care at home is increasingly more acceptable and utilized. With the shortage of mental health care providers, services can be delayed and therefore clients are left without many treatment options and may relapse while they are waiting to receive services. Using mobile technology (apps) to help fill the gap during the time the client receives services could result in better client outcomes. This presentation will review healthcare today and it the future, use of mobile applications in healthcare, and explain how mobile technology can expand and improve behavioral health services. In addition, the presenters will discuss how the “Counselor in your Pocket” smartphone app was used to aid persons with Opioid Use Disorders (OUD) with recovery and outcomes associated with its use.

Brandi Spaulding, PhD, LICDC, Ohio State Wexner Medical Center

Telehealth Tuesday #45 – September 12, 2017 – Video

Technology-Based Clinical Supervision: A Practical Guide

Previously recorded during the 2017 NFAR Technology Summit, Dr. Rousmaniere will review recent research on technology-based clinical supervision and provide practical guidance on best practices in using technology in supervision (how to use it, when to use it, and when not to use it), with a special focus on regulatory compliance, confidentiality, and security. Summit participants will be able to list three benefits and three challenges of technology-based supervision and describe three methods to enhance
confidentiality and security in technology-based supervision after attending this presentation.
Tony Rousmaniere, PsyD, Clinical Psychologist, UW Department of Psychiatry & Behavioral Sciences

Telehealth Tuesday #44 – August 8, 2017 – Webinar

Using SSPR Technology for Behavioral Health Screening, Service Planning, and Referrals

11:00 AM – 12:00 PM Pacific / 2:00 PM – 3:00 PM Eastern

SSPR (Screening, Service Planning and Referral) is a software program on licensed, private web-based portals used to quickly and comprehensively conduct behavioral health screening, service planning, and making and tracing referrals to treatment. This presentation will provide information on how to: conduct a quick 13-question behavioral health screening and secondary screening using nine common, self-administered surveys, and provide immediate results and recommendations; assess client readiness and willingness to proceed with a referral; track referrals and referral wait times; determine the need for behavioral health programs and practices in the community; and use the corrections version of SSPR to assess the “risk of release.”

Doug Herzog, Technology and Program Development Coordinator, Heartview Foundation

Susan Wagner, LSW, Chief Compliance Officer, Heartview Foundation

Presentation Download: Using SSPR

Telehealth Tuesday #43 – July 11, 2017 – Interactive Webinar

New Ethical Dilemmas in the Age of Technology

Advances in technology and availability/access to the web are impacting how behavioral health professionals deliver treatment services and what constitutes typical standards of care. In 2017, we face a myriad of new ethical dilemmas like therapist self-disclosure, boundary crossing, confidentiality, and informed consent in light of all of these technical considerations. This webinar will cover some of the emerging literature and provide guidance and recommendations related to new ethical dilemmas in this age of technology and provide an opportunity to review specific questions related to Social Media, forms of communication, and digital types. This interactive online training will include a lecture portion as well as time to interact and with the presenter regarding specific examples.

Presenter: Christina Boyd, LSCSW, LCAC, Western Kansas MSW Program Director for the University of Kansas School of Social Welfare and CEO of Hope and Wellness Resources

Presentation Download: New Ethical Dilemmas


Telehealth Tuesday #42 – June 13, 2017 Webinar

Overview of New National Child and Adolescent Telemental Health Guidelines

11:00 AM – 12:00 PM Pacific / 2:00 PM – 3:00 PM Eastern

As the growing need for child and adolescent trained behavioral health providers will not be met in the foreseeable future, telemental health offers an effective way to increase access and improve quality of behavioral/mental healthcare. Supported by a growing evidence-base, the guidelines provide a roadmap to best practices across behavioral health specialties and youth systems of care (e.g., primary care, schools, and other child settings). In this webinar, Dr. Eve-Lynn Nelson provided an overview of newly released child and adolescent telemental health guidelines developed through the American Telemedicine Association. The guidelines provide clinical information for the delivery of mental health and behavioral services by a licensed health care provider through real-time videoconferencing.

Presenter: Eve-Lynn Nelson, PhD, Director, KU Center for Telemedicine & Telehealth at Kansas University Medical Center

Presentation Download: Overview of New National Child and Adolescent Telemental Health Guidelines | Guidelines Download

Telehealth Tuesday #41 – May 9, 2017 – Video

TelePractice Improvement Series: Training the Workforce on Implementing Effective Technology-Based Services

Telebehavioral health and recovery support services can expand access and improve patient outcomes, which is a significant issue in frontier/rural areas of the country. However, professionals using technology-based mediums need to be trained on using these methods in order to provide the best quality of care. To address this need, the National Frontier and Rural (NFAR) ATTC developed and piloted the TelePractice Improvement (TPI) Series. The TPI Series 20-hour web-based curriculum that provides interactive training and consultation on topics essential to professionals delivering behavioral health services in an online environment. The first two TPI Series topics, Skill-based Videoconferencing (SbVC) and Technology-Based Clinical Supervision (TBCS), were structured in three parts: Part I –Online Interactive Training; Part II – Skills-based Learning and Practice; and Part III – Follow-up sessions on skill building, topic booster sessions, and discussion.

Click on the videos below to watch the TBCS and SbVC instructors and participants discuss their experience, propensity to adopt technology, benefits of participating, and future of the TPI Series.

NFAR will be launching another TPI series soon! The first 20 people who register will receive a $250 scholarship to participate in either the Technology-Based Clinical Supervision or Skill-based Videoconferencing TPI Series.

More information on Telehealth…

Telehealth Tuesday #40 – April 11, 2017

Technology-Based Peer Support for Military Veterans and Families

Veteran culture is strong among military veterans and families as they have been trained to count on each other in life and death situations. Nationwide, veterans and their families have a unique set of barriers in receiving behavioral health services. Many of the current VA services are located in high density areas making it difficult to reach rural and frontier areas. Through a series of life events, Veteran Bob Curry founded Dryhootch, a coffee house where Veterans can gather informally in a safe, comfortable, drug- and alcohol-free environment. The idea started with the creation of a retail coffee shop run by and for Veterans, which would also support an extended network of Veteran families and encourage Veteran interaction with the community as a whole. These brick and mortar Dryhootch FOBS (Forward Operating Bases) are physical locations where both Veterans and their community members have a supportive environment in the form of a coffee shop. However, it is evident that services are needing to be expanded utilizing technology.

This presentation will provide a background to the creation of Dryhootch and services Dryhootch FOBS provide, specifically the use of peer services. In addition, the presenter will focus on a new “virtualfob” concept that utilizes a Quick Reaction Force (QRF) Peer app built for a mobile lifestyle that brings the power of peer to the person in the here and now.

Presenter: Robert Curry, Founder and President, Dryhootch of America, Inc.

Presentation Download: Technology-Based Peer Support for Military Veterans and Families

Telehealth Tuesday #39 – March 14, 2017

Readiness to Adopt Telehealth Technologies: Overview of the Telehealth Capacity Assessment Tool (TCAT)

11:00 AM – 12:00 PM Pacific / 2:00 PM – 3:00 PM Eastern

Access to addiction treatment and recovery services is a challenge to those seeking substance use disorder treatment and recovery services, especially in frontier/rural communities. Technology is an effective tool for people struggling with addictions and plays a critical role in equity and access to treatment and recovery support services. The successful implementation of technology-assisted care requires attention to the interplay between organizational, technical, regulatory, financial, clinical, and social factors, and how organizations manage this interplay through effective change processes.
The goal of this webinar is to provide an overview for utilizing an agency-focused telehealth decision matrix (TCAT) and will highlight implementation strategies frameworks. This presentation will serve as a preview to the Implementing Technology-Assisted Care (ITAC) training that will be presented at NFAR’s 2017 Summit during a 2.5 hour hands-on approach breakout session. For more information please visit nfarattc.org.
Presenter: Diana Padilla, RCR, Program Manager, NDRI-USA, Northeast and Caribbean ATTC

Presentation Download: Readiness to Adopt Telehealth Technologies: Overview of the Telehealth Capacity Assessment Tool (TCAT)

Telehealth Tuesday – February 14,2017 – Video

Building and Implementing Technology-Assisted Care with Buy-in from the CEO to Front Line Staff

In this video, Dr. Sarah Lord and Dr. Frederick Muench discuss several issues related to the integration of technology-assisted care, including: obtaining agency buy-in; assessing organizational readiness to change; examining the value to the agency; resolving agency resistance; addressing security issues; and identifying and avoiding potential pitfalls.
Sarah Lord, PhD, Director, Dissemination and Implementation Core, Center for Technology and Behavioral Health & Director, Center for Supported Employment Technology, Dartmouth Psychiatric Research Center and Assistant Professor of Psychiatry and Pediatrics, Geisel School of Medicine at Dartmouth College
Frederick Muench, PhD, Director of Digital Health Innovations, Northwell Health

Telehealth Tuesday #37 – January 10, 2017 – Video

Using Text and Automated Messaging to Improve Client Outcomes

In this video, the panelists will give an overview of the theory and application of automated reminders for substance use disorders and smoking cessation. They will discuss a health coaching intervention for permanent supportive housing residents with mental health conditions, including common themes in clients’ choice of text reminders, and demonstrate how people’s choice of reminders change over the course of 12 months. The panelists will go over the development and outcomes from two studies that utilized a text-delivered intervention targeting tobacco and marijuana use among adolescents and young adults. Suggestions on practical steps in using text messaging with clients, including how text-delivered communication affects program engagement and project management will be discussed. This presentation will provide information on a user-friendly, cost-effective program, suggest ways to set up an intervention, and provide details on cost, time, and other management concerns.
Moderator: Scott Walters, PhD, Professor, University of North Texas
Alexis Rendon, MPH, Graduate Research Assistant, University of North Texas
Michael J. Mason, PhD, Associate Professor of Psychiatry, Virginia Commonwealth
University & Director of the Commonwealth Institute for Child and Family Studies
Nikola Zaharakis, PhD, Senior Research Coordinator, Virginia Commonwealth University

Telehealth Tuesday #36 – December 13, 2016 – Webinar

Contingency Management: Implementing Evidence-Based Incentives Through Technologic Innovation

Contingency management (CM) is an effective evidence-based practice that stimulates healthy motivation in the brain’s reward center. CM does this by leveraging the power of incentives to reward patients for staying sober and participating in treatment. However, it has been limited in its adoption because of many implementation burdens. In this webinar, we will present the scientific evidence behind CM, case studies and templates of how to implement it in practice. We will also provide an overview of DynamiCare Rewards™, a new smartphone app that automates CM best practices via home drug testing, automated attendance tracking, instant reward distribution, and predictive analytics.


David R Gastfriend, MD DFASAM
Chief Architect, CONTINUUM – The ASAM Criteria Decision Engine™
Scientific Advisor, Treatment Research Institute
Chief Medical Officer, DynamiCare Health

Eric Gastfriend, MBA
CEO, DynamiCare Health

Paul H. Earley, MD, DFASAM
Medical Director, Georgia Professionals Health Program
President-Elect, Federation of State Physician Health Programs
VP of Medical Affairs, DynamiCare Health

Download Presentation: Contingency Management

Telehealth Tuesday – #35 – November 8, 2016 – Webinar

Technology-Based Clinical Supervision: Guidelines for Licensing and Certification Boards

Clinical supervision decreases staff turnover, improves morale, and leads to better client outcomes by improving delivery of evidence-based behavioral health care. However, in many places—particularly rural and frontier areas—workforce and resource shortages limit the availability of Clinical Supervisors. Using technology may be a way to expand the reach of qualified Clinical Supervisors. The National Frontier and Rural Addiction Technology Transfer Center (NFAR ATTC) has developed eight guidelines to help licensing and certification boards adopt technology-based clinical supervision (TBCS). Webinar participants are introduced to the Guidelines, hear how the Guidelines can be used by states and national organizations, and learn how NFAR ATTC can provide assistance with implementing the Guidelines into state/national regulations to expand the use of TBCS.


Tobie Barton, MA, National Frontier and Rural ATTC

Tony Beatty, MA, LCAS, CCS; North Carolina Substance Abuse Professional Practice Board

Roy Kammer, LADC, LPC, NCC, ADCR-MN, CPPR, Minnesota Certification Board; Hazelden Betty Ford Graduate School of Addiction Studies

Stacey Langendoerfer, CCJP, MARS Missouri Credentialing Board

Presentation Download: Guidelines for Licensing and Certification Boards

Telehealth Tuesday #34 – October 4, 2016 – Podcast – Part 3

Technology-based Interventions: Extending the Reach of Organizations and Practitioners

The use of online and mobile technologies is pervasive across age, race/ethnicity, and geography. More and more, consumers are relying on Internet- and smartphone-based tools to seek and track health information. Even if practitioners struggle with technologies or doubt the utility of technology-based interventions to provide quality care, it is important they understand the ability of technology to reach large numbers of people and that using technology to provide health services offers the possibility of better care, reduced stigma, and broader reach. There are evidence-based practices that have demonstrated positive outcomes in randomized control studies, as well as numerous efficacy studies on providing prevention, intervention, treatment, and recovery services for individuals with behavioral health problems and those at risk for HIV/AIDs, Hepatitis A, B, and C, and STDs. This podcast is designed to introduce participants to technology-based interventions (Interactive Voice Response; Videoconferencing, Apps, and Texting) that have been tested with individuals with behavioral health disorders and to increase awareness of factors that impact adoption by practitioners and organizations. Finally, the podcast provides two suggestions for practitioners about no costs technology-based interventions that can help practitioners and patients.

Presenter: Nancy A. Roget, MS, MFT, LADC | PI/Project Director NFAR ATTC

Download Technology-based Interventions Slides

Telehealth Tuesday #33 – September 13, 2016 – Part 2

Recovery Support Technologies: One Answer for Rural/Frontier Areas

Recovery support services are designed to help individuals with substance use disorders enter into and navigate systems of care, stay engaged in the recovery process, and live full lives in their communities. Technology offers one more avenue by which behavioral health professionals can support patients’ recovery, thereby increasing recovery participation and decreasing the likelihood of relapse. This presentation focuses on how the reach of recovery support services can be extended through the use of technologies (e.g., the web, social media, smartphone apps, and cell phone), which is especially important for individuals residing in rural/frontier areas with limited access to services. Thus, expanding access to recovery support services through the use of technologies can help individuals achieve positive health outcomes.

Presenter: Nancy A. Roget, MS, MFT, LADC | PI/Project Director NFAR ATTC

Download Recovery Support Technologies Slides

Telehealth Tuesday #32 – August 9, 2016 – Podcast – Part I

Substance Use Disorders Treatment and Recovery Support Services in Rural and Remote Areas of the United States: A Three Part Series on the State of the Art

There is not one model for the delivery of quality and effective substance use disorders treatment and recovery support services in rural areas. However, there are themes emerging from the scientific literature as well as from rural treatment providers implementing new services. These themes/strategies include: use of technology and web-based services; offering recovery support services by telephone or web-based portal systems without initial substance abuse treatment services; and providing flexible service delivery, integrated care, and Project ECHO-like models. Most importantly, a successful substance abuse treatment model for rural areas does not include just one intervention, but rather a combination of the interventions that fit the community and the patient population. Join the NFAR ATTC in this podcast series that includes: exploring rural/remote issues regarding SUDs; highlighting the use of technology in recovery support services both informal and formal strategies; and an update on technology-based interventions for individuals with SUDs or at risk for these conditions.

Presenter: Nancy A. Roget, MS, MFT, LADC | PI/Project Director NFAR ATTC

Download SUD Treatment and Recovery Support Services in Rural Slides

Telehealth Tuesday #31 – July 12, 2016

An Interactive Approach to Teaching Alcohol Screening and Brief Intervention

Time: 11:00 AM Pacific/12:00 PM Mountain/1:00 PM Central/2:00 PM Eastern

Presenter: Leigh Tenkku Lepper, PhD, MPH

Duration: 60 minutes

Prenatal alcohol exposure is the sole cause of fetal alcohol spectrum disorders (FASDs), a term used to describe the continuum of disorders caused when a developing baby is exposed to alcohol before birth. Although FASDs are completely preventable if there is no prenatal exposure to alcohol, many women still report drinking during pregnancy. The best approach to eliminating alcohol consumption among pregnant women and reducing risky alcohol use by non-pregnant women of reproductive age is for healthcare professionals to assess the level at which their patients drink alcohol using a standardized screening tool.

For this webinar, Dr. Leigh Tenkku Lepper from the University of Missouri will demonstrate a web-based avatar training program being used to train healthcare students and practitioners on how to conduct alcohol screening and brief intervention (alcohol SBI). Following the presentation, participants will be able to

• Define alcohol SBI and why this strategy is important to address prevention of FASD
• Gain additional knowledge on the status of SBIRT in the United States
• View a LIVE demonstration of what the alcohol SBI conversation looks like between provider and patient or client

Video recording coming soon!

Telehealth Tuesday #30 – June 14, 2016

iBook Interprofessional Training on Opioid Misuse and Addiction Webinar

Presenter: Erin L. Winstanley, PhD

Duration: 60 minutes

This webinar provided an introduction to the newly developed iBook, “Evidence-Based Practices to Improve Outcomes for Persons with Opioid Dependence”. The iBook was created to introduce health care professionals to effective prevention and treatment interventions associated with opioid use disorders. This 56 page iBook is versatile and includes curriculum that can be delivered in either an in-person or online format utilizing images, videos and embedded PDFs. Funded by the Durr Foundation, Dr. Erin Winstanley, Fienberg, and Clark from the University of Cincinnati utilized an advisory board and an iterative process to test the content, receive participant feedback, which in turn was used to modify and refine the content over a period of one year.

Video recording coming soon!

Telehealth Tuesday #29 – May 10th

Open Discussion Security Risks

Telehealth Tuesday #28 – April 12, 2016

Understanding Information Security Risks

Presenter: David Trepp, MS, President & Chief Executive Officer, Info@Risk, Inc.

This video is previously recorded from NFAR’s 2015 Technology Summit.

Recent headlines and subsequent fines handed down from the government make it clear that information security risks to healthcare providers are increasing in both frequency and severity. This video will focus on understanding who the threat sources are, from criminal hackers to cyber-vigilantes and nation/state-sponsored groups. In addition, threats to ePHI will be explored from all common attack vectors, including physical, social, and technological attacks. Finally, some simple strategies and tactics that can be used to avoid becoming the next cyber-attack victim will be discussed.

Telehealth Tuesday #27 – March 8, 2016

BSAFER: A Tablet Computer Intervention for Women with Interpersonal Violence & Drug Use in the ER

Watch Dr. Choo highlight and demonstrate the BSAFER tool, a web-based program for women reporting intimate partner violence (IPV) and drug use in emergency departments (ED). The data on its acceptability and feasibility for this target population was discussed during the presentation.

Presenter: Esther Choo, MD, MPH, Assitance Professor, Department of Emergency Medicine, Brown University, Rhode Island Hospital

Download the slides.

Telehealth Tuesday #26 – February 9, 2016

Increasing the Capacity to Address Behavioral Health through Technology

This presentation focused on what SAMHSA is doing in the area of Health Information Technology, including mobile health and app development. Several mobile apps were highlighted and showed how mental health and substance abuse treatment advances are currently impacting the field and what community providers can do now to help. The provision of crisis support online and examples of partnering with organizations such as Facebook were covered.

Presenter: James Wright, LPC, Public Health Advisor, SAMHSA, Center for Mental Health Services Division of Prevention, Traumatic Stress and Special Programs Suicide Prevention Branch

Telehealth Tuesday #25 – January 12, 2016

Using the Crisis Text Line Data to Empower the Crisis Space | Video Presentation

Previously recorded from NFAR’s 2015 Technology Summit, Bob Filbin describes how the Crisis Text Line uses mobile technology and data to help those in crisis. The Crisis Text Line is one of the first non-profits built from the ground up around data where the first two hires were a Chief Technology Officer and Chief Data Scientist! With over 7.6 million messages exchanged since August 2013, and 20,000 new messages per day, Crisis Text Line now has the largest set of real-time data on crisis in the country.

Presenter: Bob Filbin, MA Chief Data Scientist, Crisis Text Line

Telehealth Tuesday #24 – December 8, 2015

Using Technology to Enhance Service Delivery and Supervision in Criminal Justice Settings – Part II

The first part of this series, conducted November 10, 2015, focused on emerging opportunities for using technology for the treatment of substance use disorders (SUD) and the maintenance of recovery, and compliance monitoring, particularly in the jail based and drug court population. Part II of this series highlighted specific court-based initiatives in more detail and had a live discussion with professionals from Colorado’s Seventh Judicial Court District regarding the use of telehealth in court settings.

Mike Chaple, PhD., Executive Director, NDRI-USA and Director, Northeast & Caribbean ATTC
Annie Schachar, JD., Associate Director, Drug Court Programs, Center for Court Innovation

Telehealth Tuesday #23 – November 10, 2015

Using Technology to Enhance Service Delivery and Supervision in Criminal Justice Settings – Part I

This first webinar of a two-part series explored uses for technology in a criminal justice setting, from the delivery of treatment to the monitoring of offenders in a drug court program. The presenters address emerging opportunities for using technology for the treatment of substance use disorders (SUD) and the maintenance of recovery, and compliance monitoring, particularly in the jail based and drug court population.

Mike Chaple, PhD., Executive Director, NDRI-USA and Director, Northeast & Caribbean ATTC
Annie Schachar, JD., Associate Director, Drug Court Programs, Center for Court Innovation

Telehealth Tuesday #22 – October 13, 2015

mchat: Integrating Health Coaching and Technology with Vulernable Clients

Listen to Dr. Scott Walters and Dr. Emily Spence-Almaguer describe the development and early results from m.chat, a health coaching program for Permanent Supportive Housing (PSH) residents. Early data suggests that m.chat reduces depression, substance use, and criminal justice admissions in this high-risk population.

The m.chat project draws from research on health navigation systems that utilize motivational interviewing and wellness incentives to targethealth conditions faced by this high-risk population, many of whom are dually diagnosed.

Presenters from the University of North Texas Health Science Center:
Scott Walters, PhD – Professor of Behavioral and Community Healt
Emily Spence-Almaguer, MSW, PhD – Outreach Core Director

UNITE To Face Addiction and stand up for recovery. On October 4, 2015 a transformative event took take place in Washington, DC that will ignited and built a movement to address one of the most pressing health issues of our time.

The ATTC Network, an organizing partner for UNITE to Face Addiction, is excited to host this rally preview. We invite you to join us and hear why it’s time to UNITE to Face Addiction!