| Dedication | 5 |
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| Foreword | 6 |
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| Preface | 9 |
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| Series Preface | 10 |
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| Acknowledgments | 11 |
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| Contents | 12 |
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| Contributors | 14 |
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| Part I: Overview | 16 |
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| 1: The Promise of Health Information Technology in Behavioral Health and Informatics: An Overview | 17 |
| Privacy | 17 |
| Technologies | 18 |
| Clinical Practice | 18 |
| Organizing and Managing Care | 20 |
| Massive Health IT Expansion and Financial Incentives | 22 |
| Impact Issues | 23 |
| Bibliography | 23 |
| 2: Current Technologies for Behavioral Healthcare Clinical Practice | 25 |
| Introduction | 25 |
| Hardware | 25 |
| Desktop Vs. Laptop | 26 |
| Internet Security | 27 |
| Hardware/Software Security | 28 |
| Backup | 30 |
| Mobile Devices | 32 |
| Software | 33 |
| Website Components | 33 |
| Communication | 34 |
| Electronic Medical Records | 35 |
| Conclusion | 37 |
| References | 37 |
| 3: Privacy of Technology and the Behavioral Health Professions | 41 |
| Introduction | 41 |
| Privacy, Confidentiality, and Security | 42 |
| Categories of Health Information Compromise | 42 |
| Access by an External Party | 42 |
| Access by an Internal Party Without Legitimate Cause | 43 |
| Access by an Internal Party with Legitimate Cause | 43 |
| Categories of “Sensitive” Health Information | 44 |
| Protecting Privacy in the Health Information Technology Environment | 45 |
| Isolation | 45 |
| Policy | 46 |
| Audit Trail | 47 |
| Role-Based Access | 48 |
| Granular Access Control | 48 |
| Security | 49 |
| Combining Approaches | 50 |
| Concerns and Consequences of Inadequate Privacy Protection | 50 |
| Erosion of Trust | 50 |
| Identity Theft | 51 |
| Stigma and Discrimination | 51 |
| Concerns and Consequences of Excessive Protection | 51 |
| Privacy Limitations of Paper-Based Record Keeping | 52 |
| Current and Future Developments | 52 |
| Recommendations | 54 |
| References | 54 |
| Part II: Clinical Practice Issues | 59 |
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| 4: Knowledge Delivery and Decision Support for Behavioral Healthcare Professionals | 60 |
| Knowledge Delivery Today | 61 |
| Knowledge and Information Dissected | 62 |
| The Future of Knowledge Acquisition: The Final Frontier | 63 |
| Direct Knowledge Acquisition | 64 |
| Indirect Knowledge Acquisition | 64 |
| Knowledge Acquisition Today | 65 |
| Internet and the World Wide Web: How They Changed Knowledge Exchange Multimedia, Hypertext, Ease of Use, Reach, Standardization | 65 |
| Standardization | 65 |
| Hypertext, Multimedia, Nonlinear Learning | 66 |
| Nonlinear Learning | 66 |
| Technology Versus Knowledge | 66 |
| Empower Yourself before Empowering Others | 67 |
| In Order to Obtain Empowerment over Your Data You Must | 68 |
| Evidence “Knowledge”-Based Clinical Information | 68 |
| Behavioral Healthcare Professional Information Needs | 69 |
| Patient/Consumer Information Needs | 69 |
| What to Expect | 70 |
| Measurement-Based Decision Support in Clinical Care | 71 |
| Data Mining | 74 |
| Knowledge Management | 75 |
| Summary | 75 |
| References | 76 |
| 5: Insights on Telehealth and Virtual Reality | 78 |
| Introduction | 78 |
| Orientation | 78 |
| Telehealth | 79 |
| Synchronicity | 79 |
| General Considerations | 79 |
| Insight as Allegory | 81 |
| Approach – http://runningahospital.blogspot.com | 82 |
| Expectations – Pandora | 82 |
| Innovation – Norman Borlaug | 83 |
| Environment – Plato’s Cave | 84 |
| Digitization – The Tower of Babel | 84 |
| Virtual Reality – Mount Olympus | 85 |
| Model Design – The Great Pyramid | 86 |
| Conclusions | 86 |
| References | 87 |
| 6: Managing Clinical Care in a Pervasive Computing Environment | 89 |
| Information Flow Dilemma in Contemporary Healthcare | 91 |
| Behavioral Healthcare Issues | 91 |
| A Primer on Data Capture | 94 |
| Integration of Multiple, Emerging Technologies | 95 |
| The Promise of Technology | 98 |
| Connected to an Increasingly Ubiquitous Network Structure… | 100 |
| Sharing Clinical Information: Leveraging Real Time Communication | 101 |
| The Analysis of Clinical Information: The Rise of Reflective Practice | 103 |
| Conclusion | 104 |
| Bibliography | 104 |
| 7: Improving Quality and Accountability Through Information Systems | 106 |
| History of Quality in Healthcare | 107 |
| Continuous Quality Improvement | 108 |
| Healthcare Quality Assurance Evolves into Quality Improvement | 109 |
| Quality Improvement in Managed Healthcare | 109 |
| Quality Improvement Activities: An Application of CQI | 110 |
| Outcomes and Systemic Health Management Issues | 112 |
| Behavioral Health Informatics for Quality Improvement | 115 |
| Data Source Challenges | 117 |
| Future Directions: Information for Client-Centered Approach to Care Management | 122 |
| Conclusions and Recommendations | 125 |
| References | 126 |
| Part III: Patient and Client Centric Technologies Section | 128 |
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| 8: Social Networking, Health 2.0, and Beyond | 129 |
| Introduction | 129 |
| Background | 130 |
| Web 2.0: Fostering Interactivity, Engagement, and Community | 130 |
| Health Care-Based Internet Tools Go Health 2.0 | 131 |
| Health 2.0 | 132 |
| Social Networking | 132 |
| Provider Ratings | 135 |
| Health Tools | 136 |
| Peer Support | 137 |
| Conclusion | 140 |
| References | 140 |
| 9: Computerized Psychotherapy | 142 |
| Introduction | 142 |
| Therapy | 142 |
| Drugs | 144 |
| Drugs Versus Therapy | 144 |
| Medication versus Psychotherapeutic Effectiveness | 145 |