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E-health treatment for people who self-injure: possibilities and challenges.

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E-health treatment for people who self-injure: possibilities and challenges.

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Samenvatting

A substantial portion of people who present with non-suicidal self-injury (NSSI) have been shown to avoid traditional forms of treatment (see Whitlock et al. 2006; Whitlock et al. 2011). As a consequence, their suffering may continue, their self-injury may worsen, and the associated risk of suicide attempts (see Klonsky et al. 2013) may also emerge.

Based on this problem of treatment avoidance related to NSSI, an e-health program for NSSI has been developed in the Netherlands. The program was created based on the research literature and in collaboration with clients who have self-injured. The program is based on Cognitive Behavioral Therapy. It aims to help participants identify triggers for the behavior and to develop alternative strategies to cope with emotional distress.

The e-program is an interactive web-based program that uses a structured self-guided format. Each patient is also linked to a “live” practitioner who supports the patient over the course of the treatment. The program is structured in sequential steps; each step begins with psycho-education, followed by exercises. The conclusion of each step involves email contact with the practitioner. This professional is available for email support throughout the treatment.

To date, patients treated have indicated that they find the e-treatment easier to endure than face-to-face contacts. The relative anonymity of the treatment may help them remain in and complete the treatment. Preliminary outcomes also indicate improved understanding of their own behavior and a reduction in NSSI.

The second part of this presentation will review possibilities of employing this novel approach in the United States. Important challenges will be reviewed including platforms for delivery, liability concerns, and reimbursement mechanisms.

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OrganisatieHogeschool Inholland
InstituutDomein Gezondheid, Sport en Welzijn
LectoraatGGZ-Verpleegkunde
Gepubliceerd in
Datum2014-06-28
TypeAndersoortig materiaal
TaalOnbekend

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