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Social Media and Clinical Practice: What Stays the Same, What Changes, and How to Plan Ahead?

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e-Mental Health

Abstract

While the patient-centered healthcare movement, like traditional medicine movements, aims to deliver quality, affordable, and timely care in a variety of settings, the consumer movement on new technologies is passing it by with emerging technologies and new ways of communicating with others (text, e-mail, Twitter, Facebook). This chapter builds on what we know about e-Mental Health (eMH), technology and communication progress over the past 50 years in maintaining the tenets of “good” quality care, adjusting slightly to telemedicine models, and considering more significant adjustments for use of social media. The areas of challenges include privacy and confidentiality, health and personal practice, having “good” interpersonal/clinical boundaries, awareness of what information is out there about you, and discussing clear expectations about online communication between doctors and patients as part of the informed consent process. Guidelines, strategies, and tips for the clinician are offered.

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References

  1. Institute of Medicine. March 15, 2015. At: http://www.iom.edu/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf.

  2. Council LS, Geffken D, Valeras AB, et al. A medical home: changing the way patients and teams relate through patient-centered care plans. Fam Syst Health. 2012;30:190–8.

    Article  PubMed  Google Scholar 

  3. Rosenthal TC. The medical home: growing evidence to support a new approach to primary care. J Am Board Fam Med. 2008;21(5):427–40.

    Article  PubMed  Google Scholar 

  4. Crabtree BF, Nutting PA, Miller WL, et al. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1:80–90.

    Article  Google Scholar 

  5. Hilty DM, Ferrer D, Callahan EJ, et al. The effectiveness of telemental health: a 2013 review. Telemed J E Health. 2013;19(6):444–54.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Hilty DM, Yellowlees PM, Chan S, et al. Telepsychiatry: effective, evidence-based and at a tipping point in healthcare delivery. Psychiatr Clin North Am. In Press.

    Google Scholar 

  7. Yellowlees PM, Shore JH, Roberts L, et al. Practice guidelines for videoconferencing-based telemental health. Telemed J E Health. 2010;16(10):1074–89.

    Article  PubMed  Google Scholar 

  8. Yellowlees PM, Odor A, Iosif A, et al. Transcultural psychiatry made simple: asynchronous telepsychiatry as an approach to providing culturally relevant care. Telemed J E Health. 2013;19(4):1–6.

    Google Scholar 

  9. Myers KM, et al. Effectiveness of a telehealth service delivery model for treating attention-deficit hyperactivity disorder: results of a community-based randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2015;54(4):263–74.

    Article  PubMed  Google Scholar 

  10. Dossett EC, Shoemaker EZ, Nasatir-Hilty SE, et al. Integrated care for women, mothers, children and newborns: approaches and models for mental health, pediatric and prenatal care settings. J Womens Health Care. 2015;4:223.

    Google Scholar 

  11. Bisognano M, Cherouny PH, Gullo S. Applying a science-based method to improve perinatal care: the institute for healthcare improvement perinatal improvement community. Obstet Gynecol. 2014;124(4):810–4.

    Article  PubMed  Google Scholar 

  12. Tsivos ZL, Calam R, Sanders MR, et al. A pilot randomized controlled trial to evaluate the feasibility and acceptability of the Baby Triple P Positive Parenting Programme in mothers with postnatal depression. Clin Child Psychol Psychiatry. 2014:1–23. DOI: 10.1177/1359104514531589.

    Google Scholar 

  13. Davis MH, Everett A, Kathol R, et al. American Psychiatric Association ad hoc work group report on the integration of psychiatry and primary care, 2011. March 15, 2015. At: http://naapimha.org/wordpress/media/Integration-of-Psychiatry-and-Primary-Care.pdf.

  14. Hilty DM, Shoemaker EZ, Myers KM, et al. Issues and steps toward a clinical guideline for telemental health for care of children and adolescents. J Child Adol Psychopharm. In Press.

    Google Scholar 

  15. APA Electronic Prescribing Guideline. March 15, 2015. At: http://www.psych.org/practice/managing-a-practice/electronic-prescribing.

  16. DeJong SM, Benjamin S, Anzia JM, et al. Professionalism and the internet in psychiatry: what to teach and how to teach it. Acad Psychiatry. 2012;36(5):356–62.

    Article  PubMed  Google Scholar 

  17. PEW Research Center. Internet survey, 2013. March 15, 2015. At: http://www.pewinternet.org/~/media//Files/Reports/PIP_HealthOnline.pdf or smart phone information available at: http://www.pewinternet.org/data-trend/mobile/cell-phone-and-smartphone-ownership-demographics/.

  18. Harvard Business Review Staff. How people really use mobile. Harvard Business Review. 2013;91(1):30–31.

    Google Scholar 

  19. Engle GL. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980;137(5):535–44.

    Article  Google Scholar 

  20. Greenberg M, Shergill S, Szmukler G, et al. Narratives in psychiatry. London: Jessica Kingsley Publishing; 2002.

    Google Scholar 

  21. Hilty DM, Srinivasan M, Xiong X, et al. Lessons from psychiatry and psychiatric education for medical learners and teachers. Int Rev Psychiatry. 2013;25:329–37.

    Article  PubMed  Google Scholar 

  22. Hamann J, Leucht S, Kissling W. Shared decision making in psychiatry. Acta Psychiatr Scand. 2003;107(6):403–9.

    Article  CAS  PubMed  Google Scholar 

  23. Friedlander MJ, Andrews L, Armstrong EG, et al. What can medical education learn from the neurobiology of learning? Acad Med. 2011;86(4):415–20.

    Article  PubMed  Google Scholar 

  24. Hebb DO. Distinctive features of learning in the higher animal. In: Delafresnaye JF, editor. Brain mechanisms and learning. London: Oxford University Press; 1961.

    Google Scholar 

  25. Kahneman D. Thinking, fast and slow. New York: Farrar, Straus and Giroux; 2012.

    Google Scholar 

  26. Turner JW. Telepsychiatry as a case study of presence: do you know what you are missing? J Comput Mediat Commun. 2001;6(4). doi:10.1111/j.1083-6101.2001.tb00132.x.

    Google Scholar 

  27. Kim T, Biocca F. Telepresence via television: two dimensions of telepresence may have different connections to memory and persuasion. J Comput Mediat Commun. 1997;3: NP. March 15, 2015. At: http://www.mindlab.org/images/d/DOC810.pdf.

  28. Fussell SR, Benimoff NI. Social and cognitive processes in interpersonal communication: implications for advanced telecommunications technologies. Hum Factors. 1995;37:228–50.

    Article  CAS  PubMed  Google Scholar 

  29. Rutter DR. Looking and seeing: the role of visual communication in social interaction. Chichester/New York: Wiley; 1984.

    Google Scholar 

  30. McLaren P, Ball CJ, Summerfield AB, et al. An evaluation of the use of interactive television in an acute psychiatric service. J Telemed Telecare. 1995;1:79–85.

    CAS  PubMed  Google Scholar 

  31. Elford R, White H, Bowering R, et al. A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing. J Telemed Telecare. 2000;6:73–82.

    Article  CAS  PubMed  Google Scholar 

  32. Ball CJ, McLaren PM, Summerfield AB, et al. A comparison of communication modes in adult psychiatry. J Telemed Telecare. 1995;1:22–6.

    CAS  PubMed  Google Scholar 

  33. Argyle M. Bodily communication. London: Methuen; 1975.

    Google Scholar 

  34. Hilty DM, Liu W, Marks SL, et al. Effectiveness of telepsychiatry: a brief review. Can Psychiat Assoc Bull. 2003;35(5):10–17.

    Google Scholar 

  35. Cukor P, Baer L, Willis BS, et al. Use of videophones and low-cost standard telephone lines to provide a social presence in telepsychiatry. Telemed J. 1998;4:313–21.

    Article  CAS  PubMed  Google Scholar 

  36. Ochsman RB, Chapanis A. The effects of 10 communication modes on the behavior of teams during co-operative problem-solving. Int J Man Mach Stud. 1974;6:579–619.

    Article  Google Scholar 

  37. O’Malley C, Langston S, Anderson A, et al. Comparison of face-to-face and video-mediated interaction. Interact Comput. 1996;8:177–92.

    Article  Google Scholar 

  38. Glueck D. Establishing therapeutic rapport in telemental health. In: Myers K, Turvey CL, editors. Telemental health. New York: Elsevier; 2013. p. 29–46.

    Chapter  Google Scholar 

  39. Myers KM, Palmer NB, Geyer JR. Research in child and adolescent telemental health. Child Adolesc Psychiatr Clin N Am. 2011;20(1):155–71.

    Article  PubMed  Google Scholar 

  40. Rabinowitz T, Murphy KM, Amour JL, et al. Benefits of a telepsychiatry consultation service for rural nursing home residents. Telemed J E Health. 2010;16(1):34–40.

    Article  PubMed  Google Scholar 

  41. Hilty DM, Yellowlees PM, Cobb HC, et al. Models of telepsychiatric consultation-liaison service to rural primary care. Psychosomatics. 2006;47(2):152–7.

    Article  PubMed  Google Scholar 

  42. Yellowlees PM, Odor A, Patrice K, et al. PsychVACS: a system for asynchronous telepsychiatry. Telemed J E Health. 2011;17(4):299–303.

    Article  PubMed  Google Scholar 

  43. Hilty DM, Green J, Nasatir-Hilty SE, et al. Mental healthcare to rural and other underserved primary care settings: benefits of telepsychiatry, integrated care, stepped care and interdisciplinary team models. J Nurs Care. In Press.

    Google Scholar 

  44. Boyd DM, Ellison NB. Social network sites: definition, history, and scholarship. J Comput Med Commun. 2007;13(1):210–30.

    Article  Google Scholar 

  45. Frankish K, Ryan C, Harris A. Psychiatry and online social media: potential, pitfalls and ethical guidelines for psychiatrists and trainees. Australas Psychiatry. 2012;20:181–7.

    Article  PubMed  Google Scholar 

  46. Facebook Newsroom. March 15, 2015. At: http://newsroom.fb.com/company-info.

  47. Jain S. Practicing medicine in the age of Facebook. N Engl J Med. 2009;361(7):649–51.

    Article  CAS  PubMed  Google Scholar 

  48. Gutheil TG, Gabbard GO. The concept of boundaries in clinical practice: theoretical and risk-management dimensions. Am J Psychiatry. 1993;150(2):188–96.

    Article  CAS  PubMed  Google Scholar 

  49. Moubarak G, Guiot A, Benhamou Y, et al. Facebook activity of residents and fellows and its impact on the doctor-patient relationship. J Med Ethics. 2011;37(2):101–4.

    Article  PubMed  Google Scholar 

  50. Gabbard GO, Kassaw KA, Perez-Garcia G. Professional boundaries in the era of the internet. Acad Psychiatry. 2011;35(3):168–74.

    Article  PubMed  Google Scholar 

  51. Yellowlees P, Nafiz N. The psychiatrist-patient relationship of the future: anytime, anywhere? Harv Rev Psychiatry. 2010;18(2):96–102.

    Article  PubMed  Google Scholar 

  52. Koh S, Cattell GM, Cochran DM, et al. Psychiatrists’ use of electronic communication and social media and a proposed framework for future guidelines. J Psychiatr Pract. 2013;19(3):254–63.

    Article  PubMed  Google Scholar 

  53. Clinton BK, Silverman BC, Brendel DH. Patient-targeted googling: the ethics of searching online for patient information. Harv Rev Psychiatry. 2010;18(2):103–12.

    Article  PubMed  Google Scholar 

  54. Gorrindo T, Groves JE. Web searching for information about physicians. JAMA. 2008;300(2):213–5.

    Article  CAS  PubMed  Google Scholar 

  55. Shore R, Halsey J, Shah K, et al. Report of the AMA council on ethical and judicial affairs: professionalism in the use of social media. J Clin Ethics. 2011;22(2):165–72.

    PubMed  Google Scholar 

  56. MacDonald J, Sohn S, Ellis P. Privacy, professionalism and Facebook: a dilemma for young doctors. Med Educ. 2010;44(8):805–13.

    Article  PubMed  Google Scholar 

  57. Thompson LA, Dawson K, Ferdig R, et al. The intersection of online social networking with medical professionalism. J Gen Intern Med. 2008;23:954–7.

    Article  PubMed Central  PubMed  Google Scholar 

  58. Chretien KC, Greysen SR, Chretien JP, et al. Online posting of unprofessional content by medical students. JAMA. 2009;302:1309–15.

    Article  CAS  PubMed  Google Scholar 

  59. Ginory A, Sabatier LM, Eth S. Addressing therapeutic boundaries in social networking. Psychiatry. 2012;75(1):40–8.

    Article  PubMed  Google Scholar 

  60. Greysen SR, Kind T, Chretien KC. Online professionalism and the mirror of social media. J Gen Intern Med. 2010;25(11):1227–9.

    Article  PubMed Central  PubMed  Google Scholar 

  61. Myers KM, Lieberman D. Telemental health: responding to mandates for reform in primary healthcare. Telemed J E Health. 2013;19(6):438–43.

    Article  PubMed  Google Scholar 

  62. Shore JH, Mishkind MC, Bernard J, et al. A lexicon of assessment and outcome measures for telemental health. Telemed J E Health. 2013;3:282–92.

    Google Scholar 

  63. Nelson EL, Duncan AB, Lillis T. Special considerations for conducting psychotherapy via videoconferencing. In: Myers K, Turvey CL, editors. Telemental health: clinical, technical and administrative foundations for evidenced-based practice. San Francisco: Elsevier; 2013. p. 295–314.

    Chapter  Google Scholar 

  64. Myers KM. AACAP practice parameter for telepsychiatry with children and adolescents. J Am Acad Child Adolesc Psychiatry. 2008;47(12):1468–83.

    Article  PubMed  Google Scholar 

  65. Brondbo H, Mathiassen B, Martinussen M, et al. Agreement on web-based diagnoses and severity of mental health problems in a Norwegian child and adolescent mental health service. Clin Pract Epidemiol Ment Health. 2012;8:16–21.

    Article  PubMed Central  PubMed  Google Scholar 

  66. Glueck DA. Telepsychiatry in private practice. Child Adolesc Psychiatr Clin N Am. 2011;20(1):125–34.

    Article  PubMed  Google Scholar 

  67. Savin D, Glueck DA, Chardavoyne J, et al. Bridging cultures: child psychiatry via videoconferencing. Child Adolesc Psychiatr Clin N Am. 2011;20(1):125–34.

    Article  PubMed  Google Scholar 

  68. Farnan JM, Snyder Sulmasy L, et al. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158(8):620–7.

    Article  PubMed  Google Scholar 

  69. American Medical Association. Opinion 9.124 – Professionalism in the use of social media. AMA Code of Medical Ethics 2011. March 15, 2015. At: http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9124.page?

  70. Behnke S. Ethics in the age of the internet. Monit Psychol. 2008;39(7):74.

    Google Scholar 

  71. Grajales FJ, Sheps S, Ho K, et al. Social media: a review and tutorial of applications in medicine and health care. J Med Internet Res. 2014;16(2):e13.

    Article  PubMed  Google Scholar 

  72. Mitchell KJ, Ybarra M. Social networking sites: finding a balance between their risks and benefits. Arch Pediatr Adolesc Med. 2009;163(1):87–9.

    Article  PubMed  Google Scholar 

  73. Bishop M, Yellowlees P, Gates C, et al. Facebook goes to the doctor. ACM Press; 2011. p. 13–20.

    Google Scholar 

  74. Hidy B, Porch E, Reed S, et al. Social networking and mental health. In: Myers K, Turvey CL, editors. Telemental health. New York: Elsevier; 2013. p. 367–95.

    Chapter  Google Scholar 

  75. Canadian Medical Association. Social media and Canadian physicians – issues and rules of engagement. March 15, 2015. At: http://www.cma.ca.libproxy.usc.edu/socialmedia.

  76. British Medical Association. Using social media: practical and ethical guidance for doctors and medical students. [2013-10-27]. March 15, 2015. At: http://www.medschools.ac.uk/SiteCollectionDocuments/social_media_guidance_may2011.pdf.

  77. Hilty DM, Yellowlees PM. Collaborative mental health services using multiple technologies – the new way to practice and a new standard of practice? J Am Acad Child Adolesc Psychiatry. 2015;54(4):245–6.

    Article  PubMed  Google Scholar 

  78. Barretto A, Wacker DP, Harding J, et al. Using telemedicine to conduct behavioral assessments. J Appl Behav Analysis 2006;39(3):333–40.

    Google Scholar 

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Acknowledgments

American Telemedicine Association, Telemental Health Interest Group

Department of Psychiatry & Behavioral Sciences, Keck School of Medicine at USC

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Correspondence to Donald M. Hilty MD .

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Snowdy, C.E., Shoemaker, E.Z., Chan, S., Hilty, D.M. (2016). Social Media and Clinical Practice: What Stays the Same, What Changes, and How to Plan Ahead?. In: Mucic, D., Hilty, D. (eds) e-Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-319-20852-7_8

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