Family-focused therapy via videoconferencing
ABSTRACT A 30-year-old veteran with a diagnosis of schizoaffective disorder and his mother were referred for family-focused therapy (FFT), an empirically-supported, manual-based treatment. The veteran had had multiple hospitalizations and experienced chronic auditory hallucinations for self-harm. Minor modifications to FFT were made for implementation via videoconferencing (at a bandwidth of 384 kbit/s). This may have enhanced the treatment by making the process of communication and problem-solving more explicit. The course of FFT was successfully completed, and the veteran and family showed a high level of satisfaction with care as well as improved medication adherence, good quality of life, high levels of hope, good interpersonal functioning, and very mild negative and positive psychiatric symptoms. This veteran had previous exposure to telemental health, which may have influenced his willingness to receive tele-FFT and perhaps affected the outcome of the case. The ability to provide this type of service to people in rural areas is important.
Conference Paper: System Level Fixed-Point Design Based on an Interpolative Approach.[Show abstract] [Hide abstract]
ABSTRACT: The design process for fixed-point implementations either in software or in hardware requires a bit-true specification of the algorithm in order to analyze quantization effects on an algorithmical level, abstracting from implementational details. On the other hand, system design starts from a floating-point description, so that a transformation of a floating-point description into a fixed-point description becomes necessary. Within this paper we present a tool that allows an automated, interactive transformation from floating-point ANSI-C into a bit-true specification based on a new data type fixed that is introduced as an extension to ANSI-C. The concept is rooted in a sophisticated data dependency analysis that allows to handle control structures as well as pointers. It is part of the fixed-point design environment FRIDGE which includes an advanced simulator that covers the extended ANSI-C syntax as well as target specific compilers which allow to generate efficient fixed-point implementations either for HW or for SW, starting from the bit-true algorithm specification.Design Automation Conference, 1997. Proceedings of the 34th; 01/1997
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ABSTRACT: OBJECTIVE: Military personnel returning from Iraq and Afghanistan with traumatic brain injury (TBI) present with a complex array of stressors encountered during combat as well as upon re-entry, often with additional physical and mental health comorbidities. This requires an intensive approach to treatment that includes family intervention as a part of rehabilitation. There is a small but growing literature addressing the needs of families when a family member has sustained a TBI. An established treatment intervention for individuals with serious mental illness, such as family focused therapy (FFT), is uniquely suited to address the complexity of issues presented by returning military personnel, and may be adapted for moderate to severe TBI populations. In this article, we discuss the rationale for adapting this family intervention for this population and present a case vignette illustrating adaptations for TBI. CONCLUSIONS: The adaptation of an existing family intervention for a chronic condition that focuses on enhancing both individual and family functioning is a useful starting point. With further research to modify FFT for this unique population and establish feasibility, this approach may supplement existing models of family intervention.Rehabilitation Psychology 09/2009; 54(3):279-87. DOI:10.1037/a0016809 · 1.91 Impact Factor
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ABSTRACT: There are significant workforce shortages for psychologists with expertise in evidence-supported therapies with children, particularly in nonmetropolitan areas. Telepsychology, or psychology services delivered by real-time videoconferencing, helps bridge this access gap. This article first reviews the telepsychology literature and then builds on early telepsychology guidance for the current practice environment. The practicalities of telepsychology implementation and the lessons drawn from the more well-established telepsychiatry practice are described. The authors also provide an update to pioneering interdisciplinary telehealth principles presented a decade ago.Child and adolescent psychiatric clinics of North America 01/2011; 20(1):67-79. DOI:10.1016/j.chc.2010.08.005 · 2.88 Impact Factor