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The Digital Communication Power Tools 
Transforming Social Work Today




Ontario Association of Social Workers
Provincial Conference
November 10, 2012

 Marilyn Herie PhD RSW
Looking forward with a hurricane at our back
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
social media   collaboration   e-therapy
Learning Objectives
1. Identify the digital tools that best fit your 
   professional objectives and needs
2. Anticipate upcoming trends and implications 
   for your practice
3. Access resources and tips for using these 
   tools to their full potential
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
social media   collaboration   e-therapy
social media        collaboration      e-therapy
•   Facebook             •   Webinar, web conference
•   LinkedIn             •   Screenr, Vimeo
•   Twitter              •   Online course
•   YouTube              •   Wikis
•   Wordpress, Blogger   •   Google+
•   Pintrest, Tumblr     •   Twitterchat
•   Stumbleupon          •   E‐therapy
•   Reddit               •   Other?
So many possibilities, so little time?
Technology Acceptance Model (TAM):
    Ease of use and usefulness will predict an individual’s attitudes 
     towards, intention to use, and acceptance of the technology


                      Perceived
                      Usefulness

  External                                                         Behaviour
                                             Attitude           Intention to use
  Factors
                       Perceived
                      Ease of Use
                                                                  Technology
                                                                     Use

McGowan et al., 2012. Understanding the Factors That Influence the Adoption and
Meaningful Use of Social Media by Physicians to Share Medical Information. Journal
of Medical Internet Research.
“It appears that the frequency of social media usage is influenced
    primarily by positive attitudes toward the technology, perceiving that
    the technology is easy to use, and perceiving the technology to be
    useful to achieve better performance outcomes. Conversely,
    factors found to be nonsignificant included
    demographic variables typically perceived as
    important, such as years since graduation (a proxy for age),
    gender, patients seen per week (a proxy for how busy a
    physician is), and type of specialty. This finding is consistent
    with other studies, which have shown practice-related characteristics
    to be unassociated with use of Internet-based communication
    technologies.”




McGowan et al., 2012. Understanding the Factors That Influence the Adoption and
Meaningful Use of Social Media by Physicians to Share Medical Information. Journal
of Medical Internet Research.
Personal Learning Networks (PLNs)
                      “A PLN is a system for lifelong learning”




                          Social         Microblogging              Social
                       Bookmarking                                Networking
                                                      News
              Wikis                                Aggregators
                       Backchanelling
                                          Professional
                       of conferences
                                            Profiles
                       Webinars                              Blogs




http://edudemic.com/2012/10/build-personal-learning-network/
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
Who has a smart phone?
1. Choose a random person in the
  audience
2. Ask their name
3. Google them
4. How many hits?
5. What comes up?
The Paradox of Online Identity




    The question is: Who controls it?
Your Online Identity = Your “Brand”
Use the Security Settings
• Be judicious
• But remember that you are probably more 
  visible than you think
• Do an online search of yourself – regularly
• Ask an expert (teenager) for help!
•   Facebook   •   Slideshare
•   LinkedIn   •   Pinterest
•   Google+    •   Stumbleupon
•   Twitter    •   Screenr
•   YouTube
JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS,
31(3):215–219, 2011
•   Facebook   •   Slideshare
•   LinkedIn   •   Pinterest
•   Google+    •   Stumbleupon
•   Twitter    •   Reddit
•   YouTube    •   Screenr
A 15 year old’s perspective…
A 15 year old’s perspective…
• Facebook: 
  “There’s a lot of ads but it’s really good”
• LinkedIn:
  “Nobody uses LinkedIn in unless you have, like, a job”
• Google+:
  “nobody has Google+”
• Twitter:
  “It’s good for keeping track of things”
A 15 year old’s perspective…
• Facebook: 
  “There’s a lot of ads but it’s really good”
• LinkedIn:
  “Nobody uses LinkedIn in unless you have, like, a job”
• Google+:
  “nobody has Google+”
• Twitter:
  “It’s good for keeping track of things”
http://mashable.com/2012/08/08/infographic-google-plus-ghost-town/
What’s right for you? Are you….
  Looking for a job or
  wanting to
  network/collaborate with
  other professionals?

  Wanting to share
  information, invite
  feedback/contributions,
  and follow others?

  Wanting to push out
  links/short reflections
  and follow others?
http://www.facebook.com/profilesinsocialwork
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
Twitter
Profile


              Everything 
            about you in 
          160 characters 
                  or less
The Digital Communication Power Tools
Quick Twitter Tips
• # (hashtag): categorizes tweets – there is a 
  taxonomy of hashtags, or you can create your 
  own (www.hashtags.org)
• @MarilynHerie: Twitter handle – how your 
  Tweets will appear
• 140 characters max
• If sending a link, make it into a “Tiny URL”
The Digital Communication Power Tools
Twitter Practice


                                                 • What is something 
                                                   that is unique to 
                                                   me? 
                                                 • What is something 
                                                   I have experienced 
                                                   that others may 
                                                   identify with? 
http://kellyburstow.com/2011/10/how-to-write-a-twitter-bio/
Twitter Practice


                   • Turn to the person 
                     behind you
                   • If you’re on Twitter: 
                      – Share your handle and bio
                      – Who do you follow and 
                        why?
                   • If you’re not on Twitter:
                      – What would you say 
                        about yourself in your 
                        brief bio?
                      – Practice writing a “Tweet”
                        about this session
The Digital Communication Power Tools
The Digital Communication Power Tools
•   Facebook   •   Slideshare
•   LinkedIn   •   Pinterest
•   Google+    •   Stumbleupon
•   Twitter    •   Screenr
•   YouTube
More than just cat videos
The Digital Communication Power Tools
http://www.youtube.com/watch?v=9bZkp7q19f0
Create Video Content To…
•   Share research findings
•   Demonstrate clinical skills
•   Hear from stakeholders, guest experts, etc.
•   Disseminate talks or presentations
•   Video Blogging (Vlogging)
https://www.youtube.com/user/teachproject
www.youtube.com/watch?v=79YTuZUFRIc
www.youtube.com/watch?v=79YTuZUFRIc
www.youtube.com/watch?v=79YTuZUFRIc
http://vimeo.com/
The Digital Communication Power Tools
•   Facebook   •   Pinterest
•   LinkedIn   •   Stumbleupon
•   Google+    •   Slideshare
•   Twitter    •   Screenr
•   YouTube
http://pinterest.com/
http://pinterest.com/rtkrum/infographic-visual-resumes/
The Digital Communication Power Tools
http://thenextweb.com/apps/2012/07/26/forget-about-me-vizify-is-your-new-online-
profile-of-choice-invites/
http://www.stumbleupon.com/home
The Digital Communication Power Tools
http://www.slideshare.net/mherie/mini-med-delightful-poison-pub#remove_related_cta
http://www.screenr.com/
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
Collaboration Tools
• Blogging
• Webinars, webconferencing
• Wikis
Collaboration Tools
• Blogging
• Webinars, webconferencing
• Wikis
What would you name it?
What blog names have others used?
       How did you decide?
http://wordoid.com/
Educateria
http://blog-services-review.toptenreviews.com/
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http://educateria.com/   Subtitle
The Digital Communication Power Tools
Where do the cool people hang out?
http://24.media.tumblr.com/tumblr_m8znioL6Ti1rx2uiqo1_500.png
The Digital Communication Power Tools
The Digital Communication Power Tools
http://www.tumblr.com/tagged/camh
http://camh.tumblr.com/
http://web.stagram.com/tag/camh/
Take‐Home Messages
• You might be online even if it’s not “you”
• Consider a “placeholder” with some content 
  across platforms, especially if you/your 
  organization’s name is not unique
• Don’t assume you/your organization’s name is 
  unique
• Even if you don’t use a platform, someone 
  else might be searching for you on it
How do I decide?
  1.    Do I want to install, configure, and host my blog myself, or 
        would I rather rely on a hosted service? 
  2.    Do I want to create my own blog theme, or am I satisfied 
        with using or customizing an existing theme? 
  3.    Do I want to be able to install custom plug‐ins or am I 
        satisfied with the functionality that is built‐in to the 
        platform I choose? 
  4.    Will I be writing more long‐form posts or posting cool things 
        I find online? Or do I need to be able to do both? 
  5.    Do I want others to be able to comment on my post and 
        interact with my content in a social way, or do I just want to 
        be able to have a place to post my writing where people 
        can read it and nobody can bother me? 
  6.    Am I willing to pay for this blogging platform?

http://lifehacker.com/5878847/which-blogging-platform-should-i-use
The Digital Communication Power Tools
Collaboration Tools
• Blogging
• Webinars, webconferencing
• Wikis
Webinars
The Digital Communication Power Tools
The Digital Communication Power Tools
Who has presented 
a webinar as a 
speaker/facilitator?
The Digital Communication Power Tools
The Digital Communication Power Tools
Six Webinar Tips
    1.    It might not be a webinar
    2.    I like text chat better than voice
    3.    Prime participants to participate
    4.    You can’t do it all
    5.    Ready for your close‐up
    6.    Less text more pictures

http://educateria.com/2012/10/02/quick-tips-for-faclitating-webinars/
Virtual Meetings & Tele‐socialwork
The Digital Communication Power Tools
http://otn.ca/
http://www.gotomeeting.ca/fec/
The Digital Communication Power Tools
Collaboration Tools
• Blogging
• Webinars, webconferencing
• Wikis
http://en.wikipedia.org/wiki/Wikipedia_talk:WikiProject_Social_Work
The Digital Communication Power Tools
The Digital Communication Power Tools
E‐Therapy
 • 1st provision of behavioural health services 
   delivered from a distance…
                                 1959




Considerations for the provision of e-therapy, SAMHSA, 2009
http://newsmagazine.oasw.org/magazine.cfm?magazineid=9&articleid=155
http://www.ocswssw.org/docs/newslettereng_fall2011-rev5-final-
ya.pdf?LanguageID=EN-US
Clinical Social Work Journal, published online Feb 2012
“It Just Crept In”
                   •   Client‐driven practice
                   •   Pandora’s Box
                   •   Ethical gray zone
                   •   Permeable boundaries




Mishna et. al., 2012
http://store.samhsa.gov/product/Considerations-for-the-Provision-of-E-
Therapy/SMA09-4450
What is e‐therapy?
    “The use of electronic media and information 
    technologies to provide services for 
    participants in different locations”




Considerations for the provision of e-therapy, SAMHSA, 2009
Applications
                                            •   Psychoeducation
                                            •   General counselling
                                            •   Self‐help
                                            •   CBT




Considerations for the provision of e-therapy, SAMHSA, 2009
For diverse issues, including…
 •   Substance dependence treatment
 •   Panic disorder
 •   Public speaking anxiety
 •   Agoraphobia
 •   Eating disorders
 •   Depression



Considerations for the provision of e-therapy, SAMHSA, 2009
E‐Therapy Platforms
               Text-Based        Non-Text-
                                  Based
Synchronous  Internet            Telephone
                Messaging (IM)   Video-conference
             Online Chat         Web-conference
             Text message
Asynchronous Email               Fax
             Discussion board/   Video
             Online forum        Voice recording
             Comments on
                blogs, vlogs
Pros and Cons of E‐Therapy

 • Accessibility                         • Digital divide
 • Cost                                  • Confidentiality
 • Continuity of care                    • Technology failures
 • Demand                                • Communication barriers 
 • Stigma of accessing                     (e.g., linguistic 
   community resources                     competence, 
 • Privacy                                 communication norms)
                                         • Emergencies/crises

Considerations for the provision of e-therapy, SAMHSA, 2009
The Digital Communication Power Tools
Small comparison study of online vs face-to-face
manualized group CBT counselling for clients with
disordered eating
“Significant improvements on all outcome variables were
observed and maintained at follow-up in both groups”

Take home message: Brief group CBT therapy
appears to be adaptable to an online, synchronous
(chat room/discussion board) delivery context
The Digital Communication Power Tools
Small, self-selected sample of online therapy consumers
“Exceeding expectations and despite low power, results
on the composite scale and goal subscale of the WAI
were significantly higher than those from the
representative sample of face-to-face clients”

Take home message: Participants corresponding
with therapists using more than one online modality
demonstrated stronger working alliance
The Digital Communication Power Tools
Meta-analysis of 56 studies published between 1998-
2010
“Direct comparisons favour FTFIs over CDIs although
the incremental effect is small”

Take home message: Research needs to go
beyond simple efficacy evaluations and investigate
specific intervention components and their
applications in CDIs
Research Issues
 •   Small sample sizes
 •   High dropout
 •   Lack of comparison groups
 •   Diversity of delivery modes
 •   Lack of standardized interventions




Considerations for the provision of e-therapy, SAMHSA, 2009
Ethical, Legal and Regulatory Issues
 • Confidentiality: 
      – Records can be breached/not easily deleted
      – Client forwards correspondence to third party
 • May favour more affluent, literate, educated
 • How do we know it works? Outcomes?
 • Foremost clinical decision is whether to provide 
   treatment
 • Jurisdictional issues
 • Scope of practice
 • Which region’s regulations take precedence?
Considerations for the provision of e-therapy, SAMHSA, 2009
Informed Consent
•   Treatment process/procedures
•   Benefits and risks
•   Actions taken to prevent risks
•   Procedures for emergencies
•   Confidentiality and safeguards
The Digital Communication Power Tools
The Digital Communication Power Tools
The Digital Communication Power Tools
Every ceiling, when reached, 
      becomes a floor.
       ‐ Aldous Huxley
Summary
Utility and ease of use are better predictors of uptake than
time, age or specialty
You likely already have an online identity – social media
can help you further control and define it + establish PLNs
Social media tools go far beyond vehicles for corporate
communication
Online collaboration and discussion (blogging, micro-
blogging, wikis, etc.) can further reflective practice and
knowledge sharing/exchange
People – clients, students, peers and others – are already
driving change
Some disciplines (for example Medicine) are ahead of the
curve in adoption, evaluation and research
The collaborative and systems orientation of social work
may be a natural fit with these new and emerging
technologies
The Digital Communication Power Tools
We are all inventors
Each sailing on a voyage of discovery
Guided each by a private chart
Of which there is no duplicate.
The world is all gates
 All opportunities.
Ralph Waldo Emerson
marilyn.herie@camh.ca
www.educateria.com

@MarilynHerie

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