Raymond Folen - Academia.edu (original) (raw)

Papers by Raymond Folen

Journal of Clinical Psychology in Medical Settings, Jun 1, 2011

The purpose of this article is to provide a short narrative on the ways that behavioral health pr... more The purpose of this article is to provide a short narrative on the ways that behavioral health professionals and their patients are currently benefitting from the use of technology. Examples stem from applications of technology to patients/research participants at the Tripler Army Medical Center. The paper also discusses how current use of this technology has made it possible to serve individuals in their own cultural environment, providing a cost-effective means of providing mental health services.

PubMed, 1999

The use of audio-video communication technology in healthcare has been the focus of considerable ... more The use of audio-video communication technology in healthcare has been the focus of considerable attention for over forty years. As far back as 1959, researchers at the University of Nebraska utilized cumbersome television cam-eras and two-way television monitors for individual and ...

Military Medicine, Dec 1, 2000

This study presents a treatment efficacy and medical utilization evaluation of a cognitive-behavi... more This study presents a treatment efficacy and medical utilization evaluation of a cognitive-behavioral, outpatient, chronic pain management program in a military hospital setting. A total of 61 nonmalignant chronic pain patients with heterogeneous pain syndromes who participated in sequential group programs were included in the study. Comprehensive and multi-dimensional outcome criteria were used, including pain ratings, relaxation skills, quality of life, satisfaction ratings, and medical utilization. The findings demonstrated improvements on all general indices. Military status had no effect on any of the outcome measures. Most significant was an 87% reduction in outpatient clinic visits in the first 3 months after treatment. This reduction amounts to a projected net annual saving of $78,960 in the first year after behavioral medicine intervention. In light of the increasing cost of health care for chronic pain patients, psychological approaches as an adjunct to traditional medical care seem to present a sound solution for cost savings. This study also supports the notion that a strategic biopsychosocial pain program, which targets the multiple dimensions of persistent pain, provides effective treatment and increases patient satisfaction.

PubMed, Mar 15, 2000

When a spontaneous abortion is followed by complicated bereavement, the primary care physician ma... more When a spontaneous abortion is followed by complicated bereavement, the primary care physician may not consider the diagnosis of acute stress disorder or post-traumatic stress disorder. The major difference between these two conditions is that, in acute stress disorder, symptoms such as dissociation, reliving the trauma, avoiding stimuli associated with the trauma and increased arousal are present for at least two days but not longer than four weeks. When the symptoms persist beyond four weeks, the patient may have post-traumatic stress disorder. The symptoms of distress response after spontaneous abortion include psychologic, physical, cognitive and behavioral effects; however, patients with distress response after spontaneous abortion often do not meet the criteria for acute or post-traumatic stress disorder. After spontaneous abortion, as many as 10 percent of women may have acute stress disorder and up to 1 percent may have post-traumatic stress disorder. Critical incident stress debriefing, which may be administered by trained family physicians or mental health practitioners, may help patients who are having a stress disorder after a spontaneous abortion.

Behavioral Medicine, Jun 1, 1996

EEG neurofeedback has been identified as a potential diagnostic and treatment protocol with chron... more EEG neurofeedback has been identified as a potential diagnostic and treatment protocol with chronic fatigue syndrome (CFS) symptoms. In the present case study, the authors applied an EEG neurofeedback biofeedback paradigm as a treatment modality with a CFS patient. Baseline data were acquired using the Wechsler Adult Intelligence Scale-Revised and qualitative and subjective ratings of cognitive improvement. Test results and clinical findings revealed improvements in the patient's cognitive abilities, functional skill level, and quality of life. The patient showed significant differences in pre- and posttest levels on the Wechsler scale.

Professional Psychology: Research and Practice, Apr 1, 1997

The article provides an overview of the Tripler Army Medical Center Inpatient Obesity Program. Te... more The article provides an overview of the Tripler Army Medical Center Inpatient Obesity Program. Termed the LEAN Program (emphasizing healthy Lifestyles, Exercise, Emotions, Attitudes and Nutrition), it is the first inpatient hospital program completely developed, administratively owned, and directed by Department of Defense psychologists. The major components of the program are discussed, as is the conceptual framework that underlies the development. The LEAN Program model is offered as a guide for those who wish to develop other programs in inpatient health psychology.

Professional Psychology: Research and Practice, 2005

Psychologists have the potential to improve the quality of life of chronic pain patients by inter... more Psychologists have the potential to improve the quality of life of chronic pain patients by intervening not only through direct services but also by using their training for promoting proactive leadership in multidisciplinary teams and in the larger health care environment. To significantly impact pain management, psychologists must not only deliver state-of-the-art care but also take an active role in directing the design, implementation, and evaluation of these programs.

Professional Psychology: Research and Practice, 1999

Innovative programs in the Department of Defense have challenged health psychologists to broaden ... more Innovative programs in the Department of Defense have challenged health psychologists to broaden their scope of practice. To this end, health psychologists at Tripler Army Medical Center independently admit and discharge patients and serve as primary care managers during hospitalization and follow-up aftercare. A conceptual overview of the Tripler health psychology training philosophy and how the training model has guided Army health psychology in managing, rather than simply consulting, on the care of patients will be offered. Practical considerations and a training curriculum are provided.

Psychological Services, Aug 1, 2013

The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Re... more The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Regional Medical Command. Due to Tripler's large area of responsibility, many behavioral health professionals are starting to employ more technology during their sessions. As explained in this article, virtual reality and telepsychology efforts are proving to benefit military service members and their families in the Pacific Rim.

Studies in health technology and informatics, 2010

Military Medicine, Apr 1, 1992

Cosleeping is a topic frequently of concern to parents; however, little objective evidence exists... more Cosleeping is a topic frequently of concern to parents; however, little objective evidence exists to support the historical prohibition against children sleeping in the same bed with their parents. Surveys from the parents of 86 children in the clinics of pediatrics and child psychiatry were analyzed to describe patterns of cosleeping in a group of military dependents aged 2 to 13 years. Shown is a significant increase in cosleeping with father absence and that cosleeping is less frequent in the psychiatric subpopulation.

Journal of Clinical Child Psychology, Sep 1, 1991

... (J. P. Cardillo, personal cornmunication, fall 1088) ... In ffiscal year 1989, conferees to t... more ... (J. P. Cardillo, personal cornmunication, fall 1088) ... In ffiscal year 1989, conferees to the DOD Appropriations Act stated that the De-partment, "should establish a demonstration pilot training program under ... President Bush has signeld this legislation into public law (PL 101-165). ...

Studies in computational intelligence, 2011

ABSTRACT For a country to continue its’ viable existence, it must be healthy. That is, it must no... more ABSTRACT For a country to continue its’ viable existence, it must be healthy. That is, it must not only maintain physical health but also psychological health. In fact, psychological health has a direct impact on the physiological health of people. The open literature suggests evidence-based strategies for helping individuals that suffer from psychological distress. Since technology is increasingly taking over the way humans relate with the world, virtual reality (VR) might be a great addition to psychotherapy sessions. In this chapter, the authors specifically discuss the effects of stress on one’s health and provide a short background of VR contributions to human health.

Journal of Clinical Psychology in Medical Settings, Jun 1, 2011

The purpose of this article is to provide a short narrative on the ways that behavioral health pr... more The purpose of this article is to provide a short narrative on the ways that behavioral health professionals and their patients are currently benefitting from the use of technology. Examples stem from applications of technology to patients/research participants at the Tripler Army Medical Center. The paper also discusses how current use of this technology has made it possible to serve individuals in their own cultural environment, providing a cost-effective means of providing mental health services.

PubMed, 1999

The use of audio-video communication technology in healthcare has been the focus of considerable ... more The use of audio-video communication technology in healthcare has been the focus of considerable attention for over forty years. As far back as 1959, researchers at the University of Nebraska utilized cumbersome television cam-eras and two-way television monitors for individual and ...

Military Medicine, Dec 1, 2000

This study presents a treatment efficacy and medical utilization evaluation of a cognitive-behavi... more This study presents a treatment efficacy and medical utilization evaluation of a cognitive-behavioral, outpatient, chronic pain management program in a military hospital setting. A total of 61 nonmalignant chronic pain patients with heterogeneous pain syndromes who participated in sequential group programs were included in the study. Comprehensive and multi-dimensional outcome criteria were used, including pain ratings, relaxation skills, quality of life, satisfaction ratings, and medical utilization. The findings demonstrated improvements on all general indices. Military status had no effect on any of the outcome measures. Most significant was an 87% reduction in outpatient clinic visits in the first 3 months after treatment. This reduction amounts to a projected net annual saving of $78,960 in the first year after behavioral medicine intervention. In light of the increasing cost of health care for chronic pain patients, psychological approaches as an adjunct to traditional medical care seem to present a sound solution for cost savings. This study also supports the notion that a strategic biopsychosocial pain program, which targets the multiple dimensions of persistent pain, provides effective treatment and increases patient satisfaction.

PubMed, Mar 15, 2000

When a spontaneous abortion is followed by complicated bereavement, the primary care physician ma... more When a spontaneous abortion is followed by complicated bereavement, the primary care physician may not consider the diagnosis of acute stress disorder or post-traumatic stress disorder. The major difference between these two conditions is that, in acute stress disorder, symptoms such as dissociation, reliving the trauma, avoiding stimuli associated with the trauma and increased arousal are present for at least two days but not longer than four weeks. When the symptoms persist beyond four weeks, the patient may have post-traumatic stress disorder. The symptoms of distress response after spontaneous abortion include psychologic, physical, cognitive and behavioral effects; however, patients with distress response after spontaneous abortion often do not meet the criteria for acute or post-traumatic stress disorder. After spontaneous abortion, as many as 10 percent of women may have acute stress disorder and up to 1 percent may have post-traumatic stress disorder. Critical incident stress debriefing, which may be administered by trained family physicians or mental health practitioners, may help patients who are having a stress disorder after a spontaneous abortion.

Behavioral Medicine, Jun 1, 1996

EEG neurofeedback has been identified as a potential diagnostic and treatment protocol with chron... more EEG neurofeedback has been identified as a potential diagnostic and treatment protocol with chronic fatigue syndrome (CFS) symptoms. In the present case study, the authors applied an EEG neurofeedback biofeedback paradigm as a treatment modality with a CFS patient. Baseline data were acquired using the Wechsler Adult Intelligence Scale-Revised and qualitative and subjective ratings of cognitive improvement. Test results and clinical findings revealed improvements in the patient's cognitive abilities, functional skill level, and quality of life. The patient showed significant differences in pre- and posttest levels on the Wechsler scale.

Professional Psychology: Research and Practice, Apr 1, 1997

The article provides an overview of the Tripler Army Medical Center Inpatient Obesity Program. Te... more The article provides an overview of the Tripler Army Medical Center Inpatient Obesity Program. Termed the LEAN Program (emphasizing healthy Lifestyles, Exercise, Emotions, Attitudes and Nutrition), it is the first inpatient hospital program completely developed, administratively owned, and directed by Department of Defense psychologists. The major components of the program are discussed, as is the conceptual framework that underlies the development. The LEAN Program model is offered as a guide for those who wish to develop other programs in inpatient health psychology.

Professional Psychology: Research and Practice, 2005

Psychologists have the potential to improve the quality of life of chronic pain patients by inter... more Psychologists have the potential to improve the quality of life of chronic pain patients by intervening not only through direct services but also by using their training for promoting proactive leadership in multidisciplinary teams and in the larger health care environment. To significantly impact pain management, psychologists must not only deliver state-of-the-art care but also take an active role in directing the design, implementation, and evaluation of these programs.

Professional Psychology: Research and Practice, 1999

Innovative programs in the Department of Defense have challenged health psychologists to broaden ... more Innovative programs in the Department of Defense have challenged health psychologists to broaden their scope of practice. To this end, health psychologists at Tripler Army Medical Center independently admit and discharge patients and serve as primary care managers during hospitalization and follow-up aftercare. A conceptual overview of the Tripler health psychology training philosophy and how the training model has guided Army health psychology in managing, rather than simply consulting, on the care of patients will be offered. Practical considerations and a training curriculum are provided.

Psychological Services, Aug 1, 2013

The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Re... more The Tripler Army Medical Center is the only federal tertiary care hospital serving the Pacific Regional Medical Command. Due to Tripler's large area of responsibility, many behavioral health professionals are starting to employ more technology during their sessions. As explained in this article, virtual reality and telepsychology efforts are proving to benefit military service members and their families in the Pacific Rim.

Studies in health technology and informatics, 2010

Military Medicine, Apr 1, 1992

Cosleeping is a topic frequently of concern to parents; however, little objective evidence exists... more Cosleeping is a topic frequently of concern to parents; however, little objective evidence exists to support the historical prohibition against children sleeping in the same bed with their parents. Surveys from the parents of 86 children in the clinics of pediatrics and child psychiatry were analyzed to describe patterns of cosleeping in a group of military dependents aged 2 to 13 years. Shown is a significant increase in cosleeping with father absence and that cosleeping is less frequent in the psychiatric subpopulation.

Journal of Clinical Child Psychology, Sep 1, 1991

... (J. P. Cardillo, personal cornmunication, fall 1088) ... In ffiscal year 1989, conferees to t... more ... (J. P. Cardillo, personal cornmunication, fall 1088) ... In ffiscal year 1989, conferees to the DOD Appropriations Act stated that the De-partment, "should establish a demonstration pilot training program under ... President Bush has signeld this legislation into public law (PL 101-165). ...

Studies in computational intelligence, 2011

ABSTRACT For a country to continue its’ viable existence, it must be healthy. That is, it must no... more ABSTRACT For a country to continue its’ viable existence, it must be healthy. That is, it must not only maintain physical health but also psychological health. In fact, psychological health has a direct impact on the physiological health of people. The open literature suggests evidence-based strategies for helping individuals that suffer from psychological distress. Since technology is increasingly taking over the way humans relate with the world, virtual reality (VR) might be a great addition to psychotherapy sessions. In this chapter, the authors specifically discuss the effects of stress on one’s health and provide a short background of VR contributions to human health.