Ohio Valley Center for Brain Injury Prevention and 
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TBI Model Systems

Using the Internet to Enhance Team Functioning

Establishing a consistent and coordinated treatment approach among outpatient service providers from different agencies, with different experience and skills, is a daunting task. Barriers to efficient means of communication contribute significantly to the difficulties encountered. This project will pilot the use of e-mail to allow clients, family members, providers from various sites, and case managers to communicate in a shared forum using "list.server" technology. Individual list.servers will be established for 10 outpatients and will include the client, current providers and others of the client's choosing. The project will evaluate (1) the feasibility of using e-mail list.servers to connect clients and team members, and (2) participants' perceptions of the effect on communication and treatment coordination. List.server technology is expected to allow systematic communication of progress to all involved, consistency in responses to particular issues, and access by the client to the team in a way that allows questions to be formulated and responses digested at his/her own rate. Qualitative and quantitative data will be used to develop consensus recommendations regarding the heuristic value of this approach.

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