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Articles 301 - 330 of 426
Full-Text Articles in Psychiatry and Psychology
The Effect Of Asynchronous Data On Pilot-Controller Communication In A Dynamic Environment With Subject-Matter Experts, Samuel Lien, Jonathan Histon
The Effect Of Asynchronous Data On Pilot-Controller Communication In A Dynamic Environment With Subject-Matter Experts, Samuel Lien, Jonathan Histon
International Symposium on Aviation Psychology - 2015
Integrating Unmanned Aerial System (UAS) into controlled airspace may introduce communication challenges if there are time delays associated with the distribution of a common surveillance source of those UAS. Termed “information asynchrony” by Yuan et al (2012), an earlier, static image study showed large time delays had an observable impact on controller-pilot communication, but the effect was not present for time delays of less than 1 minute. A follow-up study is being conducted using an online ATC-flight simulator with professional pilots and controllers as participants. Effects on communication are being analyzed objectively through measurable characteristics of communication breakdown, and subjectively …
‘We Need Priority Please’ Mitigated Speech In The Crash Of Avianca Flight 052, Simon Cookson
‘We Need Priority Please’ Mitigated Speech In The Crash Of Avianca Flight 052, Simon Cookson
International Symposium on Aviation Psychology - 2015
On 25 January 1990, Avianca Flight 052 was flying from Columbia to the United States when it crashed after a missed approach to JFK Airport in New York. The direct cause of the accident was fuel exhaustion but the NTSB investigation identified multiple causal factors. The Avianca captain, who was flying the aircraft, repeatedly instructed the first officer to notify ATC about the fuel emergency. The first officer, however, did not use the word ‘emergency’ but instead requested ‘priority’ and told ATC that the airplane was ‘running out of fuel’. Why did the first officer mitigate the captain’s instructions? This …
Understanding Automation Surprise: Analysis Of Asrs Reports, Julia Trippe, Robert Mauro
Understanding Automation Surprise: Analysis Of Asrs Reports, Julia Trippe, Robert Mauro
International Symposium on Aviation Psychology - 2015
Pilots are frequently surprised by aircraft automation. These include cases in which the automation: 1) produces alerts to anomalies, 2) commands unexpected control manipulations (that may result in flight path deviations), or 3) simply disconnects. Aviation Safety Reporting System (ASRS) reports in which pilots indicated that automation produced unexpected actions were analyzed. Three general conclusions were drawn. First, many factors precipitate automation surprises. These include problems in: the auto-flight system and associated displays and interfaces, other aircraft sensors and systems, and interactions with weather and ATC. Second, inappropriate pilot actions are involved in a large proportion of these events. Third, …
Visualization Methods For Communicating Unmanned Vehicle Plan Status, Kyle J. Behymer, Heath A. Ruff, Elizabeth M. Mersch, Gloria L. Calhoun, Sarah E. Spriggs
Visualization Methods For Communicating Unmanned Vehicle Plan Status, Kyle J. Behymer, Heath A. Ruff, Elizabeth M. Mersch, Gloria L. Calhoun, Sarah E. Spriggs
International Symposium on Aviation Psychology - 2015
In order to facilitate a single operator controlling multiple unmanned vehicles, numerous autonomous support tools are being considered. One such candidate tool monitors the situation and alerts the operator when a deviation from the vehicle’s plan has occurred. The goal of this research was to develop an effective visualization method for conveying plan deviations. Two interface formats were developed based on a review of the literature: a pie chart and a bar chart. Each format allows an operator to compare values for parameters that have different units, value ranges, and relative priority. Twelve participants were tested using a 2 (chart …
Design And Evaluation Of A Haptic Display For Flight Envelope Protection Systems, J. Ellerbroek, M.J.M. Rodriguez Y Martin, M.M. Van Paassen, M. Mulder
Design And Evaluation Of A Haptic Display For Flight Envelope Protection Systems, J. Ellerbroek, M.J.M. Rodriguez Y Martin, M.M. Van Paassen, M. Mulder
International Symposium on Aviation Psychology - 2015
This paper describes the design and initial evaluation of a haptic display that is aimed to complement a `hard’ flight envelope protection system. The evaluation mainly focused on usability of the presented haptic cues, and on the handling qualities of the stick with active feedback. Results are presented for two evaluations, concerning stall protection feedback and load factor protection feedback respectively. They show that while subjects are positive about the added information cue, and are able to correctly identify limiting actions, they are not consistently able to identify changes in the aircraft’s condition.
Detecting Structure In Activity Sequences: Exploring The Hot Hand Phenomenon, Taleri Hammack, John Flach, Joseph Houpt
Detecting Structure In Activity Sequences: Exploring The Hot Hand Phenomenon, Taleri Hammack, John Flach, Joseph Houpt
International Symposium on Aviation Psychology - 2015
Can humans discriminate whether strings of events (e.g., shooting success in basketball) were generated by a random or constrained process (e.g., hot and cold streaks)? Conventional wisdom suggests that humans are not good at this discrimination. For example, Kahneman (2011) writes that “the hot hand is entirely in the eye of the beholders, who are consistently too quick to perceive order and causality in randomness. The hot hand is a massive and widespread cognitive illusion” (p. 117). Following from Cooper, Hammack, Lemasters, and Flach (2014), a series of Monte Carlo simulations and empirical experiments examined the abilities of both humans …
Airframe Parachute Knowledge And Deployment Scenarios: A Collegiate Perspective, Scott R. Winter, Robert C. Geske, Stephen Rice, Richard O. Fanjoy, Lauren Sperlak
Airframe Parachute Knowledge And Deployment Scenarios: A Collegiate Perspective, Scott R. Winter, Robert C. Geske, Stephen Rice, Richard O. Fanjoy, Lauren Sperlak
International Symposium on Aviation Psychology - 2015
As airframe parachutes in general aviation aircraft become more popular, training is essential in fostering a willingness to use the system in the appropriate situation. Aviation decision-making literature suggests that individuals make choices based on experience and pattern matching, such as emergency situations and airframe parachute deployment scenarios. This led the researchers to investigate the knowledge and perspectives of collegiate pilots who train in aircraft equipped with airframe parachutes. Participants completed a surveyfocused on airframe parachute knowledge and scenario-based examples. Training experts were used to validate the parachute deployment scenarios used in the instrument. Responses indicate that pilots find aircraft …
Planning For The Future: Human Factors In Nextgen Air Traffic Management, Edward M. Austrian, Katherine A. Berry, Michael W. Sawyer, Alyssa Dehaas
Planning For The Future: Human Factors In Nextgen Air Traffic Management, Edward M. Austrian, Katherine A. Berry, Michael W. Sawyer, Alyssa Dehaas
International Symposium on Aviation Psychology - 2015
The National Airspace System (NAS) Enterprise Architecture (EA) describes Next Generation Air Transportation System (NextGen) goals, operational changes, and guidance materials. While the primary focus of the NAS EA is on infrastructure delivery, the function of human factors is to assess and respond to the impacts of planned changes on end-users. The Federal Aviation Administration’s Human Factors Research and Engineering Division has strengthened the presence of human factors activities in NextGen products in the Human Systems Integration (HSI) and other Roadmaps. This paper will present the HSI Roadmap and explore NextGen human factors integration opportunities in tower operations. Opportunities have …
Consumer Trust Ratings After An Airline Accident: An Affective Perspective, Scott R. Winter, Stephen Rice, Ismael Cremer, Rian Mehta
Consumer Trust Ratings After An Airline Accident: An Affective Perspective, Scott R. Winter, Stephen Rice, Ismael Cremer, Rian Mehta
International Symposium on Aviation Psychology - 2015
Fortunately airline accidents are rare; however when one occurs it usually results in widespread media attention. The purpose of this study was to examine how consumers’ trust ratings were impacted when one airline suffered an accident. The findings indicate that System Wide Trust (SWT) theory applies resulting in a trust reduction for all airlines, not just the accident airline. Affect was shown to act as a mediator in only three of the cases, which suggest that consumer’s responses may not be strongly influenced by emotions. Practical implications and limitations of this study are provided.
Concept Of Flight Instructor Assistance In Helicopter Emergency Medical Service Using Pilot Trainee’S Workload Determination, Felix Maiwald, Axel Schulte
Concept Of Flight Instructor Assistance In Helicopter Emergency Medical Service Using Pilot Trainee’S Workload Determination, Felix Maiwald, Axel Schulte
International Symposium on Aviation Psychology - 2015
This article focuses on the development of a tool chain to support the training of helicopter rescue pilots. The aim is to support the training instructor for comprehensible, objective and reliable assessment of the mental state of pilot trainees. Hence this article investigates a method for on-line estimating the mental workload of the pilot and his free/needed cognitive and sensorimotor resources during flight. We further provide a description of the methodological approach and details on the implemented prototype of a flight instructor station as part of our research simulator. In a first simulator study with four subjects the system has …
Anticipatorily Controlled Top-Down Processes Influence The Impact Of Coriolis Effects, Christine M. Talker, K. Wolfgang Kallus
Anticipatorily Controlled Top-Down Processes Influence The Impact Of Coriolis Effects, Christine M. Talker, K. Wolfgang Kallus
International Symposium on Aviation Psychology - 2015
The impact of the vestibular-induced Coriolis illusion becomes apparent in spatial disorientation and symptoms of motion sickness. Empirical data indicated that anticipatory processes, evolved by experience, influence the sensation of Coriolis illusion. We measured subjective well-being and stress responses of 13 experienced pilots and 13 non-pilots in order to study the influence of anticipatorily controlled top-down attention on the impact of Coriolis effects and to examine the role of experience. Subjective data and psychophysiological data (EDA, ECG) were recorded, reflecting the underlying psychological processes involved. Participants distracted by doing a reaction test (experimental group) gave higher drowsiness ratings and higher …
Visual Search And Target Selection Using A Bounded Optimal Model Of State Estimation & Control, Brandon S. Perelman, Christopher W. Myers
Visual Search And Target Selection Using A Bounded Optimal Model Of State Estimation & Control, Brandon S. Perelman, Christopher W. Myers
International Symposium on Aviation Psychology - 2015
Visual attention and motor control are tightly coupled in domains requiring a human operator to interact with a visual interface. Here, we integrate a boundedly optimal visual attention model with two separate motor control models and compare the predictions made by these models against perceptual and motor data collected from human subjects engaged in a parafoveal detection task. The results indicate that humans use an optimal motor control policy limited by precision constraints – humans executed ballistic movements using near-optimal velocity (i.e., bang-bang control), but imprecision in those movements often caused participants to overshoot their targets, necessitating corrective action. Motor …
An Ecological Approach To The Supervisory Control Of Uav Swarms, Christian Fuchs, Clark Borst, Guido De Croon, Rene Van Paassen, Max Mulder
An Ecological Approach To The Supervisory Control Of Uav Swarms, Christian Fuchs, Clark Borst, Guido De Croon, Rene Van Paassen, Max Mulder
International Symposium on Aviation Psychology - 2015
Advances in miniaturized computer technology have made it possible for a single Unmanned Aerial Vehicle (UAV) to complete its mission autonomously. This also sparked interest in having swarms of UAVs that are cooperating as a team on a single mission. The level of automation involved in the control of UAVswarms will also change the role of the human operator. That is, instead of manually controlling the movements of the individual UAVs, the system operator will need to perform higher-level mission management tasks. However, most ground control stations are still tailored to the control of single UAVs by portraying raw flight …
Developing Quantitative Air Traffic Risk-Benefit Pathways For Class Delta Airports: Improving Small Tower Operations, Katherine A. Berry, Michael W. Sawyer, Jordan Hinson
Developing Quantitative Air Traffic Risk-Benefit Pathways For Class Delta Airports: Improving Small Tower Operations, Katherine A. Berry, Michael W. Sawyer, Jordan Hinson
International Symposium on Aviation Psychology - 2015
The primary responsibility of an Airport Traffic Control Tower (ATCT) controller is to prevent collisions between aircraft and other hazards on the surface and in the immediate vicinity. The safety service provided by controllers at towers with larger operations greatly exceeds the costs of establishing those towers. As the number of operations decreases, the costs of operating the tower may begin to outweigh the benefits of staffing the tower. Safety event reports describing instances where an ATCT controller provided a service that reduced the consequences of the event were collected. The reports were classified to identify latent factors, causal factors, …
Impact Of Nextgen On National Airspace Actors, Kelley J. Krokos, Michael W. Sawyer, Katherine A. Berry
Impact Of Nextgen On National Airspace Actors, Kelley J. Krokos, Michael W. Sawyer, Katherine A. Berry
International Symposium on Aviation Psychology - 2015
The Federal Aviation Administration (FAA) is executing a transformation of the National Airspace System (NAS) through the implementation of the Next Generation Air Transportation System (NextGen). This paper presents two research efforts related to understanding and analyzing the effects of planned NextGen changes across NAS actors. American Institutes for Research is completing a Strategic Job Analysis and Strategic Training Needs Analysis of two NAS actors. The results are intended to provide recommendations to selection and training requirements necessary to support NextGen implementation. Fort Hill Group is building Human-System Interaction Models (HSIMs) that identify the human-system interactions affected by planned changes …
Promoting Aviation Safety In Africa: Analysis Of Air Accidents In The Region Between 2004 And 2013, Jacob Joshua Shila, Amadou Anne
Promoting Aviation Safety In Africa: Analysis Of Air Accidents In The Region Between 2004 And 2013, Jacob Joshua Shila, Amadou Anne
International Symposium on Aviation Psychology - 2015
The international air traffic in the Africa region is projected to grow at an average annual rate of 5.1% between 2012 and 2032. The air transport industry in the region has supported about 6.9 million jobs, contributed about $ 67.8 million in economic activity, and about $ 80.5 million in GDP. However, the African continent was ranked last in the Universal Safety Oversight Audit Program (USOAP) report for the year 2012. Efforts by the International Civil Aviation Organization (ICAO), airlines, and governments, and other institutions are currently underway to promote aviation safety. Aviation safety implementation in the Africa region is …
Tactile Cueing Strategies To Convey Aircraft Motion Or Warn Of Collision, Ben D. Lawson, Roger C. Cholewiak, J. Christopher Brill, Angus H. Rupert, Linda-Brooke I. Thompson
Tactile Cueing Strategies To Convey Aircraft Motion Or Warn Of Collision, Ben D. Lawson, Roger C. Cholewiak, J. Christopher Brill, Angus H. Rupert, Linda-Brooke I. Thompson
International Symposium on Aviation Psychology - 2015
This report highlights five current vibrotactile display technologies for conveying aircraft motion or approach to obstacles or waypoints, including: 1) a simple on/off vibration cue that activates when a designated position is reached; 2) vibrations whose on-off pulse rate increases as the vehicle moves faster; 3) vibrations whose fundamental frequency rises to cue the approach of an object; 4) vibrations whose body site of spatial cueing signals self-motion in a manner analogous to tactile cues during sliding along the ground; 5) vibrations whose body site of cueing expands in a manner analogous to visual looming cues. The advantages and limitations …
Audiotactile Aids For Improving Pilot Situation Awareness, J. Christopher Brill, Ben D. Lawson, Angus H. Rupert
Audiotactile Aids For Improving Pilot Situation Awareness, J. Christopher Brill, Ben D. Lawson, Angus H. Rupert
International Symposium on Aviation Psychology - 2015
Up to one-third of all aircraft mishaps are attributable to spatial disorientation (SD), costing lives and millions of dollars. One potential solution is to provide supplementary sensory cues to help improve pilots’ situation awareness (SA). Given existing demands on the pilot’s visual system, audition and touch present the greatest potential for success. However, accurate 3D audio perception may be problematic in noisy operational environments. To determine the effects, participants performed an azimuth cue localization task while listening to 90 dB helicopter noise. Cue modalities conditions included 3D audio, vibrotactile, and audiotactile. Accuracy was better and response times were significantly faster …
Beginning With Yes: A Review Essay On Michael Wheeler's The Art Of Negotiation: How To Improvise Agreement In A Chaotic World, Leonard L. Riskin
Beginning With Yes: A Review Essay On Michael Wheeler's The Art Of Negotiation: How To Improvise Agreement In A Chaotic World, Leonard L. Riskin
Cardozo Journal of Conflict Resolution
This Review Essay describes the book, introduces a new system for understanding models of negotiation, and uses it to explain and expand upon some of the ideas in The Art of Negotiation. Then it suggests a different title for Wheeler's book, and describes recent efforts to connect improv with negotiation and mediation training and practice. I mean to honor Wheeler's important work by extending it.
Impact Of Caregiving Role In The Quality Of Life Of Family Caregivers For Persons With Alzheimer's Disease, Supriya Sarkar
Impact Of Caregiving Role In The Quality Of Life Of Family Caregivers For Persons With Alzheimer's Disease, Supriya Sarkar
All Graduate Theses, Dissertations, and Other Capstone Projects
This study investigated quality of life of family caregivers of persons with Alzheimer's disease (AD). Caregiving is a strenuous and challenging job. Family caregivers experience poor quality of life after they take the role of caregiving which might be related to depression. Purpose of this study was to find if caregiving duration and depression has any role in affecting family caregivers' emotional, physical, and general health.
Data for this study were collected through electronic and mailed survey methods. The questionnaires completed by subjects: Medical Outcomes Study Short Form 36 (MOS-36) and Center for Epidemiologic Studies Depression Scale (CES-D). Descriptive statistics …
Keeping Up With The Grandkids: Using Tagteach To Train Baton Twirling Skills In Older Adults, Sarah Elizabeth Hester
Keeping Up With The Grandkids: Using Tagteach To Train Baton Twirling Skills In Older Adults, Sarah Elizabeth Hester
USF Tampa Graduate Theses and Dissertations
Exercise has many physical, cognitive, and social benefits, but the majority of older adults do not meet the recommended level of physical activity (Centers for Disease Control and Prevention, 2014). TAGteach, which combines elements of both behavioral coaching and acoustical feedback, has been demonstrated as an effective way to teach athletic skills (Fogel, Weil, & Burris, 2010; Quinn, Miltenberger, & Fogel, 2015; Stokes, Luiselli, Reed, & Fleming 2010). However, none of the current research on teaching athletic skills targeted an older population. This study evaluated TAGteach in a multiple baseline across behaviors design as a method of teaching 4 basic …
Effects Of Nicotine Withdrawal On Motivation, Reward Sensitivity And Reward-Learning, Jason A. Oliver
Effects Of Nicotine Withdrawal On Motivation, Reward Sensitivity And Reward-Learning, Jason A. Oliver
USF Tampa Graduate Theses and Dissertations
Research on addictive behavior has traditionally emphasized the role that primary reinforcing effects of drugs of abuse plays in the development and maintenance of dependence. However, contemporary behavioral economic theory and animal models of nicotine dependence suggest the need for greater attention to the impact that response to alternative rewards may have on smoking behavior. The present study sought to investigate the impact of nicotine withdrawal on self-report, behavioral and neural indices of motivation, immediate response to rewards and the capacity to learn and modify behavior in response to positive and negative feedback. Heavy smokers (n = 48) completed two …
Relaxation Techniques For People With Chronic Obstructive Pulmonary Disease: A Systematic Review And A Meta-Analysis, Eleonora Volpato, Paolo Banfi, Sheena M. Rogers, Francesco Pagnini
Relaxation Techniques For People With Chronic Obstructive Pulmonary Disease: A Systematic Review And A Meta-Analysis, Eleonora Volpato, Paolo Banfi, Sheena M. Rogers, Francesco Pagnini
Dartmouth Scholarship
Chronic Obstructive Pulmonary Disease (COPD) people suffer from severe physical impairments, which often elicit significant psychological distress and impact their quality of life. This meta-analysis aimed to assess evidence from the scientific literature on the effects of relaxation techniques. Methods. We investigated 9 databases to select 25 RCTs. Studies included both inpatients and outpatients with COPD. Both respiratory and psychological outcomes were considered.
Role Of Home Environment, Parental Care, Parents’ Personality And Their Relationship To Adolescent Mental Health, Sibnath Deb, Kevin Mcgirr, Banhisikah Bhattacharya, Jiandong Sun
Role Of Home Environment, Parental Care, Parents’ Personality And Their Relationship To Adolescent Mental Health, Sibnath Deb, Kevin Mcgirr, Banhisikah Bhattacharya, Jiandong Sun
Publications and Research
The study examined relationships among home environment, parents’ personality and mental health of adolescents with a focus on adjustment, anxiety, self-concept and self-confidence. A group of 370 adolescents were interviewed using a semi-structured questionnaire and three psychological tests; subjects were selected following a two-stage sampling technique. Participation of the adolescent students in the study was voluntary. Results indicate that parental care was associated with high self-confidence while parental pressure associated with high anxiety. Fathers’ “friendliness” associated with low emotional adjustment and high self-concept while mothers’ short-temper associated with high anxiety. Disturbed families contributed to adolescent anxiety, inability to share personal …
Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent
Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent
Publications and Research
Whether burnout is a form of depression or a distinct phenomenon is an object of controversy. The aim of the present article was to provide an up-to-date review of the literature dedicated to the question of burnout–depression overlap. A systematic literature search was carried out in PubMed, PsycINFO, and IngentaConnect. A total of 92 studies were identified as informing the issue of burnout–depression overlap. The current state of the art suggests that the distinction between burnout and depression is conceptually fragile. It is notably unclear how the state of burnout (i.e., the end stage …
Predicting Antidepressant Treatment Without Controlling For Depression Is Ill-Advised, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent
Predicting Antidepressant Treatment Without Controlling For Depression Is Ill-Advised, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent
Publications and Research
All in all, the link observed by Madsen et al. (2015) between burnout and antidepressant intake may well conceal an expected relationship between depression and antidepressant intake. The impossibility of ruling out this reasonable alternative hypothesis renders the study inconclusive. We recommend that future research on (psychotherapeutic or pharmacologic) treatments for burnout incorporate measures of depression in order to facilitate research advance on burnout's characterization and burnout-depression overlap.
Biological Basis Of Motherhood And Effect Of Stress On Maternal Psychophysiology, Erin Loree Minnick 15
Biological Basis Of Motherhood And Effect Of Stress On Maternal Psychophysiology, Erin Loree Minnick 15
Honor Scholar Theses
No abstract provided.
Youth With Type 1 Diabetes Mellitus: An Examination Of Adolescents’ Illness Perceptions And Associated Impact On Health-Related Quality Of Life, Zainab Shahpurwala
Youth With Type 1 Diabetes Mellitus: An Examination Of Adolescents’ Illness Perceptions And Associated Impact On Health-Related Quality Of Life, Zainab Shahpurwala
Electronic Theses and Dissertations
Objectives: To examine the impact of various psychosocial factors (perceived stress, diabetes-specific parental involvement, self-efficacy for diabetes management, and perceived peer support) on adolescents’ self-reported health-related quality of life (HRQoL) and assess the association between these factors and their self-reported HRQoL. To determine if differences in perceptions exist between diabetes camp and non-camp adolescent attendees on the various aforementioned psychosocial factors and their impact on their HRQoL. Methods: The study employed a cross-sectional, non-experimental, quantitative design to address the aforementioned objectives. Adolescents were recruited from multiple sites including diabetes summer camps and university-based and community-based private clinics. Self-administered paper-based surveys …
Sexual Orientation And Non-Suicidal Self-Injury: A Meta-Analytic Review, Kristen L. Batejan, Stephanie Jarvi Steele, Lance P. Swenson
Sexual Orientation And Non-Suicidal Self-Injury: A Meta-Analytic Review, Kristen L. Batejan, Stephanie Jarvi Steele, Lance P. Swenson
Psychology: Faculty Publications
The aim of this study was to conduct the first meta-analysis comparing risk for NSSI between sexual minority and heterosexual persons. Eleven published and 4 unpublished studies were reviewed, describing associations between sexual orientation and NSSI in 7,147 sexual minority and 61,701 heterosexual participants. The overall weighted effect size for the relationship between sexual orientation and NSSI using a random-effects model was OR = 3.00 (95% CI = 2.46–3.66), indicating a medium-to-large effect. Sexual minority adolescents and bisexuals were found to be at particularly high-risk. These findings highlight the need to examine mechanisms linking sexual orientation and NSSI in future …
Health Information Exchanges And Patient Portals In Behavioral Health, Christine Peterson
Health Information Exchanges And Patient Portals In Behavioral Health, Christine Peterson
Applied Research Projects
We live in an electronic world. Technology is everywhere, including in our healthcare system. With the advent on the electronic health record and the push to meet Meaningful Use, many healthcare organizations have already started using patient portals and sharing information among providers via health information exchanges. There have been roadblocks to successful implantation of patient portals and health information exchanges, one of which is how to handle behavioral health information and would these new technologies be accepted by patients with mental health diagnoses