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TECHNOLOGY IN PSYCHIATRY 

Social Media for Psychiatrists: Ignorance Is Not Bliss

By David Brody, MD and Jared Kipe | September 7, 2012
Dr Brody (davidbrodymd.com) is presently appointed to the teaching faculty at Albert Einstein College of Medicine and is on the voluntary staff at Beth Israel Medical Center in New York. He is in private practice. You can follow him on Twitter @DavidBrodyMD. Mr Kipe (jaredkipe.com) is a freelance programmer living in Seattle. He designs, creates, and maintains Web sites for select clients across the country.

Dr David Brody discusses social mediaGetting started in social mediaSocial media can be intimidating to those who provide mental health care. Why? Privacy and liability concerns are probably the first things that come to mind. However, careful and creative use of social media Web sites, such as Twitter, Facebook, and LinkedIn can enhance your professional profile, promote high standards of patient care, and facilitate collaboration among colleagues.

Social media in psychiatry
Social media encompasses a wide range of Internet-based activities, including blogs, microblogs, wikis—and social networks. Blogs (like this one) can educate about mental health topics, such as recently approved treatments, and typically provide such content on a regular basis. Blogs reach a wide audience and provide easy links to other sources of information (eg, the FDA).

For psychiatrists, being aware of topics that generate interest on social media sites not only fuels ideas for your own “tweets” or blog posts, but helps you anticipate concerns raised by your patients.

However, it is important to emphasize that this sort of social media activity does not require interaction with the intended audience.

Social networking
Many social media sites are designed to facilitate conversations among users, thereby creating an interactive social network. This may be very useful, since you can share information with and respond to posts received from others on the site (eg, medication efficacy studies). Social networking sites that provide secure and private access (such as the APA page on LinkedIn) can also promote professional collaboration.

Because a psychiatrist must not do anything to compromise a patient’s right to confidential communication, social networking that involves patients does not have much utility in clinical practice. Many patients will invite their psychiatrist or other behavioral health provider, to join a social network (eg, a Facebook “friend” request). If the clinician accepts the invitation, communication with the patient is by definition not confidential and could easily impede treatment.

Getting started
Setting up an account for your practice on social media Web sites such as Facebook and Twitter is very easy. You must keep your practice account separate from any personal accounts you may use on the same sites, and many social media sites encourage or require you to sign up with “business” accounts. Such accounts often have more controls over which features your business wants to present on the social network. For example, Facebook allows you to turn off the ability for other Facebook users to write on your “wall” (the most publicly viewable part of any Facebook page).

With your newly created social media account, you can begin to follow other behavioral health professionals or start to write about mental health topics yourself. As your network increases in number and in breadth of discipline, you will find new material in new places—other clinicians, journal newsfeeds, and items from the popular press.

Social media and networking offers an amazing amount of information to patients, and quickly spreads treatment resources to behavioral health care providers.

Referrals and networking
A strong social media presence also helps generate referrals. Often potential patients will use search tools built into the social networks or traditional search engines (eg, Google and Bing), to learn more about a condition or health care provider. What they find may lead them to your Web site . . . and into your office.

Networking with colleagues on sites such as LinkedIn may also generate direct referrals from those colleagues.

Ignorance is not bliss
For more and more of us, social media is the primary way we use the Internet—and this trend has been growing for years. According to the Pew Reseach Center, for example, “As of February 2012, one third (34%) of Internet users age 65 and older use social networking sites such as Facebook, and 18% do so on a typical day.”1 According to Wikipedia, “If Facebook were a country it would be the world’s third largest in terms of population, larger even than the USA.”2 And like any other technology, the more we use it, the more dependent on it we become.

Having even a basic idea of the potential—as well as of the perils—of social media is therefore not only important to good practice, but it may be essential for a great practice.

 

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References
1. Zickuhr K, Madden M. Older adults and internet use. PewInternet. http://pewinternet.org/Reports/2012/Older-adults-and-internet-use.aspx. Accessed September 5, 2012.
2. Social media. Wikipedia. http://en.wikipedia.org/wiki/Social_media#cite_note-19. Accessed September 9, 2012.


 
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