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For individuals with chronic and prolonged conditions such as cancer, care is complicated, fragmented, and poorly coordinated. Individuals with cancer experience transitions from home to physician office, clinic, outpatient service, emergency department, inpatient hospital, and community-based settings attended by different practitioners and numerous specialists at each. Because health care systems have not addressed community-wide care coordination, the burden of coordinating is often left to the individual and their family to manage. Chronic disease care coordination frameworks help unpack the challenges and provide ways to understand how to intervene to improve care coordination for cancer. These frameworks elucidate the importance of the comprehensive person-centered, community-wide, and life span approach to coordination. Health information technology (HIT) is a critical enabler of solutions to these challenges. HIT-enabled care coordination is in a nascent stage in which most examples are within health care teams with limited interactions with patients. There are a number of examples of HIT solutions involving electronic health records, single-purpose mobile applications, or patient portals in chronic disease and fewer in cancer care coordination. There are few examples of platforms that support the comprehensive approaches needed. This offers great opportunity for collaboration among informatics, clinical, and patient participants to design, develop, implement, and evaluate HIT that effectively addresses the comprehensive nature of care coordination. This chapter offers an overview of care coordination frameworks, HIT functions needed for care coordination, examples of HIT-enabled care coordination, and opportunities to move the field forward.

From Facebook to Twitter, social networking has become an integral part of the way many Americans communicate. In this chapter, we review the development and current uses of social networking and its impact on mental health care. Though relatively new, there is a growing evidence base for the effectiveness and utilization of social networking in mental health care. Taking this increasing popularity into account, we consider ethical and legal dilemmas as well as practical guidelines for mental health clinicians interested in developing a social networking site to support their professional practice. Finally, we discuss ethical implications for clinicians to consider in the use of personal social networking sites.