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FAQs

About No More Meltdowns/SymTrend
What is No More Meltdowns?
Who is Dr. Jed Baker?
What is SymTrend?
Who is SymTrend?
How can I contact SymTrend?

Using SymTrend.com
What equipment do I need to use No More Meltdowns/SymTrend?
Do you provide analyses based on my entries?
Do you make recommendations based on my entries?
How do I use SymTrend to communicate with my Clinician?

Fees and Subscriptions
How do I subscribe?
How do I renew my subscription?
How do I cancel my subscription?
If I cancel my subscription, will I still have access to my data?
Can I use the site without paying for a subscription?
Can I use other SymTrend e-diaries from the same account?

What if the No More Meltdowns application does not address my needs?

Your Account
How do I change my username?
How do I change my e-mail address?
How do I change my password?
How do I choose a clinician?
How do I delete my account?

Privacy & Security
How secure is my personal information?
If I register, will you or other third parties solicit me?

Does SymTrend back up all data?
Does SymTrend sell information or e-mail addresses to others?
What are cookies?
How does SymTrend use cookies?
Can I block cookies while using SymTrend?
Does SymTrend collect personal information and are they provided to third parties?
I want to use SymTrend for my child, how do you protect the privacy of children?
Can I check to see if someone has accessed my account?

For Clinicians
Can I use my handheld to view patient data?
Do clinicians have to pay for a subscription to SymTrend?
How do I access my patient's data?

About the No More Meltdowns/SymTrend Collaboration

What is No More Meltdowns?
No More Meltdowns is a best-selling book by Dr. Jed Baker that offers an easy-to-follow, 4-step model that will improve your everyday relationships with the children in your life. It presents practical and clear ways for parents and professionals to cope appropriately with children’s emotional/behavioral challenges.

Who is Dr. Jed Baker?
Jed Baker, Ph.D. is the director of the Social Skills Training Project, a private organization serving individuals with autism and social communication problems. He also directs social skills training for Millburn Public Schools in New Jersey. He is on the professional advisory board of Autism Today, ASPEN, ANSWER, YAI, the Kelberman Center and several other autism organizations. In addition, he writes, lectures, and provides training internationally on the topic of social skills training and managing challenging behaviors. He is an award winning author of five books, including Social Skills Training for Children and Adolescents with Aspergers Syndrome and Social Communication Problems; Preparing for Life: The Complete Handbook for the Transition to Adulthood for Those with Autism and Aspergers Syndrome; The Social Skills Picture Book; The Social Skills Picture Book for High School and Beyond; and No More Meltdowns: Positive Strategies for Managing and Preventing Out-of-Control Behavior. His work has also been featured on ABC World News, Nightline, the CBS Early Show, and the Discovery Health Channel.

What is SymTrend?
SymTrend Inc. was founded in 1998. Its mission is to revolutionize behavioral and mental health care through broad, powerful, yet easy-to-use applications of information technology to routine, individual patient care and special education. To achieve this goal, SymTrend Inc. has invented and developed the SymTrend treatment support system. The SymTrend system combines the power of the Internet, of mobile technology, and of advanced statistical methods to form the first comprehensive treatment support system for special education and behavioral health care.

The founders, through their clinical and personal experience designed SymTrend to:

  • Provide a mobile and Internet platform for all providers to use whichever technology meets their data collection needs.
  • Compile timely data from all people involved with an individual, including the individual, so that everyone is “on the same page”.
  • Enable real-time guidance and self-management tools for parents, teens, and adults.
  • Coordinate care across disciplines and families.
  • Help evaluate whether treatments and management strategies are working.
  • Identify triggers of challenging behaviors and highlight strategies to manage them.

Who is SymTrend?
The clinical principals at SymTrend are on the staff of the Harvard Medical School and are leaders in their disciplines. They include the psychologists, neuropsychologists, and statisticians who have authored original research and contributed chapters to textbooks. Our clinicians are well known for inventive, practical, behavioral approaches to optimizing the functioning of those who must contend with a debilitating psychiatric, neurological,or developmental condition.

Business Leadership
Minna Levine, OTR/L, PhD, President, has extensive experience in healthcare, data management, and clinical research. She has led workshops and has written on the use of mobile technology for monitoring care and self-management. Minna led the transformation of the SymTrend prototype into the SymTrend system. She also managed SYmTrend's three small business grants from the National Institute of Mental Health and the development of its tools for individuals on the autism spectrum.

Clinical Scientific Leadership
Ron Calvanio, PhD, was the inventor of the SymTrend prototype. He is an Instructor, Department of Neurology, Harvard Medical School, the co-author of numerous research reports in neuroscience journals such as Brain, Neurology, Neuropsychologia, and Brain Injury, and a consultant to clinical trials. For nineteen years, Ron was Director of Neuropsychology at Spaulding Rehabilitation Hospital, a Partners Healthcare System hospital and the largest rehabilitation hospital in United States and is now a member of the Neurology Department of the Massachusetts General Hospital, Boston. In addition to contributing to the design of the SymTrend system, he has used it in the evaluation and care of a diverse patient population: individuals with Aspergers, brain injury, migraine headaches, “spells”, and fatigue.
Jane Holmes Bernstein, PhD, Chief Scientific Officer - Children, is part of the Neuropsychology Program at the Children's Hospital, Boston and was its director until the fall of 2004. She is an Assistant Clinical Professor of Psychology (Psychiatry), Harvard Medical School. Jane is a nationally recognized authority on child neuropsychology. Jane teaches and consults internationally on the assessment of children. She has worked to make SymTrend useful for children, adolescents, and parents.
Dorothy (Dot) Lucci, M.Ed.,CAGS, Consultant - Children, is Director of Consultation at Massachusetts General Hospital/YouthCare. She is a nationally recognized speaker and consultant regarding children diagnosed with ASD and has published in peer reviewed journals. She is on the Board of Directors of the Asperger's Association of New England and is an adjunct faculty member at Lesley University and Antioch University and a school psychologist by training. She provides consultation on the development of special education content.

Statistics Leadership
Richard Goldstein, PhD, is a nationally recognized biostatistician who has published widely on statistical software and recently won the coveted Mosteller award of the Boston Chapter of the American Statistical Association. Rich is a lecturer in the Department of Physical Medicine and Rehabilitation at Harvard Medical School.

Information Technology Leadership
Chris Dunn, Web Applications Consultant, Clear Pond Technologies, Inc., Needham, MA. Chris is the principal developer for application and database design, system and billing integration, and site security design and implementation.
Jane Foley Sherwood provides graphic design, programming, editing and usability consulting. Jane has studied graphic design and web production at the School of the Museum of Fine Arts and Emerson College, Boston.

Advisory Board
Dan Bricklin, MBA, is a nationally recognized and honored pioneer in PC and web software design. Dan invented the PC spreadsheet while at the Harvard Business School and holds patents for other software innovations. He holds an honorary doctorate of letters from Newbury College. Dan has been on SymTrend Inc.'s advisory board since the company's inception and remains in close contact to advise about system design and strategic business matters. Dan is also a member of the SymTrend Board of Directors.
Gary Gottlieb, MD, MBA, is CEO of the Partners Healthcare System, Inc., which includes eight Boston area hospitals, including Massachusetts General Hospital, Brigham and Women's Hospital, and McLean Hospital. Gary has been a steadfast supporter of SymTrend development since 1999.
Gary B. Mesibov, PhD, is a nationally recognized leader in Autism research and practice. He is the former director of Division TEACCH at the University of North Carolina/Chapel Hill and a is currently a professor in the Department of Psychology and Department of Psychiatry at UNC/Chapel Hill. He has written extensively on the subject of Autism and on the TEACCH structured teaching method. Gary has been the Principal Investigator on two small business grants with SymTrend.

SymTrend development has been partially funded by three small business grants from the National Institute of Mental Health: R41-MH075162, R42-MH075162, and R41-MH086153.

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How can I contact SymTrend?
SymTrend, Inc.
89 Bay State Rd.
Belmont, MA 02478-2240
Toll free: 1-866-SYMTREND (866-796-8736)
Telephone: (617) 484-7510
Fax: (617) 484-1430
support@symtrend.com

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Using SymTrend.com

What equipment do I need to use SymTrend?
There are three ways to use SymTrend. The first is using a personal computer (PC - IBM compatible or Macintosh) connected to the Internet. Data is entered into your Health Log and graphs of your progress are generated on the website. Any type of personal computer with an Internet browser will work. SymTrend communication software and web viewing work best when using a broadband connection to the Internet (e.g., DSL, fiber optic, cable). The browsers supported by the system include: Internet Explorer 8.0 or higher, Firefox 3.6 or higher, Safari 5.0 or higher and Mac Firefox 3.5 or higher.

The second way to enter information into SymTrend is using an Apple iPod Touch, iPhone, or iPad with the 4.x operating system. The No More Meltdowns App for these devices is available on the iTunes App store for $10.99. You then send your information to the website for charting. The No More Meltdowns app also provides abbreviated versions of Dr. Baker’s prevention plans that you can access at any time on your device.

The third way to enter information into SymTrend is using a touch-based mobile phone that has a data plan and a browser for Internet access. The phones tested include the iPhone, Palm Pre, and any Android phone (including the Droid). Sign up for an account for the No More Meltdowns app on the website. Then, with your phone at the No More Meltdowns/SymTrend webpage, click on the Go-Mobile link on the navigation bar at the top to enter data from your phone. Some non-Android touch-browser-based phones (including some from Samsung) do not work with the standard SymTrend online data entry application. Also on the navigation bar is a Go-Mobile-Lite link for those browsers that do not work with the higher resolution Go-Mobile link.

You may use both mobile and online methods at any time. (For example, if you do not have your phone/handheld with you, but do have access to a desktop, you can enter Health Log data directly onto the website). However, graphs charting your progress cannot be viewed on a mobile device. All output is viewed on the website.

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Do you provide analyses of my entries?
The reports available on the website provide graph and tables of your entries, but do not provide interpretations of your entries. The Analyzing Triggers section provides step-by-step guidance about how to interpret the reports that are produced and gives examples. For an additional fee ($150/hour), SymTrend support staff will provide phone-based tutorials about SymTrend use and about interpretation of the patterns in your SymTrend charts. You may find it useful to review your first charts with one of the experts so that you can learn how to look for trends and for triggers of problems. Contact support@symtrend.com for assistance.

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Do you make recommendations based on my entries?
No, we cannot. We recommend that you bring your graphs with you when you visit a clinician (if your child is seeing one) or set up an appointment with your child’s teachers or special education coordinator to use as a memory aid for describing the issues. Your clinician should be able to help you understand relationships among your answers and help you evaluate what the charts mean in terms of the impact of treatments, stress, or other triggers.

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How do I use SymTrend to communicate with my child’s clinician/teacher?
SymTrend is a powerful tool for individuals to accurately communicate behaviors and events to their child’s team. You may choose to print out your reports to bring to a meeting, or you may grant anyone on the team to access to your online account on SymTrend to review the information on his/her schedule. A clinician may sign up at SymTrend for free.

If you wish to give your clinician permission to view your account, go to the Link With Clinician option under the Your Account menu. Check the box next to your clinician's name. If your clinician is not listed, follow the link to a page of information you may print out and give to your clinician. It will show your SymTrend user name, tell the clinician how SymTrend works, and describe how the clinician may sign up.

Once your clinician registers at SymTrend, he/she can send you an e-mail asking you to give permission to view your account. No one, including a clinician, can view your account without your permission. By checking your clinician's name, you are giving that clinician permission to view your account. You may go to the same page (Your Account > Link With Clinician) to revoke that permission.

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Fees and Subscriptions

How do I subscribe?
For Apple Devices: Download the No More Meltdowns App from the iTunes store. Tap the app on your device. You must fill out a form on your device (with a username and password) to create your account. The app data collector will then be downloaded to your device.

For non-Apple device use: You can also sign up for an account online at the No More Meltdowns/SymTrend website. Click on the Sign Up Now link on the No More Meltdowns/SymTrend home page. Fill out the registration form that comes up and check the Privacy and Terms of Use policies. After approving the Terms of Use and Privacy, you will be asked to submit credit card information to pay $10.99 on the subscription page.

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How do I renew my subscription?
You can check on the status of your subscription on the Account Info page, accessible under the Your Account link on the navigation bar. One month and again two weeks before the end of the term, you will be notified that your subscription is about to expire by email if you have provided a valid email address. In the email, there will be a link that will take you to our Product Subscriptions page. To get to the Product Subscriptions page, select Your Account > Products> More on the navigation bar or select Your Account > Account Info on the navigation bar and click on the Update Product Subscriptions link there.

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How do I cancel my subscription?
To cancel a subscription, you must contact SymTrend.com by e-mail at support@symtrend.com or US mail at SymTrend, Inc., 89 Bay State Rd., Belmont, MA 02478-2240. Cancellations are not retroactive; subscription fees are not refunded for time not used, so you may just let the subscription lapse.

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If I cancel my subscription, will I still have access to my data?
Former subscribers are still be able to make charts and reports based on data already entered into the system. However, you will no longer be able to download or upload data or enter app data or Care Records into the system.

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Can I use the site without paying for a subscription?
No you cannot use the No More Meltdowns app without paying.

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What if the No More Meltdowns application does not address my needs?
Customized Health Logs can be created for users for an additional fee. We encourage input from the clinician in the design of these Logs. Clinicians can design a Log and associated graphs for use by patients in their practice that can be forwarded to the patients when they subscribe. Call the support line at 1-866-SYMTREND (1-866-796-8732) to talk about logging and monitoring needs and receive an estimate of the cost of a specialized Log. You may decide whether the Health Log you design can become available to the general public.

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Your Account

How do I change my username?
Your member ID (your login name) and the Progress Report Name, the name that is printed on Charts and in the upper right hand of the screen when you log in, may be changed from the Account Info item under the Your Account menu on the navigation bar.

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How do I change my e-mail address?
Under the Your Account menu on the navigation bar, choose Account Info.

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How do I change my password?
Under the Your Account menu on the navigation bar, choose Account Info.

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How do I choose a clinician?
Under the Your Account menu, select Link With Clinician. Highlight your clinician's name and click on the Save Changes button. If your clinician is not listed, follow the link to a page of information you may print out and give to your clinician. It will show your SymTrend user name, tell the clinician how SymTrend works, and describe how the clinician may sign up.

Once your clinician registers at SymTrend, he/she can send you an internal SymTrend message asking you to give permission to view your account. The link for that message will appear on the Link with Clinician page. You must view the message by clicking the message link and respond “Yes” to make the link work. No one, including a clinician, can view your account without your permission. By checking your clinician’s name, you are giving that clinician permission to view your account (and in some cases to enter data into your account. You can revoke permission to view your account by going back to the Link With Clinician menu item under the Your Account heading on the navigation bar.

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How do I delete my account?
SymTrend will only delete an account from the system upon receipt of a letter requesting it be done, with a signature, through the US mail at SymTrend, Inc., 89 Bay State Rd., Belmont, MA 02478-2240. Please indicate your user name and other information about the account, such as the dates during which it was used and the Health Log used, so that we may verify that it is correct. We will send a confirmatory e-mail to the e-mail account linked to the SymTrend account, prior to deleting it, to ensure we have been given instructions from the appropriate person. We recommend against deleting the account, however, because you may need to reference the information in the future, should difficulties with your health occur.

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Privacy & Security

How secure is my personal information?
We have taken great care to create a secure and safe online environment that is dedicated to Users' privacy and confidentiality. We maintain physical, technical and administrative safeguards designed to secure data against foreseeable risks such as unauthorized use, access, disclosure, destruction and modification.

If I register, will you or other third parties solicit me?
We will only contact Users, without explicit permission, about system status information (such as scheduled upgrades, down time or changes in functionality) and account information, as part of the registration process, or in response to inquiries.

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Does SymTrend back up all data?
SymTrend keeps backup files as a protection against natural disasters, equipment failures or other causes. These backup files are designed to protect patients, clinicians and us as they reduce the risk of loss of valuable data. We take exceptional care and caution with these files, although we do not guarantee or ensure against loss of data. However, until backup records are erased, they receive the same privacy and security protections as your other records. The media is kept locked away, except when it is in transit from one location to another or in use.

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Does SymTrend sell information or e-mail addresses to others?
No e-mail addresses or specific patient information will be sold directly to anyone; we will notify you, however, if the company is sold. SymTrend may aggregate health data after removing names and all identifying information for use in research publications or for providing guidelines for treatment of individuals with similar behavior issues, age, and gender. We will sell access to the aggregated de-identified data for medical research purposes only.

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What are cookies?
Cookies are small files sent to a user's hard drive by a web server when a web site is accessed. They store information about the user. Not all web sites use cookies. There are two types of cookies: session and persistent.

  • Session cookies are used only for the current visit on a web site. They are deleted when the browser is exited or the computer turned off. They are used to carry a user's authorized account information from page to page within the web site.

  • Persistent cookies are stored on the user's hard drive for use each time the web site is visited. They are used to identify the user and to store preferences, eliminating the need to enter this information every time. They can also be used to collect and report how users navigate, what pages they view and when they visit.

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How does SymTrend use cookies?
SymTrend uses session cookies for several purposes. For example, a session cookie is created when the User logs on, and exists only as long as the User has his/her browser open. The cookie becomes useless when the User logs off, or after 20 minutes of no activity on the system. It is imperative that Users log off the system at the end of a session, particularly if using a shared machine. These session cookies are necessary for security - to check that someone attempting to access a database or chart has the correct username.

Persistent cookies are used to store optional information about a user's preferences only; no personal information is stored in a persistent cookie. A user can disable persistent cookies and still be able use SymTrend.com.

When you first log into the system, your browser may ask you if you want to save your username and password. If you choose to do so, your browser will store this information. For security reasons, we do not recommend that you answer, "yes", to this question, since anyone who uses the computer can log on with your name and password.

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Can I block cookies while using SymTrend?
A session cookie may be necessary to access certain features available on our site and our site will not work properly if the browser is set to reject session cookies.

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Does SymTrend collect personal information and are they provided to third parties?
Personal information about Personal Users can only be disclosed to third parties in certain circumstances. These include providing services for which the Patients have subscribed, maintaining our system, or providing payment operations. SymTrend may make personal information about a User available to contractors the company hires to perform services for it. When this happens, SymTrend will take appropriate steps to ensure that the information is treated confidentially by these contractors. SymTrend also makes patient information available to professionals whom the patient has selected, and who have registered with SymTrend.

Information we gather regarding from patients' payment information is maintained separately from individual health care and logging data.

Personal information provided regarding Clinicians (such as e-mail address) would not be generally available to anyone. Information about Clinicians, such as their specialty and affiliation, will be posted so that Patients can identify their Clinician in the process of granting the Clinician access.

Note that some information that is maintained by SymTrend cannot be identified with a User personally and/or is not confidential. For example, SymTrend may solicit questions or answers to questions or comments and suggestions from Users. We do not link personally identifiable information about Users to such questions, answers, comments or suggestions. Also, SymTrend may use data, without identifying information (with names, e-mail addresses removed), to compile general health statistical data to be used in providing guidelines for the treatment of individuals with similar complaints, ages and genders. Because such data does not contain information that could be associated with any User personally, it is not "personal" information subject to the use and disclosure restrictions set forth in our Privacy Policy.

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I want to use SymTrend for my child, how do you protect the privacy of children?
SymTrend strives to protect and care for the privacy of children in the same manner as we believe their parents would. In some respects, we will take additional steps regarding members under 13 years old. Consistent with the Children's Online Privacy and Protection Act of 1998 (COPPA), we will not register or otherwise collect Personal Information from persons who identify themselves as being under the age of 13 during the registration process without the prior verifiable consent of that person's parent or guardian. All information provided about children must be obtained and entered with the specific consent of a parent or legal guardian. Any inadvertently gathered information from a child will be deleted and we will not share any such information with any third party.

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Can I check to see if someone has accessed my account?
Select the Link With Clinician option under the Your Account heading on the navigation bar. A summary of activity in your account is listed on that page. You can see if your clinician accessed your account, if there were unsuccessful login attempts, and see how often someone logged into your account. If you feel there was inappropriate access, contact us at support@symtrend.com or US mail at SymTrend, Inc., 89 Bay State Rd., Belmont, MA 02478-2240.

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For Clinicians

Can I use my handheld to view patient data?
There is no handheld computer application for the clinician to view charts at this time.

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Do Clinicians have to pay for a subscription to SymTrend?
No. Clinicians can set up an account and view their patients’ data from No More Meltdowns/SymTrend at no cost at this time. Fees are required if a clinician wants to author his/her own application for use by patients/clients in his/her practice; he must pay for a Professional Plus account ($500/year) to create applications and/or create reports with different formats than those provided on the system. Contact SymTrend support if you want to set up access to the authoring tool (1-866-796-8732 or support@symtrend.com).

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How do I access my patient's data?
A clinician will have access to patient data when granted permission. If the patient revokes access to the data, the clinician loses access to previously saved files and notes. Clinicians are encouraged to keep hard copies of documents if they anticipate a need to have more detailed records of their patient's data after termination of treatment.

On the main page of the Clinician account, a box is provided for initiating communication with a patient to ask for access to his/her account. You need to know the patient's SymTrend user name to send the message. Otherwise, you can ask your patient to go to the Your Account > Link With Clinician menu selection from his/her account to select you as a Clinician. When this happens, a message is sent to you and notification of that message is displayed on your main page. Click on the message notification and respond, "yes", to the access request.

Once the accounts are linked, the Clinician's main page provides a list of all names associated with accounts to which the Clinician has been granted access. A click on the patient's name brings up the patient's "chart"; this chart displays some basic information and provides links to the specific patient's graphs, reminder setting page, and Care Records.

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Last updated, December, 2010.

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