Technology in the Care of PTSD: Mobile Applications, Websites and Virtual Reality

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Technology offers great potential in developing new models of care for behavioral health conditions such as post-traumatic stress disorder (PTSD). This presentation covers some of the advances in Web applications, mobile applications, and virtual reality made by the National Center for Telehealth & Technology in support of PTSD in military service members and veterans.

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  • In the DSM-IV, PTSD is classified as an adjustment disorder. - FALSEService members usually experience PTSD symptoms immediately following combat. - FALSEPeople who have been traumatized will develop PTSD. - FALSEPTSD is both a behavioral and physiological reaction. - TRUEProlonged exposure to stress can be helpful to someone with PTSD. - TRUE
  • Technology in the Care of PTSD: Mobile Applications, Websites and Virtual Reality

    1. 1. Technology in the Care ofPTSD: Mobile Applications,Websites and Virtual Reality Julie Kinn, Ph.D. & Kelly Blasko, Ph.D. March 16, 2012
    2. 2. Agenda• Introductions – T2• What is PTSD?• Traditional Care Models• Technology and Psychology• Demos/Videos – AfterDeployment.org – PTSD Coach – PTSD Experience (Second Life)• Discussion
    3. 3. National Center for Telehealth & Technology (T2)• Mission: Improve psychological health and traumatic brain injury recovery in the military community.• Designs, develops and deploys web, mobile, and virtual-reality-based therapeutic tools for the military community.• Comprised of clinical and research psychologists as well as tech developers.
    4. 4. T2 Mobile Applications5
    5. 5. Quiz (True & False)1. In the DSM-IV, PTSD is classified as an adjustment disorder.2. Service members usually experience PTSD symptoms immediately following combat.3. People who have been traumatized will develop PTSD.4. PTSD is both a behavioral and physiological reaction.5. Prolonged exposure to stress can be helpful to someone with PTSD.
    6. 6. Post Traumatic Stress Disorder (PTSD)• Classified as an anxiety disorder in the DSM-IV• Can occur after someone goes through or sees a traumatic event.
    7. 7. Diagnostic Criteria• Criterion A: Stressor• Criterion B: Intrusive Recollection• Criterion C: Avoidant/Numbing• Criterion D: Hyper-arousal• Criterion E: Duration• Criterion F: Functional Significance
    8. 8. Diagnostic Criteria• Criterion A: Stressor – Event that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. – Response involves intense fear, helplessness, or horror.
    9. 9. Prevalence of PTSD• Adult Americans (NCS-R, 2001-2003) – Lifetime prevalence – 6.8%• Service Members – Vietnam Veterans (NVVRS, 1986-1988) • 15.2% of males and 8.1% of females were currently diagnosed with PTSD – Gulf War Veterans (Kang, et. Al, 1995-1997) • 12.1% were currently diagnosed with PTSD – Operation Enduring Freedom/Operation Iraqi Freedom (RAND, 2008) • 13.8% were currently diagnosed with PTSD
    10. 10. Congressional Mandate
    11. 11. Videohttp://bcove.me/1uit6vms
    12. 12. Treatment• Psychopharmacology• Group Therapy• Cognitive Processing Therapy• Eye Movement Desensitization and Reprocessing (EMDR)• Prolonged Exposure Therapy
    13. 13. Technology & Psychology Technology Psychology- Web - Stigma- Mobile Apps New Models - Accessibility- Virtual Reality of - Effectiveness- Telehealth Care - Standard of Care
    14. 14. Why Use Technology in Military Healthcare?• Overcomes barriers to care – Stigma: • Websites and mobile applications are anonymous • Use interfaces and platforms familiar to Service Members – Logistics: • “Hip pocket” availability • 24/7 access to care, 365 days a year
    15. 15. PTSD Coachhttp://t2health.org/apps/ptsd-coach
    16. 16. AfterDeployment.orghttp://www.afterdeployment.org/
    17. 17. AfterDeployment PTSD Modulehttp://www.afterdeployment.org/topics-post-traumatic-stress
    18. 18. Virtual World – Second Life http://t2health.org/vwproj
    19. 19. Prolonged Exposure with VR• Sight• Sound• Smell• Motion (vibration or Virtusphere)
    20. 20. MilitaryKidsConnect.org21 https://www.militarykidsconnect.org/
    21. 21. Summary• PTSD treatment is a growing need• Variety of treatment options and adjuncts to treatment exist• There is room for creativity as technology advances
    22. 22. Contact T2 National Center for Telehealth & Technology 9933C West Hayes Street Joint Base Lewis-McChord Tacoma, WA 98431 For more information on T2 apps or programs, please visit: www.T2Health.org Or contact T2 at: AskUs@T2Health.org

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