The UK NIHR Health Technology Co-operative (HTC) in
Mental Health and Neurodevelopmental Disorders
- ‘MindTech’
John Crowe...
Med-e-Tel 2013

2
NIHR HTCs
“The aims of the NIHR Healthcare Technology Co-operatives (HTCs)
are to:
• act as a catalyst for NHS “pull” for ...
8 new HTCs launched : 2013 for 4 years
•
•
•
•
•
•
•
•

Chronic gastrointestinal (GI) disease
Brain injury
Cardiovascular ...
MindTech
NIHR HTC in Mental health & neurodevelopmental disorders

University of Nottingham Innovation Park
Med-e-Tel 2013...
Why Mental Health?
• Huge economic cost to UK - £105bn per year

• Largest area of government health spending (13%)
• Litt...
Med-e-Tel 2013

7
Clinical Landscape
• Mood Disorders
– Unipolar depression
– Bipolar depression

• Neurodevelopmental disorder
– Autism spe...
Current prevalence of disorders of the brain in Europe
Mental retardation

1.0

opiate dependence

0.4

OCD

GAD

0.7

Eat...
Bringing Partners Together
Nottinghamshire Healthcare Trust

NHS
ADDISS

IMH1
Computer
Science

Tourettes
Action

Patients...
Technology Innovation Pipeline
Patients, Clinicians, NHS Trusts

Identifying Need

Implementation

Development

NICE/ HTA
...
Personalised Ambient Monitoring (PAM)
User input:
• General health
questionnaires
• Mood selfassessment
Wearable Node
•Acc...
Identifying meaningful locations

Med-e-Tel 2013

13
Automated objective assessment of
mood and behaviour

Med-e-Tel 2013

14
Automatic tic monitoring & analysis
•
•
•
•

Face and expression recognition
Automatic eye blink detection
Hand and body t...
Games that engage
•
•
•
•

For diagnosis and treatment
Work with ADHD children shows they will engage with games
Games tha...
Qb Test: Objective Assessment of ADHD

• Computerised assessment of
attention and activity
• Supports clinical decision
ma...
Text messaging app to
support therapy

Diary:
SMS or web

Analysis tool

Goal
reminders

Med-e-Tel 2013

Appointment
promp...
Delivering
Remote
Care
Integration
Connecting people visually:
a key enabler in
remote care delivery

Med-e-Tel 2013

19
What can we offer ?
• Collaboration with SMEs & academics
•
•
•
•
•
•
•
•

Clinical expertise
Technology Trials
Patient Pu...
Contact
Prinicipal Investigator
Prof Chris Hollis
chris.hollis@nottingham.ac.uk

Prof John Crowe
john.crowe@nottingham.ac....
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Introduction to MindTech - NIHR Health Technology Co-operative in mental health

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Professor John Crowe from The University of Nottingham, UK, introduces MindTech, the IHR-funded health technology co-operative. MindTech is all about bringing technology developers together with academia, users and healthcare professionals to develop new ways of treating, monitoring and supporting people with mental health problems.

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Introduction to MindTech - NIHR Health Technology Co-operative in mental health

  1. 1. The UK NIHR Health Technology Co-operative (HTC) in Mental Health and Neurodevelopmental Disorders - ‘MindTech’ John Crowe1, C Hollis2, R Morriss2, MF Valstar3, L Bai3, D Daley2, P Blanchfield3 1 Faculty of Engineering, 2 Institute of Mental Health, 3 Computer Science Med-e-Tel 2013 1
  2. 2. Med-e-Tel 2013 2
  3. 3. NIHR HTCs “The aims of the NIHR Healthcare Technology Co-operatives (HTCs) are to: • act as a catalyst for NHS “pull” for the development of new medical devices, healthcare technologies and technologydependent interventions • focus on clinical areas and/or themes of high morbidity which have high potential for improving quality of life of NHS patients and improving the effectiveness of healthcare services that support them • work collaboratively with patients and patient groups, charities, industry and academics.” Med-e-Tel 2013 3
  4. 4. 8 new HTCs launched : 2013 for 4 years • • • • • • • • Chronic gastrointestinal (GI) disease Brain injury Cardiovascular disease Devices for dignity (D4D) Wound prevention & treatment Colorectal therapies Mental health & neurodevelopmental disorders Trauma management Med-e-Tel 2013 4
  5. 5. MindTech NIHR HTC in Mental health & neurodevelopmental disorders University of Nottingham Innovation Park Med-e-Tel 2013 5
  6. 6. Why Mental Health? • Huge economic cost to UK - £105bn per year • Largest area of government health spending (13%) • Little technological innovation • Subjective clinical assessment dominates practice • Lack of engagement with SMEs • Strong public and patient involvement (PPI) Med-e-Tel 2013 6
  7. 7. Med-e-Tel 2013 7
  8. 8. Clinical Landscape • Mood Disorders – Unipolar depression – Bipolar depression • Neurodevelopmental disorder – Autism spectrum disorder – Tourette syndrome – Attention Deficit Hyperactivity Disorder (ADHD) Med-e-Tel 2013 8
  9. 9. Current prevalence of disorders of the brain in Europe Mental retardation 1.0 opiate dependence 0.4 OCD GAD 0.7 Eating disorder 0.9 Cannabis dependence 1.0 1.7 Specific phobia Psychotic disorder 1.2 Personality dis. 1.3 6.4 PTSD Social phobia 2.3 2.0 Conduct disorder Agoraphobia 3.0 Alcohol dependence 2.0 3.4 Somatoform disorders ADHD Panic disorder 4.9 1.8 5.0 0 Dementia 4 8 12 5.4 Unipolar depression 6.9 Insomnia 7.0 Anxiety disorders 14.0 0 2 4 6 8 10 12 14 Wittchen et al 2011 European Neuropsychopharmacology Med-e-Tel 2013 9
  10. 10. Bringing Partners Together Nottinghamshire Healthcare Trust NHS ADDISS IMH1 Computer Science Tourettes Action Patients Clinicians Medilink HTC University Biomedical Engineering Academics QbTech Industry TTO2 SMEs BuddyApp Buzz3D Business RedEmbedded 1: Institute of Mental Health 2: Technology Transfer Office Med-e-Tel 2013 10
  11. 11. Technology Innovation Pipeline Patients, Clinicians, NHS Trusts Identifying Need Implementation Development NICE/ HTA NICE/ HTA Academics & SMEs Facial affect recognition QbTest RedEmbedded BuddyApp Automated tic monitoring Med-e-Tel 2013 11
  12. 12. Personalised Ambient Monitoring (PAM) User input: • General health questionnaires • Mood selfassessment Wearable Node •Acceleration •General light level •Artificial light level •Ambient sound properties GSM location GPS module XYZ accelerometer Internal accelerometer Bluetooth Encounters* - Bluetooth - 3G / GPRS - User input Med-e-Tel 2013 -Internal 12
  13. 13. Identifying meaningful locations Med-e-Tel 2013 13
  14. 14. Automated objective assessment of mood and behaviour Med-e-Tel 2013 14
  15. 15. Automatic tic monitoring & analysis • • • • Face and expression recognition Automatic eye blink detection Hand and body tracking Integration & tic data analysis Med-e-Tel 2013 15
  16. 16. Games that engage • • • • For diagnosis and treatment Work with ADHD children shows they will engage with games Games that treat and promote interaction with therapist Playful environments to encourage young people to discuss their emotional reactions Med-e-Tel 2013 16
  17. 17. Qb Test: Objective Assessment of ADHD • Computerised assessment of attention and activity • Supports clinical decision making • Provides patients with objective reports on their condition Med-e-Tel 2013 17
  18. 18. Text messaging app to support therapy Diary: SMS or web Analysis tool Goal reminders Med-e-Tel 2013 Appointment prompts 18
  19. 19. Delivering Remote Care Integration Connecting people visually: a key enabler in remote care delivery Med-e-Tel 2013 19
  20. 20. What can we offer ? • Collaboration with SMEs & academics • • • • • • • • Clinical expertise Technology Trials Patient Public Participation (PPI) Early stage Health Economics Advice on NICE assessment procedures An understanding of clinical pathways Advice on procurement procedures Technological expertise & regulatory advice Med-e-Tel 2013 20
  21. 21. Contact Prinicipal Investigator Prof Chris Hollis chris.hollis@nottingham.ac.uk Prof John Crowe john.crowe@nottingham.ac.uk Med-e-Tel 2013 21

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