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Online Tools for Assessment & Treatment

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Presentation by Sabrina Darrow, PhD; Serina Deen, MD, MPH; and Yan Leykin, PhD, at the UCSF Depression Center's "Depression: Pathways to Resilience and Recovery" event on September 13, 2014.

Published in: Health & Medicine
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Online Tools for Assessment & Treatment

  1. 1. ONLINE TOOLS FOR ASSESSMENT & TREATMENT Sabrina Darrow, PhD Serina Deen, MD, MPH Yan Leykin, PhD UCSF Department of Psychiatry
  2. 2. What’s out there Plenty, actually Government Research Patient communities Business Weird people
  3. 3. Non-intervention resources Information only What is depression or bipolar disorder? Now what do I do?
  4. 4. Non-intervention resources Information only Screening http://tiny.ucsf.edu/mood_screener What is depression or bipolar disorder? How to do you feel? Now what do I do? How are you compared to before?
  5. 5. Non-intervention resources Information only Screening http://tiny.ucsf.edu/mood_screener Community support sites How to do you feel? You are not alone How are you compared to before? Talk with other people who share your experience
  6. 6. Interventions Level of support Supported • Provider, as part of care • By lay coach Unsupported • No human contact • Fully-automated, user-driven
  7. 7. Interventions Breadth Comprehensive • Many lessons, tools • Includes kitchen sink Micro-intervention • Tool-based • Symptom-based http://tiny.ucsf.edu/mint
  8. 8. Interventions features • Lessons / Tools • Interactive elements • Videos • Forum • Trackers • Feedback • Downloads • Tailoring/personalization • Connection to provider, if available • Private and Confidential
  9. 9. Intervention delivered Treatment approach • Most use cognitive behavioral therapy (CBT) • Others are less common • Problem solving therapy, acceptance and commitment therapy, cognitive remediation, interpersonal therapy, etc. Availability
  10. 10. Mobile – types of apps • Flexible – user defined • Mindfulness Tracking/assessment • Specific Sleep? Coping strategies • Positive statements Interventions ________?
  11. 11. Why use apps? Tracking can help • Increase awareness • Notice patterns • Part of interventions Always by your side Quick booster / reminder
  12. 12. Quackery • “Cure!” “100% effective!” “Everyone!” • Treatment process is unclear • Not based on traceable science • Authors are unknown or not MHP – Or celebrities • Blames you for not improving
  13. 13. Quackery – 100% effective cure!!! • Be careful with frivolous googling • www.quackwatch.com • Whenever in doubt – ask for info • Even free resources can be quackery – People with agendas
  14. 14. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read
  15. 15. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read Purpose – benefit society, not participants • Protocol is everything • Will not be broken
  16. 16. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read Purpose – benefit society, not participants • Protocol is everything • Will not be broken You are extremely valuable • Hounded for data, information • May be paid for use or follow-up
  17. 17. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read Purpose – benefit society, not participants • Protocol is everything • Will not be broken You are extremely valuable • Hounded for data, information • May be paid for use or follow-up Can find the new, best, and most exciting • May not work
  18. 18. EXAMPLES: INFORMATION ONLY WEBSITES
  19. 19. National Institute of Mental Health • Website: https://www.nimh.nih.gov/health/topics/depression/index.s html • About: One of the institutes in the National Institutes of Health, an agency of the US Department of Health and Human Services • Features: • Summary of symptoms of depression, causes, risk factors, and treatment options • Links to ongoing clinical trials • Links to latest research discoveries about depression
  20. 20. WebMD • Website: http://www.webmd.com/depression/default.htm • About: American corporation that provides health information • Features: Depression Health Center • Lists symptoms of depression • Describes how antidepressants work • Lists ways to treat depression naturally • Has videos about depression
  21. 21. EXAMPLES: COMMUNITY SUPPORT WEBSITES
  22. 22. National Alliance for Mental Illness (NAMI) • Website: http://www.nami.org/ • About: Grassroots mental health organization that advocates for access to services, treatment, supports and research for mental illness • Features: • Online information about Depression • Information HelpLine: information and referral service • Free education and support programs for individuals, family members, providers and the general public • Volunteer opportunities such as NAMIWalks
  23. 23. Depression and Bipolar Support Alliance (DBSA) • Website: http://www.dbsalliance.org • About: Peer-directed national organization focusing on depression and bipolar disorder • Offers: • Information about depression (website, podcasts, brochures, videos) • In-person and online support groups • Family member resources
  24. 24. EXAMPLES: INTERVENTION WEBSITES
  25. 25. MoodGYM • About: Web program designed to prevent depression • Developed by: National Institute for Mental Health Research at the Australian National University • Time Commitment: Five modules each taking 20 to 40 minutes to complete • Type: Unsupported • Treatment Approach: CBT • Cost: Free • Evidence Base: Very Good
  26. 26. This Way Up • About: Guided programs and self-help programs for depression and anxiety • Designed by: St Vincent’s Hospital and the University of New South Wales in Australia • Time commitment: The full course lasts 8 weeks • Type: Supported and Unsupported • Treatment Approach: CBT • Cost: $55 AUD (~$50 USD) for supported, free for unsupported • Evidence Base: Good
  27. 27. Deprexis • About: 10 content modules representing different psychotherapeutic approaches to depression • Developed by: German public health company named Gaia • Time commitment: 10 to 60 minutes for each of the 10 modules • Type: Unsupported • Treatment Approach: Mainly CBT but also Mindfulness, Problem Solving, Positive Psychology and Emotion-Focused Interventions, among others • Cost: Fee, but free for students and unemployed • Evidence Base: Fair
  28. 28. EXAMPLES: MOBILE APPS
  29. 29. Example of tracking app: T2 Mood Tracker • Anxiety, depression, general well-being, head injury, PTSD, stress • Customizable scales, automatically graphs input • Can share info with provider
  30. 30. Example of a Mindfulness App: Calm
  31. 31. Example of a coping strategies app: Positive Thinking & My Thoughts+
  32. 32. Example of an Intervention App: MoodKit • Based on CBT • Suggests activities • Analyze thoughts • Track Mood • Journal
  33. 33. Intervention Apps Currently under study and not available to the general public • Mobilyze! • Get Happy Program
  34. 34. Where to find interventions • clinicaltrials.gov •centerwatch.com •patientslikeme.org •beacon.anu.edu.au

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