improving the patient / GP consultation experience




 department of product design
         year three
brief




How do we support people with symptoms
of depression and anxiety to have an
informed discussion with their GPs a...
initial research                                                      GSA Product Design Year 3 - NHS Mental Health |   07...
journey mapping                                                             GSA Product Design Year 3 - NHS Mental Health ...
highlighted stages                              GSA Product Design Year 3 - NHS Mental Health |   14.05.10




         aw...
highlighted stages                                                GSA Product Design Year 3 - NHS Mental Health |   14.05....
highlighted stages                          GSA Product Design Year 3 - NHS Mental Health |   14.05.10




               ...
highlighted stages   GSA Product Design Year 3 - NHS Mental Health |   14.05.10




                                      ...
Awareness: Research                                                                                      Andrew, Hannah, J...
Awareness: inTune: Background Research                                                                        Andrew, Hann...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
MOOD MAPPING - OTHER
Awareness: inTune                                                                                    ...
Awareness: Finding your POV: Background Research                                                            Andrew, Hannah...
MOOD MAPPING - OTHER
Awareness: Finding your POV                                                                          ...
MOOD MAPPING - OTHER
Awareness: Finding your POV                                         Andrew, Hannah, James, Matthew, M...
awareness




     andrew young                 hannah moitt              matthew lowell          momo miyazaki         ja...
ENGAGING DEPRESSION                                                         Ben G, Ben P, Kav, Keith, Ken   |   30.04.10
 ...
ORB - INSIGHTS                                                                                                         Ben...
ORB - INSIGHTS                                                                                                     Ben G, ...
ORB                                                   Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Vision >>




       ...
ORB                              Ben G, Ben P, Kav, Keith, Ken   |   30.04.10
                                            ...
ORB                                Ben G, Ben P, Kav, Keith, Ken   |   30.04.10
                                          ...
MOBILE WELL BEING - INSIGHTS                                                                                           Ben...
MOBILE WELL BEING - INSIGHTS                                                                                   Ben G, Ben ...
MOBILE WELL BEING                                                                                               Ben G, Ben...
MOBILE WELL BEING                                     Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Vision >>




       ...
MOBILE WELL BEING               Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Concept Presence >>

-Mobile Wellbeing acti...
MOBILE WELL BEING              Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 1 >>

- The first zone of Mobile
Wellbe...
MOBILE WELL BEING                Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 2 >>

- The second zone is the
Mobile...
MOBILE WELL BEING                 Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 3 >>

- The third zone is the
area i...
MOBILE WELL BEING                Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 3 - Inside >>

-A variety of engaging...
MOBILE WELL BEING                  Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 3 - Staff >>

-Staff with real life...
MOBILE WELL BEING                Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 3 - Step by step >>

-Step by step us...
MOBILE WELL BEING                Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Zone 3 - Bash the blues >>

- Bash the blu...
MOBILE WELL BEING                Ben G, Ben P, Kav, Keith, Ken   |   13.05.10


Mobile Bus >>

 - A mobile version of the
...
engagement




 anthony kavanagh          ben pawle          kenneth smeed          keith tembo          ben greenock
  a....
Treatment: Research                                                                                              Akio, Ang...
Akio, Angus, Dominika, Emily, Lindsey
   Treatment: Budding Thoughts




Concept>> Budding Thoughts
Akio, Angus, Dominika, Emily, Lindsey
   Treatment: Budding Thoughts




                                                 ...
Treatment: Confab                               Akio, Angus, Dominika, Emily, Lindsey |   14.05.10




                   ...
Treatment: Confab                                                     Akio, Angus, Dominika, Emily, Lindsey |   14.05.10

...
Treatment: P.o.m                                                           Akio, Angus, Dominika, Emily, Lindsey |        ...
treatment




       akio usui                 emily doyle              angus ellway            lindsey hanning           ...
team management ashley, toni, harriet, joanna and martin |   14.05.10




management of condition
team management ashley, toni, harriet, joanna and martin |   14.05.10




key insights:


the importance of maintaining a ...
team management ashley, toni, harriet, joanna and martin |   14.05.10




what if?


there was a mentoring system?

there ...
thinkingforward                 team management - ashley and toni   |   14.05.10




         challenge   approach        ...
thinkingforward                                           team management - ashley and toni   |   14.05.10




thinkingfor...
thinkingforward                                           team management - ashley and toni   |   14.05.10




thinkingfor...
thinkingforward                                             team management - ashley and toni   |   14.05.10




content

...
thinkingforward                                                       team management - ashley and toni   |   14.05.10



...
thinkingforward                                  team management - ashley and toni   |   14.05.10




organiser


double p...
thinkingforward                                      team management - ashley and toni   |   14.05.10




                ...
thinkingforward                             team management ashley, toni, harriet, and joanna |   14.05.10




thinkingfor...
MOOD MAPPING - OTHER
Management: Progression                                                       Harriet and Joanna |   ...
MOOD MAPPING - OTHER
Management: Progression                      Harriet and Joanna |       14.05.10




                ...
MOOD MAPPING - OTHER
Management: Progression                                                                              ...
MOOD MAPPING - OTHER
Management: Inkwell                 Harriet and Joanna |   14.05.10




       Challenge       Approa...
MOOD MAPPING - OTHER
Management: Inkwell                                                                                  ...
MOOD MAPPING - OTHER
Management: User Journey                              Harriet and Joanna |   14.05.10




   After be...
Management: Activity Cards    Management Martin Johnson |
                                           |    14.05.10    14.0...
Research
Management: Activity Cards              Management Martin Johnson
                                               ...
Insights
Management: Activity Cards                                  Management Martin Johnson |
                         ...
Proposal
Management: Activity Cards                       Management Martin Johnson |
                                    ...
How it worksActivity Cards
Management:                                            Management Martin Johnson |
            ...
Benifits
Management: Activity Cards                                      Management Martin Johnson |
                     ...
Feedback
Management: Activity Cards                                        Management Martin Johnson |
                   ...
management




   ashley johnston       antoinette mackay           harriet roth          joanna włoszczyńska      martin ...
thanks




led by tutor stuart bailey
s.bailey@gsa.ac.uk
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Glasgow School of Art NHS project overview.

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The outcomes of the NHS project undertaken by third year Product Design students at the Glasgow School of Art.

Project led by Stuart Bailey.

Published in: Design, Health & Medicine
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Glasgow School of Art NHS project overview.

  1. 1. improving the patient / GP consultation experience department of product design year three
  2. 2. brief How do we support people with symptoms of depression and anxiety to have an informed discussion with their GPs about treatment options that appropriately take into account the individuals needs and preferences in relation to treatment options? Can the patient-doctor experience be improved to create confidence in the management of care? over 5 weeks, we set out to: research the patient and GP experience surrounding the events prior to, during and following the consultation. map out the current experiences and provide an analysis of the current situation identify opportunities for improvement and propose alternative experience designs that will provide a more rewarding and improved service offering.
  3. 3. initial research GSA Product Design Year 3 - NHS Mental Health | 07.06.10 existing services collaborative workshops interviews what is already out there? working directly with service users and service users GPs in what form? GPs who can access it? nurses
  4. 4. journey mapping GSA Product Design Year 3 - NHS Mental Health | 14.05.10 awareness realisation identifying engagement diagnosis treatment check ups management recovery identifying the key stakeholders: service user, nurse, GP key stages of the journey placing the collected insights from the research in the appropriate stage.
  5. 5. highlighted stages GSA Product Design Year 3 - NHS Mental Health | 14.05.10 awareness/realisation the awareness that there is a problem and the realisation that help is needed.
  6. 6. highlighted stages GSA Product Design Year 3 - NHS Mental Health | 14.05.10 engagement the engagement with the health service and its care providers.
  7. 7. highlighted stages GSA Product Design Year 3 - NHS Mental Health | 14.05.10 treatment prescribed medication, self help, referred to therapy.
  8. 8. highlighted stages GSA Product Design Year 3 - NHS Mental Health | 14.05.10 management self management, directed management, winding down treatment.
  9. 9. Awareness: Research Andrew, Hannah, James, Matthew, Momo | 14.05.10 Strategy >> Workshop >> Workshop was run by fuelfor. Day 1 was used to build up an understanding of different journeys through depression. Highlighted journeys were the GP, patients, and nurses/therapists. Key points were mapped throughout each stage. Individually chose a ‘key’ stage that we felt was the most important/ interesting. Who is Involved? What If? Concept Generation -How are the GP’s affected in the -What if everyone understood -Idea generation based on all our “Awareness” and “Realisation” exactly what it meant to be research, with the main focus on our stages of the journey? depressed? “what ifs”. -What if there was no stigma -Generated concepts to meet the -Patients are perhaps not yet fully involved with mental health? needs of the “what if” scenarios. aware of the need to seek help; how does this effect them and others? -What if there was something -Narrowed down concepts to that allowed us to keep track and three key areas we felt were most -How can both the GP and understand our mental health? relevant. individuals manage their awareness of mental health issues? -What if the GP knew about -Progressed with generation and concerns prior to consultation? detailing of concepts.
  10. 10. Awareness: inTune: Background Research Andrew, Hannah, James, Matthew, Momo | 14.05.10 Research >> Music is available to almost everyone at the push of a button. Music therapy exists as a career within the NHS. Extensive research has been done to prove that music and music therapy can aid in healing a variety of physical and mental illnesses. “Healing then may be defined as attaining a sense of wholeness within oneself; it is the ongoing process toward well-being.” “...any music that has personal meaning and positive significance We Feel Fine Information Graphics User Insights for an individual is music that can be demonstrated to have healing value.” -Concept derived from the idea of -Variety of information graphics -“I...embrace the singing and writing tracking information on the internet available to explain and visualise as it can be of benefit to helping to aid in the awareness of issues. gathered information. alleviate low mood in terms of conveying my thoughts on paper...” -Feelings are pulled from a host -Using colours to represent of sources to continuously update emotions is easier to read than -“Having to go over thoughts time database in real time. words. and time again whilst writing and singing can be of benefit but can -Personalised searches mean that also become a hindrance to age/sex/time/weather etc can all be changing the thought process. It’s specified to give detailed analyses. still always better to get things out than bottle them up though.” Quote Source: Your Inner Music (G.M.Rolla)
  11. 11. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 View High energy I feel... Song Map Visualiser Share I feel... Low energy Before listening to music, the user would be prompted to place a mark on the “I Feel...” chart showing how they are feeling. The scale goes horizontally from negative to positive and vertically from low to high energy.
  12. 12. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 The user then would select a song/album/artist to listen to as normal. As each song is played, it is assigned to the point they marked on the graph, which is shown by a colour.
  13. 13. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 View High energy I feel... Song Map Visualiser Share Low energy These songs are plotted onto a chart, showing what emotion each song in the library has for the user. Each song is shown as an individual dot and displays the song name when hovered over.
  14. 14. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 High energy View I feel... Song Map Visualiser Share Low energy In this way the “Song Map” will gradually be populated with music – first in groups, but over time they will spread out to populate the whole spectrum as the are classified and re-classified.
  15. 15. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 View High energy I feel... Song Map Song Map Visualiser Playlist Share Low energy Once the “Song Map” has been filled with music, the user can make playlists. By making a circle over an area of the ‘Song Map’ the user can create a playlist of all the songs in that area, which will all be of a similar mood.
  16. 16. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 View High energy I feel... Song Map Song Map Visualiser Playlist Share 1 hr 54 mins Low energy By choosing two points, the user can make a playlist that moves from one section of the chart to another, gradually changing the mood of the music. The line can be manipulated and a length of time set for the playlist.
  17. 17. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 View I feel... Song Map Visualiser Visualiser Share Today This week This month All time 176 minutes 55 songs This visualisation allows the user to see how much they listen to certain moods of music – the thicker and denser the colour/mood, the more it is listened to. This visualisation shows a relatively even spread of emotions
  18. 18. MOOD MAPPING - OTHER Awareness: inTune Andrew, Hannah, James, Matthew, Momo | 14.05.10 View I feel... Song Map Visualiser Visualiser Share Today This week This month All time 430 minutes 123 songs In this example, the user’s listening habits show a much more negative skew. With this clear visual reference, it is easy to see when a user is feeling a certain way, and this tool can be used as a prompt for conversation.
  19. 19. Awareness: Finding your POV: Background Research Andrew, Hannah, James, Matthew, Momo | 14.05.10 Research >> Current advertisements do not exist to promote NHS as dealing with mental health issues. Ones that do are ineffective and reinforce stigma. “The biggest challenge for advertising to be effective is to get people to read your advert. It’s not about selling a product or service at this stage - it’s about stopping the reader and getting them to read the advert.” Felice Varini -The paintings are seen from one Cognitive Behavioral Therapy Awareness vantage point from which the -Cognitive-behavioral therapy is viewer can see the complete -“You don’t know to go to the GP.” based on the idea that our thoughts painting (usually a simple geometric shape), while from other -At this stage in the journey, it is cause our feelings and behaviours. important for the user to know what view points the viewer will see -The benefit of this fact is that we ‘broken’ fragmented shapes. kind of help is available on the NHS. can change the way we think to feel -Some users were referred to GPs and act better even if the situation -“ The vantage point will function as a reading point, that is to say, as a by friends and family, but had not does not change. yet realised that they had mental potential starting point to approaching a painting and space.” health issues. -We drew comparisons to how CBT is based around changing the way -This concept serves as a you think about things, which is a -“My relationship with space is trying to discover more things that transitional pathway for the user similar concept to the Varini between unexplored negative we cannot normally see.” paintings. feelings and the first consultation.
  20. 20. MOOD MAPPING - OTHER Awareness: Finding your POV Andrew, Hannah, James, Matthew, Momo | 14.05.10 “My relationship with space is trying to discover more things that we cannot normally see.” Here is an example to show how this might be achieved on a building. Quote Source: Felice Varini
  21. 21. MOOD MAPPING - OTHER Awareness: Finding your POV Andrew, Hannah, James, Matthew, Momo | 14.05.10 “My concern is what happens outside the vantage point of view”. Quote Source: Felice Varini
  22. 22. awareness andrew young hannah moitt matthew lowell momo miyazaki james ring a.young2@student.gsa.ac.uk h.moitt1@student.gsa.ac.uk lowell_m@hotmail.co.uk moemow@gmail.com jamesering@gmail.com
  23. 23. ENGAGING DEPRESSION Ben G, Ben P, Kav, Keith, Ken | 30.04.10 13.05.10 How do we engage those who are not currently in the mental health system?
  24. 24. ORB - INSIGHTS Ben G, Ben P, Kav, Keith, Ken | 13.05.10 What if there was an informal network of communication for GP’s to share their personal expertise on depression? Insight Justification Need Experience -GP has difficulty recognising signs “Because I look clean I can’t be -Recognition of subtle signs -Doctors positive knowledge, of depression depressed” techniques and experiences need to “Looking run down isn’t the only sign -Need for tools to extract information be shared of depression” & symptoms from users -An easily accessible bank of “I had to be persistent with the GP ... knowledge not to fall through the net” -A searchable and inputable network -Trouble accessing credible sources “I rely on S.T.E.P.S to keep up with -One inclusive wealth of credible -Credible information is sent to GP’s of information what other services are available to insights so they dont have to look for it...time patients” saving -Break in communication between “We contact primary carers but we -Tight feedback loops across various -A formal platform for secondary info primary and secondary carers rarely get information back” levels of care to be shared and justified -Verbal / informal should be collated and published -Physical health seen as a priority “There is a lack of consieration for -Mental health to be taken more -A seperate physical platform for over mental health mental health within medicine” seriously within the NHS mental health to allow it to be taken more seriously “Physical health is seen to be the priority” -Greater understanding and wealth of information on mental health to combat stigma
  25. 25. ORB - INSIGHTS Ben G, Ben P, Kav, Keith, Ken | 13.05.10 What if there was an informal network of communication for GP’s to share their personal expertise on depression? Insight Justification Need Experience -Generalisation of people with “The doctor tells you it’s all in your -Seeing patients as individuals -A larger more diverse base of info depression can lead to patients head even if you go in with an itch” will help GP’s make more informed slipping through the net decisions about individual patient treatment -Trends and categorising of patient demographics should help GP’s target those in need much sooner -GP’s have no informal method “There is no formal way of feedback -Greater sharing of information and -Real world experience and of communication or feedback for to the NHS that is user specific” knowledge with and across the NHS knowledge of GP’s should feedback mental health into teaching future GP’s and inform future decisions made by NHS -A network that allows the same level of access to knowledge to all GP’s, rural and urban, old and new -Mentla health system is too “Inconsistent procedures opperated -Simple tools for service -One simple universal system for complex bby staff in NHS” all promoting inclusivity and best practice
  26. 26. ORB Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Vision >> “A gestural networking tool which aids in the sharing of skills & information between GP’s and the mental health service. This will improve diagnosis and treatment whilst feeding back through the NHS education system to improve GP training & insights into combating depression. The result will be a bank of knowledge of mental health for GP’s to consult and learn from, connecting them across a universal platform.”
  27. 27. ORB Ben G, Ben P, Kav, Keith, Ken | 30.04.10 13.05.10 The concept >> With intuitive controls, this ‘Galaxy like’ appearance separates it from computer networks - making GP’s feel more connected to one another on a single platform.
  28. 28. ORB Ben G, Ben P, Kav, Keith, Ken | 30.04.10 13.05.10 The concept >> Over time, information becomes tailored to the GP creating a huge bank of knowledge about mental health for them to consult and learn from.
  29. 29. MOBILE WELL BEING - INSIGHTS Ben G, Ben P, Kav, Keith, Ken | 13.05.10 What if there was a well being activities centre for all with a less clinical and intimidating environment? Insight Justification Need Experience -Confidence needed to approach At age 14 had incident, -Need to reach people at young age Safety in numbers will help reach service providers “Tried talking to people, my mother, those who aren’t confident in making the headmaster, but no-one -Facilitate people being comfortable the initial approach understood” about their problems -Relating to their interests will help “Having people to relate to helped” ease the patients nerves and open up -Talking to people of a familiar demographic and/or background will help make initial engagment easier -10 minute appointments do not “You have to have a really -Make the 10minute appointment -A platform to facilitate open ended allow GP’s to be thorough productive 10mins” more valuable to patient discussion -No 10 minute wasted trying to identify whether the problem is physical or mental -PHQ9 a useful tool “The test results made me realise I -To quickly diagnose people integrate mental health tests into was depressed” activities “Useful in highlighting 2 main areas of depression; low mood and loss of interest -Providing activities is a valuable “I think its more important to improve -Recognise the value of ‘activities’ -Provided activities are proven / method of engaging with patients peoples perception of themselves” as a way of dealing with depression designed to increase mental well being as well as successfully -Provide mentally stimulating engaging / apealing to patients activities that improve well being
  30. 30. MOBILE WELL BEING - INSIGHTS Ben G, Ben P, Kav, Keith, Ken | 13.05.10 What if there was a well being activities centre for all with a less clinical and intimidating environment? Insight Justification Need Experience -GP’s aren’t approachable “I didn’t want to go to the GP -A more approachable service -The non-clinical nature of the ‘bus’ because it would be too intimidating and its environment / activities and un-approachable” makes it more approaching -GP’s in ‘sunday slacks’ informal and approachable -Limited out-reach to patients “I have to take the initiative to -A less clinical from of treatment -The relaxed atmosphere and suffering from depression arrange appointments and contact the more approachable nature (theraputic nurse) my patients” of the staff provide an altogether less clinical more approachable environment
  31. 31. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Influencing our choices >> After discussing our initial concept with a service user here are some of the key insights which shaped our decisions Suggestions Insights - Events such as Glasgow ‘Mela’ - Didn’t know she was depressed Hindu Festival in Kelvingrove Park so wouldn’t want to approach a bus or the Cultural Community festival - food, dance etc. may attract someone her age. -”lively fun atmosphere draws in -”Natural curiosity disappears with people and once they’re there, the depression, it’s very hard to get out atmosphere lifts their mood and of grey blank” motivates” -If people in general could be -PHQ9 - doctor made her face the educated by this, aware of mental facts - she filled in the document/ health recognition. form that proved she was depressed - “Hits hard” -It could act as a platform for those -Providing people tools to prevent who suspect a family or friend is depression rather than for those depressed to take them along: who are depressed. “need for help - go to this event” -Guide/mentor to tell success -”Clever way to approach topic” - stories likes ‘selling wellbeing’ -”It was family and friends who encouraged me to find help. Without them i wouldn’t have even been able to leave the house”
  32. 32. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Vision >> “A mobile engagement service that approaches communities about well being so that those in need are not deterred to approach others. The service will combat stigma surrounding depression through the experience of ‘feel good’ activities, resulting in a more approachable platform for the mental health service”
  33. 33. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Concept Presence >> -Mobile Wellbeing activities will be present at events and festivals throughout Scotland aswell as holding it’s own. -It will promote “selling happiness” rather than dwelling on the phrase “mental health”. - In order to reach those who are depressed, there must be an increased awareness in society about this particular event.
  34. 34. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 1 >> - The first zone of Mobile Wellbeing is the surrounding space and indirectly related activities. - Through these outside activities people will be drawn to the area.
  35. 35. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 2 >> - The second zone is the Mobile Wellbeing tent itself. - The tent will have a relaxed and informal atmosphere with information and hands-on activities relating to healthy wellbeing.
  36. 36. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 3 >> - The third zone is the area inside the tent which will promt interaction with wellbeing activities and staff. - This is open to all, so those curious or want to know more about depression can find help here.
  37. 37. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 3 - Inside >> -A variety of engaging activities relating to well being will be present in this zone. - The results will appear less intimidating than the reults of a PHQ9 test to some who may not want to be labelled as ‘depressed’. - Zone 3 could also act as a platform to promote the other concepts generated for this project: Orb P.O.M. Budding thoughts In-tune Point of view
  38. 38. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 3 - Staff >> -Staff with real life experience will be on hand to help users in any area or provide more in-depth assistance for those who need it.
  39. 39. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 3 - Step by step >> -Step by step uses image recognition to generate possible lifestyle changes for the user. -The user can create a personal strategy with small steps to achieve their goals for improved mental well being. -The game provides useful tips and coupons to help the user to achieve their steps.
  40. 40. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Zone 3 - Bash the blues >> - Bash the blues is an interactive game to encourage stress relief whilst promoting a constructive attitude towards mental health. -Users select icons from a library which represent obstacles in life which niggle them. -A wall is constructed from these icons which embodies everything that gets your down. It is up to you, the user, to bash your blues and knock down the obstacles in your life.
  41. 41. MOBILE WELL BEING Ben G, Ben P, Kav, Keith, Ken | 13.05.10 Mobile Bus >> - A mobile version of the Well Being festival tent that actively engages those that are not reached e.g. school children or rural areas. - The interior of the bus is filled with compact versions of the well being activities.
  42. 42. engagement anthony kavanagh ben pawle kenneth smeed keith tembo ben greenock a.kavism@gmail.com benpawle@yahoo.co.uk kool_ken@msn.com keithtembo@ymail.com bgreenock@live.co.uk
  43. 43. Treatment: Research Akio, Angus, Dominika, Emily, Lindsey Strategy >> Key Insights >> -Stigma of talking about mental health -Fear of booking first appoinment by phone -Barrier between patient and GP -Develop a relationship between GP and patient -Reduce the sence of waiting -GP and patient interaction only lasts 10 minutes -Patients have misguided expectations about treatment programmes -Patients can not track their progress Challenge Approach Outcome visually -What can be offered to the patient -What if the patient could engage -Quick idea generation based on all -Patients feel intimidated by the huge during the waiting time to “Make use with the GP/ NHS out with the our research, with the main focus on choice of self help websites available of the waiting time” surgery/ Hospital? our “what ifs”. -What can a patient do during the -What if there was a tool which could -Generated concepts to meet the -Patients tend not to come back after waiting stages to enhance the help build the trusted relationship needs of the “what if” scenarios. the second consultation experience of the consultation stages. between GP and patient? -Waiting rooms are often bleak and -What can the GP and patient do -What if there was a sense of -Worked on 5 concepts to get an uninviting during the waiting stages to build the co-producing the treatment overall user experience at every stage trusted relationship between them. procedure and also the confidence of the treatment. to open up? -Progressed with generation and -What if you could reinforce the check detailing of concepts. up system to get people to come back for therapy?
  44. 44. Akio, Angus, Dominika, Emily, Lindsey Treatment: Budding Thoughts Concept>> Budding Thoughts
  45. 45. Akio, Angus, Dominika, Emily, Lindsey Treatment: Budding Thoughts Negative Thoughts Concept>> Budding Thoughts Nuetral Thoughts Possitive Thoughts -Each ring on the tool represents a two week time span. -Daily or as often as you feel necessary, plot your thoughts onto the map. -The different coloured pins represent; Possitve, nuetral and negative thoughts. -This is tool is to be used to show development throughout the treatment and allow for self re- flection. -When you have used all the pins given during first concultation and diagnosis you can book your next appoinment on P.S and when at sur-
  46. 46. Treatment: Confab Akio, Angus, Dominika, Emily, Lindsey | 14.05.10 The Confab is an interface used to reduce the time a patient takes getting comfortable with the doctor before they can talk about issues which may be affecting their health. The Confab allows the doctor to present patients with treatment options. It also offers a more interactive approach to the PHQ and is used to visually show the patients progress through a treatment.
  47. 47. Treatment: Confab Akio, Angus, Dominika, Emily, Lindsey | 14.05.10 Using technology from the microsoft surface the Confab allows the user to interact with a varitey of apps to aid discussion and make the communication between patients and doctors more efficient Technology : Microsoft Surface
  48. 48. Treatment: P.o.m Akio, Angus, Dominika, Emily, Lindsey | 14.05.10 concept A place of escape and contemplation if the user feels overwhelmed whilst out and about. It uses projected visuals to calm the patient by contructing a “happy place” to feel more comfort when needed and remembers this setting for the following visit. Provides a source of alternative/theraputic treatment, through use of light, colour and sounds. Progress is tracked by the GP, as the keycard stores information regarding where and how often the user has been using the P.o.m. This will initiate conversation at the next consultation. keycard click-wheel interface environment audio NHS rela xat enter rec ion ord
  49. 49. treatment akio usui emily doyle angus ellway lindsey hanning dominika szala a.usui1@student.gsa.ac.uk theslink100@hotmail.com theslink100@hotmail.com lindseyhanning@aol.com dominikaszala@gmail.com
  50. 50. team management ashley, toni, harriet, joanna and martin | 14.05.10 management of condition
  51. 51. team management ashley, toni, harriet, joanna and martin | 14.05.10 key insights: the importance of maintaining a routine. the ability to recognise symptoms in case of relapse. a means for GPs to sensitively step back from treatment. an allowance for improved communication between patient and GP/treatment provider. there is a deficit of leaflet based information, in surgeries and health centres.
  52. 52. team management ashley, toni, harriet, joanna and martin | 14.05.10 what if? there was a mentoring system? there was a database of available opportunities for volunteering within charities or local businesses? people understood the importance of the possible long term journey/route of treatment? there was a post-treatment plan? there was a means for GPs to map patient’s journeys in a tangible way so they can see their progress?
  53. 53. thinkingforward team management - ashley and toni | 14.05.10 challenge approach outcome
  54. 54. thinkingforward team management - ashley and toni | 14.05.10 thinkingforward - overview it begins as a conversation starter for anyone who approaches their GP for help with depression. it continues as a means for them to record their journey through treatment, and to see their progression. it can then be used as a reflexive tool post-treatment, to help towards understanding their illness and also for potentially recognising relapse symptoms.
  55. 55. thinkingforward team management - ashley and toni | 14.05.10 thinkingforeword the intitial touch point is an informative tool. the purpose of which is to inform people about depression, possible treatments, and who they can talk to, in a reassuring and conversational manner. it also means that they can read and decide their next steps at a pace which suits them. the booklet, which is widely available to the public via health centres, GP surgeries, and the internet, is not just for those suffering from depression. it also acts as a means of raising awareness. “This would be perfect not only for individuals to pick up for themselves but also for concerned friends/family members to pass on...” - nurse
  56. 56. thinkingforward team management - ashley and toni | 14.05.10 content information - briefly explains depression and possible treatments. positive case study - gives encouragement to reassure that there can be a positive outcome. “qualitative PHQ” - allows them to express how they feel in whichever way they feel most comfortable, preparing them for when they speak to someone. what to do next - advice regarding speaking to someone, and suggestion to make use of the booklet. useful links and contacts “you’ve managed to get so much of the wording spot on...” - service user
  57. 57. thinkingforward team management - ashley and toni | 14.05.10 “how to use” the beginning of the organiser features a short introduction, an example of the pages in use, and also the reasoning behind keeping a record of their time to benefit them in the long term. “Sometimes writing them [thoughts/feelings] down as record between appointments or because you think that you’re not going to have the guts to mention it at an appointment makes it much easier.” - service user
  58. 58. thinkingforward team management - ashley and toni | 14.05.10 organiser double page week. gradient fades over two months, to encourage the visit to the GP. section for circling emotions, or expressing own. can be used as a personal organiser as well as a means of documenting progress. date and month is blank, so there is one standard pack. glossary and stickers provided, to encourage and help people to articulate themselves.
  59. 59. thinkingforward team management - ashley and toni | 14.05.10 reminder of recording appointments medication in use dates handwritten using as a normal organiser reflecting on decisions what kind of week was it?
  60. 60. thinkingforward team management ashley, toni, harriet, and joanna | 14.05.10 thinkingforward taking ownership of your mental wellbeing
  61. 61. MOOD MAPPING - OTHER Management: Progression Harriet and Joanna | 14.05.10 NHS home Health A - Z Health Advice Contact Us Log Out Calendar Journal Services Advice Find out more? June Previous Months Therapist 1 2 3 4 GP 11:00 8 9 10 11 15 16 17 18 22 23 24 25 Challenge Approach Outcome
  62. 62. MOOD MAPPING - OTHER Management: Progression Harriet and Joanna | 14.05.10 0 1 2 0 2 4 6 GP Expected Medication Alternative Therapies Social Activities
  63. 63. MOOD MAPPING - OTHER Management: Progression Harriet and Joanna | 14.05.10 11 0 1 2 Side Effects GP Treatments Notes Feeling drowsy 15 16 17 Still drowsy? Book an appointment. 22 23 24 By marking the side effects on the online calendar, the Progression automatically update, so the doctor can view the progress of the treatment before the next appointment. The server also recognises the effects and prompts the patient to seek help if necessary.
  64. 64. MOOD MAPPING - OTHER Management: Inkwell Harriet and Joanna | 14.05.10 Challenge Approach Outcome
  65. 65. MOOD MAPPING - OTHER Management: Inkwell Harriet and Joanna | 14.05.10 Inkwell is an interactive tool which allows people to match their mood to a colour. The days average can be stored and plotted on a graph and uploaded to the server. Over time the patient will be able to see their improvements.
  66. 66. MOOD MAPPING - OTHER Management: User Journey Harriet and Joanna | 14.05.10 After being diagnosed, Liz discusses with the GP her possible treatment and plan the journey by visualising it on the Progression.
  67. 67. Management: Activity Cards Management Martin Johnson | | 14.05.10 14.05.10 Activity Cards
  68. 68. Research Management: Activity Cards Management Martin Johnson | 10.05.10 | 14.05.10 Challenge Approach Outcome
  69. 69. Insights Management: Activity Cards Management Martin Johnson | | 14.05.10 14.05.10 “We try to treat medically what is often a social problem.” “Depending on what the Patients interest is ... , defiantly massages, green gym and all these things are super.” GP “exercise improves symptoms and recovery time”
  70. 70. Proposal Management: Activity Cards Management Martin Johnson | | 14.05.10 14.05.10 Activity Generation service Keeps service users active Engages user Encourages social interaction Holistic alternative to antidepressants Technology widely and cheaply available
  71. 71. How it worksActivity Cards Management: Management Martin Johnson | | 14.05.10 14.05.10 USSD: 70 Million Unstructured active Supplementary Mobile accounts in the UK Service Data *#10 # - USSD balance 60 million Enquire for Pre 10 Million people in the Paid Mobiles surplus mobile uk aged 8+ USSD free for service user acounts USSD on in the UK every GSM cellphone
  72. 72. Benifits Management: Activity Cards Management Martin Johnson | | 14.05.10 14.05.10 BENEFITS Gives service user the attention they need. Prompts the user to become active. Improves efficiency of NHS spending on Holistic treatments Useful for other patient groups. Deals with the social issues, that medication alone can’t cure. Widely available technology. Patient manages their own treatment.
  73. 73. Feedback Management: Activity Cards Management Martin Johnson | | 14.05.10 14.05.10 “A friendly prod in the right direction” “Patients would get the attention they need Service User without multiple doctors appointments, which they wouldn’t get anyway” “Best for patients a little further on in their treatment” “Try to give the name some meaning”
  74. 74. management ashley johnston antoinette mackay harriet roth joanna włoszczyńska martin johnson ashley9815@hotmail.com tonilmackay@aol.com h.roth1@student.gsa.ac.uk j.wloszczynska1 mapj801@hotmail.com @student.gsa.ac.uk
  75. 75. thanks led by tutor stuart bailey s.bailey@gsa.ac.uk

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