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Industries the world over are being disrupted by new technologies. The health care sector is no exception. From a proliferation of on-demand digital mediums for accessing and delivering treatment, to the growing use of e-payments, algorithms and AR, the clinical experience of patients and practitioners is changing. This presentation aims to stir your thoughts about the e ects of digital developments on clinical practice and business. The session will consider a holistic approach to working in conjunction with new technologies whilst upholding clinical and ethical standards. It will explore the changes to the way that patients can access mental health services, the e ects of ‘choose and book’ services of online marketplaces, the algorithms that power them and the security risks to storing sensitive data. Whilst increased patient choice has its merits, this workshop will explore to what extent this could diminish the quality of the therapeutic relationship, the e cacy of these models and what role AR (augmented reality) might play in the future.

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  1. 1. Dr Sheri Jacobson The Impact of Digital Innovation on Clinical Practice for
  2. 2. Speaker background • Trained as a psychotherapist in 1999 • Multiple approaches: person-centred (CSCT), existential & psychodynamic (Regent’s), cognitive (Institute of Psychiatry) • Founded Harley Therapy in 2006, 250 000+ sessions • 6 clinics in London with 40 in-house therapists/psychiatrists • 1 million+ annual blog readers • In weekly therapy since 17 • Retired as clinician to develop service • tech platform to democratise therapy • Therapy evangelist!
  3. 3. Today’s Agenda 1. Look at the types of digital innovation 2. Consider how clinical practice is changing 3. Getting equipped for the future
  4. 4. How industries are being disrupted Hotels. Valuation of Airbnb $31bn. More listings (4 million) than top 5 hotel groups inc Hyatt, Marriot & Hilton. Car industry. Autonomous/self-driving (regulatory hurdles), electric vehicles Professional services. Translators. Financial advisors. Cashiers. In the next 20-30 yrs there will be more changes on us than in the last 1000 (B. King ‘Augmented’)
  5. 5. Credit: Asgard VC
  6. 6. Pace of change Why is change happening so fast? Innovation. Diffusion. With more interconnected world, technologies are adopted faster and spread wider. Acceleration. The gap between early & late adopter is decreasing Exponential changes. Progress is built upon progress and escalates. Notion of ‘singularity’ - technological advancement reaches escape velocity - any problem of mankind can be solved through powerful computing (Ray Kurzweil)
  7. 7. Views of Future Optimistic - Productivity, job creation, less drudgery, improved welfare. Pessimistic - Income inequality, mass unemployment, breakdown in social order Balanced view - (Sergey Brin Google Annual Letter - warning of Dickensian ‘Best of times / Worst of times’ 28th April 2018)
  8. 8. …the idea of the future being different from the present is so repugnant..that most of us offer a great resistance to acting on it in practice. History shows that once a technology takes hold in an industry, there is usually no successful defence for a business. Are traditional clinical services at risk?
  9. 9. What changes are happening in the mental health sector? What place will psychology have in this ‘smart world’?
  10. 10. Employment 1900s v 2020s Credit: B King ‘Augmented’ p 56 [redo chart?] [circle Psychology Counselling Therapy]
  11. 11. E-payments SMS therapy Chat bots*Algorithms Wearables *Augmented & Virtual reality AR / VR *Collective databasesData processing On demand services Artificial Intelligence (Therapist robots) Diagnostics Treatment DigestiblesSensors Search Carebots Computerised therapy Machine Learning
  12. 12. Technology that can detect emotional traits. Can be added to personal assistant devices via API
  13. 13. Carebots Credit: Quora - Roeber Robotics
  14. 14. uses algorithms to rank therapists. Therapists can work remotely via Zoom Pseudo-anonymisation of data allows for service improvement. Can see what the therapists offer and what clients are searching How these are used in practice? Example
  15. 15. Clinical Implications Algorithms - powering search and assessment in a feedback loop Medium: Text, Chat, Email, Video, AR/VR, Robots v Face to Face Data & Privacy Collection. Regulation - GDPR & PSD2 Presenting issues - living in a world of AI/robots, living longer (transhumanism), gamification & addiction,
  16. 16. Considerations Immediacy ‘Humanity’ / Depth of care Measurable & Feedback loop
  17. 17. Questions •Is quicker matching beneficial to clients, or is there merit in patience - giving time to reflect? •Is ‘shopping’ for a therapist acceptable? •Is reviewing therapists ethical? •Is remote therapy (and will VR be) as ‘effective’ as face-to-face? Even if so, isn’t the human connection different and does it matter? •Is data collection a risk to privacy? Are human experiences going to be reduced to data? •Is there a loss of clinical material as a result of e-payments
  18. 18. To hold in mind as you adopt new technologies Guidelines Human connection is invaluable Best interests of client
  19. 19. Predictions A growing need for psychological services due to the impact of technology, fragmented attention, social real-world isolation, fewer people to listen to us in depth.
  20. 20. Summary Our profession is not immune to digital disruption • Anticipate new technologies • Evaluate the impact on your work • Evolve and adjust
  21. 21. Recommended reading
  22. 22. Find us on social media and don’t forget to tag us! #HarleyTherapy @HarleyTherapy @DrSheriJacobson @HarleyTherapy Our NEW online platform making therapy accessible to everyone. Sign up at our stall Apply as a therapist today!