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Mental health technology

Mobile Health

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Mental health technology

  1. 1. MENTAL HEALTH TECHNOLOGY
  2. 2. Introduction • Over the past decade, there have been massive developments in Web-based and Internet technologies, with the introduction of smartphones. • The rapid growth in the use of smartphones has opened a new world of opportunities for use in behavioral health care • Mobile phone software applications (apps) are available for a variety of useful tasks to include symptom assessment, psychoeducation, resource location, and tracking of treatment progress.
  3. 3. Smartphone Use in Clinical Practice • Smartphone apps provide useful functions that can be integrated into conventional manualized treatments. • Apps designed for self-assessments can help patients assess and monitor symptoms. • These assessments can be shared with the treating clinician, tracked over time, and presented in a useful visual display to characterize treatment outcome. • Smartphone apps can also be programmed to respond to critical items in self-assessments to auto- detect significant distress and contact to a support hotline.
  4. 4. Smartphone Use in Clinical Practice • The eMoods Bipolar Mood Tracker app, for example, consists of a daily tracking system that enables users to input and keep track of subjective mood ratings in an electronic mood journal. • This app also keeps track of hours of sleep, anxiety levels, and medication use and can generate reports that can be sent to a family member, caregiver, or clinician.
  5. 5. Audio recording of therapy sessions • The convenience, portability, and excellent quality of digital audio and video recording on today’s smartphones make them an ideal choice for recording sessions. • The capability of apps to record and date- stamp homework review can help ensure treatment compliance.
  6. 6. Advantage of the global positioning system (GPS) • Behavioral health apps can also take advantage of the global positioning system (GPS) functionality of many smartphones that locates the device, and hence the user (patient), in geographic space. • This feature can be useful for locating patients with dementia if they wander away and can help caregivers find them.
  7. 7. Real-Time Two-Way Communication Capabilities • The latest generation of smartphones have incorporated a video camera featurethat allows synchronous and real- time audio and video capabilitiesfrom the palm of one’s hand. • This capability provides real-timeremote communication between patients and providers similar to what is currentlydeliveredby traditional videoteleconferencing. • Two-way audio and video capabilityprovides new opportunities for telebehavioral health that is low cost, flexible, and mobile, especially in rural and underserved areas where clinicalservices are not readily available.
  8. 8. Information Resources and Psychoeducation • The smartphone platform is also an excellent and efficient method for accessing databases or other clinical information extemporaneously.
  9. 9. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Developmental disorders Autism Network Android Provides information, resources,and a forum for autism ADHD Psychopharmacology iPhone/BlackBerry/Android Provides informationon diagnosis and treatmentof ADHD Behavior Tracker Pro iPhone/Android Tracksand graphs behaviors Life Skills Winner Pro Android Teaches life and social skills Dyslexia Helper iPhone Provides treatmentfor dyslexia
  10. 10. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Cognitive disorders Dementia News Android Provides informationabout dementia Parkinson’si-pocketcards iPhone Provides informationon the diagnosis,course, and treatmentof Parkinson’s disease Geriatricsat Your Fingertips iPhone/BlackBerry Provides informationon the assessmentand management of geriatric disorders Caregiver’s Touch iPhone Allows caregiversto store personal, appointment, and health information
  11. 11. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Substance-related disorders Blood Alcohol Tracker Android TracksBAC AlcoDroid Android Tracksalcohol use SubstanceAbuse & Addiction Assessments iPhone Assesses substanceabuse and addiction Cravings Manager iPhone/Blackberry Helps controlcravings 12 StepsAA Companion iPhone/Android Provides the “BigBook” and other materials for members of AA
  12. 12. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Psychoticdisorders Schizophrenia Psychopharmacology iPhone/BlackBerry Provides informationon diagnosis and treatmentof schizophrenia SchizoTracker Android Trackssymptomsand triggersfor individuals with schizophrenia
  13. 13. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Mood disorders eMoods Bipolar Tracker Android Tracksmood and other symptoms Mood Journal Plus iPhone/BlackBerry Tracksmood and other symptoms T2 Mood Tracker iPhone/Android Tracksmood and other symptoms Depression iPhone Provides assessmentsfor depression eCBT Mood iPhone Treatsmood using CBT
  14. 14. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Anxiety disorders PTSD Coach iPhone Provides information, assessment,and tools for individuals with PTSD Breath2 Relax iPhone Teaches breathing exercises StopPanic & Worry Self- Help Android Uses CBT to treat anxiety and panic Anxiety Release Hypnosis Program BlackBerry Provides hypnosis for anxiety iCounselor: OCD iPhone TreatsOCD using CBT
  15. 15. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Eatingdisorders Anorexia News Android Provides informationon anorexia BMICalculator iPhone/BlackBerry Calculates BMI EatingDisorder Assessments iPhone/Android Assesses for eating disorders iCounselor: EatingDisorder iPhone Treatseating disorders using CBT StopBulimia iPhone Treatsbulimia using hypnosis
  16. 16. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Sleep disorders Sleep Bot Tracker Log Android Trackssleep patterns Relax and Sleep Plus Android Provides ambient sounds designed to help individuals sleep SleepCyclesApp Alarm BlackBerry Helps individuals wake up more refreshed by using alarms Sleep iPhone Provides relaxing music to help individuals sleep BetterSleep iPhone Provides naturaland white noise to help individuals sleep
  17. 17. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Other Healthful Apps iPhone Provides a databaseof useful health apps DSM-IV-TR iPhone Provides DSM-IVcoding information ICD-10Search Android Searchfor ICD-10codes PsychCentral iPhone/Android Provides informationon psychology Concussion iPhone Provides informationon recognizingand diagnosing concussions
  18. 18. Examples of Behavioral Health Apps Based on Clinical Area, Platform, and Purpose App name Platform Purpose(s) Other Epocrates iPhone/Android Provides informationon medications Medscape iPhone/Android Provides informationon medications ParentingToolbox Android Provides parenting skills training Socialize! iPhone Encouragessocial interaction MarriageCounselor by FeelSocial iPhone Provides marital counseling
  19. 19. Pros and Cons Usability and Acceptance Issues • Feedback from users, when available, can be used to assess usability and preferencesof particular apps • It is also importantto consider that some patients will embrace use of smartphones while others might not prefer them or be able to afford them • Software built into smartphones as well as specializedapps can also be used to improve accessibility for persons with disabilities
  20. 20. Pros and Cons Quality Standards and Safety • The sheer number of apps available makes quality control a significantconcern • It is possible that behavioral health apps contain inaccurate informationor purport to provide an assessmentor interventionthat is not evidence based • There is a lack of publishedresearch in this area and more data is needed to address the quality and efficacy of behavioral health associatedapps that are being produced
  21. 21. Pros and Cons Quality Standards and Safety • Patientsafety should also be consideredwhen using smartphones in behavioral health practice. • Dropped calls and battery failures are some of the technologicalproblems that could occur • On the other hand, the use of smartphonesor other mobile device technology can help providers to stay in closer contact with high-risk patientsand to gather data rapidly, such as from symptom or behavioral checklists.
  22. 22. Pros and Cons Data Security and Privacy • Some of the most common threats to data security and patient privacy come from unauthorized access or physical loss of the mobile device – issue addressed by inbuilt password protection • The app software used on smartphones also poses a unique risk to patient confidentiality - Many apps gather and send user information back to the software developers, which can include the individual’s username and password, contact information, age, gender, location, phone ID, and phone number
  23. 23. Pros and Cons Additional Ethical and Policy Related Issues • Texting and email provide almost immediate delivery of messages,users may falsely expect immediateresponses - specify expected response time with clients • The use of texting and email between clientsand practitioners could create situationswhere therapeuticboundaries blur, such as messages during off hours or for social reasons outside of the scope of the therapeuticrelationship
  24. 24. • While the potential benefits of utilizingmomentary assessmenttechnology in mental health are well understood and include aiding diagnosis,personalizing patterns of emotions and behaviors, empowering patients to partakein care, and providing a low-cost adjuvantto treatment • The ability of smartphones is not limitedto data collection, but also creates the potential for mobile interventionsas a future modality of treatment in mental health • Future work is requiredto explore these concepts and realizethe full potential of mobile technologies in the assessmentand treatment of mental illness Conclusion

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  • JohnHernandez47

    Jun. 24, 2017
  • 9985977234

    Jan. 27, 2020

Mobile Health

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