HG4H - Cog Remediation For Professionals

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Enabling better Cognitive Intervention for Professionals - Key success factors

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HG4H - Cog Remediation For Professionals

  1. 1. Enabling better Cognitive Intervention for Professionals Laura Fay, CEO HAPPYneuron, Inc.
  2. 2. “GAMES FOR HEALTH” GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 2
  3. 3. Agenda  Introduction to Cognitive Intervention  How it’s done today?  Issues with today’s approach  Key Success Factors  The Journey  Patient Cases  Introducing HAPPYneuron PRO GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 3
  4. 4. Interventions  Cognitive Training-  Who: healthy individuals with no brain impairments  Goal: improve their neuron network performance.  Cognitive Remediation -  Who: individuals with impaired cognitive abilities as a result of general conditions – psychiatric, post chemotherapy, MCI, etc.  Goal: neural network stimulation for improved cognition and skills development.  Cognitive Rehabilitation -  Who: Individuals with neurologic damage from conditions like TBI, Stroke, Alzheimer’s, etc.  Goal: neural-network regeneration GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 4
  5. 5. Brain Plasticity  The adult brain is not fixed  New neural pathway creation  Neural network strengthening  Brain reserve* enhancement GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 5
  6. 6. Cognitive Rem/Rehab Programs  Medical Professionals  Conditions  Cognitive  Schizophrenia Psychologists  Depression  Neurologists  Mild Cognitive  Neuro-psychologists Impairment (MCI)  Psychiatrists  Traumatic Brain Injury  Occupational  Stroke Therapists  Alzheimer’s Disease  Language Therapists  PTSD  Nurse Managers  ADD/ADHD  Etc.  Chemo Fog GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 6
  7. 7. Cog Rem/Rehab today…  Pencil & paper exercises  Libraries of children’s educational CD-ROM software  Mostly ’80s and ‘90s era computer interaction methods GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 7
  8. 8. Issues with today’s approach
  9. 9. Issues with today’s approach  The Games/Exercises  The Supporting Environment GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 9
  10. 10. Low engagement effects compliance O X X X X O O O GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 10
  11. 11. Patient Dignity “But these are for kids. I am not stupid !” (cf) “Colorful games won’t make me happy ?” (d) GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 11
  12. 12. Audience/Conditions not factored Choose Your Challenge Level Easy Normal Bad for Hard Remediation Patients Insane! GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 12
  13. 13. Performance Feedback? You Pass WELL DONE!!  You Fail !! Let’s try again  GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 13
  14. 14. Issues with today’s approach  The Games/Exercises  The Supporting Environment GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 14
  15. 15. High Cost  Some programs not covered by insurance  Low therapist to patient ratio GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 15
  16. 16. Manual Case Management Manual…  Configurations  Tracking Results in…  Errors  Confidentiality  Time GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 16
  17. 17. Installation & Maintenance GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 17
  18. 18. Issues with today’s approach  The Games/Exercises  Low engagement and interest with current solutions  Adult acceptance of kids games  Audience/Conditions not factored  Poor performance feedback messaging  The Supporting Environment  High cost of treatment delivery  Manual performance monitoring  Software installation and maintenance issues GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 18
  19. 19. Success Factors
  20. 20. The Destination - Games  Developed with target audience in mind  Continued, relentless positive reinforcement  Engaging, non childish interactions  Cost effective & rapid configurability  Educational bridging to daily life activities GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 20
  21. 21. The Destination – Environment  Online delivers…  Reduces the Information Technology (IT) costs  Improved case management  Facilitates distance therapy protocols  Higher patient to therapist ratio  Enables rapid deployment of product changes  Improved patient confidentiality and data security  Better research tools GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 21
  22. 22. From here  there The Givens:  Improved patient engagement  Superior case management  Personalization  Performance monitoring The Adjustments:  Offline  Online  Work style / methodology shifts  Increased patient to clinician ratios  Introducing supplemental distance therapy protocols GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 22
  23. 23. HAPPYneuron PRO A brief Introduction First previewed at the Cognitive Remediation Conference in NYC June 5th, 2009
  24. 24. Product Line HAPPYneuron HAPPYneuron PRO Target Healthy Adults, Depression/ TBI / Stroke / Children & Schizophrenia / Alzheimer’s Seniors MCI Function Stimulation / Remediation Rehabilitation Training Where At Home Doctor’s Office / Doctor’s Office / At Home At Home How Self Service Guided Guided GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 24
  25. 25. Patient View Happy Neuron PRO Exercises GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 25
  26. 26. Customize and Prescribe HAPPYneuron PRO Cognitive Patient performs the Rem / Rehab assigned cognitive stimulation activities at Program Medical office or at Home Compliance & Performance Review GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 26
  27. 27. Independent Researchers Psychiatry, Neurology, Geriatrics, Occupational Rehab  Johnny Orr Memory Center, IA  Lyon Hospital, France  Queens University, Toronto, Canada  Hartford Hospital, CT  Veteran’s Administration, PA  Pierre&Marie Curie Hospital, Paris France  Memory Training Center of America, NJ  Columbia University, NY  UCLA, CA  Lausanne Hospital, Switzerland GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 27
  28. 28. Patient Progress With Interactive Games for Cognitive Remediation…
  29. 29. Life Changing Rehab Chris Bowie, PhD Joe – Severe Depression Research Professor Queens University, Toronto, Canada 1 year progression Energize  Motivation Train  Cognitive Remediation Practice  (higher order) Skills Training Generalize  Bridge to Daily Activities Apply  Vocational Services and Case Management Progress  Employment! GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 29
  30. 30. Games make the start… Dona Bellucci, PhD Clinical Instructor, Clementine @ Essex County Hospital, New Jersey Department of Psychiatry, UMDNJ-Robert  Before… Wood Johnson  Hospitalized 5 years with schizophrenia Medical  Minimal human interaction  Staff not optimistic about remediation possibilities  Then…  “Come to the lab with me to try a game or two...”  After 5 months…  Goes to ‘work’ each day at the computer lab  Takes outdoor exercise  ‘Chats’ with all the staff  Starting more progressive therapies GAMES FOR HEALTH, BOSTON. Jun 11-12, 2009 30
  31. 31. Thank You Laura Fay, CEO HAPPYneuron, Inc. +650-776-4352 Laura.Fay @ Happy-Neuron.com

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