This document contains a series of tweets from a presentation on digital mental health. It discusses current uses of digital technologies in mental healthcare such as communication between patients and providers and using apps for interventions and monitoring. Challenges discussed include outdated research methodologies and privacy/data concerns with apps. Emerging trends noted include patients taking a more active role in managing their own health using digital tools as the cost of mental healthcare rises and access issues persist.
Understanding Mental Health Apps — Neurotech SF presentationSteven Chan, MD MBA
What does the mental health app and psychiatry informatics landscape look like? A brief 15-minute look given at Neurotech SF conference at UCSF Mission Bay, by Steven Chan — University of California, Davis researcher and resident physician — on barriers, challenges, and near-term solutions on psychology, psychotherapeutics, and digital mental health.
Social media for tracking disease outbreaks–way of the future By.Dr.Mahboob a...Healthcare consultant
Traditional disease surveillance relies on data obtained from doctors, hospitals or laboratories through formal reporting systems. This yields valid and accurate data about emerging outbreaks and the impact of control strategies such as vaccinations. But it’s often not timely. Digital data are now publicly available from many sources. People talk about epidemics on social media using key words such as “fever” and “infection” before they are officially identified.
A surveillance system for detecting outbreaks of Ebola using Twitter, for example, could set geospatial tags for specific locations such as the African continent. It could search for a cluster of terms on the Twittersphere such as “haemorrhage”, “fever”, “virus”, “Ebola”, “Lassa” (an illness that can be confused with Ebola).
A system trying to identify influenza could mine terms that reflect visits to the doctor, purchase of tissues, paracetamol or aspirin from pharmacies, sick leave from work, as well as terms specific to the clinical syndrome of influenza.
How to promote brain health at scale: Examples in the workplace, K12 educatio...SharpBrains
How to promote brain health at scale: Examples in the workplace, K12 education and consumer tech
Louis Gagnon, CEO of Total Brain
Dr. Gregory Rose, Director of the Center for Integrated Research in Cognitive and Neural Sciences at SIU Med
Ariel Garten, Founder and Chief Evangelism Officer of InteraXon
Chaired by: Alvaro Fernandez, CEO and Editor-in-Chief at SharpBrains
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
mobile and #socialmedia - the cutting-edge #diabetes technology of the future...Joyce Lee
These slides are adapted from a talk that I gave in April at the 2014 Clinical Diabetes Technology Meeting in Los Angeles, about mobile technology and social media. I was honored to be presenting at the event. Thanks to Dr. Klonoff and the diabetes online community! Also, here was homework that I made for the site: http://joyceisplayingontheinter.net/andtalkingaboutdiabetestech.html
Understanding Mental Health Apps — Neurotech SF presentationSteven Chan, MD MBA
What does the mental health app and psychiatry informatics landscape look like? A brief 15-minute look given at Neurotech SF conference at UCSF Mission Bay, by Steven Chan — University of California, Davis researcher and resident physician — on barriers, challenges, and near-term solutions on psychology, psychotherapeutics, and digital mental health.
Social media for tracking disease outbreaks–way of the future By.Dr.Mahboob a...Healthcare consultant
Traditional disease surveillance relies on data obtained from doctors, hospitals or laboratories through formal reporting systems. This yields valid and accurate data about emerging outbreaks and the impact of control strategies such as vaccinations. But it’s often not timely. Digital data are now publicly available from many sources. People talk about epidemics on social media using key words such as “fever” and “infection” before they are officially identified.
A surveillance system for detecting outbreaks of Ebola using Twitter, for example, could set geospatial tags for specific locations such as the African continent. It could search for a cluster of terms on the Twittersphere such as “haemorrhage”, “fever”, “virus”, “Ebola”, “Lassa” (an illness that can be confused with Ebola).
A system trying to identify influenza could mine terms that reflect visits to the doctor, purchase of tissues, paracetamol or aspirin from pharmacies, sick leave from work, as well as terms specific to the clinical syndrome of influenza.
How to promote brain health at scale: Examples in the workplace, K12 educatio...SharpBrains
How to promote brain health at scale: Examples in the workplace, K12 education and consumer tech
Louis Gagnon, CEO of Total Brain
Dr. Gregory Rose, Director of the Center for Integrated Research in Cognitive and Neural Sciences at SIU Med
Ariel Garten, Founder and Chief Evangelism Officer of InteraXon
Chaired by: Alvaro Fernandez, CEO and Editor-in-Chief at SharpBrains
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
mobile and #socialmedia - the cutting-edge #diabetes technology of the future...Joyce Lee
These slides are adapted from a talk that I gave in April at the 2014 Clinical Diabetes Technology Meeting in Los Angeles, about mobile technology and social media. I was honored to be presenting at the event. Thanks to Dr. Klonoff and the diabetes online community! Also, here was homework that I made for the site: http://joyceisplayingontheinter.net/andtalkingaboutdiabetestech.html
Navigating the Brain/ Mind Innovation Landscape & Book presentation El Cerebr...SharpBrains
Navigating the Brain/ Mind Innovation Landscape & Book presentation El Cerebro Que Cura (The Brain That Heals)
By Alvaro Fernandez, CEO and Editor-in-Chief at SharpBrains
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Participatory design, the "Making" of Health and the Future of Diabetes Techn...Joyce Lee
We Hacked #DTM2014! A Joint Presentation by John Costik, Adrien de Croy, Weston Nordgren II, The Nightscout community, and Joyce Lee, MD, MPH, Doctor as Designer
Healthcare Professionals (HCPs) in Spain who have online influence in Diabetes.CREATION
These slides are from a webinar presented by Paul Grant and Daniel Ghinn on the 16th July 2013, introducing a methodology and full Creation Pinpoint digital opinion leaders insight report on healthcare professionals (HCPs) discussions about Diabetes in Spain.
Using Creation Pinpoint, the study explores the Top 25 digital opinion leaders (DOLs) in a one year period, and identifies some of the characteristics of the influence networks formed by HCPs in their use of public social media.
More information and contact details can be found at www.creationpinpoint.com
Analysis of the online networking activities of 100,625 globally distributed healthcare professionals (HCPs) on Twitter indicates an increase in their use of public social media for clinical and professional purposes.
The international healthcare community are increasingly using public social media channels for professional network building and clinical conversation. Through focused clusters related to professional interest, healthcare professionals (HCPs) are recognizing the value of online connections for discovering and discussing: clinical cases; practice matters; research; treatments; and news.
HXR 2016: Designing to Support Mental Health -Dr. Kimberly O'Brien, Simmons C...HxRefactored
Kimberly H. McManama O’Brien, PhD, LICSW, is an Assistant Professor at Simmons School of Social Work with a joint appointment at Harvard Medical School as an Instructor in Psychiatry. She is also a per diem clinician at Boston Children’s Hospital, where she conducts the majority of her research. Dr. O’Brien is committed to a research agenda focused on the development and testing of brief interventions for suicidal adolescents.
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral HealthSpectrum Health System
In this presentation, the top apps and digital therapeutics for behavioral health, with a focus on stress, depression, and anxiety, will be reviewed including a summary of program offerings and patient outcomes. Strategies for embedding digital health programs as complements to traditional behavioral health treatment will be discussed. The design and results of a recent implementation of mobile app prescriptions as part of standard care in 12 clinical areas with 70 plus prescribing providers will be described. Engagement and acceptability data from patients and providers will be shared. Strategies for developing standard work and governance for this new category of behavioral health treatment will be offered. Discussion will center on how mobile health represents a high value, low-cost care transformation for the future of health care.
Wearable Health, Fitness Trackers, and the Quantified SelfSteven Tucker
The vision and reality of individualised health and wellness achieved through tracking personal data. An introduction to the scope of the problems followed by the advent of the Quantified Self. Then a pictorial view of trackers, gadgets, #ehealth, and #mHealth devices. This leads the audience to a clear understanding of how we can digitise behaviour and biology to achieve wellness and prevent disease in the 1st place. Overall, there is an underlying influence of the impact of exponential technologies in numerous fields with an increasing force in healthcare.
Fathom, a healthcare marketing agency, and Astute Solutions, a CRM and SRM software for marketing, explain how digital communications in healthcare is changing.
Gartner ranked Dell the #1 worldwide IT services provider in healthcare in 2014. Dell sees global disruptions in healthcare delivery and continues to invest in strategies to address these rapid changes. They are actively enhancing development, implementation and adoption of novel technologies, services, and applications that will revolutionize information-driven care, resulting in improved patient outcomes and overall cost savings worldwide. Dr. Nick is responsible for providing strategic insight and will discuss some Dell’s strategies to achieve an IT environment that is interconnected, efficient and patient-focused.
Outsmarting Smart Technology to Reclaim our Health and FocusSharpBrains
8–8.30. Outsmarting Smart Technology to Reclaim our Health and Focus
Dr. Margaret Morris, clinical psychologist, author of Left to Our Own Devices and former senior researcher at Intel
8.45–10.15am. Navigating the Brain Research Landscape
Dr. Peter Whitehouse, Professor of Neurology at Case Western Reserve University
Dr. Nir Grossman, Lecturer in the Division of Brain Sciences at Imperial College London
Dr. Reza Zomorrodi, Project Scientist at University of Toronto’s Centre for Addiction and Mental Health (CAMH)
Chaired by: Rebecca Canter, Associate at the Dementia Discovery Fund (DDF)
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
SOCIAL MEDIA MARKETING – APPROACH SOCIAL MEDIA WITH THE CUSTOMER, NOT THE BR...Keith Forsyth
Presentation made at eyeforpharma by Greg Cohen, Global Multi-Channel Lead at UCB Pharma - excellent!
Voice-Over can be accessed under:
https://s3.amazonaws.com/efpharma/Philadelphia2016/Content+%2815+March%29/Greg+Cohen+audio.MP3
How Physicians Can Use Social Media ProfessionallyJoshua Brett
A power point presentation describing how physicians can use Social Media professionally to engage patients and improve health outcomes while complying with legal and ethical guidelines. This highlights my Masters Degree Capstone Project.
How do radiologists use social media? This lecture gives a better insight about both the advantages and downsides of using social media as a medical professional.
Charlie Young presented at the West Midlands Informatics Network Open Evening that brought together healthcare and industry professionals interested in the development and propagation of technology and data in healthcare provision.
Presentation by Dr Frances Kay-Lambkin, Centre for Brain and Mental Health Research, University of Newcastle for proesssional development workshop 'Using technology to support the mental health of young poeple'.
http://www.newcastle.edu.au/research-and-innovation/centre/cbmhr/about-us
Navigating the Brain/ Mind Innovation Landscape & Book presentation El Cerebr...SharpBrains
Navigating the Brain/ Mind Innovation Landscape & Book presentation El Cerebro Que Cura (The Brain That Heals)
By Alvaro Fernandez, CEO and Editor-in-Chief at SharpBrains
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
Participatory design, the "Making" of Health and the Future of Diabetes Techn...Joyce Lee
We Hacked #DTM2014! A Joint Presentation by John Costik, Adrien de Croy, Weston Nordgren II, The Nightscout community, and Joyce Lee, MD, MPH, Doctor as Designer
Healthcare Professionals (HCPs) in Spain who have online influence in Diabetes.CREATION
These slides are from a webinar presented by Paul Grant and Daniel Ghinn on the 16th July 2013, introducing a methodology and full Creation Pinpoint digital opinion leaders insight report on healthcare professionals (HCPs) discussions about Diabetes in Spain.
Using Creation Pinpoint, the study explores the Top 25 digital opinion leaders (DOLs) in a one year period, and identifies some of the characteristics of the influence networks formed by HCPs in their use of public social media.
More information and contact details can be found at www.creationpinpoint.com
Analysis of the online networking activities of 100,625 globally distributed healthcare professionals (HCPs) on Twitter indicates an increase in their use of public social media for clinical and professional purposes.
The international healthcare community are increasingly using public social media channels for professional network building and clinical conversation. Through focused clusters related to professional interest, healthcare professionals (HCPs) are recognizing the value of online connections for discovering and discussing: clinical cases; practice matters; research; treatments; and news.
HXR 2016: Designing to Support Mental Health -Dr. Kimberly O'Brien, Simmons C...HxRefactored
Kimberly H. McManama O’Brien, PhD, LICSW, is an Assistant Professor at Simmons School of Social Work with a joint appointment at Harvard Medical School as an Instructor in Psychiatry. She is also a per diem clinician at Boston Children’s Hospital, where she conducts the majority of her research. Dr. O’Brien is committed to a research agenda focused on the development and testing of brief interventions for suicidal adolescents.
Leveraging Mobile Apps and Digital Therapeutics to Improve Behavioral HealthSpectrum Health System
In this presentation, the top apps and digital therapeutics for behavioral health, with a focus on stress, depression, and anxiety, will be reviewed including a summary of program offerings and patient outcomes. Strategies for embedding digital health programs as complements to traditional behavioral health treatment will be discussed. The design and results of a recent implementation of mobile app prescriptions as part of standard care in 12 clinical areas with 70 plus prescribing providers will be described. Engagement and acceptability data from patients and providers will be shared. Strategies for developing standard work and governance for this new category of behavioral health treatment will be offered. Discussion will center on how mobile health represents a high value, low-cost care transformation for the future of health care.
Wearable Health, Fitness Trackers, and the Quantified SelfSteven Tucker
The vision and reality of individualised health and wellness achieved through tracking personal data. An introduction to the scope of the problems followed by the advent of the Quantified Self. Then a pictorial view of trackers, gadgets, #ehealth, and #mHealth devices. This leads the audience to a clear understanding of how we can digitise behaviour and biology to achieve wellness and prevent disease in the 1st place. Overall, there is an underlying influence of the impact of exponential technologies in numerous fields with an increasing force in healthcare.
Fathom, a healthcare marketing agency, and Astute Solutions, a CRM and SRM software for marketing, explain how digital communications in healthcare is changing.
Gartner ranked Dell the #1 worldwide IT services provider in healthcare in 2014. Dell sees global disruptions in healthcare delivery and continues to invest in strategies to address these rapid changes. They are actively enhancing development, implementation and adoption of novel technologies, services, and applications that will revolutionize information-driven care, resulting in improved patient outcomes and overall cost savings worldwide. Dr. Nick is responsible for providing strategic insight and will discuss some Dell’s strategies to achieve an IT environment that is interconnected, efficient and patient-focused.
Outsmarting Smart Technology to Reclaim our Health and FocusSharpBrains
8–8.30. Outsmarting Smart Technology to Reclaim our Health and Focus
Dr. Margaret Morris, clinical psychologist, author of Left to Our Own Devices and former senior researcher at Intel
8.45–10.15am. Navigating the Brain Research Landscape
Dr. Peter Whitehouse, Professor of Neurology at Case Western Reserve University
Dr. Nir Grossman, Lecturer in the Division of Brain Sciences at Imperial College London
Dr. Reza Zomorrodi, Project Scientist at University of Toronto’s Centre for Addiction and Mental Health (CAMH)
Chaired by: Rebecca Canter, Associate at the Dementia Discovery Fund (DDF)
Slidedeck supporting presentation and discussion during the 2019 SharpBrains Virtual Summit: The Future of Brain Health (March 7-9th). Learn more at:
https://sharpbrains.com/summit-2019/
SOCIAL MEDIA MARKETING – APPROACH SOCIAL MEDIA WITH THE CUSTOMER, NOT THE BR...Keith Forsyth
Presentation made at eyeforpharma by Greg Cohen, Global Multi-Channel Lead at UCB Pharma - excellent!
Voice-Over can be accessed under:
https://s3.amazonaws.com/efpharma/Philadelphia2016/Content+%2815+March%29/Greg+Cohen+audio.MP3
How Physicians Can Use Social Media ProfessionallyJoshua Brett
A power point presentation describing how physicians can use Social Media professionally to engage patients and improve health outcomes while complying with legal and ethical guidelines. This highlights my Masters Degree Capstone Project.
How do radiologists use social media? This lecture gives a better insight about both the advantages and downsides of using social media as a medical professional.
Charlie Young presented at the West Midlands Informatics Network Open Evening that brought together healthcare and industry professionals interested in the development and propagation of technology and data in healthcare provision.
Presentation by Dr Frances Kay-Lambkin, Centre for Brain and Mental Health Research, University of Newcastle for proesssional development workshop 'Using technology to support the mental health of young poeple'.
http://www.newcastle.edu.au/research-and-innovation/centre/cbmhr/about-us
“Digital Future- How the Internet is Changing the Landscape of Addiction & Me...LifeRecoveryProgram
Although not a replacement to traditional treatment or counseling, web-based programs are proving to be an innovative and powerful approach to effectively reach those with addiction and mental health issues. A cost benefit analysis and overview of this trend as well as peer reviewed studies will be discussed.
Learning Objectives
- To provide current trends and research regarding online programs
- To explore ways of integrating online modalities with existing resources
- To discuss the advantages and limitations of web based programs
I designed this presentation to raise awareness on anxiety and depression, including other mental health issues.
We are facing a global crisis on mental health and people aren't talking about it nearly enough. Employers also aren't aware of the many stresses that modern life places on some of their staff.
They need to take mental health more seriously in the workplace.
This presentation is dedicated to JewWario, Justin Carmical who committed suicide only recently. He was suffering from depression.
Each month, join us as we highlight and discuss hot topics ranging from the future of higher education to wearable technology, best productivity hacks and secrets to hiring top talent. Upload your SlideShares, and share your expertise with the world!
Not sure what to share on SlideShare?
SlideShares that inform, inspire and educate attract the most views. Beyond that, ideas for what you can upload are limitless. We’ve selected a few popular examples to get your creative juices flowing.
Research on the best practices for healthcare social media. Presentation for #Newhouseprsm. Track with #hcsmbp. Interviewed @hjluks, @berci, @nicolaziady, @johnnostra
Learn more about the social media ecosystem surrounding healthcare, with perspectives on companies, physicians, employees and patients. This presentation was given to a graduate class in the University of St. Thomas Health Care Communications Masters Program, June 2016.
Presentation of Vishal Gulati (Draper Esprit, Venture Partner; Horizon Discovery Group PLC, Board Director) at the Forum of the BioRegion of Catalonia, organized by Biocat.
This presentation deck was used in the October 2019 PM360 webinar sponsored by QxMD.
Description:
Generating top-of-mind awareness is a key challenge in diagnosing both rare and non-rare diseases that otherwise could be missed. Creating that awareness is one of the biggest challenges for pharmaceutical marketers.
Join this webcast to explore the modern disease state awareness campaign and how innovative platforms can help you bring your information closer to the point of care, all from the perspective of a practicing clinician.
Invited presentation at Presenting Data: How to Convey Information Most Effectively Seminar, Centre of Research Excellence in Patient Safety, School of Public Health and Preventive Medicine, Monash University, February 2015.
Slides from the mHealth Symposium at 2015 IDF World Diabetes Congress3GDR
To watch the video recording of the presentation please visit:
https://www.youtube.com/watch?v=uH8SxqRCeIM
For more information on this symposium please visit:
http://mhealthinsight.com/2015/09/23/idfworlddiabetescongress/
Presentation by PJ Gorenc, Nemours Center for Health Delivery Innovation at the Smart Health Conference 2018, held at Bally's Las Vegas on the 26-27th of April, 2018.
Digital Health Revolution and the Opportunity for Dietitians to Lead Viable Synergy LLC
This is a presentation that was given at the 96th Annual Conference of the Ohio Academy of Nutrition and Dietetics conference on May 18, 2017. During the session we discussed the rise of digital health and its impact and role in health and healthcare delivery. Innovative software, hardware, and communication solutions were described and use cases discussed. Innovative programs and services being provided by dietitians in our region and around the world were highlighted.
The Networked Public Physician: Will you take the plunge?Joyce Lee
Slides for my talk to the 1st year medical students at the University of Michigan about the transformative power of social media. Check out the homework I gave ahead of time! http://joyceisplayingontheinter.net/andtweetingwithmedstudents.html
Changing Human Behavior Through Data-Driven ExperiencesEnsighten
(Mayur Gupta, SVP, Head of Digital, Healthgrades) There is no doubt that we are now living in a consumer-led era where an individual demands the most immersive and consistent experiences across touch points. Whether consumers are transacting in retail, finance or healthcare, they see no difference in those verticals, and expect the same class of experience, value and storytelling. Despite this obvious fact, most brands continue to struggle in delivering smarter experiences due to fragmentation within the entire digital ecosystem. This notion of delivering seamless omni-channel experiences can only be accomplished through connected marketing technology machinery, along with data, content and an integrated “experience planning” process that is driven by consumer behaviors –not channels or touch points. The brands that are able to connect the fundamental pieces with the experience planning process will succeed in driving behavioral change. The rest will unfortunately deliver broken experiences at best.
We live in a connected world where the effort required to communicate with someone has fallen causing the frequency and volume of communication to rise significantly. To effectively reach physicians it’s import to understand how they network and what platforms they use to stay connected. Learn more about physician networking by reviewing the infographic below: Physician Trends – Social Media.
Presentation 'Use of social networks for innovation in health' done by Vicente Traver (SABIEN-ITACA previously TSB-ITACA) during the IBEC 2014 conference held in Gwangju from 20 to 22th November, 2014. Presentation is focused about how social media can be used as driver for innovation in health
From Selfies to Healthies – What's Next for Technology in Health & WellnessOgilvy Consulting
Today we generate huge amounts of data on the efficiency of everything from cars to jet engines, but hardly track our health with the widely available technology. As the future of health focuses more on preventive care, we must go beyond yoga and yoghurt to achieve and encourage healthier behaviors.
In this webinar, we’ll discuss the latest Health and Wellness trends as well as the impact of social technology on caring for our health.
Similar to Digital Mental Health - UC Berkeley - without hidden - reduced (20)
33. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
CHALLENGES OF MOBILE HEALTH:
RESEARCH METHODOLOGIES ARE OUTDATED
• Way too many apps, pilots
• Lack of standardization
• Lack of sound methodology
• Lack of data interoperability & systems
integration
Tomlinsonetal.,2013
40. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
MHIMSS EVALUATION METHODS
http://www.mhimss.org/sites/default/files/resource-media/pdf/HIMSSguidetoappusabilityv1mHIMSS.pdf
Selecting a Mobile App: Evaluating the Usability of
Medical Applications
mHIMSS App Usability Work Group
July 2012
Table 2 – Usability Principle Attribute ChecklistUsability
Principle
Mobile Design
Tenet
Example attributes of a “usable” app
Let data scream Only information, visual elements and functionalitynecessary to core tasks and decisions are included.Important information stands out, and function options
are easy to understand. The focus is the data.The app has a clear, clean, uncluttered screen design.Speak my sign
What interface?
Screen metaphors are familiar to everyday life, orcommonly expected computer experiences for theclinician.
Workflows match the clinical practice needs.The app is intuitive and easy to learn; minimal, if any,
training is required.
Iconography and symbols speak “naturally.”
Grid it
Graphic design and layout have the same look and feel,
consistent placement of screen elements (e.g., gutters,
columns, margins and captions).Terminology and data entry fields are used consistently.
Understanding how one screen works helps youunderstand how other screens work
Date your users
Simplicity
Naturalness
Consistency
44. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
DATA & PRIVACY OVERVIEW BY GLENN ET AL.
“Predictive modeling, referred to
by the advertising community as
behavioral targeting, is used to
bring specific advertisements to
online users based on their
perceived interests… Target
predicted that a customer was
pregnant due to purchasing
patterns…”
CurrPsychiatryRep(2014)16:494DOI10.1007/s11920-014-0494-4
45. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
DATA & PRIVACY OVERVIEW BY GLENN ET AL.
“This incident also highlighted
that personal health
information can be created by
combining seemingly
innocuous data, and that a
predictive model outside of
HIPAA protection can cause
harm whether or not it is
accurate.”
— Tasha Glenn, Scott Monteith
CurrPsychiatryRep(2014)16:494DOI10.1007/s11920-014-0494-4
47. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
NATIONAL HEALTH SERVICE — APP STORE RISKS
Of 27 apps [using online API’s], 16 (59 %, n =
16/27) allowed unencrypted access. Two apps
had critical vulnerabilities which permitted
access to user information, including
information belonging to other users, without
authorization.
Huckvaleetal.BMCMedicine(2015)13:214DOI10.1186/s12916-015-0444-y
48. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
NATIONAL HEALTH SERVICE — APP STORE RISKS
Half of apps (50 %, n = 35/70) included strong
identifiers in transmitted information. Two-
thirds of these (66 %, n = 23/35, 29 % of all
apps) sent identifying information without
encryption, including email addresses (n = 5),
account login details (n = 5), full name (n=2) or
date of birth (n=2).
Huckvaleetal.BMCMedicine(2015)13:214DOI10.1186/s12916-015-0444-y
49. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
NATIONAL HEALTH SERVICE — APP STORE RISKS
[Of the apps with privacy policies,] for a small
number (4 %, n = 2/49) information handling was
completely consistent with commitments made by
the policy. However, while no apps transmitted
information where a specific commitment had
been made not to, four-fifths either collected (82
%, n = 42/49) or transmitted (78 %, n = 38/49) one
or more data items not addressed by a policy.
Huckvaleetal.BMCMedicine(2015)13:214DOI10.1186/s12916-015-0444-y
50. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
THREE KEYS TO INCORPORATING APPS
1 Use reputable institutions & verified
developers.
2 Try an app yourself first. If an average
person can use it — prescribe it.
3 Informed consent on security, privacy,
and lack of testing is key.
53. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
WHY SHOULD WE CARE?
PATIENTS WILL MANAGE THEIR OWN HEALTH.
“People with psychotic
disorders were able and
willing to use e–mental
health services. Results
suggest that e–mental
health services are at least
as effective as usual care or
nontechnological
approaches.”
LianvanderKrieke,M.Sc.,M.A.LexWunderink,M.D.,Ph.D.AndoC.
Emerencia,M.Sc.PeterdeJonge,Ph.D.SjoerdSytema,Ph.D.E–
MentalHealthSelf-ManagementforPsychoticDisorders:Stateofthe
ArtandFuturePerspectives.”PsychiatricServices65:33–49,2014;
doi:10.1176/appi.ps.201300050
54. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
PEOPLE CAN’T AFFORD MENTAL HEALTH
“According to SAMHSA’s 2014
National Survey on Drug Use
and Health (NSDUH), 43.6
million people had a mental
illness in the past year. But
fewer than half received
treatment. That’s one in five
Americans over the age of 18.”
— Paolo del Vecchio, M.S.W.,
Director, Center for Mental
Health Services, Substance
Abuse and Mental Health
Services Administration
http://blog.samhsa.gov/2015/10/05/accelerating-access-to-mental-health-treatment/
57. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
WHY SHOULD WE CARE?
PATIENTS WILL MANAGE THEIR OWN HEALTH.
JeanaHFrost,PhD; MichaelPMassagli,PhD.”SocialUsesofPersonalHealthInformationWithinPatientsLikeMe,anOnlinePatient
Community:WhatCanHappenWhenPatientsHaveAccesstoOneAnother’sData”http://www.jmir.org/2008/3/e15/.
59. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
WHY SHOULD WE CARE?
OUTPATIENT SURVEY
Harvard
LSU
New Orleans
UC Davis
Sacramento Cty
U Wisconsin,
Madison
State n=106
Private n=108
County n=56
County n=50
36.2 y
39.6 y
44.7 y
43.9 y
MEAN AGE
60. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
WHY SHOULD WE CARE?
OUTPATIENT SURVEY
Pendingpublication.JohnTorous,MD;StevenChan,MDMBA;MarieTan,MD;JakeBehrens,MD;IanMathew,BS;LadsonHinton,MD;Peter
Yellowlees,MDMBBS;MatcheriKeshavan,MD.
61. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
OUTPATIENT SURVEY STATISTICS
Pendingpublication.JohnTorous,MD;StevenChan,MDMBA;MarieTan,MD;JakeBehrens,MD;IanMathew,BS;LadsonHinton,MD;Peter
Yellowlees,MDMBBS;MatcheriKeshavan,MD.
33
25
6
37
53
17
13
17
62
9
17
13
72
16
5
8
0
25
50
75
100
State
C
ounty
1
C
ounty
2
Private
ClinicType
Percentage
OwnershipandWillingness
HasSmartphoneandWil
NoSmartphonebutWillin
HasSmartphonebutUnw
NoSmartphoneandUnw
Has smartphone + Willing
No smartphone + Willing
Has smartphone + Unwilling
No smartphone + Unwilling
state
county 1
county 2
private
63. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
OUTPATIENT SURVEY DISCUSSION
• 58% ownership of smartphones mirrors
national U.S. 58% ownership
• 71.4% psychiatric outpatients are favorable
to the idea of using smartphones for MH
• Age matters: Younger use >> older
• Socioeconomic status matters:
Private insurance >> public patients
Pendingpublication.JohnTorous,MD;StevenChan,MDMBA;MarieTan,MD;JakeBehrens,MD;IanMathew,BS;LadsonHinton,MD;Peter
Yellowlees,MDMBBS;MatcheriKeshavan,MD.
64. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
OUTPATIENT SURVEY LIMITATIONS
• Use of app hypothetical; not verified practice
• Selection bias what about non-volunteers?
• No individual diagnoses
• No control for differences in smartphone
ownership rates in each community
Pendingpublication.JohnTorous,MD;StevenChan,MDMBA;MarieTan,MD;JakeBehrens,MD;IanMathew,BS;LadsonHinton,MD;Peter
Yellowlees,MDMBBS;MatcheriKeshavan,MD.
65. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
DIGITAL HEALTH OVERVIEW
104 M in the U.S. own smartphones
Mobile healthcare & medical app downloads
reach 44 M in 2012, rising to 142 M in 2016
McKinsey projects opportunities in global
mHealth to be $60 B
19% of smartphone users have health apps
http://rockhealth.com/healthcare-and-digital-health-facts/
67. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
Technology will
change the way
we practice
mental health.
SPEECH ANALYSIS
EYE & FACE RECO
SMART CLOTHING
INGESTIBLES
Tasha Glenn, Scott Monteith.” New Measures of Mental
State and Behavior Based on Data Collected From
Sensors, Smartphones, and the Internet” Curr Psychiatry
Rep (2014) 16:523 DOI 10.1007/s11920-014-0523-3
WEARABLE DEVICES
68. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
ADVANTAGES OF MOBILE HEALTH:
MOBILE
• Just-in-time context-aware interventions
• Portable location-independence
• Low-power low- to middle-income
countries with less-established infrastructure
• Lower cost than traditional desktop
computers
Hiltyetal.2013,Harrisonetal.2011,Klasnja&Pratt,2012;WHOGlobalObservatoryforeHealthandWHO,2011
95. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
ADVANTAGES OF MOBILE HEALTH:
CAN BE MORE ENGAGING.
CurrPsychiatryRep.2014Dec;16(12):520.doi:
10.1007/s11920-014-0520-6.
Theuseofelectronicgamesintherapy:areview
withclinicalimplications.Horne-MoyerHL1,
MoyerBH,MesserDC,MesserES.
“The use of
electronic games
in therapy: a
review with clinical
implications”
131. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
REAL-TIME LANGUAGE INTERPRETATION:
WHY IS LANGUAGE IMPORTANT?
• In 2002, approx. 6 million immigrant adults aged
18-64 did not speak English well. More than 2.5
million did not speak English at all.
• Professionally-trained interpreters are often not
available in community-based practices.
• Failure to use interpreters
– hospital admission rates
– use of testing
– poorer patient comprehension
– misdiagnosis and improper treatment
140. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
ULTIMATE GOAL
• Analyze language as data.
• Create new clinical processes for in-
person care and telemedicine.
• Create a better standard of care with
improved interpreting, more
efficiently, and less expensively.
141. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
PRELIMINARY TRANSLATION TESTS
English
Tell me about your girlfriends.
They were animals.
Pick one, and tell me about her.
I met a woman last year; she was a stray cat.
Why do you say she was a stray cat?
She had no connections.
What was it that you were attracted to?
Her body.
Okay. What kicked in about her personality later?
What do you mean?
If I met her, what would I notice about her?
It's tough to answer. Her attitude.
How was that?
It was good.
What do you think you'll be doing in five years,
and what would you like to be doing?
I'll probably be dead. I'd like to be a physician.
From Daniel J Carlat’s The Psychiatric Interview
2nd Edition.“Obtaining the Social and
Developmental History." pp.104-105
142. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
PRELIMINARY TRANSLATION TESTS
English
Tell me about your girlfriends.
They were animals.
Pick one, and tell me about her.
I met a woman last year; she was a stray cat.
Why do you say she was a stray cat?
She had no connections.
What was it that you were attracted to?
Her body.
Okay. What kicked in about her personality later?
What do you mean?
If I met her, what would I notice about her?
It's tough to answer. Her attitude.
How was that?
It was good.
What do you think you'll be doing in five years,
and what would you like to be doing?
I'll probably be dead. I'd like to be a physician.
Bing Translator EN ES EN
Tell me about your friends. C
They were animals.
Choose one and tell me about it. P
I met a woman last year; It was a stray cat. P
Why you say that it was a stray cat? P
It had no connection. P
What was it that attracted you?
Your body. P, C
It is ok. He kicked him later about his personality? N, P
What do you mean?
If I knew her, would count on it it? N, P
It is difficult to answer. His attitude. P
How was that?
It was good.
What do you think to be doing in five years, and what
would you like to do?
I will probably be dead. I'd like to be a doctor.
Odd pronouns
Non-sensical
Critical error
143. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
PRELIMINARY TRANSLATION TESTS
English
Do you have any thoughts about what
might have prompted your wife to call
the ambulance?
It sounds like you’ve been very sad
since your mother’s death, and that
her death after so many years of
suffering has also felt like a relief.
You look very sad.
I know you have much to tell me, but I
need to shift to getting some basic
information.
I see you’ve thought a lot about the
previous treatment team, but could
you tell me when you had that last
hospitalization?
From John Barnhill’s “Chapter 1. The Psychiatric Interview
and Mental Status Examination”. The American Psychiatric
Publishing Textbook of Psychiatry . 6th Edition.
144. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
PRELIMINARY TRANSLATION TESTS
English
Do you have any thoughts about what
might have prompted your wife to call
the ambulance?
It sounds like you’ve been very sad
since your mother’s death, and that
her death after so many years of
suffering has also felt like a relief.
You look very sad.
I know you have much to tell me, but I
need to shift to getting some basic
information.
I see you’ve thought a lot about the
previous treatment team, but could
you tell me when you had that last
hospitalization?
You have any idea about what could
be done for his wife to call the
ambulance? C
It seems that you've been very sad
since the death of his mother, and that
he also felt his death after so many
years of suffering as a relief. C
You feel very sad.
I know that you have much to say, but
I need to change to get some basic
information.
I see that you thought much about
pretreatment equipment, but could
you tell me when was that last
hospitalization? N
Bing Translator EN ES EN
Non-sensical
Critical error
150. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
ASYNCHRONOUS TELEPSYCHIATRY WORKFLOW
PRIMARY CARE
PROVIDER
PATIENT-CLINICIAN
“VIRTUAL VISIT”
PSYCHIATRIST
VIDEO
CONSULT
NOTE
STORE ON
VIDEO FILES
STEP 1:
Provider refers patient
to telepsychiatry.
STEP 5:
We measure satisfaction,
symptoms & outcomes
every 6 months.
STEP 2:
A video of the patient
interview is recorded
STEP 3:
Video & history sent securely
to consulting psychiatrist.
STEP 4:
The specialist’s consult &
recommendations are sent
to primary care provider.
151. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
ATP SUMMARY OF FINDINGS
Diagnostically reliable across
differing language groups
with translation
Not suggested for therapy
Can be used for monitoring
treatment progress
Easier management/admin/
scheduling
Improved communication
between patient and
reporting provider
152. @StevenChanMD @UCDavisHealth #DigitalMentalHealth
THE VCC TEAM
• Peter Yellowlees MD
• Alberto Odor MD
• Lorin Scher MD
• Michelle Parish MA
• Steven Chan MD
• Breanne Harris BA
• Glen Xiong MD
• Robert McCarron MD
• Andres Sciolla MD
• Anna-Maria Iosif PhD
• Paul Leigh PhD
• Bill Brady MD and Auburn
Clinic staff – UCD PCN
• Scott MacDonald MD and J St
Clinic staff – UCD
• Communicare FQHC staff
• CHT technical team – George
Wu, Kalim Simon
• EMR Epic team – Mike Minear
and Hien Nguyen MD
• Psychiatry Outpatient Clinic –
Becky Mackey
• Don Hilty MD USC
• Jay Shore MD U Colorado