The document discusses improving connectivity and coordination in Canada's mental healthcare system. It notes that while diagnostic tools and treatments have improved, mental health outcomes have remained largely unchanged, with high costs to individuals and the economy. A new platform called FeelingBetterNow aims to address this by providing a patient-centered, technology-enabled system that offers personalized care options based on evidence, and coordinates existing resources to streamline referrals and support self-care. The goal is to empower individuals to access help anywhere, and better integrate care to improve adherence and outcomes.
Personalizing wellness processes to employees will boost engagement, camaraderie, the corporate culture, productivity....and of course health.
We add a new definition of personalized to employee wellness. Course development for private licensing? We still will perform our unique HRA & CCA to develop your perfect e-learning courses.
Live Interactive webinars, Incentive programs with wearable technology......adding your employees own biometrics to the wellness process?? Coming very soon - GENOMICS!
Financial wellness, FARMacy....nutrition, physical activity, minimizing the root of all chronic disease - oxidative stress, stress reduction, family lifestyle, sexual health, sleep.....our coaches are highly specialized experts - who become your employees coaches......personalizing at bulk prices...
FUN, engaging .....creating your corporate health culture
Assertive Community Treatment (ACT) is an
evidence-based practice that improves
outcomes for people with severe mental
illness who are most at-risk of
■ Homelessness
■ Psychiatric hospitalization
■ Institutional recidivism
Recovery Relationships
ACT services are delivered by a
multidisciplinary team of providers who
conduct assertive outreach in the
community.
Team members develop consistent, caring,
person-centered relationships with clients.
These relationships have a positive impact
on outcomes and quality of life.
People who receive ACT services tend to
utilize fewer intensive, high-cost services
such as emergency department visits,
psychiatric crisis services, and psychiatric
hospitalization. They also experience more
independent living and higher rates of
treatment retention.
Assertive Community Treatment (ACT) began
over 40 years ago and has been studied widely.
Research shows that ACT has consistent, positive
effects upon individuals who have the
most severe symptoms and experience the
greatest impairment. ACT consistently
■ Reduces hospitalization
■ Increases housing stability
■ Improves quality of life
Importance of Fidelity2
Research also shows that fidelity to the ACT
model has a positive effect upon hospitalization
rates. People with mental illness who
receive services from ACT teams that achieve
higher levels of fidelity to the model tend to
experience a greater reduction in hospital days
Keeping People Housed
Presentation by Richard Kruszynski, Director of Consultation and Training/Center for Evidence-Based Practices at Case Western Reserve University
An Evidenced Based Practice (EBP) is an intervention for which there is strong research (randomized clinical trials) demonstrating effectiveness in achieving positive consumer outcomes.
Studies have demonstrated positive outcomes in programs where the most common diagnoses were schizophrenia, schizoaffective disorder, and bipolar disorder and consumers showed substantial functional impairment.
Other studies have documented benefits for consumers with co-occurring substance abuse disorders.
Center for Evidence-Based Practices (CEBP)
Case Western Reserve University
10900 Euclid Avenue
Cleveland, Ohio 44106-7169
216-368-0808
ACT implementation may include a variety of
community stakeholders as well as both local and state
health authorities. If an organization is providing
effective ACT services, many systems which interface
with ACT clients (e.g., behavioral healthcare, primary
healthcare, criminal justice) have an investment in the
outcomes generated by ACT, because clients will not
be showing up in those systems as frequently. Courts,
hospitals, managed-care companies, and the local
mental health authority all interact with the
individuals you are serving. Therefore, it is important
to engage these key stakeholders in the
implementation process.
Según estudios internacionales, está probado que la depresión es una enfermedad que llega a afectar a una de cada cinco o seis personas a lo largo de su vida. Por este motivo, el 14 de junio de 2016 dedicamos una jornada a 'La prevención y el abordaje de la depresión en el ámbito laboral'. Estuvo organizada en colaboración con la Fundación Española de Psiquiatría y Salud Mental (FEPSM).
Telehealth's evolution in 2020 continues to dominate the healthcare industryBrittany Dubeck
It has been a busy year for digital mental health. While no one knows what 2021 will bring, some themes are sure to continue to shape the field.
What's Trending?
-The shift was receiving care from offline to online
-The rising incidence & prevalence of mental health illnesses
-The Alarming rate of provider and staff burnout
-Operating a clinic is getting harder than ever
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
Nsg Pay 4 Performance:Ethical Challenges and OpportunitiesiCareQuality.us
This slide share is a brief overview of Nursing Pay for Performance, Ethical Issues and Opportunities to consider in the current landscape of healthcare in US
Personalizing wellness processes to employees will boost engagement, camaraderie, the corporate culture, productivity....and of course health.
We add a new definition of personalized to employee wellness. Course development for private licensing? We still will perform our unique HRA & CCA to develop your perfect e-learning courses.
Live Interactive webinars, Incentive programs with wearable technology......adding your employees own biometrics to the wellness process?? Coming very soon - GENOMICS!
Financial wellness, FARMacy....nutrition, physical activity, minimizing the root of all chronic disease - oxidative stress, stress reduction, family lifestyle, sexual health, sleep.....our coaches are highly specialized experts - who become your employees coaches......personalizing at bulk prices...
FUN, engaging .....creating your corporate health culture
Assertive Community Treatment (ACT) is an
evidence-based practice that improves
outcomes for people with severe mental
illness who are most at-risk of
■ Homelessness
■ Psychiatric hospitalization
■ Institutional recidivism
Recovery Relationships
ACT services are delivered by a
multidisciplinary team of providers who
conduct assertive outreach in the
community.
Team members develop consistent, caring,
person-centered relationships with clients.
These relationships have a positive impact
on outcomes and quality of life.
People who receive ACT services tend to
utilize fewer intensive, high-cost services
such as emergency department visits,
psychiatric crisis services, and psychiatric
hospitalization. They also experience more
independent living and higher rates of
treatment retention.
Assertive Community Treatment (ACT) began
over 40 years ago and has been studied widely.
Research shows that ACT has consistent, positive
effects upon individuals who have the
most severe symptoms and experience the
greatest impairment. ACT consistently
■ Reduces hospitalization
■ Increases housing stability
■ Improves quality of life
Importance of Fidelity2
Research also shows that fidelity to the ACT
model has a positive effect upon hospitalization
rates. People with mental illness who
receive services from ACT teams that achieve
higher levels of fidelity to the model tend to
experience a greater reduction in hospital days
Keeping People Housed
Presentation by Richard Kruszynski, Director of Consultation and Training/Center for Evidence-Based Practices at Case Western Reserve University
An Evidenced Based Practice (EBP) is an intervention for which there is strong research (randomized clinical trials) demonstrating effectiveness in achieving positive consumer outcomes.
Studies have demonstrated positive outcomes in programs where the most common diagnoses were schizophrenia, schizoaffective disorder, and bipolar disorder and consumers showed substantial functional impairment.
Other studies have documented benefits for consumers with co-occurring substance abuse disorders.
Center for Evidence-Based Practices (CEBP)
Case Western Reserve University
10900 Euclid Avenue
Cleveland, Ohio 44106-7169
216-368-0808
ACT implementation may include a variety of
community stakeholders as well as both local and state
health authorities. If an organization is providing
effective ACT services, many systems which interface
with ACT clients (e.g., behavioral healthcare, primary
healthcare, criminal justice) have an investment in the
outcomes generated by ACT, because clients will not
be showing up in those systems as frequently. Courts,
hospitals, managed-care companies, and the local
mental health authority all interact with the
individuals you are serving. Therefore, it is important
to engage these key stakeholders in the
implementation process.
Según estudios internacionales, está probado que la depresión es una enfermedad que llega a afectar a una de cada cinco o seis personas a lo largo de su vida. Por este motivo, el 14 de junio de 2016 dedicamos una jornada a 'La prevención y el abordaje de la depresión en el ámbito laboral'. Estuvo organizada en colaboración con la Fundación Española de Psiquiatría y Salud Mental (FEPSM).
Telehealth's evolution in 2020 continues to dominate the healthcare industryBrittany Dubeck
It has been a busy year for digital mental health. While no one knows what 2021 will bring, some themes are sure to continue to shape the field.
What's Trending?
-The shift was receiving care from offline to online
-The rising incidence & prevalence of mental health illnesses
-The Alarming rate of provider and staff burnout
-Operating a clinic is getting harder than ever
How can front-line professionals incorporate the emerging brain health ...SharpBrains
(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014)
12:30-2pm. How can front-line professionals incorporate the emerging brain health toolkit to their practices?
- Elizabeth Frates, Director of Medical Student Education at the Institute of Lifestyle Medicine
- Dr. Catherine Madison, Director of the Ray Dolby Brain Health Center at California Pacific Medical Center
- Barbara Van Amburg, Chief Nursing Officer at Kaiser Permanente Redwood City
- Dr. Wendy Law, Clinical Neuropsychologist at Walter Reed National Military Medical Center
- Chair: Dr. Michael O’Donnell, Editor-In-Chief of the American Journal of Health Promotion
Learn more here:
http://sharpbrains.com/summit-2014/agenda/
Nsg Pay 4 Performance:Ethical Challenges and OpportunitiesiCareQuality.us
This slide share is a brief overview of Nursing Pay for Performance, Ethical Issues and Opportunities to consider in the current landscape of healthcare in US
20 dấu hiệu bạn thành công mà không biết
Không cần biết bạn có bao nhiêu tiền trong tài khoản, có nhà to hay nhỏ..., nếu bạn thấy hạnh phúc, thì bạn đã thành công.
1. Các mối quan hệ của bạn không còn là diễn kịch như trước
Đóng kịch là biểu hiện chưa trưởng thành. Khi chúng ta có tuổi, chúng ta sẽ ngày một trưởng thành hơn. Vì thế, nếu quá khứ của bạn toàn là những mối quan hệ giả tạo, và giờ đây bạn đã vượt ra được khỏi điều đó, thì bạn đã thành công.
2. Bạn không còn sợ hãi khi yêu cầu người khác giúp đỡ, ủng hộ nữa
Đề nghị sự giúp đỡ không có nghĩa là yếu đuối. Thực tế, nó chính là sức mạnh. Không ai có thể thành công đơn độc, mà thành công thường là mục tiêu của cả nhóm. Đề nghị sự trợ giúp nghĩa là bạn đã trưởng thành.
3. Bạn đã có tiêu chuẩn của riêng mình
Bạn không tha thứ cho những hành vi tồi tệ nữa - dù là của người khác hay bản thân mình. Bạn yêu cầu mọi người chịu trách nhiệm về hành động của họ. Bạn không dành thời gian cho những kẻ phá hỏng đời mình nữa.
4. Bạn bỏ qua những điều khiến mình không vui vẻ
Biết yêu bản thân là một sự thành công. Yêu bản thân đủ để nói "không" với bất cứ thứ gì không khiến bạn hạnh phúc, không phục vụ mục đích của bạn hoặc kéo dìm bạn xuống.
5. Bạn có những phút giây cảm kích người bạn nhìn thấy trong gương
Lý tưởng nhất là bạn có được cảm giác ấy trong mọi giây phút. Nhưng nếu không thể như vậy, chỉ cần bạn làm điều đó nhiều hơn so với trước đây, bạn cũng đã thành công.
6. Bạn học được rằng lùi lại và thất bại là một phần của sự trưởng thành
Không phải tất cả mọi người đều thành công 100% trong mọi lần. Điều đó là không tưởng. Cuộc sống là những chiến thắng và thất bại. Vì thế, hãy nhìn những bước lùi của bạn như là bước đệm để có được thứ lớn hơn.
7. Bạn có được hệ thống hỗ trợ, trong đó có những người sẵn sàng làm mọi thứ vì bạn
Nếu bạn nhận diện được những người là điểm tựa cho mình, và nhận ra những ai chỉ giả vờ làm điều đó, bạn đã thành công. Đây là một sự nhận diện đau đớn, song một khi bạn đã biết nhìn ra dấu hiệu của sự phản bội, bạn có thể học cách tránh xa những người đó.
8. Bạn không phàn nàn nhiều
Vì bạn biết rằng thực tế chẳng có gì đáng phàn nàn. Người thành công biết điều đó, và họ sống trong một tâm trạng biết ơn.
9. Bạn có thể ca ngợi thành công của người khác
Bởi vì sự thành công của người khác cũng không khiến bạn gặp thất bại. Bạn càng có năng lượng tích cực trước những thành công của người khác, bạn càng dễ tạo ra điều đó cho mình.
10. Bạn say mê với những điều mình theo đuổi
Bạn không phải là chiếc ao tù. Bạn biết mình có những điều tuyệt vời có thể góp phần cho thế giới. Bạn có tài năng và năng khiếu độc nhất.
https://kinhdoanh.muabannhanh.com/20-dau-hieu-ban-thanh-cong-ma-khong-biet-81.html
La Facultad de Medicina ha instalado paneles informativos, dirigidos principalmente a estudiantes y profesores con las medidas básicas que se deben seguir en caso de que ocurra una emergencia. Estos paneles se han instalado en distintas dependencias del centro, y próximamente se colocarán en los pabellones docentes de los hospitales Virgen del Rocío y Valme.
Con anterioridad, además de los simulacros, el centro ha puesto en marcha otras medidas, como los procedimientos de seguridad para el trabajo en laboratorios. Los paneles están diseñados con imagenes que facilitan la comprensión de las instrucciones, y los mensajes están redactados con un estilo simple. Así mismo, la gama de colores empleados en los paneles corresponden a lo establecido en las normas de este tipo de señales. Los materiales empleados tienen un tratamiento especial para protegerlos de manipulaciones, grafitis, etc
Programa de las Jornadas organizadas por el Instituto Andaluz del Flamenco y la Cátedra de Flamencología de la Universidad de Sevilla para homenajear a Juanito Valderrama.
La Facultad de Derecho de la Universidad de Sevilla celebrará el Congreso Internacional "Participación y ciudadanía democrática", dirigido por los profesores de Derecho Constitucional Manuel Carrasco Durán y Rosario Naranjo Román, los días 9 y 10 de febrero en el Salón de Grados de la Facultad de Derecho.
This is a survey on the history of oil presented as a timeline which includes major social, business and technological events related to the development of the oil industry.
Developing non-clinical approaches and are pathways to fundamental socioeconomic issues that are presented in the primary care and secondary care settings
1 day ago
Benjamin Proffitt
Discussion 7
COLLAPSE
Top of Form
Job Oppurtunities
Indirect care settings are defined as services that are related to patient care but do not require interactions between the healthcare provider and the patient. There is a vast amount of jobs and professions related to Indirect care that make this an extremely explosive market for those seeking to join the medical field. Indirect care organizations are organizations such as pharmaceutical companies, insurance carriers, health information technologists and many more. Job oppurtunities for those seeking a degree and employment in the field of health care administration could seek out jobs in these fields to include the Director of Quality control, the chief executive officer, the chief financial officer etc. These positions are extremely impactful on the product and services these organizations provide and allow them to better support direct care facilities in providing safe, quality patient care with the latest and most up to date services and technologies. While ultimately, all companies are seeking to make profits in order to enhance their company and pay their employees it is important to look at how indirect care supports direct care oganizations.
Correleation
Although not directly involved in the intracicies of patient care, there is a direct correleation to the work done in indirect care facilities with direct care facilities. One of the most major sector of indirect care, and likely the fastest growing is the field of Healthcare Information Technology. Healthcare information technology or HIT is defined as “the application of information processing involving both computer hardware and software that deals with the storage, retrieval and use of healthcare information, data, and knowledge for communication and decision making.” (Alotaibi & Frederico., 2017). One way that healthcare technology influences direct care organizations is through the use of automated reminders and alerts in computers that support clinicians and support staff with safety nets in the clinical decision making process. For example, hard stops in Electronic health records, which are stops implemented that cause a user to address the issue at hand before continuing with care have been shown to decrease prescription errors by 22% (Feldman et al., 2018).
Another major implementation that Healthcare information technology has implemented is the development of the Electronic Health Record. The electronic health record has been a major introduction in the world of healthcare that has improved the quality of care, patient outcomes, safety and reduced medication errors, redundant testing, and improved overall communication between providers. With their creation, medical organizations that participate in direct care have been able to significantly increase their productivity, abandon old outdated and dangerous paper charting and have been provi ...
1 day agoBenjamin Proffitt Discussion 7COLLAPSETop of FoAbbyWhyte974
1 day ago
Benjamin Proffitt
Discussion 7
COLLAPSE
Top of Form
Job Oppurtunities
Indirect care settings are defined as services that are related to patient care but do not require interactions between the healthcare provider and the patient. There is a vast amount of jobs and professions related to Indirect care that make this an extremely explosive market for those seeking to join the medical field. Indirect care organizations are organizations such as pharmaceutical companies, insurance carriers, health information technologists and many more. Job oppurtunities for those seeking a degree and employment in the field of health care administration could seek out jobs in these fields to include the Director of Quality control, the chief executive officer, the chief financial officer etc. These positions are extremely impactful on the product and services these organizations provide and allow them to better support direct care facilities in providing safe, quality patient care with the latest and most up to date services and technologies. While ultimately, all companies are seeking to make profits in order to enhance their company and pay their employees it is important to look at how indirect care supports direct care oganizations.
Correleation
Although not directly involved in the intracicies of patient care, there is a direct correleation to the work done in indirect care facilities with direct care facilities. One of the most major sector of indirect care, and likely the fastest growing is the field of Healthcare Information Technology. Healthcare information technology or HIT is defined as “the application of information processing involving both computer hardware and software that deals with the storage, retrieval and use of healthcare information, data, and knowledge for communication and decision making.” (Alotaibi & Frederico., 2017). One way that healthcare technology influences direct care organizations is through the use of automated reminders and alerts in computers that support clinicians and support staff with safety nets in the clinical decision making process. For example, hard stops in Electronic health records, which are stops implemented that cause a user to address the issue at hand before continuing with care have been shown to decrease prescription errors by 22% (Feldman et al., 2018).
Another major implementation that Healthcare information technology has implemented is the development of the Electronic Health Record. The electronic health record has been a major introduction in the world of healthcare that has improved the quality of care, patient outcomes, safety and reduced medication errors, redundant testing, and improved overall communication between providers. With their creation, medical organizations that participate in direct care have been able to significantly increase their productivity, abandon old outdated and dangerous paper charting and have been provi ...
Integrating Behavioral Health into Primary Care – Thought Leaders in Populati...Epstein Becker Green
Although mental health and substance abuse (behavioral health) services have historically been segregated from traditional medical care, its impact on patients’ well-being, physical health and cost-of-care has become increasingly critical to improving clinical quality outcomes while significantly decreasing financial costs by tens of billions of dollars. Drs. Daviss and Coleman will discuss the advances in policy and practice regarding the integration of behavioral health with physical health, as well as some of the gaps in identifying, aggregating, and analyzing data critical to a more holistic and comprehensive view of the individual.
In addition, the speakers will:
* Identify the clinical, legal, social, and financial impacts of behavioral health disorders on chronic medical conditions.
* Describe the challenges involved in improving clinical and financial outcomes in patients with chronic medical conditions who also have behavioral health symptoms and/or conditions.
* Demonstrate the rewards for implementing new information technology applications and analysis for better clinical and financial outcomes for these specific populations.
Moderator
* Mark E. Lutes, Member of the Firm and Chair of Epstein Becker Green's Board of Directors
Speakers
* Charles A. Coleman, PhD, Senior Sponsor of IBM's Population Health Insights and Programs Management of IBM's Healthcare Solutions Board
* Steven R. Daviss, MD, DFAPA, Chief Medical Officer at M3 Information, LLC, a DC-based mobile mental health information technology company that developed the peer-reviewed multi-dimensional, patient-centered mental health screening tool, M3Clinician
Epstein Becker Green Webinar - Moderated by Mark E. Lutes - http://www.ebglaw.com/events/the-challenges-and-rewards-of-integrating-behavioral-health-into-primary-care-%E2%80%93-thought-leaders-in-population-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
Data drives company outcomes - employers agree analytics are a key factor in strategic planning. Customizing wellness solutions that has turned science fiction into science. Employees biometrics and genomics - sequencing the genome - drives choosing individualized wellness coaching. Health solutions - providing a path of sustainability and adherence - scientific, engaging, redefining individualized - And we make it affordable. Employee health programs - what a wonderful way to build healthier communities - establish lifestyle habits creating a healthier future for our children. We can manage & prevent chronic illnesses - saving lives and money - investing the money for happier, bigger, better futures.
2. MentalHealthEssentials:ConnectivityandCoordination.
2
April 15, 2015
Outside The Box Looking In
In any complex system, two major conditions determine if the outcome is successful or not.
1. The quality of each component.
2. The integration of all the components into an effective system.
Connectivity and coordination are the essential conditions for the mental health and
productivity of all Canadians. In essence, they represent the glue that binds together the
independent moving parts that help build mental health resiliency.
Reality Check
Today, there is a plethora of new evidence-based diagnostic tools, psychotherapies, and
medications. Yet, mental health outcomes remain largely unchanged. Just over 20 percent
of Canadians still struggle with a mental disorder and only around 12.5% who have a disorder
will get an accurate diagnosis and optimal treatment. As many as 88% of those afflicted will
suffer chronically.1
Even with the best evidence-based inter-
ventions such as Cognitive Behavioural
Therapy (CBT), Employee Assistance
Programs (EAP), disability management and
direct case management for the population
as a whole, the emotional and economic
costs of mental disorders are still near
catastrophic. Roughly 2.5 in every 100
employees in an organization will go on
short-term disability leave due to a mental
health disorder. Of those, approximately 12
percent will go on long-term disability.2
In Canada, the estimated cost of mental health related issues is approximately $50 billion
or 4% of GDP.3
The toll of mental health strikes young people hardest, with suicide having
the ugly distinction of being the second-highest cause of death among the 15-24 year-old
cohorts.4
It is estimated that the lost productivity due to absenteeism, presenteeism and
turnover due to mental health problems cost employers in Canada nearly $6 billion in 2011.5
The Care Continuum Needs To Change
Despite all the money, time, and energy invested in wellness research and awareness
campaigns, little has changed. It begs the question: how could all our efforts fail to reduce
the human and economic burden of mental health disorders? It is not always just a matter of
getting someone to see a care provider. The resulting referral or diagnosis could come at the
1
Kirby, M. (2006)
2
Great-West Life (2013)
3
Smetanin, P. et al (2011)
4
Statistics Canada (2009)
5
Mental Health Commission of Canada (2012).
Mental Health Problems
costs Canada $50 billion
a year3
, with employers
on the hook for at
least $6 billion of that
amount5
(2011).
3. MentalHealthEssentials:ConnectivityandCoordination.
3
right time, but if the treatment is wrong or not available, the outcome will be poor.
For example, let’s say an individual is prescribed the right antidepressant, but receives no
assistance for accessing psychotherapy or dealing with a toxic workplace. According to a
2012 community health survey,6
lack of access to psychotherapy is a common problem.
It was not until 2013 that Canada had a broad strategic framework for tackling workplace
mental health, which arrived in the form of the 2013 National Standard for Psychological
Health & Safety in the Workplace.
It will take time for employers to get on board with the recommendations of the Standard,
especially as they are voluntary. In the meantime, there will continue to be a fundamental
disconnect between the different points of care. Even the best musicians need a conductor
to bring all the instruments together to create a symphony.
The Future, Richly Imagined
What information technology has done for complex systems like air traffic control and
supply chain logistics, it can do for mental healthcare.7
It can underpin improvements in
systems of connectivity, control, coordination, and quality assurance. The “Internet of Mental
Health” can become an integral part of the “Internet of Enterprise Productivity”, exemplified
by companies like SAS and Oracle, which for years have supported these types of critical
business functions.
Intelligent use of information technology,
combined with a healthy dose of common
sensecanmakeafundamentalandprofound
difference in mental health outcomes. At the
end of 2014, just over 80% of Canadians used
web-connected mobile devices.8
There is
extensive evidence showing that web-based
Cognitive Behavioural Therapy is efficacious
in ameliorating the productivity-sapping
effects of mental health disorders such as
depression and insomnia.9,10
Similarly large
effect sizes have also been observed with
regards to eating disorders, substance use
and pathological gambling.11
Web-based
CBT has been shown to be as effective as
conventional CBT, and has a high likelihood
(over 50%) of being cost-effective relative to
no treatment at all or to conventional CBT.12
If we are serious about improving access
to evidence-based mental health care and
helping bring Canadians back to work, it’s
high time to put 2 and 2 together.
6
Sunderland, A. and Findlay, L.C. (2013)
7
Mental Health Commission of Canada (2014)
8
Comscore (2015)
9
Mackinnon, Griffiths and Christensen (2008)
10
Espie, CA et al (2012)
11
Hedman, Ljótsson & Lindefors (2012)
12
Ibd.
80%8
of Canadians
use smartphones and
tablets and web CBT
is clinically proven to
effectively treat mental
health problems and has
a high likelihood of cost-
effectiveness. Let’s put 2
and 2 together and give
Canadians the help they
need, wherever they are.
4. MentalHealthEssentials:ConnectivityandCoordination.
4
Transitioning from the Present, To the Future
How can we leverage technology to fix a highly fragmented mental health system that
has different payers, providers, levels of access, multiple silos of care and weak levels of
adherence and follow-up from patients and providers?
The answer is to develop a patient-centred system of mental health care. The individual needs
to be the initiator, navigator and conductor of their care. The individual is the first gatekeeper
of care. The support of family and friends is the second. Psychosocial intervention (from
EAP counselors or social workers) is the third and fourth, at the end of the spectrum, is
medical care. Prioritization of physical health is part of our survival instinct; with the tools we
have available today, we can augment that instinct to include prioritization of emotional and
mental health.
Mental health education need not be an
impenetrable ‘black box’ of information
about the complexities of neuroscience
that requires the services of a health care
professional to translate into lay person
terms. To get people to prioritize their
mental health, we need to help them
identify their problems early and easily and
provide them with an immediate action plan
to achieve wellness. It can be as simple as
connecting them to appropriate in-person
care providers early on and supporting them
with complementary tools such as self-care
focused stress management techniques and
web-based CBT. This allows them to practice
good mental health before appointments
and between appointments and improves
their mental health literacy. Correspondingly,
their adherence to evidence-based best
practices improves and gradually becomes
part of their daily routine.
These best practices can be distilled into simple care plan protocols that provide a strong level
of quality assurance and can be easily followed and adhered to. A well-known study in the
United States by quality improvement and patient safety experts at Johns Hopkins University
examined the impact of implementing checklists to reduce bloodstream infections among
patients in intensive care units (ICUs); the checklist included simple, actionable guidelines
such as hand-washing and cleaning the skin with chlorhexidine. The result: a staggering 66%
reduction in the rates of infection.13
13
Pronovost, P. et al (2006)
An effective patient-
centred system of mental
health care improves
outcomes by offering
early identification,
simple and actionable
care protocols and
a variety of options
for seeking care: self-
care, psychosocial and
medical. One size
does not fit all.
5. MentalHealthEssentials:ConnectivityandCoordination.
5
Tailoring Solutions to Individual Needs
If individuals are to comply with best practices in a world of imperfect access to care, we
need to provide them with options. Individuals’ mental health is not a fixed quantity; it varies
at different points in their lives, and may require a different approach at each point. Stress
reduction techniques may be sufficient at one point; at another, therapy may be more
appropriate, and at yet another, medical intervention may be necessary. And these may
not be sequential in nature. Depending on the individual, they may begin their journey with
medical treatment and later transition to a different and more appropriate domain of care.
One solution does not fit all. Adherence and compliance are key to optimal outcomes. As
such, multiple delivery channels should be available whether by in-person professional care,
care via video chat, by phone, or by proven programs such as web-based CBT, which can be
done anytime and anywhere.
Incentives To Act
Incentives, financial or otherwise, certainly
merit consideration to get individuals to
take the first step to patient-centred care.
An evaluation of the Johnson & Johnson
Family of Companies worksite health
promotion program indicated savings
per employee of $565 and an estimated
return on investment (ROI) ranging from
88% to 392%.14
Early Identification is Key
You have likely heard that early intervention
is critical to positive health outcomes; while
that is of course true, a system of early
intervention cannot be implemented without early identification. This is especially true for
mental health; if mental health disorders are not caught early, it can lead to the physical
deterioration of brain tissue.15
In-person access to mental health care professionals can take days, weeks or months. Even
days can be too long in some cases, as people tend to lose motivation and momentum
necessary to seek help. Even in cases where appointments can be made relatively early,
people need simple guidelines on hand to support them between appointments. Simple,
actionable guidelines can be especially helpful for the one in six Canadians who do not have
a family physician.16
14
Henke, et al (2011).
15
Kim et al (2008)
16
College of Family Physicians of Canada (2006).
Incentives for wellness
program participation
work: Johnson &
Johnson saved $565
in health costs per
employee and saw a
ROI ranging from
88% to 392%14
.
6. MentalHealthEssentials:ConnectivityandCoordination.
6
The Future is Now!
Recovery from mental health disorders can be extremely complex and dependent on numerous
factors: physical health, family support, employment status, and pre-existing state of mental health
are some examples. Both the individual and the provider, whether a social worker, counsellor,
psychologist or family physician, must adhere to best practices at every stage in the continuum of
care from initial wellness, to identification, to diagnosis and treatment and right through to long-term
adherence and follow-up. A disconnect in any one link in the chain can lead to a systemic failure.
We developed FeelingBetterNow®
(FBN) in 2006 to strengthen that chain. FBN was originally
designed as a web-based system for individuals to pursue collaborative care with family physicians
on the basis of medical best practices in the management of mental health disorders. It was the
first tool of its kind in Canada and won an award for innovation in 2008, presented by the Canadian
Medical Association.17
FeelingBetterNow®
has been reviewed and approved by The College of
Family Physicians of Canada as a practice management tool available to assist family physicians in
patient care. Today, FeelingBetterNow®
is available to over 1,000,000 Canadians in the enterprise,
education, insurance and healthcare sectors.
In May 2015, we launched a significant update to FeelingBetterNow®
that utilizes the capabilities of
the modern and mobile web and exponentially broadens and deepens the functions of the original
FBN. Each component has been extensively tested over the years in top peer reviewed journals.
The new FeelingBetterNow®
offers a solution to several of the intrinsic problems in mental health
care delivery. Its technology and design provides personalized care options in all domains of care,
based on the latest research evidence. FeelingBetterNow®
also provides numerous opportunities
to integrate an organization’s existing EAP, wellness and disability management programs within
a web-based system to promote fast referrals, physician-curated self-care resources and mental
health literacy.
Our goal is to better coordinate the delivery of mental health care by empowering the individual by
connecting them to resources and programs available at their organization, providing a physician-
backed level of quality assurance and in turn, allowing them to stay healthy and productive longer,
or return to work from disability leave sooner. FeelingBetterNow®
is a secure, anonymous and
confidential program that allows individuals to take simple, actionable steps to achieve better
mental health anywhere: at home, at work or
on mobile.
Over a million Canadians have access to
FeelingBetterNow®
. If you are interested in
joining them, give us a call at 416-928-9195.
Dr. Sam Ozersky, AB, MD, FRCP(C)
President & CEO
Mensante Corporation
samozersky@mensante.com
Rafi Chaudhury
Product Manager, FeelingBetterNow®
Mensante Corporation
rafichaudhury@mensante.com
416-928-9195
FeelingBetterNow®
’s
confidential mental
health management
platform is available to
1,000,000 Canadians
in the enterprise,
education, insurance and
healthcare sectors.
If you would like to know
how FBN can help your
organization, give us a
call: 416-928-9195.
17
MaRS Media Centre (2008)
7. MentalHealthEssentials:ConnectivityandCoordination.
7
References
1. Kirby, M. (2006). Out Of The Shadows At Last - Transforming Mental Health, Mental Illness and
Addiction Services in Canada. Final Report of The Standing Senate Committee on Social Affairs,
Science and Technology, May 2006. Available at: www.parl.gc.ca/content/sen/committee/391/soci/
rep/rep02may06-e.htm
2. Great-West Life (2014). Group Disability Results 2013.
3. Smetanin, P., Stiff D., Briante, C., Adair, C., Ahmad, S. & Khan, M. (2011). The life and economic impact
of major mental illnesses in Canada: 2011 to 2041. RiskAnalytica, on behalf of the Mental Health
Commission of Canada.
4. Statistics Canada (2009). Statistics Canada Canadian Vital Statistics, Death Database, CANSIM table
102-0561. Retrieved from: http://www.statcan.gc.ca/pub/84-215-x/2012001/tbl/t003-eng.htm
5. Mental Health Commission of Canada (2012). Making the Case for Investing in Mental Health in
Canada.
6. Sunderland, A. and Findlay, L.C. (2013). Perceived need for mental health care in Canada: Results
from the 2012 Canadian Community Health Survey–Mental Health. Ottawa. Statistics Canada, 2013.
Retrieved from: http://statcan.gc.ca/pub/82-003-x/2013009/article/11863-eng.htm
7. Mental Health Commission of Canada (2014). E-Mental Health in Canada: Transforming the Mental
Health System Using Technology. Ottawa.
8. Comscore (2015). Canada Digital Future In Focus 2015 – The 2014 Digital Year in Review &
Predictions for the year ahead. Available at: http://www.comscore.com/Insights/Presentations-and-
Whitepapers/2015/2015-Canada-Digital-Future-in-Focus
9. Mackinnon A, Griffiths M, Christensen H (2008). Comparative randomised trial of online cognitive-
behavioural therapy and an information website for depression: 12-month outcomes. Br J Psychiatry.
2008 Feb;192(2):130-4.
10. Espie CA; Kyle SD; Williams C; Ong JC; Douglas NJ; Hames P; Brown JSL (2012). A randomized,
placebo-controlled trial of online cognitive behavioral therapy for chronic insomnia disorder delivered
via an automated media-rich web application. SLEEP 2012;35(6):769-781.
11. Hedman, E., Ljótsson, B., Lindefors, N. (2012). Cognitive behavior therapy via the Internet: a systematic
review of applications, clinical efficacy and cost–effectiveness. Expert Review of Pharmacoeconomics
& Outcomes Research, December 2012, Vol. 12, No. 6 , 745-764.
12. Ibid.
13. Pronovost P., Needham D., Berenholtz S., Sinopoli D., Chu H., Cosgrove S., Sexton B., Hyzy R., Welsh
R., Roth G., Bander J., Kepros J., Goeschel C. (2006). An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006 Dec 28;355(26):2725-32.
14. Henke, R.M., Goetzel, R.Z., McHugh, J., Isaac, F. (2011). Recent Experience In Health Promotion At
Johnson & Johnson: Lower Health Spending, Strong Return On Investment. Health Affairs 30, No. 3
(2011): 490–499.
15. Kim, H. F., M.D.; Schulz, P.E., M.D.; Wilde, E.A., Ph.D., Yudofsky, S.C., M.D. (2008). The American
Psychiatric Publishing Textbook of Psychiatry: Chapter 2. Laboratory Testing and Imaging Studies in
Psychiatry. 5th Edition.
16. College of Family Physicians of Canada (2006). Public Opinion Poll On Physician Wait Time [Decima
Research poll conducted for the College] Mississauga, ON: College of Family Physicians of Canada;
2006.
17. MaRS Media Centre (2008). Toronto psychiatrist named Innovator of the Year for web-based
mental health tool. November 20, 2008. Available at: http://www.marsdd.com/media-centre/
mensante-11202009-2/.