The University of British Colombia's Sandy Whitehouse describes the youth friendly mobile platform designed for a clinical setting to help youth communicate issues about their life with their provider. Presented at YTH Live 2014 session "Youth and the Clinical Encounter."

1. Title of Presentation Goes Here
Presenter Name(s)
Presenter Name(s)
Affiliation
April 6-8, 2014
San Francisco, CA
Annual Conference on Youth + Tech + Health
TickiT: an mHealth solution
to the “Don’t Ask, Don’t Tell” face to face clinic visit

2. Psychosocial Screening: Understanding
the patient’s environment
Context and
Environment
contribute to
health outcomes.

3. Why Screen?
In surgical wards
percentage of patients
reporting concerns was
significant
Hayden W. Archives of Disease in Childhood

4. Do Ask, Do Tell
Family doctors were trained with psychosocial interviews
Practices
40 902
Patients
80%
Presented with
physical reasons
90% had 1 or more psychosocial risks
Lena Sanci, Australian Association of Adolescent Health Meeting

5. What does the research tell us
about youth response to
screening?
Adolescents view health care providers as credible
sources of information and would like to discuss
broader health care issues with them
Don’t Ask, They Won’t Tell”: Adolescents are not
likely to divulge sensitive information
unless
they have good rapport with the health professional
and unless directly asked
BUT
i
Klein, JAH 2002, Blum, 1996, Marks, J Peds 1988

6. Current Mental Health Intake Practice
Focus on mental health symptoms
Time Consuming Documentation
Challenges
Personal and
Individualized,
but may be
incomplete
Can Be
Uncomfortable
Interview

7. Types of Screening
methods
Interview:
HEADDSS, SHADESS
not standardized
time consuming
manual data entry

8. Current Mental Health Intake Practice
Focus on mental health symptoms
Mental Health Checklists
• efficient, focus on symptoms
• validated but cant be updated
leads to stale checklists
• self report challenges
• health literacy
• questionnaire fatigue

9. Self administered
Adolescent
Screening Questionnaire
ASQ
Key Issues:
• Participants suggested making the
questions appear more positive.
• Poor Uptake: 25% (10/40)
adolescents refused to participate
rate. It was higher in male patients

10. Is there a better way?

11. TickiT

12. Process: Experience Continuum
Physical
Action
Social
Interaction
Emotional
Reaction
Before Arrive On Location Depart After

13. Process: Co-creation

14. Co Creation:
User testing
Extensive field testing
UBC Study
Icons and platform
comprehensible across
age, gender and ethnicity
Saewyc E, in press

15. Interactive
Survey
Templates

16. Survey
Chapters

17. Branch to the
Right
Questions

18. Multiple
Language
Support

19. Educational
Patient
Feedback

20. Flagging
System
Red flags rapidly
identify risks
Green flags help
providers engage
patients

21. CSV Export
for Research

22. Screening Risk Assessment
vs.
Communication Tool
Communication tool helps
treatment by engaging the patient
in their healthcare.
Not just treatment but sustainable
change that empowers the
patient.

23. TickiT Feasibility Study: BCCH and McMaster
80 Youth going through HEEADSS
YOUTH LOVED US

24. Canada
BC Children’s Hospital
Toronto Hospital for SickKids
McMaster Children’s Hospital
Children’s Aid Toronto
University of British Columbia
USA
Boston Children’s Hospital
Brown University
Seattle Children’s Hospital
Australia
Sydney Children’sHospital
TickiT is being used in
Inpatient Units
Pediatric Subspecialty
Clinics
Community Clinics
Transition Readiness
Youth Clinics
School Counseling
Sleep Research
Pediatric Urology Pilot
Orthodontic Clinics
Current clients & clinical scenarios

25. Opportunities for new Questionnaires

26. TickiT: A new era in Psychosocial
Screening
sandy@shifthealth.ca www.shifthealth.ca