Online Tools for Assessment & Treatment
•
1 j'aime•1,255 vues
Presentation by Sabrina Darrow, PhD; Serina Deen, MD, MPH; and Yan Leykin, PhD, at the UCSF Depression Center's "Depression: Pathways to Resilience and Recovery" event on September 13, 2014.
Recommandé
Recommandé
Contenu connexe
Tendances
Tendances (6)
En vedette
En vedette (19)
Similaire à Online Tools for Assessment & Treatment
Similaire à Online Tools for Assessment & Treatment (20)
Plus de UCSF Dept. of Psychiatry
Plus de UCSF Dept. of Psychiatry (6)
Dernier
Dernier (20)
Online Tools for Assessment & Treatment
- 1. ONLINE TOOLS FOR ASSESSMENT & TREATMENT Sabrina Darrow, PhD Serina Deen, MD, MPH Yan Leykin, PhD UCSF Department of Psychiatry
- 2. What’s out there Plenty, actually Government Research Patient communities Business Weird people
- 3. Non-intervention resources Information only What is depression or bipolar disorder? Now what do I do?
- 4. Non-intervention resources Information only Screening http://tiny.ucsf.edu/mood_screener What is depression or bipolar disorder? How to do you feel? Now what do I do? How are you compared to before?
- 5. Non-intervention resources Information only Screening http://tiny.ucsf.edu/mood_screener Community support sites How to do you feel? You are not alone How are you compared to before? Talk with other people who share your experience
- 6. Interventions Level of support Supported • Provider, as part of care • By lay coach Unsupported • No human contact • Fully-automated, user-driven
- 7. Interventions Breadth Comprehensive • Many lessons, tools • Includes kitchen sink Micro-intervention • Tool-based • Symptom-based http://tiny.ucsf.edu/mint
- 8. Interventions features • Lessons / Tools • Interactive elements • Videos • Forum • Trackers • Feedback • Downloads • Tailoring/personalization • Connection to provider, if available • Private and Confidential
- 9. Intervention delivered Treatment approach • Most use cognitive behavioral therapy (CBT) • Others are less common • Problem solving therapy, acceptance and commitment therapy, cognitive remediation, interpersonal therapy, etc. Availability
- 10. Mobile – types of apps • Flexible – user defined • Mindfulness Tracking/assessment • Specific Sleep? Coping strategies • Positive statements Interventions ________?
- 11. Why use apps? Tracking can help • Increase awareness • Notice patterns • Part of interventions Always by your side Quick booster / reminder
- 12. Quackery • “Cure!” “100% effective!” “Everyone!” • Treatment process is unclear • Not based on traceable science • Authors are unknown or not MHP – Or celebrities • Blames you for not improving
- 13. Quackery – 100% effective cure!!! • Be careful with frivolous googling • www.quackwatch.com • Whenever in doubt – ask for info • Even free resources can be quackery – People with agendas
- 14. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read
- 15. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read Purpose – benefit society, not participants • Protocol is everything • Will not be broken
- 16. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read Purpose – benefit society, not participants • Protocol is everything • Will not be broken You are extremely valuable • Hounded for data, information • May be paid for use or follow-up
- 17. What to expect when you are expecting to become a research participant Consent!!! • Full disclosure of everything • Very important to read Purpose – benefit society, not participants • Protocol is everything • Will not be broken You are extremely valuable • Hounded for data, information • May be paid for use or follow-up Can find the new, best, and most exciting • May not work
- 18. EXAMPLES: INFORMATION ONLY WEBSITES
- 19. National Institute of Mental Health • Website: https://www.nimh.nih.gov/health/topics/depression/index.s html • About: One of the institutes in the National Institutes of Health, an agency of the US Department of Health and Human Services • Features: • Summary of symptoms of depression, causes, risk factors, and treatment options • Links to ongoing clinical trials • Links to latest research discoveries about depression
- 22. WebMD • Website: http://www.webmd.com/depression/default.htm • About: American corporation that provides health information • Features: Depression Health Center • Lists symptoms of depression • Describes how antidepressants work • Lists ways to treat depression naturally • Has videos about depression
- 25. EXAMPLES: COMMUNITY SUPPORT WEBSITES
- 26. National Alliance for Mental Illness (NAMI) • Website: http://www.nami.org/ • About: Grassroots mental health organization that advocates for access to services, treatment, supports and research for mental illness • Features: • Online information about Depression • Information HelpLine: information and referral service • Free education and support programs for individuals, family members, providers and the general public • Volunteer opportunities such as NAMIWalks
- 31. Depression and Bipolar Support Alliance (DBSA) • Website: http://www.dbsalliance.org • About: Peer-directed national organization focusing on depression and bipolar disorder • Offers: • Information about depression (website, podcasts, brochures, videos) • In-person and online support groups • Family member resources
- 35. MoodGYM • About: Web program designed to prevent depression • Developed by: National Institute for Mental Health Research at the Australian National University • Time Commitment: Five modules each taking 20 to 40 minutes to complete • Type: Unsupported • Treatment Approach: CBT • Cost: Free • Evidence Base: Very Good
- 41. This Way Up • About: Guided programs and self-help programs for depression and anxiety • Designed by: St Vincent’s Hospital and the University of New South Wales in Australia • Time commitment: The full course lasts 8 weeks • Type: Supported and Unsupported • Treatment Approach: CBT • Cost: $55 AUD (~$50 USD) for supported, free for unsupported • Evidence Base: Good
- 48. Deprexis • About: 10 content modules representing different psychotherapeutic approaches to depression • Developed by: German public health company named Gaia • Time commitment: 10 to 60 minutes for each of the 10 modules • Type: Unsupported • Treatment Approach: Mainly CBT but also Mindfulness, Problem Solving, Positive Psychology and Emotion-Focused Interventions, among others • Cost: Fee, but free for students and unemployed • Evidence Base: Fair
- 53. Example of tracking app: T2 Mood Tracker • Anxiety, depression, general well-being, head injury, PTSD, stress • Customizable scales, automatically graphs input • Can share info with provider
- 54. Example of a Mindfulness App: Calm
- 55. Example of a coping strategies app: Positive Thinking & My Thoughts+
- 56. Example of an Intervention App: MoodKit • Based on CBT • Suggests activities • Analyze thoughts • Track Mood • Journal
- 57. Intervention Apps Currently under study and not available to the general public • Mobilyze! • Get Happy Program
- 58. Where to find interventions • clinicaltrials.gov •centerwatch.com •patientslikeme.org •beacon.anu.edu.au
Notes de l'éditeur
- Clinical trials.gov and Centerwatch- clinical trials Patientslikeme- platform for patients to share health experiences Beacon- directory of internet and mobile health apps with ratings