Industries the world over are being disrupted by new technologies. The health care sector is no exception. From a proliferation of on-demand digital mediums for accessing and delivering treatment, to the growing use of e-payments, algorithms and AR, the clinical experience of patients and practitioners is changing. This presentation aims to stir your thoughts about the e ects of digital developments on clinical practice and business. The session will consider a holistic approach to working in conjunction with new technologies whilst upholding clinical and ethical standards. It will explore the changes to the way that patients can access mental health services, the e ects of ‘choose and book’ services of online marketplaces, the algorithms that power them and the security risks to storing sensitive data. Whilst increased patient choice has its merits, this workshop will explore to what extent this could diminish the quality of the therapeutic relationship, the e cacy of these models and what role AR (augmented reality) might play in the future.
2. Speaker background
• Trained as a psychotherapist in 1999
• Multiple approaches: person-centred (CSCT), existential &
psychodynamic (Regent’s), cognitive (Institute of Psychiatry)
• Founded Harley Therapy in 2006, 250 000+ sessions
• 6 clinics in London with 40 in-house therapists/psychiatrists
• 1 million+ annual blog readers
• In weekly therapy since 17
• Retired as clinician to develop service
• HarleyTherapy.com tech platform to democratise therapy
• Therapy evangelist!
3. Today’s Agenda
1. Look at the types of digital innovation
2. Consider how clinical practice is changing
3. Getting equipped for the future
4. How industries are being disrupted
Hotels. Valuation of Airbnb $31bn. More listings (4 million) than top
5 hotel groups inc Hyatt, Marriot & Hilton.
Car industry. Autonomous/self-driving (regulatory hurdles), electric
vehicles
Professional services. Translators. Financial advisors. Cashiers.
In the next 20-30 yrs there will be more changes on us than in the
last 1000 (B. King ‘Augmented’)
6. Pace of change
Why is change happening so fast?
Innovation. Diffusion. With more interconnected world, technologies
are adopted faster and spread wider.
Acceleration. The gap between early & late adopter is decreasing
Exponential changes. Progress is built upon progress and
escalates.
Notion of ‘singularity’ - technological advancement reaches escape
velocity - any problem of mankind can be solved through powerful
computing (Ray Kurzweil)
7. Views of Future
Optimistic - Productivity, job creation, less drudgery, improved
welfare.
Pessimistic - Income inequality, mass unemployment,
breakdown in social order
Balanced view - (Sergey Brin Google Annual Letter - warning of
Dickensian ‘Best of times / Worst of times’ 28th April 2018)
8. …the idea of the future being different
from the present is so repugnant..that
most of us offer a great resistance to
acting on it in practice.
History shows that once a technology takes hold in an industry,
there is usually no successful defence for a business. Are
traditional clinical services at risk?
9. What changes are happening in the
mental health sector?
What place will psychology have in this ‘smart world’?
10. Employment 1900s v 2020s
Credit: B King ‘Augmented’ p 56
[redo chart?]
[circle Psychology
Counselling
Therapy]
15. HarleyTherapy.com uses algorithms to rank therapists.
Therapists can work remotely via Zoom
Pseudo-anonymisation of data allows for service
improvement.
Can see what the therapists offer and what clients are
searching
How these are used in practice?
Example
16. Clinical Implications
Algorithms - powering search and assessment in a feedback loop
Medium: Text, Chat, Email, Video, AR/VR, Robots v Face to
Face
Data & Privacy Collection. Regulation - GDPR & PSD2
Presenting issues - living in a world of AI/robots, living longer
(transhumanism), gamification & addiction,
18. Questions
•Is quicker matching beneficial to clients, or is there merit in
patience - giving time to reflect?
•Is ‘shopping’ for a therapist acceptable?
•Is reviewing therapists ethical?
•Is remote therapy (and will VR be) as ‘effective’ as face-to-face?
Even if so, isn’t the human connection different and does it
matter?
•Is data collection a risk to privacy? Are human experiences going
to be reduced to data?
•Is there a loss of clinical material as a result of e-payments
19. To hold in mind as you adopt new technologies
Guidelines
Human connection is invaluable
Best interests of client
20. Predictions
A growing need for psychological services due to
the impact of technology, fragmented attention,
social real-world isolation, fewer people to listen to
us in depth.
21. Summary
Our profession is not immune to digital disruption
• Anticipate new technologies
• Evaluate the impact on your work
• Evolve and adjust
23. Find us on social media and
don’t forget to tag us!
#HarleyTherapy
Facebook.com/HarleyTherapy
@HarleyTherapy
@DrSheriJacobson
@HarleyTherapy
www.HarleyTherapy.co.uk
Our NEW online platform making therapy
accessible to everyone.
Sign up at our stall
Apply as a therapist today!
Notes de l'éditeur
2012 research summary of four studies showed that expecting others to feel happy can cause them to feel more negative about themselves.
Positivity comes from the inside out, not outside in.
My goal for you is to know what to do to maintain a baseline of good emotional health, and ultimately to lead a more fulfilled life.
In 2016 San Francisco Yellow Cab co-op filed for bankruptcy
Mercedes F015 - cars will become leisure / working spaces
Printing press - wider education => spread of knowledge
Optimistic - technorati and Silicon Valley
Moved from Agrarian to Service driven jobs
Diagnosis (Input data)
Wearables / ingestible sensors will be able to detect disease - might this include mental health conditions? And thus signal a need for treatment. Measuring stress chemicals, heart rate, blood pressure, oxygen level, skin temperature, gut health, brain scans? Mostly able to detect physical health conditions e..g strokes. If can detect a problem, might still benefit from a human health practitioner to sit you down for a more ‘human’ discussion. Can detect how stressed you feel about the ppl around you. Expected to be 50-100 trillion sensors by 2030
Cameras (and sensors) that can read emotional states.
Smart phones will be listening to our voices, activity 24/7 and might be able to detect differences in behaviour / mood.
Personal communication devices in the home may also pick up on health signals.
Watson (IBM computer) approved by NY Genome centre to act as a medical diagnostician.
Treatment / Recommended courses of action Data synthesis)
AI - hyperintelligent robots delivering therapy. Carebots already being developed in Japan - monitor heart rate & emotional state/distress, get pt to take medication, attend appts. Can prompt questions. CUI conversation user interface allows anyone who speaks to work with the robot.
Therapy bots / Robotic psychologists - therapist can ‘remote in’ to assess and conduct a session. Must understand emotions & be able to emote back to be able to communicate. Empathy. Ability to read emotion is already present in applications. Needs facial expressions & body language. Israeli company ‘beyond verbal’ Can withstand a lot (boredom, verbal abuse - but at what cost). The challenge si to programme intelligent beings so they protect us and our freedom. “Will Robots inherit the earth? Yes but they will be our children - Marvin Minsky”
Personalised embedded experiences - to tackle mood disorders
PTSD
So you can be a great individual, colleague, fellow student, member of a family, community and world.
Types of intelligence:
Machine Intelligence - replaces some element of human thinking
Artificial General Intelligence - can make human equivalent decisions
Hyperintelligence - surpasses human intelligence. Not necessarily a need to worry as computers won’t have the same desires, ethics and violent tendencies as humans have.
Do we test the impact of dealing with machines rather than humans?
The brain’s networks to communicate information are malleable much later into life than previously thought.
by learning new activities into the later stages of life, we can change the synaptic connections in our brain.
