emen project results and perspectives · emdr 'game' therapy for people with ptsd online...

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eMEN project – results and perspectives eMEN: a new strategy for more and better e-mental health Oyono Vlijter eMEN project leader ”E-mental health: Training of Stakeholders & Evaluation of Tools” – Ministère des Solidarités et de la Santé - Paris, March 6 th 2020

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Page 1: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

eMEN project – results and perspectives eMEN: a new strategy for more and better

e-mental health

Oyono Vlijter eMEN project leader

”E-mental health: Training of Stakeholders & Evaluation of Tools” – Ministère des Solidarités et

de la Santé - Paris, March 6th 2020

Page 2: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

ARQ National Psychotrauma Centre (1973; 2007) consists of 9 partner organisations that are specialised in the aftermath and consequences of traumatic events. Each partner organisation has his own expertise and experience, in prevention, diagnostics, treatment, research, policy advice and training.

Page 3: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing
Page 4: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

OBJECTIVE

Promoting more affordable, accessible, effective and empowering mental health by operationalising a transnational cooperation platform for e-mental health product innovation, development, testing, implementation and knowledge exchange.

Page 5: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

Total budget: 6,21 million euro Interreg funding: 3,73 million euro Duration: 67 months June 2016 – December 2021

Funded by INTERREG NWE

Page 6: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

e-mental health implementation challenges

Product quality: o Co-creation with developers o Clinical effectiveness; (outdated) evaluation methods o Privacy; CE compliance (certification that indicates product compliance with

health, safety, and environmental protection standards in EEA) o Usability

eMH training and curricula - digital skills Reimbursement systems; business model Policy reform (national e-mental health [EMH] strategies) Organisational priorities and need for remodeling of workflows and job

design Digital infrastructure Awareness and acceptance (job insecurity) 'Blended care’ treatment protocols Agreement on definitions (transparency, reliability, validity etc.)

Page 7: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

How?

WP Transnational policy solution for e-mental health implementation - cooperation with national and

EU stakeholders - mapping national and

European initiatives - promoting a transnational

policy solution for EMH implementation

WP communication - communication plan; - 18 transnational thematic seminars

and 6 conferences; - reaching end users and professional

stakeholders

WP long term (post project strategy) - e-mental health platform development; - business case; - baseline assessment

WP Innovative e-mental health product development - (re)developing and piloting 7 EMH

applications (depression, anxiety, PTSD); in co-creation with SMEs, professionals, end-users

- supporting >15 SMEs - innovative ‘evidence based’ quality

testing eMEN:

e-mental health innovation and transnational implementation

platform

WP project management - Steering Committee - Advisory Board - PMO (NL) - Working Groups - 6 months progress reports

Page 8: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

RESULTS (1):

7 eMH products further development, tested and implemented in 9

pilots in FR, DE, IE, BE, UK and NL

> 15 SMEs supported with eMH development and/or implementation

5 conferences and 18 transnational thematic seminars in NWE!

Page 9: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

RESULTS (2):

Policy recommendation for eMH implementation (including country

profiles); main recommendations:

1) Political commitment, governance and leadership 2) Ensure legal clarity, ethical correctness, privacy and data security 3) Investment (incl. EU funding) and reimbursement 4) Highest standards of quality, usability, interoperability 5) Increase awareness and acceptance 6) Enhance digital health literacy and skills 7) Integrate eMH into established (mental) health care models, the workplace

and education system

Page 10: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

RESULTS (3):

Product development and implementation toolkit (‘grid’) ->

multidisciplinary approach

> 50 national stakeholder meetings on eMH

eMEN platform with 130+ stakeholders -> joining the eHealth Hub

platform with 1000+ eHealth stakeholders

Number of end-users reached (with pilots): 24.500

Page 11: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing
Page 12: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

Regio Stars Finalist 2019!

Page 13: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

Regio Stars Finalist 2019!

Page 14: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

Post-project perspectives (1)

‘disruptive’ technology for the mental health care sector -> not easy to

address eMH challenges in an integrate way

Accessibility and affordability of mental health care; reaching more

people (including ethnic minorities); addressing waiting lists

Development of ‘blended care’ treatment protocols

Integrating eMH in national mental health care policies

Mental health care sector should have a leading role in transition

towards eMH care

Page 15: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

Post-project perspectives (2)

Capitalisation: additional funding until 31-12-2021 -> focus on process

innovation and rural areas; cooperation with eHealth Hub platform

eMH -> mental health in the workplace

eMH -> mental health and climate change

Role of Artificial Intelligence (ai):

o breach the gap between limited access and treatment time

o faster and more accurate diagnoses; patient monitoring

Risks: data errors, privacy, bias and inequality, decrease of human knowledge

and capacity over time

Page 16: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

EMD app

eWell

MIRROR

Moodbuster

SAM screener

Pesky gNATS

STOPBLUES

EMDR 'game' therapy for people with PTSD

online therapy for primary care; for anxiety and depression

self test after experiencing a distressing event (PTSD)

online treatment for depression; exploring the use of wearables

clinical screener for possible PTSD symptoms

cognitive behavioural therapy game for children with depression

depression/suicide prevention intervention for the general

population

OUR

PRODUCTS

Page 17: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

OUR

PRODUCTS

Page 18: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

'E-mental health is likely to disrupt the modalities of care as it

modifies, in a major way, what we know of, believe we know

about, psychiatric disorders' (Morgiève et al, 2018)

“It’s what we think we know

that keeps us from learning”

Claude Bernard 1813-1878

Page 19: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing
Page 20: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing
Page 21: eMEN project results and perspectives · EMDR 'game' therapy for people with PTSD online therapy for primary care; for anxiety and depression self test after experiencing a distressing

Thank you for your attention!

Oyono Vlijter – eMEN project leader

[email protected]

+ 31 6 242 80 229

www.nweurope.eu/emen