in partnership with e-mental health: opportunities for efficiency and transformation?

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in partnership with E-mental health: Opportunities for efficiency and transformation?

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Page 1: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

E-mental health:

Opportunities for efficiency and transformation?

Page 2: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

Context Digital

• 74% households are online• Average user spends 14.2 hours a

week online• 91% UK adults use a mobile phone• 30% UK adults use a smartphone• 52% of 16-24 year olds

Changing Expectations• Patients becoming more active

informed consumers• Increasing use of online platforms

& social media to connect with others

• Expectation of how interact with health services changing

Address current resource challenges

• Costs of service delivery• Workforce issues• Access to services• Continuity of care

Opportunities?

Support Cultural Transformation

• Social model of health• Empowering people to exercise

more choice and control• Managing own conditions

effectively

Page 3: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

SuccessesOver 1 million people entered treatment in first 3 years

680,000 people completed treatment

Recovery rates in excess of 45%

Over 45,000 people moving off sick pay and benefits

Nearly 4,000 new practitioners trained

Challenges Choice:

Only 8% offered full choice of therapy

People offered choice 5 times more likely to say therapy helped back to work

Waiting times:

1 in 5 waiting more than a year

Those waited less than 3 months 5 times more likely to say therapy helped back to work

IAPT context

Mind report “We need to talk: getting the right therapy at the right time”

Page 4: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

• Enabling technology (enabling existing practice to be more efficient)– Monitoring applications (e.g. moodscope, Buddy)– Therapeutic interventions online (e.g. cCBT, online psychological

therapy via text, audio or video)

• Transformative technology(transforming the nature of mental healthcare)– Educate and inform people to take care of selves (e.g. LTC’s: Bosch

Health Buddy)– Online portals to keep track of care plans (e.g.MyHealthLocker)– Use of social media e.g. by Trusts to transform communication with

service users and staff and to connect peers (e.g. Patients Like Me)

How is the Mental Health Sector embracing technology?...

Page 5: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

http://www.bigwhitewall.com/join/FlashPlayer4.aspx?video=5

• Only digital mental health pathway• Selected as High Impact Innovation under Digital First• Featured App in NHS Health Apps library• Leading with the Tavistock and Portman the first e-

mental health framework for England• 22% of England’s over 16 population covered

Big White Wall

Page 6: In partnership with E-mental health: Opportunities for efficiency and transformation?
Page 7: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

• Working with 7 NHS Foundation Trusts:

– No waiting lists– Support available 24/7– Choice of therapist, time, location– Accessible from home/work– 58% - 70% recovery rates– 1 in 5 use the SupportNetwork only

BWW integrated within IAPT

Page 8: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

Outcomes

80%22%

95% £370

73% 70%

of the UK adult population covered

of members feel better

share an issue for the first time

self-manage

savings per member (to NHS)

recovery rate from BWW LiveTherapy (UK target: 50%)

Page 9: In partnership with E-mental health: Opportunities for efficiency and transformation?

in partnership with

• In April 2012: >13,600 health & fitness apps for iPhone• Very few proven efficacy• RCTs not well suited• Online pro-annorexia & pro-self harm sites

• Risk Awareness and Management Programme (RAMP) for delivering mental wellbeing services online

• BWW Governance and Risk Management framework• CQC registration

Governance

Page 10: In partnership with E-mental health: Opportunities for efficiency and transformation?

Contact

NickyRuneckles

Director, Business Development

[email protected]