Digitally enabled pathways in children and young s people mental health care
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1 Digitally enabled pathways in children and young s people mental health care Dr James Woollard Senior Fellow Mental Health Technology 1 September 2017
2 Digital horizons in mental health Augmented or Assistive Realities Virtual Reality Smartphones Apps and Diagnostics Machine Learning and AI Digital Devices for Monitoring Physical Health Electronic Personal Health records Genomics
3 Early Access to Help - Prevention/Early Intervention CYP/Parent/Carer/Concerned Adult recognises that their a potential mental health service and seeks help from Primary care or other agencies Presentation via A&E (UEC) Consultation/Advice leading to clarification of needs Access to a multi-agency network of skilled multidisciplinary professional for early help, advice, consultation or initial assessment leads to: - Clarify problem and potential solutions - Referral to CYPMH services - Identification of other services to meet needs Assessment Full bio-psycho-social assessment leads to: - Formulation of needs - Agree care plan - Identify services or functions to meet needs of CYP, family or carers Specialist Assessment where indicated Care providers/multi-agency ecosystem Voluntary agency Paediatrics Social Care Education Care provided by: Primary Care CYPMH Care Pathway Self-help Sources Mutli-agency collaborative work with CYP and families with use of Routine Outcome Measures throughout the pathway Other Agencies Transfer or Discharge of Care Scheduled Specialist Mental health service Inpatient Services Day patient services 24/7 crisis Support Risk Management/Intensive Home Support Crisis Bed/Refuge or Other Accommodation Intensive Education Resources Early Intervention In Psychosis Eating Disorders service Forensic Care
4 Targeted prevention and early intervention - Improved information for schools and public - Apps/gamification /chatbots/vr to support understanding and help-seeking behaviour - Population analytics to identify people at risk - Improved local directories of services to better signpost to services
5 Apps
6 Assessment - Improved interoperability facilitating and seamless record management across and between systems - E-referral systems to support attendance - Wearables to support assessment - AI to support diagnosis - Digitised care plan linked to jargon-busters/support apps
7 Patient Held Record systems Step Up ADI MyMind Developed by NELFT
8 Treatment and care - Rethinking time/place for scheduled care - Patient managed/maintained EPR; available across clinicians/practitioners/educators - continuously updated PROMs - Wearables/apps to identify crisis risk - Capacity and demand tools - interoperability for medicines optimisation - Apps for ongoing care/ crisis response - Gamification of treatment
9 Serious CBT games
10 Virtual Reality Blue Room for ASD NTW/NCL Uni
11 Augmented Reality Brain Power Using Augmented reality to help children with social communication difficulties to learn new skills
12 Managing the multiplicity of providers and interplay with other systems - Improved interoperability and data sharing/linkage between systems - Link to primary and social care; education; housing to support individual care - Population analytics to support planning - Improved information sharing and signposting
13 Putting the pieces together Work with system partners Think end to end digital Bake in interoperability Leverage the affordances of digital automation, analytics
14 A note of caution Don t assume young people want to you technology in the same way you do Can young people be the data controller?
15
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