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New Savoy Conferences presents Disrupting IAPT: can digital pathways 'change the game'?

News and presentations from today's Digital IAPT conference, chaired by Jeremy Clarke CBE, Chair, New Savoy Conference.

Hackathons: HACK the guidelines, DO something useful! Young people driving mh-innovation
Dan Sofer Founding Director Founders & Coders C.I.C. (London) and Director Founders & Coders International

Dan discussed how different approaches work and commented;

"At Founders and Coders we use Hackathons, Design Sprints and MVP's to come up with ideas of how to create digital technology to help service users"
"We have learnt that you need to start from the users perspective, you need more interaction over time with service users"
"For Digital Therapies to have maximum impact you have to be as close as you can to the people who are going to be using your idea"
"These approaches we are using are very effective and inexpensive"
"In summary the key thing is to effectively engage with the knowledge and creativity of service users and clinicians"

Supporting patients with depression using digital solutions – lessons from a mature pathway and ideas and early findings from innovative approaches in the North West
Rob Brougham
, UK Managing Director, Ieso Digital Health Ltd
Pre-event abstract
Improving recovery rates for patients with depression - Research led lessons from a mature digital pathway
Ieso Digital Health has a unique ability to deliver high quality, evidence based, one-to-one therapy where the therapist and the patient communicate in real time via written (typed) messages in a secure, online therapy room. 
This approach has a number of already well known benefits. For example, patients can access therapy wherever and whenever it suits them and because - for the first time ever - we can see exactly what happens in every therapy session, we have been able to deploy a uniquely powerful training and supervisory model that has allowed us to deliver excellent recovery rates to IAPT patients.
Less well known, though equally powerful, is the ability the Ieso approach offers to conduct ground breaking scientific research. A recent research project, led by Dr Andy Blackwell our Chief Scientific Officer and Dr Ana Catarino, Senior Scientist, together with Dr Jonathan Fawcett of The Memorial University of Newfoundland, has been looking at depression. This research has shown strong evidence that there are different subtypes of depression, which may respond differently to different treatment protocols. Rob Brougham, UK Managing Director at Ieso, will outline this research and explain how Ieso is working to apply the findings to improve recovery rates for patients with depression.

Full power point presentation

Validating quality and outcomes using digital solutions
Simon Leigh
, Senior Health Economist, Lifecode Solutions, Liverpool

Simon commented;
‘Could mental health apps help with long waiting times for appointments and the stigma attached to it’
‘There is a massive rist in apps if you get it wrong’
‘We have been far too slow developing apps in healthcare’
‘When looking for apps to use we want evidence of the clinical effectiveness, if not we are not interested’

Pre-event abstract
Unresolved mental health disorders are the single largest cause of disability in the UK, affecting one in four people & costing the English economy ∼£105 billion per year. Recent data from IAPT, suggests that for every 100 individuals referred by GPs for specialist mental health services in England, just 70 will be referred for treatment, and only 41 will complete treatment, 19 of which achieving a recovery. This suggests that of those making contact with GPs, 81% are currently not recovering under IAPT, yet this varies significantly, from 1.7% (Barnsley) to 37.5% (East Staffordshire); while the average waiting time for 1st and 2nd treatment appointments are 20 and 55 days respectively, ranging from 13.9 to 144.2 by location and consequently resulting in a postcode lottery.
With the rise in high-quality mHealth solutions, the opportunity to support the 965,000 people waiting a total of 53.1 million collective days before accessing their second face-to-face appointment is clear. By providing apps at the point of GP assessment, we may provide a support mechanism, a continuity of care or educational advice for the 965,000 on waiting lists, the 420,000 not referred for specialist help, the 819,000 who do not complete treatment, or the 1.1million who currently do not recover under IAPT. Furthermore, by targeting these solutions where NHS services are currently failing patients, with both reduced access and patient outcomes, the NHS may be able to return to its seminal promise of equal access for equal need. 

Full power point presentation

Transforming quality and outcomes through innovative digital solutions
Pre-event abstract
Let’s face it, technology is playing an increasing role in all our lives.  The public is using health apps to improve fitness levels, manage mental health conditions and complex health needs. Clinicians and care providers are increasingly, ‘prescribing’ apps as an integral part of the service they offer. But, whilst Mobile apps offer the promise of connecting millions of patient to immediate care, they also present risks and security vulnerabilities. How do we navigate this landscape and enable mhealth to really empower those who need it the most to access the best? 

Come and listen to our journey on embedding health apps to support both the prevention of and intervention within mental 
Are we using technology to change the game or as a new way to end up with 
a no-score-draw?

Are we using technology to change the game or as a new way to end up with a no-score-draw?
Steve Flatt, 
Director Psychological Therapies Unit CIC, Liverpool

Steve speaking today commented;

‘The rate of growth of mental illness in the UK is as follows’
1900 – 1 in 1000
1954 – 1 in 100
Today – 1 in 4
‘So this means there are 15 million people in the UK with psychological distress’
‘We are getting resistance from those in power, who have very little interest in the wellbeing of people – they seem only to be interested in economy and power’
‘I think apps are an excellent intervention and they are getting better & better’

Pre-event abstract
The history of interventions in matters of psychological distress has always tended to focus upon the individual and rarely paid any attention to the environment in which distress occurs. The argument has been won with regard to the most common causes of individual psychological distress and these do not lie within the individual but with the individual's response to the environment in which they exist. Current psychotherapeutic interventions pander almost entirely to the neoliberal agenda of blaming the individual for their distress. This presentation is one of thousands that is attempting to get some kind of more objective reassessment of what actually works to improve the state of the nation's well-being.

Full power point presentation

Related Events

Assessing Risk in Mental Health and the Criminal Justice System
Friday 5 October 2018 , De Vere West One Conference Centre, London

IAPT Long Term Conditions: Improving Outcomes & Access Delivering effective Integrated Mental Health Care & Support to people with Long Term Physical Conditions
Monday 8 October , De Vere West One Conference Centre, London

25 June 2018


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