web and mobile apps for military behavioral health

Web and Mobile Apps for Military

Behavioral Health

Dr. Julie KinnDeputy Director, Mobile Health Program, T2 31 OCT 2013

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Military Behavioral Health

• Needs– Care for service members and families– Access to resources for providers– Agility to respond to emergent crises

• Challenges to excellent care– Costs– Distance

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Why Use Technology inMilitary Health Care?

• Overcome barriers to care (e.g., Hoge et al., 2004)– Stigma:

• Web-based and mobile apps are anonymous• User interfaces/ platforms familiar to service

members

– Logistics:• “Hip pocket” availability• 24/7 access to care, 365 days a year

After Deployment

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After Deployment’s Provider Pro

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MilitaryKidsConnect.org

Passport “gamification”

Stampy the Global Guide

Features identified by text

and graphics

Age-differentiated message boards

Site tailored depending on identified

deployment location

Site Visits

• Since JAN 2012: 201K

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MilitaryKidsConnect.org

PTS, Injury, and Grief discussed using graphic

novels and videos of real military kids

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Deployed T2 Mobile Apps

PTSD Coach

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T2 collaborated with the VA's National Center for PTSD to develop this app to assist veterans and active duty personnel (and civilians) who are experiencing symptoms of PTSD. It is intended to be used as an adjunct to psychological treatment but can also serve as a stand-alone education tool.

Features: • Self-assessment of PTSD Symptoms• Tracking of changes in symptoms • Manage symptoms with coping tools• Assistance in finding immediate support• Customized support information

T2 Mood Tracker

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Self-monitor, track and reference emotional experiences over a period of days, weeks and months.

Features: • Self-rating on pre-populated categories• Full note adding • Graphed results• Fully customizable categories • User-set reminders for self-rating• Send results to providers

Breathe2Relax

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A portable stress management tool utilizing hands-on diaphragmatic breathing exercise. Breathe2Relax uses state-of-the-art graphics, animation, narration, and videos to deliver a sophisticated, immersive experience for the user.

Features: • Setup guide to assist with tailoring app• Customizable backgrounds and music• Immersive tutorial videos• Body scanner to display effects of stress• Graphing to track effectiveness• Audio narration

Provider Resilience

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Self-care tool for healthcare providers who work with service members and who may need support in coping with burnout or compassion fatigue

Features: • Quick dashboard view• Graphing to track resilience

progress• Tools to assist increasing resilience• Inspirational value cards• User sets reminders

LifeArmor

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A multi-topic application derived from AfterDeployment.org to provide the user with knowledge and tools to cope with the many challenges faced by today’s service members.

Features: • 17 Self-assessments• Multi-topic resource guide• Ease to manage, customizable views and

favorites• Manage symptoms with coping tools• Video resources on topics

Prolonged Exposure (PE) Coach

The first mobile application that supports the elements of an evidence-based psychotherapy for PTSD

Features: • Session homework• Confidential and convenient• Therapist guide• Session audio recording• Assessment result tracking• Disabled veteran accessible

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Positive Activity Jackpot

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Provides suggestions for daily positive activities. Based on positive event scheduling, the active component of Behavior Activation. Helps with depression, self-harming behaviors, and individuals without any mental health difficulties.

Features: • “Jackpot” suggests random activities  • Users select from 376+ possible activities• Augmented reality technology to identify

activities in immediate surroundings• Ability to invite friends or post chosen

activity to social media

Stay Quit Coach

T2 collaborated with the VA's National Center for PTSD to develop this app to assist veterans and active duty personnel (and civilians) to reduce addition to nicotine. It is intended to be used as an adjunct to substance use treatment but can also serve as a stand-alone education tool.

Features: • Personalized reasons to quit smoking• Manage cravings with coping tools• Progress tools and savings chart• Assistance in finding immediate support• Customized support information

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Biozen

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Monitor, track and view biometric data from Bluetooth enabled devices to assist with biofeedback therapies.

Features:• Real-time tracking• User tutorials for setup and learning• Customizable graphical feedback• Supports broad range of signal data

including: EEG, EMG, GSR, EKG, respiratory rate, and temp

Psychological First Aid (PFA) Mobile

T2 collaborated with the VA's National Center for PTSD to develop this app to assist responders who provide psychological first aid (PFA) to adults, families, and children as part of an organized response effort.

Features: • Summary of PFA fundamentals• PFA interventions matched to specific

concerns and needs of survivors• Mentor tips for applying PFA in the field• Self-assessment tool for readiness to

conduct PFA• Survivors’ needs form for simplified

data collection and easy referral

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mTBI Pocket Guide

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Clinical Practice Guidelines for treatment of mild Traumatic Brain Injury

Features: • Quick results with coding guidance• Symptom management lists• Summary of clinical recommendations• Patient education resources• Clinical tools and resources

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Navy Leader’s Guide toManaging Sailors in Distress

[Pending Release]

T2 collaborated with the Navy Marine Corps Public Health Center to develop this app as a leadership tool to help leaders understand the factors that can cause distress among Sailors, assess and identify Sailors’ psychological and social needs, and improve awareness of local helping agencies.

Features: Case studies for reference examples Guidance for identification and management strategies Self-assessment of awareness of behavioral health In-depth educational information about behavioral

health issues Links to resources for support

Mobile Apps: Metrics

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"I use T2 apps EVERYDAY with my patients and they love them! And as a provider I really love the PE Coach app it has made PE so much easier and I have seen an increase in patients actually doing their assignments :)"

"I'm more likely to use this than keep track manually. Doc loves that result!! Thanks for creating this tool!!"

Mobile App Metric TotalLifetime Downloads 637,681Lifetime Uses 3,328,420Avg. Monthly Downloads 21,961Avg. Monthly Uses 112,089Avg Session Length 6:04Use/Download Ratio 5.2

FY 2013 Uses are up 147% over FY 2012

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Resource Disc

T2’s Resource DVD is an easy reference guide featuring easy-to-share information about our websites, mobile apps and special programs.

Print-Ready posters and cards.VideosNews stories about our products.

Request your T2 Resource DVD from publicaffairs@T2health.org

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LinkedIn Group

Psychological Health Providers for the Military Community Private LinkedIn group for all health care providers supporting the military community with psychological health related issues.

Provides members a dynamic environment for sharing knowledge, resources, tools, and best-practices with colleagues in the military mental health community.

Delivers unique content and previews of new tools and technologies focused on military mental health.

Over 500 members comprised of psychologists, psychiatrists, physicians, nurses, therapists, counselors, chaplains, and other roles.

Psychological Health Providers for the Military Community

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Contact Information

Julie T. Kinn, Ph.D.

Deputy Director, Mobile Health Program

National Center for Telehealth & Technology |T2|

9933 West Hayes Street, OMAMC

Joint Base Lewis-McChord

Tacoma, WA 98431

Julie.t.kinn.civ@mail.mil

www.t2health.org