online platform to help mental implement ebps€¦ · •non‐tech to savvy •non‐ebp to highly...
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Online Platform to Help Mental Health Practitioners Implement EBPs
Kelly Koerner, PhDEvidence‐Based Practice Institute, LLC
Team
Now
Therapists
E
B
P
ConsumersResearchers
Alternatives to EBP (i.e., everything we do to reduce emotional pain)
Distribution Channels
Tech Transfer CentersTraining ProgramsPublishersCE Companies
Professional Orgs & Conferences
Taking a Design Thinking approach to generate solutions…
• Design principles we’re working from– Quick trip thru pilot work thus far
• Current Phase I: Online Platform to Help Mental Health Practitioners Implement EBPs
1. Gathering Practitioner and Patient user requirement
• Rapid Prototyping• Scenario Testing
2. Gathering D&I scientist user requirement
Make It Easy & Fun
• Practitioners want
to learn and use EBPs, Researchers want
to share their work well
…it’s just hard to do!
• Therefore, 2 simple ideas:1.
Remove barriers
2.
Provide reinforcement
• Think:
habit change and product design
Lead Users/ Positive Deviants
Strengthen Stakeholdersin a Community of Practice
Future
Your work life as a
therapist is easier…
• open your laptop• see your day’s clients• at a glance, remember, see status,
plan today’s work.• See problems, easily reach for help
• Tools, education, peers
and you feel justifiably confident
you givethe best possible care.
Can technology Serve Practitioners?
Use Checklist ModelProgress monitoringBehavioral activationTherapeutic relationship
CBT‐Insomnia, Bipolar Disorder,
Interpersonal violence
Modular competency training?ACT, Jenn Villatte
Deliberate practice + feedbackWork sample fidelity codingParticipant recruitment
What modular competencies?
How to scale key methods?
1‐2‐3
DESIGN MODEL
The original Kodak camera and a roll of Kodak film
“You press the button, we do the rest.”
‐George Eastman
Aim for Eastman
Progress monitoring
What modular competencies?
phot
o
phot
o
phot
o
phot
o
Average
users
outpatient
private
practice
extreme userUsing online tools
with most patients
Self‐
described
luddite
user
phot
o
Want to
use but
tech is
challenging
Dimensions that are relevant•Non‐tech to savvy•Non‐EBP to highly informed by data/science•High system constraints to high autonomy•Garden variety patients to mostly tx refractory•New to practice—early/mid career—highly
experienced
Average
users
Training
clinics
We’re now gathering user requirements
RAPID PROTOTYPING
Interviewing
Contextual InquiryWork flow analysis
Diary Card Studies
Enter your demo
client ID
type
note,
save
scroll over
to read
note for
that date
Enter DASS
data for your
demo client
What the client sees
Enter the ID and
password as if
you were your
demo client
SCENARIO TESTING
Client reports
suicidal ideation
and/or intent on
via online entry
of DASS
Client
When those DASS items endorsed, then client
sees message: “this is important—your therapist may not
see your responses until your session. Please contact your therapist.Therapist can tailor message; default has national suicide hotline.
Therapist could add local crisis, perhaps also reminder about specific
coping plan
When SI items endorsed,
then system sends email
message to: 1.therapist 2.to therapist’s supervisor
or other designated
person
Therapist
Therapist UI
at next login
Alert Therapist1.Chart visually displays
prominent flag that alerts
therapist action2.Client management
page/admin pages clearly
and visually alert therapist
Support Suicide Risk
Assessment:Locate near alert flag: Video clip
modeling suicide risk
assessment (SRA)Cheat sheet of SRA steps, easy
to print or use on screen during
sessionTraining, books, linksOption to upload clinic specific
protocols
Support
documentationProvide items to help
adequately document; allow to
upload clinic specific protocols
What supports best outcome when a client reports suicidal
ideation or intent?
Your work life is easier and
has greater impact…
Can technology serve D&I scientists?
what would support YOUR D&I research?