Download - Sarah Bateup
Using technology to enable therapists to be the best they can be
Improving access to evidence-based mental health therapy
The history of technology and CBT
CCBT ICBT IECBT
A continuum
10-30 minute support
Idiosyncratic therapist delivered
No therapist
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Mental Health: Magnitude of the Problem
1 in 4 adultsexperience at least one
diagnosable mental health problem in any one year
~80% of these
conditions go undiagnosed and
untreated
The economic impact of mental illness is estimated at
more than £100bn in the UK alone
Sources: The Office for National Statistics; World Health Organisation; National Survey on Drug Use and Health (NSDUH).
Cognitive Behavioural Therapy (CBT) is the most effective treatment
£100Bn+
• Stigma and Embarrassment prevent people from seeking help
• Access to qualified therapists is limited
• Quality is variable
But…
Transforming Mental Health Care
Personalised, clinically validated and quality controlled care augmented by computing for
• Accessibility• Affordability• Accountability
We measure outcomes and therapist behaviour. We share insights with patients and providers, so that we all learn what works.
• Therapy via synchronous messaging in secure one-to-one therapy area (scheduled sessions)
• Online access to homework tasks & outcome questionnaires
• Secure asynchronous messaging between sessions
• Review of verbatim transcripts
• Complete record of therapy available to patient for review post discharge
Unique, clinically validated, written conversation, CBT methodDelivered using proprietary web-based platform optimised for online therapy
2
Accessibility
Accessibility
Ieso Puts Patient Experience First
Focussing on patient experience –offering appointments
at a time and location convenient to the patient.
Patients typically choose to access therapy out of office hours,
especially during weekday evenings, to fit around work and other
life commitments.
Monday
Tuesday
Wenesday
Thursday
Friday
Saturday
Sunday
Having therapy in my home
environment helped me keep
my business private. I felt I
could open up and
be honest.
I have a busy schedule so
‘appointments’ which involve driving
anywhere add to my stress and become
more of a problem than a help. It was
great to be able to do this treatment
online, whilst at home, a place where
I feel more relaxed and in control.
Earlymorning 9am til 5pm Evening
9%Weekends
48%Weekday evenings
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Accountability
Since 2013, Ieso has a proven track record of translating data into improved outcomes
47%
50% 51% 52%
2013 2014 2015 Jan-Jun 2015 Jul-Dec
*Based on a cohort of 80% high severity
We are using data insights to systematically improve clinical outcomes
Using data analytics, Ieso Digital Health can:
Monitor performance outcomes and compare it with national outcomes
Track therapist performance data and offer personalised support and training based upon this
Offer a ‘standing trial’ platform for advancing understanding of theory driven improvements in clinical practice
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Preliminary Ieso Clinical Outcomes Recovery Data 2013/2014 benchmarked against HSCIC National Statistics for other providers for the same period.
Matching Patients with Best Treatment Protocol
Percentage of cases recovered
Disorder Focused Clinical Outcomes Analysis Provides Baseline for Systematic Clinical Programme
0 10 20 30 40 50 60 70
IESO National
F41.2 Mixed anxiety and depressive disorder
F42 Obsessive compulsive disorder
F41.1 Generalised anxiety disorder
F41.0 Panic disorders
F40.1 Social phobia
Access to data enables accountability in care
Drill down to show individual
therapist performance
Ieso’s data analytics allow therapist performance data to be continually monitored
Personalised support and training based upon individual therapist data can be delivered
Therapist D Therapist E Therapist F Therapist G Therapist H Therapist I Therapist J Therapist K Therapist L Therapist M Therapist N Therapist O Therapist P Therapist Q Therapist R Therapist S Therapist T Therapist U
Therapist A
Therapist B
We enable therapists and supervisors to visualise their performance
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Research and Development Platform
Therapist transcripts provide full audit trail to limit therapist liability exposure in the event of client suicide
• Clinical status measured objectively at each session incl. improvement, deterioration, recovery
• Validated diagnosis-specific outcome scales
• Rate of recovery• Caseness• Relapse• Costs of therapeutic results
Detailed measurement of clinical course and response to treatment
EnablesLearning and
Prediction
Data already yielding significant operational efficiency gains. Recorded transcripts enable mandatory therapist quality control 10x faster than face to face therapy. By 2018 this will be fully automated and instantaneous
Digitally-Enabled NHS Business Generates Unique and Valuable Dataset
Full patient characterisation
• Clinical diagnosis
• Full clinical discourse transcripts
from patient and therapist
• Therapeutic model
• Asynchronous message content
• Clinical notes
• Demographics
• Medical History
• Medication status
• Location
• Ethnicity
• Quality of therapist
• Future: Sensor / Biometric Data
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Exceptional team
Lennart Hergel
Dr Ann Hayes
Dr Andy Richards, CBE
Dr Inga Deakin
Dr Jonathan Pell
Simon Cartmell
Steve Kerridge
Rosemary Cunningham Thomas
Dr Thom Van Every
Clive Pinder
Simon Cartmell, Executive Chairman
Barnaby Perks, CEO
Julian Coe, CFO/COO
Dr Andy Blackwell, CSO
Guy Beauchamp, CTO
Sarah Bateup, Director of Clinical Services
Imperial Innovations
Ananda Social Venture Fund
Cambridge Angels
Clearly Social Angels
HBS London Angels
Thorium Technology Investors
Professor Paul Stallard
Dr David Kessler
Professor Edward Watkins
Professor Michael King
Dr Jill Rasmussen
Non-Executives Executive Management Investment 2011-15
Commercial Advisory Board Clinical Advisory Board