Adjunctive Mobile

Technologies for CBT: Part 3

Ryan Hansen, M.S.Ohio State UniversityHansen.282@osu.edu

What is an App? Offline Phone Apps

Semi-Offline Phone Apps

Online Phone Apps

HTML5 Apps/Webpages

Computer Apps

Wearables

APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY

“Guideline 1: Psychologists who provide telepsychology services strive to take reasonable steps to ensure their competence with both the technologies used and the potential impact of the technologies on clients/patients, supervisees or other professionals. “

Competence Training

Continuing Education Professional Literature

Journal of Medical Internet Research

“Dogfooding” Use and be

familiar with the apps that you recommend

APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY

“Guideline 2: Psychologists make every effort to ensure that ethical and professional standards of care and practice are met at the outset and throughout the duration of the telepsychology services they provide. “

Benefits/Risks Benefits

Access to Care Convenience Interactive

Risks Information Security Emergency Management

APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY

“Guideline 3: Psychologists strive to obtain and document informed consent that specifically addresses the unique concerns related to the telepsychology services they provide. When doing so, psychologists are cognizant of the applicable laws and regulations, as well as organizational requirements that govern informed consent in this area.”

Informed Consent Risks and Benefits

How the technology will be used

Boundaries and Communication

Fees

Interruptions/Tech Failures

APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY

“Guideline 4: Psychologists who provide telepsychology services make reasonable effort to protect and maintain the confidentiality of the data and information relating to their clients/patients and inform them of the potentially increased risks to loss of confidentiality inherent in the use of the telecommunication technologies, if any.”

Confidentiality Possible Breaches:

Text Messaging Phone Access Push Notifications Social Media Billing

APA 2013 GUIDELINES FOR THE PRACTICE OF TELEPSYCHOLOGY

“Guideline 5: Psychologists who provide telepsychology services take reasonable steps to ensure that security measures are in place to protect data and information related to their clients/patients from unintended access or disclosure.”

Security Where is the data stored?

Security Is it on the phone?

App Password Protection Phone Password Protection Encryption

Security Is it in the cloud?

Photos/media?

Backed up on iTunes/internet?

How is it getting there? HTTP vs HTTPS

Privacy Policy

Advertising Data Aggregation

How much information is being shared indirectly?

Security

The Real Danger: Hackers vs Lawyers

Other IssuesWhat if your client is

tracking illegal activity?

HIPPA

FDA

“Suicidal Siri”

Provider ResiliencePlatforms iOS, Android

Price Free

Creator National Center for Telehealth and Technology.

Features: Vacation ClockBurnout Self-AssessmentSelf Care TrackingPsychoeducationValues cards

Gamification

SuperBetterPlatforms

iOS Only

Price $4.99

Creator SuperBetter Labs

Features:

Packages for:• Mood• Anxiety• Resilience• …and many morePremade and Customizable Quests, Power Ups, and Bad GuysSocial IntegrationDaily Reminders

HabitRPGPlatforms

iOS/Android

Price Free

Creator OCDevel

Features:

To-do ListDaily HabitsTracking and ReinforcementDigital RewardsSelf-Defined Rewards

Zombies, Run!Platforms

iOS and Android

Price $3.99

Creator Six to Start

Features: Easy to Use InterfaceEngaging MissionsImmediate FeedbackA Customizable “Base”Activity TrackingSocial Integration

Assessment

Psych on DemandPlatforms

iOS Only

Price Free

Creator William Lemley

Features:

Extensive Test LibraryEasy to UseEasy to ScoreNorms Provided for Many Instruments

DBT

DBT Diary Card and Skills Coach

Platforms

iOS only

Price $4.99

Creator Durham DBT inc.

Features: Diary Card Extensive Coaching Dialogues• 911 Skills• Distress Tolerance• Mindfulness• Emotion• Interpersonal SkillsDBT Reference

Anxiety

Behavioral Experiments- CBT

Platforms iOS Only

Price Free

Creator Happtic

Features: Create Lists of ExperimentsList PredictionRate BeliefReview Outcome Review BeliefPassword Protected Archive ResultsEmail Results

Depression

eCBT Mood

Platforms

iOS Only

Price $0.99

Creator MindApps LLC

Features:

PsychoeducationThought RecordsMood TrackingMed Tracking/Reminders

PTSD

PTSD CoachPlatforms

iOS, Android

Price Free

Creator National Center for Telehealth and Technology.

Features:

Psychoeducation • PTSD• TherapyAssessment and Symptom TrackingSymptom Management Tools

PECoachPlatforms

iOS, Android

Price Free

Creator National Center for PTSD, National Center for Telehealth and Technology.

Features:

Psychoeducation Record Therapy SessionsAppointment RemindersBreathing Retraining Suds AnchorsSymptom Assessment (PCL)Security Settings

Sleep

CBT-I CoachPlatforms

iOS and Android

Price Free

Creator US Department of Veterans Affairs

Features:

Sleep JournalPsychoeducationAssessmentSleep Prescription

Positive Psychology

LiveHappyPlatforms iOS only

Price $0.99

Creator Signal Patterns, Dr. Sonja Lyubomirsky

Features: Savoring ActivitiesSocial Activities• Acts of Kindness• Developing Support

NetworkStrive (Goal Setting)Gratitude JournalOptimismPsychoeducation on Positive Psychology

Suicide Prevention

My3Platforms

iOS and Android

Price Free

Creator US Department of Veterans Affairs

Features:

Hotline NumbersPsychoeducationSafety Plan

Current Challenges Leaky pipeline

“Not available in the US”

Discussion: Mood Panda