introduction to mindtech - nihr health technology co-operative in mental health
TRANSCRIPT
The UK NIHR Health Technology Co-operative (HTC) in Mental Health and Neurodevelopmental Disorders
- ‘MindTech’
John Crowe1, C Hollis2, R Morriss2, MF Valstar3, L Bai3, D Daley2, P Blanchfield3
1 Faculty of Engineering, 2 Institute of Mental Health, 3 Computer Science
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NIHR HTCs
“The aims of the NIHR Healthcare Technology Co-operatives (HTCs) are to:
• act as a catalyst for NHS “pull” for the development of new medical devices, healthcare technologies and technology-dependent interventions
• focus on clinical areas and/or themes of high morbidity which have high potential for improving quality of life of NHS patients and improving the effectiveness of healthcare services that support them
• work collaboratively with patients and patient groups, charities, industry and academics.”
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8 new HTCs launched : 2013 for 4 years
• Chronic gastrointestinal (GI) disease
• Brain injury
• Cardiovascular disease
• Devices for dignity (D4D)
• Wound prevention & treatment
• Colorectal therapies
• Mental health & neurodevelopmental disorders
• Trauma management
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University of Nottingham Innovation Park
MindTech NIHR HTC in Mental health & neurodevelopmental disorders
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Why Mental Health?
• Huge economic cost to UK - £105bn per year
• Largest area of government health spending (13%)
• Little technological innovation
• Subjective clinical assessment dominates practice
• Lack of engagement with SMEs
• Strong public and patient involvement (PPI)
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Clinical Landscape
• Mood Disorders
– Unipolar depression
– Bipolar depression
• Neurodevelopmental disorder
– Autism spectrum disorder
– Tourette syndrome
– Attention Deficit Hyperactivity Disorder (ADHD)
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14.0
7.0
6.9
5.4
5.0
4.9
3.4
3.0
2.0
1.3
1.2
1.0
0.9
0.7
0.4
1.0
0 2 4 6 8 10 12 14
Anxiety disorders
Insomnia
Unipolar depression
Dementia
ADHD
Somatoform disorders
Alcohol dependence
Conduct disorder
PTSD
Personality dis.
Psychotic disorder
Cannabis dependence
Eating disorder
OCD
opiate dependence
Mental retardation
1.8
2.0
2.3
6.4
1.7
0 4 8 12
Panic
disorder
Agoraphobia
Social
phobia
Specific
phobia
GAD
Wittchen et al 2011 European Neuropsychopharmacology
Current prevalence of disorders of the brain in Europe
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Bringing Partners Together
Academics
Patients Clinicians
SMEs
University
NHS
Industry
HTC
IMH1 Medilink
TTO2
ADDISS Tourettes Action
Computer Science
Nottinghamshire Healthcare Trust
Biomedical Engineering
Business
BuddyApp
QbTech
Buzz3D
1: Institute of Mental Health 2: Technology Transfer Office
RedEmbedded
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Academics
Technology Innovation Pipeline
Implementation Development Identifying Need
QbTest
BuddyApp
Patients, Clinicians, NHS Trusts
SMEs
Facial affect recognition
Automated tic monitoring
&
NICE/ HTA NICE/ HTA
RedEmbedded
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Personalised Ambient Monitoring (PAM)
GPS module
XYZ accelerometer
Internal accelerometer
GSM location
User input: • General health
questionnaires • Mood self-
assessment
Wearable Node •Acceleration •General light level •Artificial light level •Ambient sound properties
Bluetooth Encounters*
- Bluetooth - 3G / GPRS - User input -Internal
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Identifying meaningful locations
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Automated objective assessment of mood and behaviour
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Automatic tic monitoring & analysis
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• Face and expression recognition • Automatic eye blink detection • Hand and body tracking • Integration & tic data analysis
Games that engage
• For diagnosis and treatment
• Work with ADHD children shows they will engage with games
• Games that treat and promote interaction with therapist
• Playful environments to encourage young people to discuss their emotional reactions
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Qb Test: Objective Assessment of ADHD
• Computerised assessment of attention and activity
• Supports clinical decision making
• Provides patients with objective reports on their condition
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Text messaging app to support therapy
Diary: SMS or web
Analysis tool Goal reminders
Appointment prompts
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Delivering
Remote
Care
Integration Connecting people visually:
a key enabler in
remote care delivery
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What can we offer ?
• Collaboration with SMEs & academics
• Clinical expertise • Technology Trials • Patient Public Participation (PPI) • Early stage Health Economics • Advice on NICE assessment procedures • An understanding of clinical pathways • Advice on procurement procedures • Technological expertise & regulatory advice
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Contact
Prinicipal Investigator
Prof Chris Hollis
Prof John Crowe
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