mastermind midterm workshopmastermind-project.eu/.../08/mastermind-d2.5-v1.0-midterm-worksho… ·...

Project co-funded by the European Commission within the ICT Policy Support Programme

Deliverable D2.5

MASTERMIND “MAnagement of mental health

diSorders Through advancEd technology and seRvices –

telehealth for the MIND” GA no. 621000

MasterMind Midterm Workshop

D2.5 MasterMind Midterm Workshop

The information in this document is provided as is and no guarantee or warranty is given that the information is fit for any particular purpose. The user thereof uses the information at its sole risk and liability.

PROJECT ACRONYM: MasterMind

CONTRACT NUMBER: 621000

DISSEMINATION LEVEL: Public

NATURE OF DOCUMENT: Other

TITLE OF DOCUMENT: MasterMind Midterm Workshop

REFERENCE NUMBER: D2.5

WORKPACKAGE CONTRIBUTING TO THE DOCUMENT: WP2

VERSION: V1.0

EXPECTED DELIVERY DATE: 31st October 2015

DATE: 23rd November 2015

AUTHORS: Mette Atipei Craggs (RSD)

Christiaan Viis (VUA)

Claus Duedal Pedersen (RSD)

A Midterm Workshop was organised to disseminate the MasterMind project’s aims and achievements to sector players to promote the adoption of the MasterMind services.

REVISION HISTORY

REVISION DATE COMMENTS AUTHOR (NAME AND ORGANISATION)

V0.1 13/11/2015 First draft Mette Atipei Craggs (RSD)

V0.2 17/11/2015 Comments from co-authors incorporated – version ready for quality review

Mette Atipei Craggs (RSD)

V1.0 23/11/2015 Vesrion for issue John Oates (HIM)

Outstanding Issues: A list of outstanding issues, optional, useful for draft versions.

Filename: MasterMind D2.5 v1.0 Midterm Workshop

Statement of originality: This deliverable contains original unpublished work except where clearly indicated otherwise. Acknowledgement of previously published material and of the work of others has been made through appropriate citation, quotation or both.


Public of 44 V1.0/ 23rd November 2015

EXECUTIVE SUMMARY

This report provides a description of the MasterMind Midterm Workshop held in Odense on 21st October 2015.

The workshop was organised as part of the ETC and WHINN events, and consisted of three sessions on the first day of the ETC: the opening keynote session and two track sessions.

The purpose of the workshop was to create visibility for the project, as well as to reach key stakeholders, put eMental health on the agenda, generate input for policies, and create discussion and dialogue. Ultimately, this was to attract relevant stakeholders to the project and lead to greater uptake of eMental health services.

The content of the Midterm Workshop built on 10 speakers representing the policial level, research, industry, therapists, healthcare providers, and health insurance. Participants came from 28 countries and represented six broadly defined stakeholder groups: university and education; healthcare providers; innovation and research centres; industry; authority, government, and policy makers; and the press.

A summary of themes and discussions from all three sessions shows that several central themes recur in the different areas represented by the speakers, and will serve as guiding principles for the project:

Disruption of current mental healthcare.

Inspiration from other fields.

International collaboration and knowledge sharing.

Communication & marketing.

Trust.

Reimbursement.

Evidence-based mental healthcare and rapid development of new interventions.

Political support.

Division between somatic and mental health care.

Need for empirical insights in implementation and dissemination of evidence-based eMental health.

Dissemination activities were carried out on three levels to support and promote the Workshop: the press, on site, and online.

The report ends with the main outcomes of the Workshop, including high visibility, generating debate, attracting key stakeholders, and autocommunication.



TABLE OF CONTENTS

EXECUTIVE SUMMARY 3

TABLE OF CONTENTS 4

1 INTRODUCTION 5

1.1 PURPOSE OF THE DOCUMENT 5

1.2 PURPOSE OF THE MIDTERM WORKSHOP 5

1.3 STRUCTURE OF THIS DOCUMENT 5

1.4 GLOSSARY 6

2 WORKSHOP DETAILS 7

2.1 SETTING 7

2.2 AGENDA 8

2.3 SPEAKER PROFILES 9

2.4 AUDIENCE 10

3 THEMES AND DISCUSSIONS 12

3.1 EMENTAL HEALTH AND TELEPSYCHIATRY – KEYNOTE SESSION 12

3.2 MASTERMIND MIDTERM WORKSHOP: EMENTAL HEALTH AND TELEPSYCHIATRY: IMPLEMENTATION IN EVERYDAY PRACTICE IN PRIMARY CARE 14

3.3 MASTERMIND MIDTERM WORKSHOP: THE POWER AND POTENTIAL OF

TELEPSYCHIATRY: IMPLICATIONS AND IMPLEMENTATION IN SECONDARY CARE 17

3.4 CENTRAL THEMES 19

4 DISSEMINATION 20

4.1 THE PRESS 20

4.2 ON SITE 20

4.3 ONLINE 20

5 OUTCOMES 21

6 SNAPSHOTS FROM THE DAY 22

APPENDIX A: PRESENTATION SLIDES 26

A.1 PRESENTATION SLIDES, CLAUS DUEDAL PEDERSEN 26

A.2 PRESENTATION SLIDES, JANE HEITMANN 28

A.3 PRESENTATION SLIDES, HELEEN RIPER 30

A.4 PRESENTATION SLIDES, FRANK SCHALKEN 35

A.5 PRESENTATION SLIDES, KEVIN RICHARDS 37

A.6 PRESENTATION SLIDES, KEVIN POWER & CHRIS WRIGHT 39

A.7 PRESENTATION SLIDES, FRANK SNOEK 42

A.8 PRESENTATION SLIDES, PATRICK HEITZ 43



1 Introduction

1.1 Purpose of the document

This document provides a report of the MasterMind Midterm Workshop. The document therefore presents the details of the Workshop, including the setting, agenda, and speaker profiles; dissemination activities around and about the Workshop; photos and key discussion points from the day; as well as the main outcomes of the event.

1.2 Purpose of the Midterm Workshop

As one of the key activities in WP2 Dissemination, and as stated in the DoW, the main purpose of the Midterm Workshop was to create visibility for the project. However, visibility is not enough if the goal is to leave an impression and possibly influence on key stakeholders for the project and/or its services. Therefore, reaching out to key stakeholders, putting eMental health on the agenda, generating input for policies, and creating discussion and dialogue were also set as obejctives for the event. Further, the consortium wished to make it clear that it is possible to implement eMental health solutions on a large scale in the current healthcare climate.

For this purpose, the overarching themes of the Workshop were the different approaches and viewpoints in addressing implementation of eMental health in both primary and secondary (and tertiary) care settings.

Ultimately, this was to attract relevant stakeholders to the project (regions, companies, interest groups, policy makers, healthcare professionals, etc.) and lead to greater uptake of the services deployed in MasterMind than what will already be achieved within the project.

At the same time, the Workshop was so far the largest official event where the project opened up to its surroundings, face to face. From this, the project wanted to gain important feedback on its efforts as well as inspiration from others interested in the field.

1.3 Structure of this document

The present document consists of 6 chapters followed by one appendix:

Chapter 2: Workshop details. This describes the setting and context of the Workshop, and provides details such as the agenda, speaker profiles, and audience.

Chapter 3: Themes and discussions. This outlines the themes and discussions of the three Workshop sessions as they took place on the day. In addition, the chapter provides selected photos, quotes, and feedback from the speakers.



Chapter 4: Dissemination. This describes the dissemination activities carried out before, during, and after the Workshop on three levels: the press, on site, and online.

Chapter 5: Outcomes. This provides the main outcomes of the Workshop and dissemination activities around it.

Chapter 6: Snapshots from the day. This shows selected photos from the day with captions.

Appendix A: This contains the slides presented during the Workshop.

1.4 Glossary

cCBT Computerised Cognitive Behavioural Therapy

ccVC Video Conference for Collaborative Care and treatment of depression

CIMT Centre for Innovative Medical Technology

eMH eMental Health

ETC European Telemedicine Conference

MMind MasterMind

OUH Odense University Hospital

RCT Randomised Controlled Trial

RSD Region of Southern Denmark

VUA VU University Amsterdam

WHINN Week of Health and INNovation

WP Work Package



2 Workshop details

2.1 Setting

The Midterm Workshop was organised as part of the European Telemedicine Conference (ETC). The ETC is a yearly event organised by five partners: Badalona Serveis Assistencials, Catalonia; NHS 24, Scotland; NST, Norway; Odense University Hospital, Denmark; and UPMC, USA & Italy. The conference focuses on the latest innovations in telemedicine, and gathers healthcare delivery organisations, governmental leaders, clinicians, researchers, and university faculties for knowledge sharing and experience-based discussions about telemedicine and health innovation.

The MasterMind Midterm Workshop consisted of a total of three sessions, and largely dominated the programme on the first day of the ETC (21st October 2015).

On top of the ETC, the Workshop was carried out in the setting of WHINN – Week of Health and INNovation – a unique, first-of-its-kind combination of conferences, events, innovation, and networking activities in one week, all within health and innovation. A total of 19 official events where organised during the week, and many more took place around them, e.g. the MasterMind ccVC workshop1 and fifth consortium meeting. Approximately 2200 people took part in WHINN; the event therefore created a solid basis for networking, knowledge exchange, and dissemination activities.

Between the partner responsible for the Midterm Workshop (VUA), leader of WP2, and the project management team, it was decided to hold the Workshop as part of the ETC in order to benefit from the opportunity to target the audience attending the conference. A standalone project Midterm Workshop was deemed be unlikely to draw an audience of the same size and level, as this would require greater resources than are allocated to this kind of event. Therefore, this was identified as the solution with the highest impact.

1 The WP7 ccVC workshop was organised to facilitate sharing of experiences and knowledge between the 13

WP7 sites, inspired by the cCBT Marketplace carried out for WP5 and WP6 in Amsterdam, June 2014.

http://www.whinn.dk/



2.2 Agenda

21st October 2015

Time Item

10:00-11:00

Keynote at the plenary session of the ETC Conference “MasterMind Midterm Workshop: eMental Health and Telepsychiatry”

Introduction to the session and presentation of MasterMind Claus Duedal Pedersen, Chief Innovation Officer, CIMT, OUH, RSD

eMental Health and telepsychiatry Jane Heitmann, Member of the Danish Parliament and Spokes(wo)man for Health and the Elderly, Venstre – the Danish Liberal Party

Spotify Mental Health Care: personalise, engage and connect

Heleen Riper, Honorary Professor, University of Southern Denmark, Telepsychiatric Unit, OUH

Lunch

14:40-15:40

“MasterMind Midterm Workshop: eMental Health and Telepsychiatry: Implementation in Everyday Practice in primary

care”

A next step in eMental health, organising and change management

Dr Frank Schalken, Stichting e-Hulp, The Netherlands

The SilverCloud project, eMental Health interventions with an international scope

Dr Derek Richards, SilverCloud Health, Trinity College, Ireland

MasterMind: Practical experiences from implementing eMental health services in NHS 24 Scotland

Chris Wright, Scottish Centre for Telehealth and Telecare

Prof. Kevin Power, University of Stirling, Scotland

Break

16:10-17:10

“MasterMind Midterm Workshop: The Power and Potential of Telepsychiatry: implications and implementation in

secondary care”

Integrated care supported by e-technologies for chronic co-morbid populations. eMental Health service with focus on diabetes and depression

Prof. Frank Snoek, VU University Medical Center, University of Amsterdam, The Netherlands

Reimbursement of eMental health services Patrick Heitz, Barmer GEK, Germany

Experiences from implementing eMental health services in Region of Southern Denmark and/or life VC session with patient in secondary care

Kim Mathiasen, Centre for Telepsychiatry, OUH



2.3 Speaker profiles

Mrs Jane Heitmann is Member of the Danish Parliament and Spokes(wo)man for Health and the Elderly, Venstre – the Danish Liberal Party. At the workshop, Mrs Heitmann contributed with the political perspective on the use and deployment of eMental health solutions in a Danish and international context.

Prof. Heleen Riper is Professor of eMental health and works at the VU University Amsterdam (Department of Clinical Psychology, NL), GGZ inGeest (Research Department of a large mental health service organisation in Amsterdam, NL). Finally, Mrs Riper is Honorary Professor at the University of Southern Denmark, Telepsychiatric Unit at OUH.

Over the past 15 years, her research focus has been on the development of eMH interventions for common mental disorders and substance use disorders, the assessment of their clinical and cost-effectiveness, and their implementation in routine practice.

Mr Frank Schalken is founder and partner of Stichting e-Hulp in the Netherlands. Mr Schalken contributed with his experience about the Dutch situation in implementing eMH in routine practice, including ideas for how to overcome barriers in the actual use and deployment of eMH treatments.

Dr Derek Richards is Director of Clinical Research & Innovation, SilverCloud Health, Ireland. With his experience in both academia and entrepreneurial activities, Dr Richards’ aim for the workshop was to provide a view on how we can successfully connect research and evidence to routine practice in an efficient manner.

Prof. Kevin Power is Honorary Professor of Psychology at the University of Stirling, as well as Area Head at NHS Tayside Psychological Therapies Services in Scotland.

Mr Chris Wright is Service Development Manager at the Scottish Centre for Telehealth and Telecare, NHS 24, Scotland.

Prof. Power and Mr Wright presented the current state in implementing eMH in NHS Scotland in the context of the MasterMind project. The speed at which the services are rolled-out in this particular care context are high; the two speakers provided an overview of their local setup to shed some light on how and why this may be.

Prof. Frank Snoek is Head of Department of Medical Psychology at the VU University Medical Center and Academic Medical Center, University of Amsterdam NL. Prof. Snoek contributed with his thoughts on the problems of co-morbid depression in diabetes based on his experiences from developing and implementing a web-based guided self-help intervention. Additionally, Mr Snoek shared his experiences with regard to uptake and finances, pitfalls, and lessons learned.

Mr Patrick Heitz represented the National Office at the healthcare insurance company Barmer -GEK in Germany. Representing the insurer’s perspective, Mr Heitz



provided valuable insights on how to team up and connect to both research and routine practice in implementing evidence-based eMH in the German care setting.

Mr Kim Mathiasen is Research Coordinator at the Center for Telepsychiatry in Denmark. As part of the MasterMind project, Mr Mathiasen provided an account of the setup and implementation of the eMH interventions in the region of Southern Denmark.

Moderator: Mr Claus Duedal Pedersen is Chief Innovation Officer at Centre for Innovative Medical Technology, Odense University Hospital in Denmark. Mr Pedersen has extensive experience in health innovation, including the deployment of telemedicine services, and is the overall coordinator of the MasterMind project.

2.4 Audience

All of the sessions had a high number of participants. The keynote session was the opening plenary session of the ETC and the room was full, which means that around 200 people participated. Using this particular session for the Workshop proved particularly valuable, not only because it was the session with most participants at the ETC, but also because it was at the very beginning of the conference, with the highest level of interest and alertness of the audience. The keynotes were well received, as measured by the interactions with the audience and discussions afterwards.

The second and third sessions were track sessions on one of two tracks, and thus had a lower number of participants: around 60 in the second and 75 in the third. The third session drew a larger crowd than the closing plenary session of the ETC conference, and was also characterised by a remarkably active debate.

The audience in all of the sessions covered the broad range of stakeholders, which participated in the ETC. In this way, the project was disseminated towards representatives from 18 authorities, governmental bodies, and policy makers; 34 healthcare providers; 18 universities and educational institutions; 26 research, innovation, and competence centres; 51 industry representatives; and 4 press representatives.

The following chart shows the distribution of the participants across the stakeholder groups present on the day.



Figure 1: Participants at the Midterm Workshop

Participants came from 28 countries: Armenia, Australia, Belgium, Canada, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greenland, Ireland, Italy, Korea, Mexico, Netherlands, Norway, Poland, Portugal, Slovenia, South Africa, Spain, Sweden, Switzerland, Taiwan, Turkey, United Kingdom, and United States.

14%

31%

16%

27%

11%

1%

Participants in MasterMind Midterm Workshop

University and education

Health Care provider

Innovation and Research centres

Industry

Authority, goverment and policy makers

Press



3 Themes and discussions

The three sessions covered different themes in relation to eMental health and telepsychiatry, as described below. The speakers represented the political level, research, industry, therapists, healthcare providers, and health insurance. All three sessions were held in the plenary room of the ETC.

3.1 eMental Health and Telepsychiatry – Keynote session

The keynote session lasted one hour and provided a high-level discussion about eMH and telepsychiatry between Member of the Danish Parliament Jane Heitmann and Professor of eMental health Heleen Riper.

The MasterMind Project Coordinator Claus Duedal Pedersen opened the session with a presentation of the project, the background and purpose of the project, the different services, the level of implementation in the participating regions, the number of patients included and the first results, and the concept of committed regions as a tool for up-scaling. This was the basis for the following presentations and discussions. The aim of the session was to explore the close connections between three areas playing a key role in the development towards providing better psychiatric care for all citizens: research, practical experience, and political leadership.

Jane Heitmann opened her presentation by highlighting a number of key prerequisites for telepsychiatry from a political perspective: IT-ready citizens, well-functioning infrastructure, and accessible databases. She stressed that Denmark has all of these, and that she sees a clear need for further deployment, which is expected to contribute to overcoming some of the current challenges in mental healthcare and have a positive impact not only on healthcare budgets, but also on treatment quality and accessibility. As an example, she mentioned the Danish MasterMind cCBT trial, Internetpsykiatrien, and how it will be rolled out nationwide if successful. She emphasised that the service is supported at a national political level (financially, legally, organisationally, strategically) and presented the National Plan of Action for Expansion of Telemedicine 2012 as the context for the further implementation of eMental health services in Denmark. Finally, she touched upon the importance of international collaboration and knowledge sharing, using the concrete inspiration for the Danish cCBT solution from Sweden as an example.

Quote, Jane Heitmann: “Treatment over the internet makes a difference. It can reach a group of patients who would not otherwise receive treatment – or receive it too late.”

From the project’s side, the important message from this presentation is that when other regions and countries wish to deploy eMental health solutions, support from policymakers is vital for reaching large-scale implementation.



Feedback after the Workshop, Jane Heitmann: “Telepsychiatry is one of today’s most exciting and relevant development initiatives in mental health. The workshop gave me ample opportunity to gain new knowledge as well as build my network with both national and international contacts. It is like a “gift” to a politician when knowledge and people from different professions are gathered in a well-defined framework.”

Professor Heleen Riper structured her presentation around what she called the Good, the Bad, and the Better of eMH service implementation.

The Good is that we know that it works. This knowledge is based on research, pilot trials, and practical experience. eMH has been developed over a period of 20 years, and many RCTs have been conducted and results are already available. The research conducted shows that guided or unguided internet treatment is as effective as face-to-face therapy, and internet-based treatment is slowly being introduced into routine care, e.g. through blended care.

The Bad is that many innovative solutions are already old-fashioned when they are ready to be implemented. Research methods such as RCTs slow down the development, and we risk missing out on what could actually improve treatment effects, because we are locked into the old ways of thinking. For instance, directly transferring - copying - treatment methods from face-to-face or bibliotherapy to internet-based therapy does not work. Finally, she pointed at “upscaling” as a global problem and urged that greater efforts be put into this particular part of the process.

Quote, Heleen Riper: “MasterMind is globally the largest implementation study in eMental health, and the beauty is that we really learn from each other.”

The Better is that the time for eMental health services is now. Prof. Riper stressed the need for greater agility and openness towards inspiration from other fields, e.g. big industry players such as phone and media companies. With this point, she urged for a new healthcare paradigm embracing disruption and brought up the highly successful and fast moving company Spotify, which proved to significantly change



the music industry. She also mentioned research on big data as a potential new source that can replace RCTs and other expensive, time-consuming methods. She stressed the need for personalisation, prediction, connection, and sharing, and urged for health innovation projects to “hit” the new paradigm from different angles.

3.2 MasterMind Midterm Workshop: eMental Health and Telepsychiatry: Implementation in everyday practice in primary care

The second session focused on why the uptake of eMH in everyday practice is evolving more slowly than expected, both in front-runner societies, such as the Netherlands and Austria, and upcoming countries such as Germany and Denmark. Several reasons were presented and discussed in this session, alongside strategies that may speed up the implementation of effective eMH interventions in a primary care setting. Best practice examples were also presented.

Frank Schalken was the first speaker of the session, and emphasised the need to think differently about mental healthcare and adapting this field to the changes already taking place in society. He pointed towards disruption, as well as new decentralised and patient-centered networks and communities as options for moving forward with eMH and investments as a key precondition for success. Like Prof. Riper, he urged for greater collaboration with and inspiration from other fields and industries. In dialogue with the audience, he encouraged the reuse of best practices from the past and across regional and national borders.



Derek Richards followed up with his presentation focusing on seven criteria for the implementation of internet-delivered programmes in behavioural and mental health. He decribed this as a Gold Standard: what new or additional guidelines, best practices, need to be understood so that emerging internet-delivered interventions can be accurately understood, evaluated, and implemented into healthcare systems.

The seven criteria are:

Include the use of evidence-based and empirically supported content.

Be informed and shaped by behavioural health subject matter experts to inform clinical expertise.

Include user-centred design and development.

Be developed on robust, engaging, secure and responsive technologies.

The programs need to focus on accountable care – achieving clinical outcomes.

Have research and evaluation that supports its effectiveness.

A well developed implementation science and support.

Dr Richards emphasised that technology is no longer just a medium of communication, but also of care, and that this is a significant change. Still, he made it clear that it requires an enormous effort to change attitudes and culture, which he saw as significant barriers to implementation in the current real world setting along with the need for new methodologies also mentioned by the previous speakers. As steps in the right direction, he pointed towards structured and systematic implementation processes, as well as user-involvement, and rounded off his presenation saying that with the right solutions, mental healthcare can become both better and less costly.



Feedback after the Workshop, Derek Richards: “The meeting was very good. I thought the entire meeting was very well organised, and that includes communications with me well in advance of attending. The meeting itself was very interesting, and I believe that you managed to bring a wide and diverse set of experiences together. The area of implementation of internet-delivered interventions is very new, and has not been given much attention to date, so for that reason it was an excellent, perhaps first, step to make it a part of the European agenda for science research and practice in internet-delivered interventions. Thanks for inviting me to be part of the workshop as I have a particular interest in the area of implementing interventions into everyday practice. I believe that the area will hopefully be considered further for meetings / conferences that concern internet-delivered interventions, especially in routine care and practice.”

Kevin Power and Chris Wright began their presentation with an introduction to the implementation of eMental health services in Scotland. Prof. Power emphasised that, despite the 14 different health boards, Scotland has a national perspective on both somatic and mental healthcare provision. He also stressed that focus should be on behavioural change rather than symptom alleviation.

Mr Wright presented the service model implemented in Scotland as part of the MasterMind project, and listed the advantages of being part of the project that Scotland has experienced: the provision of cCBT across Scotland has been expanded, the service can now be genuinely tested, and 2.3 million people now have access to the service. Mr Wright focused on communication and trust as core elements of implementation of telemedicine solutions. As additional aspects, they mentioned support from leadership, capacity building (not just finding the right people, but giving them the capacity to take on the tasks), clear division of responsibilities, and economies of scale (measuring something on a small scale does not provide accurate cost estimates).

In a discussion with the audience, Prof.Power talked about the studies carried out before entering MasterMind, and stressed that the barrier to implementation is not evidence, but uptake. Mr Wright added that some patients seem to benefit from



personal contact, which has been provided at community locations offering cCBT. The treatment is the same as at home, but the patients can use the programme away from home in a non-clinical, and “non-threatening”, setting.

Feedback after the Workshop, Kevin Power: “The workshop was well organised with a diversity of presentations that were also complementary in nature. A number of salient learning points were evident. In particular:

1. How different healthcare systems can directly or indirectly facilitate or hinder the introduction of cCBT.

2. The need for flexibility and perseverance from project managers when introducing cCBT.

3. The benefit of robust monitoring of cCBT delivery mechanisms across all projects.”

Feedback after the Workshop, Chris Wright: "I found the MasterMind workshop to be very interesting, in particular hearing about the different challenges that exist when implementing and designing cCBT solutions. It was great to be able to present the work being carried out in Scotland, but also to hear the thoughts and feedback of other colleagues with expertise and experience in the field of mental health and telemedicine."

3.3 MasterMind Midterm Workshop: The power and potential of Telepsychiatry: Implications and implementation in secondary care

The third session focused on how innovative telemedicine solutions are enabling those with mental health issues, who may struggle to access treatment, whether because of stigma, geography or even childcare challenges, to stay in touch with caregivers remotely, without the need to leave their homes. The four speakers presented their views on the power and potential of telepsychiatry.

Prof. Frank Snoek based his presentation on the division between somatic and mental healthcare, which he instantly deemed “un-dividable”. With diabetes as his main field of interest, he described the significant consequences of this division in



health outcomes, cost, and mortality. Also, he stated that the division puts the clinicians in the centre of treatment, not the patient, and urged that focus be put on behaviour change rather than symptom alleviation in chronic disease management.

From his experience with the development of a depression programme for diabetes patients, he found that while the patients were interested, the perceived need in primary care physicians was low if not non-existent. The programme was developed to address the specific needs of this patient group, and research showed it to be effective. The service was moved to a secondary care setting and Prof. Snoek pointed to testing and failing as necessary and unavoidable steps in innovation and implementation. Also, he mentioned changing regulations and reimbursement as factors influencing the implementation and slowing it down by causing insecurity among patients about payment.

Quote, Frank Snoek: “Innovation and implementation are difficult to combine. You don’t want to innovate medicine while you’re prescribing it – you want safe medicine.”

Prof. Snoek rounded off his presenation by stressing the need to consider patient profiles, i.e. who benefits from what, and consider blended care as a way to overcome the conflict between innovation and implementation.

Feedback after the Workshop, Frank Snoek: The MasterMind workshops were very informative and engaging, showing diversity of experiences with eMental health solutions across Europe, while at the same time general key issues were identified related to reach and implementation.

Patrick Heitz presented the way for eMH from research to market in Germany, based on the experience from a German public health insurance company, Barmer GEK. He described how currently there are not many eMH services available to the German public, but also how certain barriers are starting to be overcome. eMH services are a new area, which is not yet completely regulated, but after fighting for the service for one year, the insurance company has achieved acceptance from all potential opposers. German health insurance companies can pay for extra services, but they do no’t have to. Therefore, it is crucial for insurers that the new eMH services are not only accepted, but also cost-effective.

So far, their experience with using ccVC has proved to solve problems such as long waiting lists and the treatment gap after inpatient treatment. cCBT has been used for stress, burnout, and depression, and was proven to be less expensive but as effective as face-to-face treatment. As the next step, Mr Heitz emphasised marketing, in order to reach a greater number of people needing the service.

Kim Mathiasen told a personal story of eMH development starting with a programme for treating anxieties and phobias, which he built in collaboration with a computer programmer. This work was carried out ten years ago, and Mr Mathiasen stated that he had expected the uptake and implementation to move much faster than it did. Mr Mathiasen worked on the FearFighter project at Aarhus University to implement eMH for anxieties, but found that the hospital was not ready for this kind of service, and neither was the reimbursement structure. Therefore eMH was merely implemented as “something you do before the real treatment”. The national



action plan for telemedicine pointed to eMH as a focus area, and this provided the needed momentum, which made it possible to develop a more sophisticated programme and get to the level seen today in Danish eMH. As a lesson learned, Mr Mathiasen stated that it takes stubbornness and strong will to reach large-scale implementation.

Mr Mathiasen pointed to reimbursement and organisational change as the biggest barriers to implementation, and mentioned blended care as a method that seems to result in less friction from the healthcare system. Finally, he described international collaboration, such as the MasterMind project, as a potential way to solve current challenges because of the focus on exchange of experience across borders.

3.4 Central themes

Several themes were highlighted more than once during the workshop, and appear to be central to the implementation of eMH both within and outside of the MasterMind consortium:

Disruption of current mental healthcare.

Inspiration from other fields.

International collaboration and knowledge sharing.

Communication & marketing.

Trust.

Reimbursement.

Evidence-based mental healthcare and rapid development of new interventions.

Political support.

Division between somatic and mental health care.

Need for empirical insights in implementation and dissemination of evidence-based eMental health.

Some of these represent current challenges, some of them potential solutions or next steps, and some of them are both at once. By presenting them from the different perspectives brought in by the speakers and opening up for discussion with the audience, the Workshop has resulted in putting not just eMH on the agenda, but also paving the way for the necessary next steps to be taken on the way to larger-scale implementation.

The main themes discussed will serve as guiding principles for the further deployment of eMH in the MasterMind project and beyond. Also, they will provide part of the basis for the Final Conference to be held at the end of the project.



4 Dissemination

Several dissemination activities were carried out to support and promote the Midterm Workshop, both before, after, and during the event itself. The sections below describe the different activities.

4.1 The press

Three workdays prior to the Workshop, a press release was sent to Danish national and regional media through the distribution channels of RSD and OUH. This resulted in a radio interview with the Project Coordinator on regional radio with specific mention of the project.

After the Workshop, a press kit was produced in English for the project partners. The kit included text describing the event and photos from the day to serve as inspiration for press releases, website news stories, and the like.

After the Midterm Workshop, Heleen Riper was invited by the Communication Officer of Health and Wellbeing, EC DG CONNECT, to write a blog post on http://ec.europa.eu/digital-agenda/en/blog_home about the event and her role in the project. This blog post will be given further visibility on social media and in the eHealth in Focus newsletter.

4.2 On site

For the Workshop, two new types of promotional material were produced: MasterMind roll-ups, and postcards.

The roll-ups were used to establish MasterMind’s presence at the ETC and make it visible that the sessions were organised by the project. The postcards were distributed in the plenary room together with leaflets, pens, and post-its to provide key information about the project, serve as leads to the website, and be taken home by the audience.

4.3 Online

The Workshop was advertised on the project website and on Twitter.

Prior to the day, eight tweets were published to advertise the event. On the day of the Workshop, five tweets were published among many more retweets of mentions by fellow Twitter users.

After the event, a report on the Workshop was published on the project website and promoted on Twitter.

http://ec.europa.eu/digital-agenda/en/blog_home



5 Outcomes

The MasterMind Midterm Workshop increased the visibility of the project on several different levels by targeting key stakeholders at the European Telemedicine Conference. MasterMind is the first project to achieve this much attention at the ETC, and few EU projects have been made this visible at an international conference.

As described above, the Workshop brought to light a number of central themes relating to innovation, implementation, and deployment of eMH. This generated debates about eMH and sparked the interest of the audience; after the event, especially health authorities, interest organisations, and industry outside of the consortium have shown an interest in collaborating with and learning more about / from the project.

Apart from external visibility, the Midterm Workshop also served an autocommunicative purpose. The project partners were present, participated actively in the discussions, and expressed their pride in being part of an important project. Autocommunication of this kind is more a bi-product than the main goal of this type of activity, but none-the-less can have a significant impact on partner performance and engagement.

By inviting high-level politicians and decision-makers (e.g. from national governments and the European Commission) as speakers and audience, the project managed to put not only itself, but eMH in general on the agenda and on the lips of key stakeholders. This way the project succeeded in not only increasing its visibility, but also to spread the message that it is possible to implement eMH at a large scale and that MasterMind will show the way.



6 Snapshots from the day

The Danish Minister of Health, Sophie Løhde, opened the joint keynote for the ETC and the Hospital+Innovation Conference as part of WHINN.

Peteris Zilgalvis, Head of Unit, eHealth and Well Being, DG CONNECT, European Commission, presented at the joint keynote before attending the MasterMind keynote session.



Jane Heitmann presenting the political perspective of eMH in Denmark.

MasterMind keynote speakers Jane Heitmann and Heleen Riper alongside the other WHINN and ETC keytnote profiles, including the Danish Minister of Health.



The plenary room was full for the MasterMind keynote.

The new MasterMind roll-ups and the leaflets creating project visibility in the plenary room.



MasterMind promotion material at work in the exhibition area: post-its, postcards, pens, and leaflets.



Appendix A: Presentation slides

Not all speakers used slides for their presentations, but the slides that were presented at the workshop are included in this appendix.

A.1 Presentation slides, Claus Duedal Pedersen

mastermind midterm workshopmastermind-project.eu/.../08/mastermind-d2.5-v1.0-midterm-worksho… ·...

Documents