@JohnTorousMD, @StevenChanMD

MOBILE APPS & DEVICES IN PSYCHIATRIC TRAINING Steven Chan MD MBA PGY-4 • UC Davis Psychiatry John Torous MD PGY-4 • Harvard / BIDMC / BWH THANKS TO DON HILTY, DONALD HILTY, SANDRA DE JONG, ERICA SHOEMAKER, CHRIS SNOWDY, STEVEN CHAN, JOHN TOROUS & PATRICK O’NEILL, JOHN LUO, APA/SAMHSA MINORITY FELLOWSHIP PROGRAM.

@JohnTorousMD, @StevenChanMD

DISCLAIMER / CONFLICT OF INTEREST

•  Steven Chan and John Torous both advise start-ups, but neither have financial conflicts of interest.

@JohnTorousMD, @StevenChanMD

@JohnTorousMD, @StevenChanMD

NATIONAL HEALTH SERVICE — APP STORE RISKS

Huckvale et al. BMC Medicine (2015) 13:214 DOI 10.1186/s12916-015-0444-y

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@JohnTorousMD, @StevenChanMD

NATIONAL HEALTH SERVICE — APP STORE RISKS

Half of apps (50 %, n = 35/70) included strong identifiers in transmitted information. Two-thirds of these (66 %, n = 23/35, 29 % of all apps) sent identifying information without encryption, including email addresses (n = 5), account login details (n = 5), full name (n=2) or date of birth (n=2).

Huckvale et al. BMC Medicine (2015) 13:214 DOI 10.1186/s12916-015-0444-y

@JohnTorousMD, @StevenChanMD

NATIONAL HEALTH SERVICE — APP STORE RISKS

[Of the apps with privacy policies,] for a small number (4 %, n = 2/49) information handling was completely consistent with commitments made by the policy. However, while no apps transmitted information where a specific commitment had been made not to, four-fifths either collected (82 %, n = 42/49) or transmitted (78 %, n = 38/49) one or more data items not addressed by a policy.

Huckvale et al. BMC Medicine (2015) 13:214 DOI 10.1186/s12916-015-0444-y

@JohnTorousMD, @StevenChanMD

THREE KEYS TO INCORPORATING APPS

1  Use reputable institutions & verified developers.

2  Try an app yourself first. If an average person can use it — prescribe it.

3  Informed consent on security, privacy, and lack of testing is key.

@JohnTorousMD, @StevenChanMD

CURRENT USES: AS A COMMUNICATIONS MEDIUM

•  Doctors on Demand

•  HealthLinkNow

•  American Well

•  1docway

•  Talkspace

•  MDLive Breakthrough

@JohnTorousMD, @StevenChanMD

VA APP STORE — MOBILEHEALTH.VA.GOV

11 total mental health apps

@JohnTorousMD, @StevenChanMD

T2 APPS (NATIONAL CENTER FOR TELEHEALTH & TECHNOLOGY) ON GOOGLE PLAY

@JohnTorousMD, @StevenChanMD

INTELLICARE

https://intellicare.cbits.northwestern.edu — http://clinicaltrials.gov/show/NCT02176226

@JohnTorousMD, @StevenChanMD

MEDISAFE

http://mood-trek.com/moodtrek-for-consumers/

@JohnTorousMD, @StevenChanMD

FUTURE IS NOW: FACEBOOK BUILT-IN SUICIDE FLAGS

@JohnTorousMD, @StevenChanMD

FUTURE TRENDS: VIRTUAL REALITY

•  Specific phobias

•  Social anxiety disorder

•  Alcohol use disorder

•  PTSD

Psious

@JohnTorousMD, @StevenChanMD

FUTURE TRENDS: VIRTUAL REALITY

$40-$350 per unit

Oculus Rift

@JohnTorousMD, @StevenChanMD

FUTURE TRENDS: VIRTUAL REALITY

$40-$350 per unit

Oculus Rift

@JohnTorousMD, @StevenChanMD

FUTURE TRENDS: VIRTUAL REALITY

Springer

@JohnTorousMD + @StevenChanMD @UCDavisHealth

CASES @JOHNTOROUSMD + @STEVENCHANMD

@JohnTorousMD + @StevenChanMD

HTTPS://GOO.GL/nrlDRg

•  How can the following patients take advantage of apps to help with their condition?

•  When should apps not be used?

•  Where can you turn to for more information?

@JohnTorousMD + @StevenChanMD

HTTPS://GOO.GL/nrlDRg

Case 2a. A 30-year-old female with no prior history comes in for intake, stating that her boyfriend brought her here saying she needed to see a psychiatrist. Her boyfriend has threatened her to not leave him on a daily basis and has closely monitored her Android smartphone’s call logs and messaging. She is planning to leave him. You find that her symptoms are most consistent with PTSD. Case 2b. A 30-year-old female (similar to #2a) comes in for intake, but instead of Android, she has an iPhone.

@JohnTorousMD + @StevenChanMD

HTTPS://GOO.GL/nrlDRg

Case 2c. A 30-year-old female has a new-onset history of panic attacks. She has no access to a psychotherapist, lives in a remote rural area 2 hours away, and has an iPhone. Case 2d. A 30-year-old female presents similarly to #2c, but instead of an iPhone, she has an “Obamaphone.” You ask her what an “Obamaphone” is, and she shows you her Palm Pré. Case 2e. A 30-year-old female presents similarly to #2c, but instead of an iPhone, she has a “dumbphone.” You ask her what a “dumbphone” is, and she shows you a device with only SMS messaging capabilities.

@JohnTorousMD + @StevenChanMD @JohnTorousMD + @StevenChanMD

https://goo.gl/nrlDRg Find our cases at the URL above.

@JohnTorousMD, @StevenChanMD

MOBILE APPS & DEVICES IN PSYCHIATRIC TRAINING Steven Chan MD MBA PGY-4 • UC Davis Psychiatry John Torous MD PGY-4 • Harvard / BIDMC / BWH THANKS TO DON HILTY, DONALD HILTY, SANDRA DE JONG, ERICA SHOEMAKER, CHRIS SNOWDY, STEVEN CHAN, JOHN TOROUS & PATRICK O’NEILL, JOHN LUO, APA/SAMHSA MINORITY FELLOWSHIP PROGRAM.